HomeMy WebLinkAbout2102 JANIS WAY; ; CB012313; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07 /091;200'1 Plumbing Permit Permit No:CB012313
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2102 JANIS WY CBAD
PLUM
1672402300 Lot #: 0
Construction Type: NEW
STANTON -REPLACE WATER HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/09/2001
JM
07/09/2001
07/09/2001
Applicant: Owner: 4125 07/09/01 0002 01 02
A&J FOSTER
2819 CENTRAL AVE
SPRING VALLEY
619 697-4151
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
Additional Fees
TOTAL PERMIT FEES
Inspector: -. ,.c -
STANTON LYNN TRUST 10-28-99 CGP 27. 00
2102 JANIS WAY
CARLSBAD CA 92008
Total Payments To Date:
0
0
0
0
1
0
0
$0.00
FINAL A/4ROVAL
Date: /j t-,/4/
Balance Due:
Clearance:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$27.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, 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 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 r~hl to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacUy
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 aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired.
FOR OFFICE USE ONLY
PERMl,T APPLICATION PLA N CHECK N O. Ct_))L\J:3(5
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday A ve., Carls bad, C A 9 2008
E ST. VAL. ________ _
PROJ ECT iNFORMATION
2 102 JANIS W Ar""'CA'RCSBA D C'A 9 200 8
Business Name (at this address) Address (include Bldg/Suite #)
<Legal Descr> <Lot> <Subdiv ision N a m e/No> <Un it> <P hase> <T o ta l>
Legal Description
<A ssessor N o>
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
<Existing Use> <Pro posed U se>
Assessor's Parcel #
WATERHEA TERINSTAL L
Existing Use
<SQ FT> <S tories>
Proposed Use
<Bedrooms> <Bathroom>
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
llcant)
<Add ress > ST <Zip> <P hone> <Fax>
Address Telephone# Fax#
3. APPLICANT C Contractor
~etClerl< Inc 888 33017 77
Name Address City State/Zip Telephone#
!4. PROPERTY OWNER
LYNNE STANTON 2102 JANIS WAY CARLSBAD C A 9 2008 7607294889
Name Address City State/Zip Telephone#
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 than five hundred dollars [$500]).
A & J F oste r Incorpo rate d PO B ox 2 758 E l Cajon C A 9 20 2 1 6 193904477
Name Address City State/Zip Telephone#
State License # -'6""3""0=--1:..::2::..;:0'------
<N am e>
License Class _c_3_6 _______ _
<Address>
City Business License # 12 10836
<City> ST <Zio> <Pho ne>
Designer Name Address City State/Zip Telephone
State Licence# ________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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
of the work for which this permit is issued. i2I 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
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company State Comp Ins. Fund Policy No. 00506 395 Expiration Date 05/01/2002
(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 shall subject an employer to criminal penalties and civil fines up to one hundred
thousand doll--_)U.~ .:~1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ~---------------------DATE-'0;;..;7-'--/0"-6""-/=2-"-0-'-0 -'-1 ___ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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).
D 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 threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason:
1.
2.
3.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES O NO
I (have / have not) signed an applicant for a building permit for the proposed work.
I hayl) contracted with the following person (firm) to Drgvide the proposed construction (include name ( ;i(ldrflS:U phone number/ contractors license number):
<Name> <Aaaress> <WorK t-'hone> <State License>
4. I plan to provide portions of the \'{Qrk, but I have hired the following person IP co.ordinate, supervise and provide the m_ajqr work (include name I address I P.h.one
number I contractors license number):<N a me> <Aaaress> <W o rk Pho ne> <State L icense>
5. I will PfQVide some of the work, but I have contracted (l]irfld) the following person to provide the work indicated (include name / address/ Rt"Lo.ne pumber / type
of work): <N am e> <Aaaress > <Work Phone> <worK I ype>
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL: BUILDING PERMITS ONLY
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? 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? □YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of school site? 0 YES O 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 LENCI G AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANTCER'IW~
I certify that I have read the application and state that the above information is correct a~d that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building conslruction. I hereby authorize representatives of the City 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,
JUDGEMENTS, 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 not commenced within 180 days from the date of such permit or if the building or work authori~ed by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ~-------------------DATE _0;__7.c./..:..0 ..:..6/'-2.;_:0-'0'-1 ______ _
City of Carlsbad Bldg Inspection Request
For: 07/13/2001
Permit# CB012313
Tille: STANTON -REPLACE WATER HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2102 JANIS WY
Lot 0
APPLICANT A & J FOSTER (,I
Owner: STANTON LYNN TRUST 10-28-99 f (}t)t,IJI
Remarks: of
Total Time:
Inspector Assignment:
Phone: 7607294889
Inspector: "fC,_
()fl
Requested By: LYNN STANTON
Entered By: CHRISTINE
CD Description ;:,1 4omments
25 Water HeaterNents /+-1.--------------------
Associated PCRs ~-------------------
Inspection History
Date Description Act lnsp Comments