Loading...
HomeMy WebLinkAbout2275 NOB HILL DR; ; CB020483; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-14-2002 Plumbing Permit Permit No:CB020483 Building Inspection Request Line (760) 602-2725 Job Address: 2275 NOB HILL DR CBAD Permit Type: PLUM Parcel No: 1671122000 Lot #: 0 Construction Type: NEW Reference #: Project 'Title: ALTENBERN RES-NEW WATER HEATER Applicant: Owner: A & J FOSTER 2819 CENTRAL AVE SPRING VALLEY 619 697-4151 Status: ISSUED Applied: 02/14/2002 Entered By: RMA Plan Approved: Issued: Inspect Area: Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees . $0.00 TOTAL PERMIT FEES $27.00 FINAL APPROVAL Inspector: Date: 2_- Clearance: 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated By_ Date PRQJ19CTs INFORMATION 2275 Hi lilbr'2- :x Address (include Bldg/Suite #1 Business Name (at this address) Legal Description Lot No. , SFubdon Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use 167-112-20-00 Description of Work SQ. FT. I/of Stories N of Bedrooms II of Bathrooms Water Heater Replacement from Name Address City State/Zip Telephone If Fax II 3 APPLICANT C 'tracto A ant f0'Co t actor Owner I Agent! for Owner - , Arlen Foster/Caroi' oseer f706- Hwy.8 us. El Cajon, •Ca.' 92021 (619)390-4477"" Name Address City Slate/Zip Telephone If 4 PROPERTY OWNER Altenbern, John.........................2275NobHill Dr. Carlsbad : - Ca. 92008 760-434-2302" Name Addr,,, City State/Zip Telephone N G.CONTRACTOR :COMPANY NAME .• . .. . i LL Jrju pf (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 ($5001). A & J Foster Plumbing 13706-B Hwy.8 Bus. El Cajon CA. 92021 (619)390-4477 Name ' Address City State/Zip Telephone N State License # 630120 License Class C-36 City Business License # 1210836 Designer Name Address City State/Zip Telephone State License # N/A ' 6 WORKERS COMPENSTIONt% Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. JM 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. Policy No. 467-01 0000713 Expiration Date 040102 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 10 1001 OR LESS) 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 dollars ($100,000). in addition to the Cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees. - SIGNATURE CA_A.8-.,._j3Z? DATE Cl— D_ I hereby affirm that I am exempt from the Contractor'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 sale (Sec. 7044, Business and Pro(ession 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 biilding 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). ' 0 I am exempt under Section Business and Professions Code for this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm,.) to provide the proposed construction (include name / address / phone number / contractors license number): 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 I address /phone number / contractors license number): ' I will provide some of the work, but I have contracted (hired) tb's following persons to provide the work indicated (include name / address / phone number I type of work): PROPERTY OWNER SIGNATURE 'DATE ICOMPLETE THIS SECTION FOH NON RESIDENTIAL BUILDING PERMITS ONLY F -: 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? 0 YES 0 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 feat of the outer boundary of a school site? 0 YES 0 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 CONST_AUCTION LENDING AGENCY W .. ..L ) t I 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). NONE LENDER'S NAME _ - - LENDER'S ADDRESS____________________________________________________ 9 APL)ANT CERTIFICATION r' h 'Iit iUL 4d9 I 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 Citt, 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; Art 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 lroln the date of such permit or lithe building or work authorized by such perm is suspe dad or abandoned :';1::z con.mnenced for a e _f 180 days clion .4 nit orm Building Code). DATE WHITE: File/YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04104/2002 Permit# CB020483 Inspector Assignment: Title: ALTENBERN RES-NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2275 NOB HILL DR Suite: Lot 0 Location: APPLICANT A & J FOSTER Owner: ALTENBERN JOHN H&LAURIE A Remarks: am please - early as possible Phone: 8582799916 ex 107 Inspector: Total Time: Requested By: JOHN Entered By: CHRISTINE CD Description Act Comments 25 Water Heater/Vents P Associated PCRs Inspection History Date Description Act Insp Comments