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HomeMy WebLinkAbout2060 BASSWOOD AVE; ; CB020276; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 01 -28-2002 Plumbing Permit Permit No:CB020276 ‘Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1671 304000 Lot #: 0 Applied: 01/28/2002 Reference #: Plan Approved: Issued: Project Title: WHITE RES-REPLACE H20 HEATER Inspect Area: 2060 BASSWOOD AV CBAD Construction Type: NEW Entered By: RMA Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: WHITE FAMILY TRUST 05-25-94 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 i : Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 PERMIT $0.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.6.C. SECTlON 1084.4 $27.00 DATE Y-b-6s SIGNATURE&-* .- FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ‘Imposition” of fees, dedications, reservations, or other exactions hereafter cdlectively referred to as ”Ieedexactions.” 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 6602O(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad 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 feedexactions 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 feedexactions of which you have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By c@ Date ie28aJ 1. PROJECT INFORMATION Address (include Bldg/Suite #) Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Assessor's Parcel # Existing Use Proposed Use # of Bedrooms Description of Work SO. FT. #of Stories I 2060 Basswood Ave. Business Name (at this address) Total # of units SFR 167-130-40-00 # of Bathrooms Water Heater Replacement - ca 920 -434-8 390 2. C TA TP SO efiarClot'Ee WlPE' Name Address City State/Zip Telephone # Fax # 9)390-4477 3 PPLICANT kfen Fost Name Address City Statelzip Telephone # 434-8390 4. PROPERTY 0WNE.R Name Address city Statelzip Telephone X Charlotte White 5. CONTRACTOR - COMPANY NAME (Sec 7031 5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve. demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Subjects the applicant to a civil penalty of not more then five hundred dollars l$5001) A & J Foster Plumbinq 13706-B Hwy.8 Bus. El Cajon CA. 92021 (619)390-4477 Name Address city StatelZi f210836Telephone # State License # 630120 Designer Name Address city Statelzip Telephone State License # N/A 6. WORKERS' COMPENSATION Workers' Compensation Declaratio 0 of the work for which this permit IS issued. a issued. My worker's compensation insurance carrier and policy number are: Insurance Company State COIF. Ins - policy ~0.467-01 0000713 Expiration Date 04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 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 shall subject an employer to criminal penalties and civil fines up to one hundred thousand do attorney's fees. SIGNATURE 7. OWNE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, 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 he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) 0 1 2. 3. 4. number / contractors license number): 5. of work). License Class C-36 City Business License # I 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 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 I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES ON0 I lhave / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number1 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 I address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number I type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTIOM~FOR' surib Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO ONSTRUCTION LENDING AGEN I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME Nom LENDER'S ADDRESS 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is 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 AND 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance " City of Carlsbad Bldg Inspection Request For: 07/05/2002 Permit# CB020276 Inspector Assignment: Title: WHITE RES-REPLACE H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2060 BASSWOOD AV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: WHITE FAMILY TRUST 05-25-94 Remarks: Total Time: Phone: 7604348390 Inspector: /4 Requested By: CHARLEOTTE Entered By: CHRISTINE CD DescriDtion Act Comments 25 Water HeaterNents Associated PCRdCVs InsDection History Date Description Act lnsp Comments c CITY OF CARLSBAD - NOTICE (760) 602-2700 FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? YES FOR FURTHER INFORMATION, CONTACT RiLl 6'62 -2 ?/5 PHONE d BUILDING INSPECTOR CODE ENFORCEMENT OFFICER