HomeMy WebLinkAbout2130 PINE CREST WAY; ; CB021256; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-24-2002 Plumbing Permit Permit No: CB021256
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2130 PINE CREST WY CBAD
PLUM
1563320600 Lot#: O
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/24/2002
RMA
04/24/2002
04/24/2002
Applicant:
STREICHER RES-REPLACE WATER
HEATER
Owner:
5900 04/25/02 0002 01
CGP
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
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:
STREICHER FAMILY TRUST 07-25-01
2130 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
$0.00
$0.00
$0.00
$27.00
EXPIRED PERMIT
PE'R,JIT HAS EXPIRED IN ACCORo,••1~~ u:,•-,1 :: "'C
S
t\l'j\.i.,i"•il., .,,)., r CiiON 106.4.4
t'Fl: \Q(::u,( Q'z -SICHATI!RE afa.v
FINAL APPROVAL
Date: Clearance:
$27.00
NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES ff APPLY to any h . i
02
27,00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
2130 PINE CREST WAY
FOR OFFICE USE ONLY
PLAN CHECK NO. _____ _
EST. VAL. _________ _
Plan Ck. Deposit _________ _
Validated By ___________ _
Date. ______________ _
Address (include Bldg/Suite #) Business Name lat this address)
Legal Description lot No. Subdivision Name/Number SFR Unit No. Phase No. Total # of ur1its
Assessor's Parcel #
156-332-06-00 Existing Use Proposed Use
Description of Work SO. FT. #of Stories II of Bedrooms # of Bathrooms Water Heater Replacement
2. CONTACT PERSON (It different frorn applii~'b STREICHER, CARL 2 5 PINE CREST WY Carlsbad CA. 92008 760-433-4662
Name Address City State/Zip Telephone# Fax II
3. APPLICANT XJ contractor Arlen Foster/carol D Agent for Contractor· D Owner Foster 13706-B Hwy.8 D Agent for Owner , Bus. El caJon, Ca. 92021 (619)390-4477
Name Address City Stat fl/Zip Telephone #
4. PROPERTY OWNER
STREICHER, CARL 2130 PINE CREST WY carlsbad Ca. 92008 760-433-4662
Name Address City State/Zip Telephone II
6. CONTRACTOR • COMPANY NAME
(Sec. 7031.Ei Business end Professions Code: Any City or County which requires a permit to construct, niter, 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 Codf!I or that he is exempt therefrom, and the basis for the allegm1
exemption. Any violation of Section 7031.5 by any applicant for a pmmit subjects the applicant to a civil penalty of not more th;m five hundred dollars [$!WO!).
A & ,I Faster Plumbing J 3706 B Hwy.8 Bus. El Cajon CA. __ 92021 (619)390-4477 ---~
Name Address City State/Zie Tehlphone II
State License# 630120 License Class_ C-36 -~------City Business License# .1210836 ___ _
Designer Name Address City State/Zip Telephone
State License # ___ N,.,,/~A~-----
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-insura for workers' compensation as provided by Section 3700 of the labor Code, for the performance
l'ot the work for which this permit is issued.
~ 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 ara:
: Insurance Company State Comp. Ins. Policy No. __ 467-01 OO_Q_CJ713 Expiration D<1te 04-01-02
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 mnploy any person in any manrnir so as
to become subject to the Workers' ~,O{I'Pensa-tion laws of California.
WARNING: Failure to secure Is unlawful. Ami sholl subject an employer to criminal penaltlBll and dvil fines up to one hundred
~~~~=~~::Uars 1$100,0 nsat , 5"mages as provided for In Section 3~:6T:f~ef'R' !e5nizauz attorney's fees.
1. oWNEli-BUILDER ·oEcLARA t10N
I hei'eby affirm that I am exempt from the Contra r'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 s11le
(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 purrmse of SAie).
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 Lew 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 1 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. D YES ONO
2. 1 (have/ have not) signed an application for a building permit for the proposed work.
3. I have contractsd with the following person (firm) to provide the proposed construction (include name I address/ phone number/ contractors license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name / i!ddress / phone
number/ contractors license number)., ____ _,e,&·~•1,----------------------------
5. I will provide some of the work, but I have co~racted (hired) the following persons to provide the work indicated (include name/ addrr.ss / ph~ne numhN / ty11e
of work): \': ______ ""------···· __ _
PROPERTY OWNER SIGNATURE ________________________ _
COMPLETE THIS ·sECTION .FOR NON-RESIDENTIAL BUILOINGIPERNilTS C>NLY
DATE _________ _
Is the applicant or future building occupant requirad to submit a business plan, acutely hazardous materials registration form or risk rnanai:p.1ment and prevnntion
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 man11gement district? O YES D 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.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME _____ [i[) __ NE _______ _
9. APPLICANT CERTIFICATION
LENDER'S ADDRESS ______________________ _
I certify that I have read the application and state that the above information is correct and that the information on the plans is 11ccurate. 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 rmmtioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CATILSBAD 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 lhe building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
m 1thonzed by such permit 1s nol commenced w1th1n 180 days from the date of such permit or 11 the bu1ld1ng or work authonzed Ip fJ{ch permit ts suspended or abandoned
a1 any lime alter the work IS commenced for a d of 180 da s Sect10 4 Unrrorm Bu1ld1ng Code) Ar~~: 2 b 2UUit
APPi ICANT'S SIGNATURE -DATE
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