HomeMy WebLinkAbout2114 PINE CREST WAY; ; CB012620; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-07-2001 Plumbing Permit Permit No:CB012620
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
A&J FOSTER, INC.
STEB
Building Inspection Request Line (760) 602-2725
2114 PINE CREST WY CBAD
PLUM
1563320200 Lot #: 0
Construction Type: NEW
VANLANCKER RES/ NEW WATER
HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
VANLANCKER JULIEN L&JILL R
ISSUED
08/07/2001
CB
08/07/2001
08/07/2001
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
2114 PINECREST WAY
CARLSBAD CA 92008
6670 08/07 /01 0002 01
CGP
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:
Total Payments To Date:
0
0
0
0
1
0
0
$0.00
FINAL APPROVAL
Date: /-Jl-,rt;;? ;2....
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
folklw 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 Csr1sbad 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 slrnlar application processing 0< service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have nrevlous11, been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
02
FOR OFFICE USE ONLY
PERMIT APPLICATION
P L AN C HEC K NcL.-ec2 JJ/t;
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Fara d ay Ave., Carlsbad, C A 92008
EST. VAL. ________ _
Plan C k. Deposit~~-----
V alidated By _._C.:::'J/5.....::....,..-----
Date 6 -J -() /
1. PROJECT INFORMATION
2 114 PINE C REST WAY C A R [SBA D CA 9 2 008 <Suite> <Name>
Business Name (at this address) Address (include Bldg/Suite #)
<Legal Descr> <Lot> <Subdiv ision Name/No> <Unit> <Ph ase> <T otal>
Legal Description
<Assessor No>
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
<E x is ting U se> <Proposed U se>
Assessor's Parcel #
WATERHEA TER IN S T A LL
Existing Use
<SQ FT> <Sto ries>
Proposed Use
<Bedrooms> <Bathroom >
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (If different from applicant)
<N a m e> <Address>
Name Address
3. APPLICANT
N etCle rk Inc
C Contractor liZ) Agent for Contractor C Owner -r20 Dobuqoe 'Ave·-------....,.
Name Address
4. PROPERTY_o_w_N_E_R ____ ~_
JILL L VANLANCKER 2 114 PINE CREST WAY
Name Address
5. CONTRACTOR. COMPANY NAME
ST <Zio> <Phone> <Fax>
Telephone# Fax#
8 8833 0177
City State/Zip Telephone#
CARLSBAD CA 92 008 7604346870
City State/Zip Telephone#
(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 oster Incorporate d PO Box 2758 El Cajo n CA 92 0 2 1 6 193904477
Name Address City State/Zip Telephone#
State License# -'6"-'3::..0::..1-"2=0 ____ _
<Nam e>
License Class _c_3_6 _______ _
<Address>
City Business License # 12 10836
<City> S T <Zio> <Phone>
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:
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. liZI 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 S tate C omp Ins. Fund Policy No. 005063 95 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-~~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_O::..;8::.:./-=-O-=-3/:..=2::.:Oc.::Oc.: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 I have not) signed an applicant for a building permit for the proposed work.
I ha,y!l contracted with the following person (firm) to ~rqvu:le the proposed construction (include name ( ~odr~sV phone number / contractors license number):
<N a m e> <Aaoress:> <W o rK !-'hone> <State License>
4. I plan to provide portions of the ,yqrk, but I have hired the following person IP ~qordinate, supervise and provide the m_ajqr work (include name I address / P.h,one
number, contractors license number):<Na m e> <Aaaress> <Work Phone> <State L icense>
5. I will P!QVide some of the work, but I have contracted (bir~d) the following person to provide the work indicated (include name I address I Rh.Qne pumber / type
of work): <N a m e> <Aadress> <Work Phone> <W o rK I ype>
DATE
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? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of school site? D 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 AGENCY ----
1 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. APPLICANTCERTIFICATION
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 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 or such permit or if the building or work authorized 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:....:8:..:./.=.0..=.3/:..=2:..:0:....:0:...;1'--------
City of Carlsbad Bldg Inspection Request
For: 01/04/2002
Permit# CB012620
Title: VANLANCKER RES/ NEW WATER
Description: HEATER
Type:PLUM Sub Type:
Job Address: 2114 PINE CREST WY
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: VANLANCKER JULIEN L&JILL R
Remarks:
Total Time:
Act Comments
Inspector Assignment: __E:::...__3
Phone:
Inspector: / ~ / < 1 ( __;)
Requested By: JULIAN
Entered By: CHRISTINE
CD Description
25 Water HeaterNents /li!. ______ _
Associated PCRs
Inspection History
Date Description Act lnsp Comments