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HomeMy WebLinkAbout2110 PINE CREST WAY; ; CB013904; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-20-2001 Plumbing Permit Permit No:CB013904 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2110 PINE CREST WY CBAD PLUM Status: ISSUED 12/20/2001 RMA Parcel No: 1563320100 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GABLE RES-REPLACE H2O HEATER Inspect Arep: 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 Additional Fees TOTAL PERMIT FEES Inspector: Owner: GABLE ANTHONY L&NANCYlU 12/20/01 0002 01 2110 PINE CREST WAY CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 1 0 0 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 EXPIRED PERMIT $0.00 $0.00 $0.00 PE~MIT HAS EXPIRED IN ACCORDANCE WITH c.f.e!-00 SECTION 106.4.4 AS AM~DEO av C.M.C.18.04.030 DATE '1tl, 1.1.\"<@-SIGNATURE-.DA\__.._\ ___ _ FINAL APPROVAL CGP $27.00 Date: Clearance: _____ _ NOTICE: Please lake NOTICE that approval of your projeq includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collec~vely referred to as "lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these lees/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 right to protest the specffied fees/exactions DOES NOT APPLY to waler and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or se1Vice fees in conneclion 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. 02 27.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 -'1::" J>itoai:CT:~NFORIV!ATION, , Vp , j'i 2110 Pine Crest Way FOR OFFICE USE ONLY PLAN CHECK NO. C/>ol.f9ffej EST. VAL. __________ _ Plan Ck. Deposit ~ Validated By , ~ Date / 1;..,,fgq/p Address (include Bldg/Suite #) Business Name tat this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use 156 332-01-00 Description of Work SO. FT. #of ~ories # of Bedrooms # of Bathrooms Water Heater ReQlacernent \ .,,;,: d 2.,' . 'c~tt~i;RG:gf :ttorent from IIP~irrn) ii ~irie 1·1./, -,, : •, ':'"''• .. ,., Crest Way I ' Carlsbad CA. 92008 760-730-9220 Nome Address City '31 ~ ''APPtlOANf' ' X[J d'ontract8i ' o; Agent, for,tontractbr ., ' l O 6wner Arlen Foster/Carol Foster 13706-B Hwy.8 [J Agent for Owner ., Bus. El Cajon, Nome Address City !'4f' P,~61>1:ln'jt,,oWijrn~.' .. ' ,' -, Anthony Gable 2110 Pine Crest Way Carlsbad State/Zip Ca. 92021 State/Zip ;·,r·.jr Ca. 92008 Name Address City State/Zip rs. ·~ tt ,6'r:rt li';(tf 'oR~'COMPANY4°NAM~~ ',~i·~.~lffrJ ,,;1'.!lfSf£;iif1'. · ]':'i:,r,~,i•;;1,tm1;,r 1WJ~1:t',.f~1r • ·, ,.,. <t;:i!':(~r.';/': 11!":,;,i,Pi.'' Telephone # Fax # (619)390-4477 Telephone # 760-730-9220 Telephone # {Sec. 7031.6 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 I $500)). A & ,J Foster Plumbing 13706-B Hwy. 8 Bus. El Cajon CA. 92021 ( 619) 390-4477 Name Address City State/Zip Telephone # State License# 630120 License Class C-36 City Business License# 1210836 Designer Name Address City State/Zip Telephone State License # _ __,N..,,_/=A~----- '6i "\Woffl<°E~s··cor.,PENsAtror:r~ i ,;:, ·~+ ·'i · •'· ·-;•c1.:n:u. · · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. xJ 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 carri er and policy number are: Insurance Company State Comp. Ins. Policy No.467-01 0000713 Expiration Date __ 0_4_-_0_l_-_0_2_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 an y 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, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars I 00,000), in a itlon the cos of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. DA TE / d ..-,;.I) -I)/ 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). 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 / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (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): _____________________________________________ _ 5. 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 / type of work): _______________________________________________________ _ DATE _________ _ i!(~~~t{~f'~",~~ ~:;,, }f{iir:'t~.~1":~:~-/~•;:'{~1dil< l :' 'ii'\.";,, 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 2550!i, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a 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. [a • · , , !ffs:t11).ffl;ti6Ni'['fi{D)~G:eN"O:yt~i~ir~v:i~rt~lf-(''';fri]rw;~~iD', ·[lJll~ ,.~~~'W'flll:i•~P,rt~ f't<~l',:1 ;:, \~•; .~~;'.~!,;;; ,r. t&(1l, -k I hereby affirm that there ls a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097(i) Civil Code). LENDER'S NAME _____ OO_NE ________ _ 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 Cit\' 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 6'0" 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 ii tile building or work authorized 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 time after the work Is comm cad for a period of 1 days (Section 106.4.4 Uniform Building Code). DATE /ol -t:2-0 -()/ WHITE: File YELLOW: Applicant PINK: Finance