HomeMy WebLinkAbout2310 KEATS PL; ; CB030938; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-02-2003 Plumbing Permit Permit No: CB030938
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2310 KEATS PL CBAD
PLUM
2121502900 Lot#: 0
Construction Type: NEW
WADE RESIDENCE
WATER HEATER REPLACEMENT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/02/2003
MDP
04/02/2003
04/02/2003
A&J FOSTER, INC.
STEB
WADE ALLEN&BETH G REVOCABLE LIVING TRUST 08-21-0
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
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
2310 KEATS PL
CARLSBAD CA 92008
Total Payments To Date: $0.00
Date:
$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 t r project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.· Y rom the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures se in Gov ant Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with 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 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
PERMIT APPLICATION
j
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NoaJa.J-?_jP
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date, _____________ _
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
SFR
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms
92008
Name Address City State/Zip
3~~:.~<-·:·:A_PP~,cANt·::~\:3PI,cfQh~f~~~Q"r; :>·i;H:J~A~Biil'f Pf~¢,~O*riQ.to'r:f-c fll}J;mvaerT:~a;;~ffi}@~nfft:9itiwo~r~~~W'~n~,'i'.,;;,. :;· ,;;:,? '~'" -'="';·: J;;·,);JJ:f'''.',
Arlen Foster~carol Foster 737D6 B BlrYY 8 Bus El .Cajon,
Name Address City
"'· waae Beth
Name
·s.
Address
Ca 92021
State/Zip
ca.
# of Bathrooms
7f;0 519 2620
Telephone # Fax #
~619)390 4477 elephone #
7~~ ~19 2e2Q eep one#
(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 Profession& 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).
NA & J FAste't Pluml9ifl<j' am, ,i'ai/,'fflG B llwy • 8 Bu.!!.
State License # -<6>.3.>Q..,.._l "'2°'Q,_ ___ _ License Class ---IC,;..,s;J;i(i,-____ _ City Business License# 12;1Q8d8
Designer Name Address City State/Zip Telephone
State License # --1\N,hrii,;0.------
ll, ',' WOR~Jlstcolili®ATiQ~fi,ff '" '""~'~~!''"
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following
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.
0 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
'8sued. My worker's compensation insurance carrier and policy number are:
lnsu,anc, Company State Gfl~. lHS. PoHcy No. 467 81 0888713
(THIS SECTION NEED NOT BE COMPLi D IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
Expiration Date_--+8..,4._.,9ffl--<8+J+-
□
WARNING: Fallura ta. sec (ul, and shall subject an employer to criminal penalties and civil fines up to one hundred
:~::;;~::llars l$10i>,~_...... mages aa provided for In Section 3::sT:f the wre, interest and attomey's fees.
7/-?:'/_bWNER~B;UitDe'R{OEClAii~Tlbt.f/ i4i1f:tHf1~~1Y~~U,it}sij'.~t'/'' '.:"·;1;:r\½: "'iil:4',:)f!!Jli1r~:;:;;}c;, i 11:,:;, 1':;1:;:!1,ii:f\ti'.//
I hei'~by affirm that l am exempt from the Contractor's licens8 Law for the following 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 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 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/ phone number/ contractors license number):
4. l 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. l will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. __________________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
COMPl~TE~fHiS 'sECTiO~!J::f'JRtQfifit.Jt~ibENt/A.l/Qlt1(biNQtr_PERMitS:~NutWEtt~:{:;l~::ii:Jti}fZi':,~tf;f~I¥\~iiKi'.i'.~J?i:~:1~]:J \J}t:t:ft''•:1~~;Jk·i01;.
ls 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 Hazardoi.Js Substance Account Act7 D YES O NO
Is the appllcant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
l 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).
LENDER'S NAME NONE ~ENDER'S
·9, APP4JCi>.Jli'·t:ilRi1l'ICAT!Miiicfc.
l 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. 1 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 WA'-' 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 w· · 180 day~from he dat f h permit or If the building or work authorized by such permit Is suspended or abandoned
at any time after the work Is commenced p f 1 0 • Section 6. · Ol/Tl Budding Code) If I I
APPLICANT'S SIGNATURE ----'~~~~:::_.:_~ DATE --+-+-L-'--------
WHITE.! PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/17/2003
Permit# CB030938 Inspector Assignment:
Title: WADE RESIDENCE
Description: WATER HEATER REPLACEMENT
Type: PLUM Sub Type:
Phone: 7605192620
Job Address: 2310 KEATS PL
Suite: Lot 0
Location: Inspector: ----
APPLICANT A&J FOSTER, INC.
Owner: WADE ALLEN&BETH G REVOCABLE LIVING TRUST 08-21-0
Remarks:
Total Time:
Description Act Comment
Requested By: BETH
Entered By: CHRISTINE
\
CD
25 Af_ _F_rrt_..,_/ _______ ~11_0_7_-_G_7
-------------~#~'1_/._~-------"-~~-~---.,_--t-__ .$,,_/4, ___ _
Water HeaterNents
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
04/11/2003 25 Water HeaterNents CA JE CANCELLED TILL;rHURS