HomeMy WebLinkAbout2231 PASEO SAUCEDAL; ; CB042273; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-08-2004 Plumbing Permit Permit No: CB042273
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2231 PASEO SAUCEDAL CBAD
PLUM Status: ISSUED
06/08/2004
MOP
06/08/2004
06/08/2004
Parcel No:
Reference#:
Project Title:
Applicant:
A&J FOSTER, INC.
STE B
2552603200 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
SOLOMON RESIDENCE Inspect Area:
WATER HEATER REPLACEMENT
Owner:
SOLOMON REVOCABLE TRUST 05-06-97
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
7876 SITIO OLMO
CARLSBAD CA 92009
4023 06/09/04 0002 01
CGP
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
Total Fees: $27.00
Inspector:
0
0
0
0
1
0
0
Total Payments To Date: $0.00
$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
Balance Due:
Clearance:
$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 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 IT APPLY to any
le I x ti n f whi h ou h v r vi I n iv n N Tl mil rt hi r whi h h I u I limit i n h I h rvvi
02
27-00
FOR OFFICE USE ONL V
IT'lEHMIT APPLICJ\TION PLAN CHECK NO. ____ _
' .
CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL _________ _
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
Address {include Bldg/Suite ti) Business Name {at this address)
Le Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units
Proposed Use
#of Stories # of Bedrooms # of Bathrooms
5,
(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
'irnmption. ~ ~jo=a·t\on of Section 7031.5 by any app!ican for permit subj ct the applicant ~o a cjvil penalty of nqt more,..tti. an fl~ hundre.d dollars! 5QO]). ?i-s1-j' :!:::CT>ter: ,-1,-nc. · · · · . . ' -' ' 1.1 x.. · -
Designer Name
State License #
Workers' Compensation Declaration:
Address City State/Zip Telephone
D l 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 tpe 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 1s
issued My worker's_,l-!;l ~ens, t1on 1nsura e carrier a policy number are: -1:) ,-)~7/ __ ~ Li 4/CfS
Insurance Company L .; Polley No._L.t OJ \LI O -I Exp1rat1on Date ,
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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.
nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100~000 tio es as provided for in Section 3706 of the "'.'"'\;><,,.-nu attorney's fees.
SIGNATURE
7;
I hei-eby affirm that I am exempt from the Contractor'
DATE
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 safe
(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 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 I phone number/ contractors license number):
4. I plan to provide portions of the worl<, but l 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 f type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _
CoMPlsET!:'/rH·1s',s~C:TibllJJ~OJfJv'oN~nESiD£1\lTiAt'.$UiltfiNG:PERMi.tS:!6~):-Y;f}~t;[~f!£S\flj{Jifi
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 Accow1t 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 die faciiity lo Ue constructed within 1,0UO feet of the outer ooundary ot a school site? D Yl:S O NU
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. .Gl,NSTRvcnoN;lENDING/\G~illc.y , ••
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 ______________ _
9. A.Peu¢ANT .. CERt1FiCAJ16N::
! 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
Clty 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 cirY 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.
E)(PIRATION: Every perrnit issued by the buil Official under the pr si of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not c~ .. ; . .-· en O Y__~the da su 1t or if the building or work authorized by such per7it ·s suspended or abandoned
at any time after the work is comf E!ni;;i r.r7\I . m Bu1Jd1ng Code),/~.'/ a • 0 ( /
APPLICANT'S SIGNATURE--''·------~-'---,,_______________ DATE~ / -L-+----~
YELLOW: Applicant PINI<: Finance
t
City of Carlsbad Bldg Inspection Request
For: 07/20/2005
Permit# CB042273
Title: SOLOMON RESIDENCE
Description: WATER HEATER REPLACEMENT
Type: PLUM Sub Type:
Job Address: 2231 PASEO SAUCEDAL
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Inspector Assignment: JM ---
Phone: 7605338711
Inspector: ~ '1---
Owner: SOLOMON REVOCABLE TRUST 05-06-97
Remarks: SIDE GARGAGE DOOR WILL BE OPEN-RT SIDE
\\l{1 ~
Total Time:
CD Description
25 Water Heater/Vents
~Comment
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Requested By: MR. SOLOMAN
Entered By: CHRISTINE
09/28/2004 21 Underground/Under Floor NR JM NO ONE HOME