HomeMy WebLinkAbout2349 ALTISMA WAY; D; CB013833; Permit (2)City of Carlsbad
t 1635 Faraday Av Carlrbad, CA 92008
Building Inspection Request Line (760) 602-2725
09-29-2003 Plumbing Permit Permit No: CBO13833
L +f
FF FINAL APPROVAL
INSP. ,JGh.DATE*
Job Address:
Permit Type: PLUM Status: ISSUED Parcel No: 21 52402940 Lot# 0 Applied: 12/13/2001
Reference #: Plan ADDroved: 12/13/2001
2349 ALTISMA WY CBAD St: D
Construction Type: NEW Entered By: JM
Project Title: REYNOLDS- WATER HEATER REPLACE RENEW PERMIT 9/29/03
Applicant:
A&J FOSTER, INC.
STE B 13706 HWY 8 BUS EL CAJON CA 92021
619-390-4477
.. Issued: 12/13/2001 Inspect Area:
Owner:
REYNOLDS ROBERT&KELLY
2349 ALTISMA WAY #D
CARLSBAD CA 92009
Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain
InstalVRepair 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 $13.50
$0.00
$0.00
$0.00
$40.50
Total Fees: $40.50 Total Payments To Date: $27.00 Balance Due: $13.50
5189 09/29/03 0002 01 02
CGP 13-50
I CLWUNCE 1
PERMIT. APPLICATION
ci-ri OF CARLSBAD BUILDING DEPARTMENT '
1635 Faraday Ave., Carlsbad, CA 92008
I vv I. PRW-ECT INFORMATION
Address linduda BldglSuita XI
Legal Description Lot No. Subdivision NamalNumbsr Unit NO. mars No. Totai I of units
Asrersor'r Parcel I Existing Use Proposed Use
Description of Work SO. FT. #of Stories X of Bedrooms X of Bathrooms
2349 Altisma Way #D
I Business Name Iat this address1
SFR
215-240-29-40
Water Heater Replacement ,, *. '@m'2m$g9.. . . ~~~, Al.t .,
ni horn a ism Way #b Carlsbad CA.' 92009 ' 760-33.6-b351
Name Address City StUslZip Telephone # Fax I
'Arf~~'~~~t~~~~~F~~~Ptfor~~OS(f&EPI.B W!'g B&gentffwyon, Ca. 92021 (619 )390-4477
4~r1s 8LLerrez
Name Address City StstalZip Telephone I
2349 Altism Way #D Carlsbad Ca. 92009 760-336-0351 PpDPE OWNER
Name Address City St~alZip Telsphons X
6. CONTRACTOR - COMPANY NAME
ISec. 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. all0 requires the applicant for such permit to file a signed statement that ha is licsnrad pursuant to the provisions of the Contractor's License Law
iChaptef 9. commending with Section. 7000 Of Division 3 of the Bysinass and Profearions Codal or that ha is exempt therefrom. and the basis for the alleged
exemption. Any violation f Sa tiOn 7031.5 b ti an or a p m' subjects
Name
State License X
Designer Name Address City StatelZip Telephone
0. WORKERS' COMPENSATION
Workers' Compensation Oeclsration: I hereby affirm under penalty of perjury one of the following dsciarations:
of tho work for Which this permit is issued. % issued. Mv worker's c pe mi inrura B carrier and policy number are:
insurance Company %ace 0eomp.Yns.
ITHIS SECTION NEED NOT 8E COMPLETE0 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l6lOOl OR LESS1
to become subject to the Workers' Compensation Laws of California.
WARNING:
thousand dollars 16100.000~. In addition to the cost of compensation. damages as provided for in Section 3706 Of the Labor coda, lnt~rast and attorney's fees.
SIGNATURE DATE
7. OWNER-BUILDER DECLARATION
I hareby affirm that I em exempt lrom the Contractor'~ License Law for the following reason:
I. os owner of the proPmv or my smpioyser with wages LIS their sole compensation. will do the work and the structure is not intended or offered for sale
ISec. 7044. Business and Professions Code: The Contimoi's Licsnra Law dons not apply to an owner of property who builds or improves thereon. and who does
Such work himself or through his own emplovms. provided that such improvements 818 not intended or offered for $ale. If, however. the building or Impr~vem~nt is sold within one year of completion. the Owner-builder Will hew the burden of proving that he did not build or improve for tho purposa of sdel.
I. as owner of the property. am BxcluLivSly contracting with licensed eontra~t~ls to Consti~~t the project ISSC. 7044. Burinass and Professions Code: The
Comractol's License Law does not apply to an ownw of property who builds or improves thereon. and ~olltr~cts for such projects with ~ontm~torlol licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
,,
A & J Foster pPurr;bmng 'IVPTBKB %y. &us. !31aP@Z p&'.v Of %ET '"a~~sfr~~~a~'r1*50011.
City State/$i210836 Telephone X
City Business License X C-36 Address
License Class 630120
State License X WA .
