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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