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HomeMy WebLinkAbout2051 JANIS WAY; ; CB003506; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/26/2000 Plumbing Permit Permit No:CB003506 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2051 JANIS WY CBAD PLUM Status: ISSUED 09/20/2000 CB 09/26/2000 09/26/2000 Parcel No: 2051531400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Tille: MOLO RES NEW WATER HEATER REPLACE WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477. Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: Owner: OAS DAVID P&CATHERINE A 2051 JANIS WAY CARLSBAD CA 92008 Total Payments To Date: $0.00 Balance Due: $27.00 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 E}(?IREQ2Pf RMIT ·· ! '~ ~ CXPIRED IN ACCORDANCE wml U.B.C. ,,i iJ&.4.4 FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C,/3§() 3S00 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit-~~~----- ~::i:ated ;,/~)5?'fV rP=l_f--l-L Address (include Bldg/Suft"e #I Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel # Existing Use Proposed Use DID'i,~lOCQ'' u.xr:t.u ~ SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2.;~TACT PERSON Uf dlfferent.frdm·8ppllcant1·; Name Address City 3 •.. APPLICANT O.Contra0·1or r-:;.;_Ac.:•:::•:::nt.forContracfor -"0 OW'n8r_ ~-; Name 4. Name 6. .CONTRACTOR.~ COMPANY,N_AME· (Sec. 7031.5 Business and Professions Code: Address City State/Zip Telephone # State/Zip Telephone# City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS~ COMPENSATION' Workers' Compensation Declaration: I hereby affirm undar penalty of perjury one of the following declarations: Fax# D J have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. \-st_ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is 'frs~d. My worker's compensation ins ranee carrier and polic number are: lnsm,nc,Componv C S {lei> (., · Pol;cyNo. f.Jd-{'.)07(/;S: /00 E,p;.,,;onDato ,S/J/z(Jt) / {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shell subject an employar to criminal penalties and civil fines up to one hundred thousand dollars $100 001, In addition to the cost of compensation, damages as provided for In Section 3706 of the labor code, 17erest and attorney's fees SIGNATURE•;;L;_c=.:~2'.ss~~~===~=~::..::-==-~~= DATE o 1 ,r ru) 7, OWNER-ER DECLARATION ' I heieby affirm that I am exempt from the Contractor's License law for the following reason: D t, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's.License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or improve_for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project lSec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's license Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I {have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following P.erson !firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):, _______________________________________________ _ 6. I will provide some of the work, but I have contracted lhlred) the following persons to provide the work Indicated (include name I address/ phone number/ type of work).,_---------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPL~TE THIS SECTION fOR NON-RESIDENnAL IIUllDiNO PERMITS. ·oNLY !:/:: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materlals registration form or risk management and prevention program under Sections 26506, 26533 or 25634 of the Presley-Tanner Hazardous Substance Account Actl D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site1 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING I\GENCY•:' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME ______________ _ 9i · APPLICANT CERTIFICl>.TION(>'' I certify that I have read the application and state that the above information Is correct and that the information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0~ deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building OHiclal under the provisions of this Code shall expire by limitation and become null and void If the building or work aulhorized by such permit Is not commenced within 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned al any lime after the work Is commenced for a period ol 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE "f,7 /,, >? --' DATE _q--4/...,f&"-+/_,IQ)c...,c_ _____ _ WHITE: File YELLOW: Applicant PINK: Finance