HomeMy WebLinkAbout2285 HIGHLAND DR; ; CB012040; Permitl//c;f;S'?) City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06/12/2001 Plumbing Permit Permit No:CB012040
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2285 HIGHLAND DR CBAD
PLUM
1560511300 Lot#: 0
Construction Type: NEW
PATE RES/ NEW WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/12/2001
SR
06/12/2001
06/12/2001
Applicant:
A&J FOSTER, INC.
STE B
PATE ALVIN A&MARGARET E£827 06/12/01 Xl02 )1
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
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:
2285 HIGHLAND DR
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
Date: 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 Ca~sbad 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 r~ht to protest the specffied 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
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
FOR OFFICE USE ONLY
PERMIT APPLICATION
PLA N CHECK N O . ~0\ -~6(\Q
CITY OF CARLSBAD BUILDING DEPARTMENT
16 35 Faraday A v e., Carlsbad, CA 92008
EST. VAL. _______ _
Plan Ck. Deposit ..,,...,,,n=-,------
Validated By S.a,;
Date b I ,~....,...,o.....,.,....c...>,;: ....... ---
1. ~OJcCt lf.iFOiU,«flON
2285 RIGRLAND DR CAR[SB)XD C"/l. 92008 <Suite> <Name>
Business Name (at this address) Address (include Bldg/Suite #)
<L egal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <T otal>
Legal Description
<Asse ssor No>
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
<E xisting U se> <Pro posed U se>
Assessor's Parcel #
W ATER HEATER REPLACEMENT
Existing Use
<SQ FT> <Stories>
Proposed Use
<Bedroom s> <Ba throom >
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
CONTACT PERSON (If different from a llcant
<Name> <Address> <City> ST <Zio> <Phone> <Fax>
City State/Zip Telephone# Fax#
C A ent for Owner
South San F rtC I( 9~080-8 8 83301777
Name City State/Zip Telephone#
14, PROPERTY OWNER
ALV IN A PATE 2285 HIGHLAND DR CARLSBAD CA 92008 760729 1321
Name Address City State/Zip Telephone#
5. CONTRACTOR-COMPANYNAME
(Sec. 7031.5 Business and Profess•io_n_s -C-o-de_:_A_n_y_C-ity_o_r -C-o-un_ty_w-hi-ch~re-q~ui-re_s_a-pe_r_m-it-to_co_n-st-ru-c-t,-a-lt-er-, -im-p-ro_v_e .. , "'"de'""m_o_h __ s-h -o-r -re-p-ai-r -a-ny_s_t-ru-ct-u-re-, -p-rio-r-to-it-s ...,
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 Foste r Incorporated PO Box 2 758 El Cajon CA 9 2021 6 193904477
Name Address City State/Zip Telephone#
State License # 630120 <Name>Q-=:...=....:.=c_ ___ _ License Class _c_3_6 _______ _
<Address>
City Business License # 121 0836
<City> ST <Zio> <Phon e>
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:
D 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. li2I 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 C omp Ins. Fund Policy No. 0 0 506395 Expiration Date 05/0 1/2002
(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.
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 _0_6_/0_7_/2_0_0_1 ____ _
7. OWNER-BUILDER DECLARATION
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 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). 0 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.vii contracted with the following person (firm) to prqvlde the proposed construction (include name l ~~dr~sV phone number/ contractors license number):
<N a m e> <Aaares s> <W orK Plio ne> <Sta te License>
4. I plan lo provide portions of the -.yqrk, but I have hired the following person tp cqordinate, supervise and provide the m_ajqr work (include name / address / P.h.one
number/ contractors license number):<Name> <Aaaress> <Work Phone> <Sta te License>
5. I will PfQVide some of the work, but I have contracted (~ir~d) the following person to provide the work indicated (include name / address / ~ti.o.ne /lUJJJber / type
of work): <N a me> <Aadress> <Work Phone> <WorK I ype>
PROPERTY OWNER SIGNATURE DATE
OMPLETE THIS SECTION FOR NON-RESIDENTIAL: BUllDING PERMITS ONLY
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 Subslance Account Act? 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? □YES 0NO
Is the facility to be constructed within 1,000 feet of the outer boundary of 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. 3087(i) Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS
9. PL ~ERTIFI
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 of 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_6_/_0_7_/2_0_0_1 ______ _
.. ------------------
City of Carlsbad Bldg Inspection Request
For: 06/19/2001
Permit# CB012040
Title: PATE RES/ NEW WATER HEATER
Description:
Type:PLUM Sub Type:
Job Address: 2285 HIGHLAND DR
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: PATE ALVIN A&MARGARET E
Remarks:
Total Time: -----
CD Description Act Comments
25 Water HeaterNents
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: ft
Phone: 7607291321
Inspector~
Requested By: MARGARET
Entered By: CHRISTINE