HomeMy WebLinkAbout2301 BRYANT DR; ; CB050177; Permit1
01 -1 6-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB050177
Job Address:
Permit Type: PLUM Status: ISSUED Parcel No: Lot #: 0 Applied: 01/18/2005
Reference #: Plan Approved:
Issued: Project Title: CAMERON RES REPLACE H20 HEATER Inspect Area:
2301 BRYANT DR CBAD
Construction Type: NEW Entered By: KG
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-4477
Owner:
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
$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
~~ ~ ~
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Inspector: Clearance:
f
NOTICE: Please take NOTICE that approval of your project includes the “Imposition” of fees, dedications, reservations, or other exactions hereafter collectively
referred to as “feeslexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexaclions 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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. e/3 0~0131)
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Proposed Use
DescriptioN of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address I-- city - .- - -
:lephone #
any structure, prior
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 Codel or that he Is exempt therefrom, and the basis for the alleged
City J
City Business License #
Address
State License # &m IZ-Cj
Designer Name Address city StateKip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0
License Class
- .... -.~.. .RBER
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
e work for which this permit is issued.
I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Insurance Company Policy No. 1 7 3a7k-w Expiration Date-
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOO] 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 un~awful,~af&bshell subject an employer to criminal penalties and civil fines up to one hundred
r,
[7 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 ha 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 Lawl.
0
1.
2.
3.
1 am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have I 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 I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
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 I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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
a YES c) NO
0 YES 0 NO
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 Citv 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: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPlRATlON 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 permil is not commenced within 180 days from the date of such wrmit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced
APPLICANT'S SIGNATURE DATE --7-*
WHITE: File )ELLOW: Applicant PINK: Finance
'\ %I 4 City of Carlsbad Bld Inspection Request
For: 02/0 1 /2005
Permit# CB050177 Inspector Assignment:
Title: CAMERON RES REPLACE H20 HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2301 BRYANT DR
Suite: Lot 0
Locat ion :
APPLICANT A&J FOSTER, INC.
Owner:
Remarks: CLUB HOUSE W/H
Phone: 760431 81 04
Inspector: Qc
Total Time: Requested By: RAY
Entered By: CHRISTINE
CD Description
25 Water HeaterNents
Associated PCRs/
InsDection Historv
Date Description Act lnsp Comments