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HomeMy WebLinkAbout2301 DANA CT; ; CB013576; Permit11-15-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB013576 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2301 DANA CT CBAD PLUM 1675322800 Lot# 0 Construction Type UN BERNSTEIN RESIDENCE WATER HEATER REPLACEMENT Status Applied Entered By Plan Approved Issued Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner BERNSTEIN JEROME D 2301 DANA CT CARLSBAD CA 92008 ISSUED 11/15/2001 MDP 11/15/2001 11/15/2001 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Inspector FINAL APPROVAL Date 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION 2301 Dana Court FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number SFR Unit No Phase No Total # of units Assessor's Parcel tt 167-532-28-00 Existing Use Proposed Use Description of Work Water Heater Replacement 2 CONTACT PERSON {if differe.nl from applicant)Jerome Bernstein ^^ SQ FT "2301 Dana Ct. #of Stories Carlsbad It of Bedrooms CA. 92008 tt of Bathrooms 760-720-2229 Name Address City 3 APPLICANT H Contractor fj Agent for Contractor £] Owner fj Agent for Owner ARLEN FOSTER/CAROL FOSTER 13706-B HWY 8 BUS. EL CAJON, Name Address City 4 PROPERTY OWNER Jerome Bernstein 2301 Dana Ct. CARLSBAD State/Zip Telephone tt Fax tt CA. 92021 (619)390-4477 State/Zip Telephone # CA. 92008 760-720-2229 Name Address City State/Zip Telephone tt 5 CONTRACTOR - COMPANY NAME (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 State License #630120 Address License Class C-36 City City Business License # State/Zip Telephone #1210836 Designer Name Address City State/Zip Telephone State License tt 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 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 Q 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 04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~) 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 DATE 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason C] 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) 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) l~l 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 f~l YES I~|NO 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 / phone number / contractors license number) 4 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 / 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 / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 Substance Account Act? Q YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? d YES Q 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 3097(0 Civil Code) NONE LENDER'S ADDRESSLENDER S NAME 9 APPLICANT CERTIFICATION 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, 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 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 fae^p^nod of 180 days (Se£t*op 106 4 4 Unjform Building Code) APPLICANT S SIGNATURE ^^C-^^^^^ ~ / ^-9-^^~^- ^ DATE /f—/ 5~~O/' WHITE fi\e YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/24/2001 Permit# CB013576 Title BERNSTEIN RESIDENCE Description WATER HEATER REPLACEMENT Type PLUM Sub Type Job Address 2301 DANA CT Suite Lot 0 Location APPLICANT A&J FOSTER, INC Owner BERNSTEIN JEROME D Remarks //O ® Inspector Assignment Phone 7607202229 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By JEROME Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments License Detail Page 1 of2 IFQRNIA i irrusr License Detail Contractor License # 630120 DISCLAIMER A license status check provides information taken from the CSLB license data base Before relying on this information, you should be aware of the following limitations • CSLB is prohibited by law from disclosing complaints until they are referred for legal action • Per B&P 7071 17, only construction related civil judgments known to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base Extract Date 11/08/2001 * * * Business Information * * * A & J FOSTER INC P O BOX 2758 EL CAJON,CA 92021 Business Phone Number (619) 390-4477 Entity Corporation Issue Date 10/07/1991 Expire Date 10/31/2003 * * *License Status * * * This license is current and active All information below should be reviewed. * * A Classifications * * * Class|| Description | C36 PLUMBING A * *Certifications * * * Cert HIC||HOME Description 1 IMPROVEMENT CERTIFICATION * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 1002375 in the amount of $7,500 with the bonding company SURETY COMPANY OF THE PACIFIC. Effective Date 07/01/1994 http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 11/8/2001 License Detail Page 2 of 2 Contractor's B on dm g History BOND OF QUALIFYING INDIVIDUAL(l): This license filed an exemption certificate for the Responsible Managing Officer (RMO) ARLEN KEITH FOSTER certifying that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 10/07/1991 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 467-0000713 Effective Date 05/01/2001 Expire Date 04/01/2002 Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request Q, 3g I'UMiaCl Uj 3 A public sei^ce of the Contractors State License Board Copyright © 2001 All rights reserved Last Updated 10/08/2001 http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 11/8/2001