I have and will maintain a CBrtifiCate of consent to self-insure for workers' compsnsation as provided by Section 3700 of the Labor Code. for the performance
I have and will maintain worksrs' COmpenLBtiOn, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is
Policy No. 04-01-02 Expiration Date 467-01 0000713
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued. I shall not employ any pwson in any manner so as
Failure to secure workers' compensation coverage is unlawful, and shall tubisct an employer to crimlnal penalller and civil fines up to one hundred
I am exempt under Section
I pmsonally plan to provide the major labor and materials for construction of tho proposed property improvement. 0 YES ON0
i ihave I hew not1 signed an application for a building permit for the proposed work.
i have contracted With the following person lfirml to provide the proposed construction linelude name I address I phons number / ~ontraetori license numbsrl:
Business and Professions Code for this reason:
FOR OFFICE US=
PLANCHE~KN . ~V3333 '
EST. VAL,
/ L. /
Date
4.
number I contractors license numbarl:
5.
I pian to provide ponions of the work. but I have hired the following person to coordinate, SUpervIs~ and provide the major work linduda name I address I phone
I will provide soma of tho work, but I have Contiacted lhiredl the following per~oni to provide the work indicated iincluda name I address I phons number I tvpe
PROPERTY OWNER SIGNATURE DATE
COMPLETE This SECTION FOR NON-RESIDENTIAL BUILDING PERMITS OhlLY
1s the applicant or future building occ~pint required to submit a business plan. acutely hazardous materials registration form or risk management and prevmtion
program under Sections 25505, 25533 or 25534 of the Pieslay-Tanner Hazardous Substance Account Act7 0 YES NO
Is the applicant 01 future building OCEUP~I requlfed to obtain a permit from the ail POllUtion control district or dl gualitv management district?
Is the facility to be constructed within 1,000 feet of the outsr boundary of a school lite? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CDNTROL OISTRICT.
8. CONSTRUCTION LENDING AGENCY .,
I hereby affirm that there is B FQc)wtion lending agency for the performance of the work for which this permit is issued 1Sae. 30971il Civil Codel.
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATbN
I Cenifv that i hive read the appiicatim and 8tam that the above information is coiroct 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 Cit). of Carlrbad to entor upon the above mentioned
PrOPertV for inrPsctiDn PUIPOJBS. 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of S~IUE~U~RS over 3 stories in height.
EXPIRATION: Every Permii issued by the building Offlcial under the provisions of this Code shaii expire by limitation and become null and void If the buildq or work
authorized by such permit is not commenced within 180 days from the dale of such permit or if the building or work authorized by Such permit is suspended or abandoned
a1 any time afler the work is
APPLICANT'S SIGNATURE DATE /c?-/3-
5 YES 0 NO
.4.4 Uniform Bullding Code).
WHITE File YELLOW: Applicant PINK: Finance
.-
' City of Carlsbad Bldg Inspection Request
For 09/30/2003
Permit# CBO13833 Inspector Assignment. Jb
Titie REYNOLDS- WATER HEATER REPLACE
Description RENEW PERMIT 9/29/03
Type: PLUM Sub Type:
Job Address: 2349 ALTISMAWY
Suite: D Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner:
Remarks: OR HOME 434-5308
Phone: 7605255308
Inspector: J k
Total Time: Requested By: CHRIS GUTERREZ
Entered By: CHRISTINE
CD Description Act Comment
25 Water HeaterNents 6
. ~~~~~ ~
Associated PCRsICVs
lnswction Histov
Date Description Act lnsp Comments
CIUFWW COMRACTORS STATE LICENSE WARD
License Detail
Contractor License # 630120
'\
a
DISCLAIMER
L license stam check provides infonnation taken fmm the CSLB license data base. Before relying on this information, you should be BWM oftht ollowing limitations:
CSLB is pmhibited by law hm disclosing -plaints until they are refed for legal astion.
e Pa B&P.??ZL!7, only eonsmctian related civil judments how to the CSLB aye disclosed.
Arbitrations M not listed unless the mnwactor fails to mmply with the t- afthe arbimion.
0 Due to workload, there my be relevant information ulat haJ not yet becn mtd onto the Boa& licmse data base.
Extract Date: 10/30/2001
* * * Business Information * * *
A & J FOSTER INC
P 0 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.
* * * Classifications * * *
llC36 llPLUMBINGll
* * * Certifications * * *
Description HOME 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
.. ....
http://www2.cslb.ca.gov/CSLB - LIBRARYLicense+Detail.asp 10/30/01
./ pse Detail i I .' c
.,' :, . .. * -, ,. SURETY ~ COMPANY OF THE PACIFIC -__.
Effective Date: 07/01/1994
Contractor's Bdnx History
Page 2 of 2
BOND OF QUALIFYING INDIWDUAL(1): This license filed an exemption certificate for
the Responsible Managing Officer (RMO) ARLEN KEITH FOSTER certifymg that he/she
owns 10 percent or more of the voting stoddequity 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.
m list Qt!w8 Licenses
License Number __~__ ReguEe Contractor Name Reex
Salesperson Request SalesDerson Name Request
___ Personnel Name Request j .~
alQ 0IMRll;rw
public service of the Contractors Slate Limn= Board. Copyright 0 21x11. All rights reserved.
Last Updated 10/08/2001
http://www2.cslb.ca.gov/CSLB-LIBRARY/LicensetDetail.asp
~~ ._
10/30/01