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HomeMy WebLinkAbout2352 ALTISMA WAY; 12; CB004542; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 12/04/2000 Plumbing Permit Permit No:CB004542 Job Address: 2352 ALTISMA WY CBAD St: 12 Permit Type: PLUM Status: ISSUED Parcel No: 21 52402002 Lot #: 0 Applied: 12/04/2000 Reference #: Plan Approved: 12/04/2000 Issued: 12/04/2000 Project Title: PUSL RESlNEW WATER HEATER Inspect Area: Construction Type: NEW Entered By: CB Applicant: A8J FOSTER, INC. STE B EL CAJON CA 92021 13706 HWY a BUS 619-390-4477 Owner: STROM TRULIE 2352 ALTISMA WAY #2 CGP ’?? -. i30 CARLSBAD CA 92009 5”) 12/04/30 9002 Oi 92 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalllRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Sewer Fee Master Drainage Fee $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 I FINAL APPROVAL Inspector: 4 - - ‘p Date: @k&uL Clearance: NOTICE Please take NOTICE that approval of your project includes the ‘Imposition’ of fees, dedications, reservations, or other exactions hereafter mlledvely follow the protest procedures set foth in Government Code Section 66020(a), and file the protest and any oher required information with the City Manager for referred to as ”feadexactons.’ You have 90 days from the date this permit was issued to protest imposition of these feeslexactons. If you protest them. you must processing in accordance with Carlsbad Municipal Code Section 332,030 Failure to timely follow that procedure will bar any subsequent legal action 10 attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTiFlED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection feaS and mpactiy changes, nor planning, zoning, grading or oher similar applicatsn processing or service fees in mnnection with this project NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othemise expired. I FOR OFFICE USE ONLY PeRMIT APPLICATION CITYOF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave., Carlsbad, CA92008 Plan Ck. Deposit PLAN CHECK NO.&67-)45-* 2352 ALTISMA WAY #12 Address (indude BldglSuite 3) Business Name (at this address) I Legal Description Lot No. Subdivision NamelNumber Unit NO. Phase NO. Total X Of units Assesor's Parcel # Existing Use WATER HEATER REPLACEMENT Description of Work SQ. FT #of Stories X of Bedrooms X of Bathrooms Proposed Use PUSL,JOE Name 2352 ALTISMA WAY #I2 CARLSBAD CA 92009 760-930-8052 Address Him City ~j~~~~!i!iiii~i~i~i~l~!~!!~~l~~~~~l~~~~ Statelzip Telephone# (Set. issuance, also requires the applicant for such permit to file a Signed slatemen1 that he is licensed pur~uant to the provisions of the Contractor's License Law [Chapter 8, 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 A 8 J Foster Incorporated exemption. Any violation of Senion 7031.5 by any appliCant for a permit subjeds the applicant to a civil penally of not mole than five hundred dollars [$5001). Name Address city StatelZip state LI~IISB #§30120 License Class c36 City Business License It 1210836 Telephone# Designer Name 6. WORKERSCOMPENSATION sate LiceI1ce # I have and will mainain a cerliflcate of consent lo relf4nrure for workers' compensation as provided by Sedion 3700 Of the Lawor Code, for the PertDrmance Workers' Compensation Oedaration: I hereby affirm under penalty of perjury one of the fOIIOWing declarations: of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the peIfonnance of the work for which this permit is issued. hly workeh wmpensation insurance Carrier and policy number are: Code: Any Clly or equires a permil to wn PO Box 2758 El Caion CA 92021 6193904477 ST Address City StstelZip Telephone ~h~mnce company Mid-Century Ins. policy NO. A20075651 Expiration Date 05/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [I1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in t nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjed to the Worked Compensation Laws WARNING: Failure to secure workers' compensati "I, and Shall subject an employer 10 criminal penalties and civil fines up 10 one hundred thousand dollars ($lOO,OOO). in addition to the WDt as provided for in Section 3700 of the Labor code, interest and allornefs fees. WE 11/28/2000 Contractor's Lice 0 I, as owner of the property or my employees with wages as their sole compensation. will do the work and the str~dure is not intended or offered for sale (Sec. 7044, Business and ProfeSsionS Code: The Conlracloh License Law doer not apply to an owner of property Who builds or improves thereon, and who der 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 bUlld 01 improve for the purpose Of Sale). 0 I. as owner of the property, am exclusively contracting with licensed contracton to CO~D~NC~ 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 threreon, and ~ontra~ts for Such projects With contractor(s) licensed b I am exempt under Section Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for COnStNClion of the proposed property improvement. 0 YES 0 NO 2. I (have I have not) Slgned an applicant for a building permit forthe proposed work 3. I have contraded With the following person (firm) to provide the proposed WnstNdion (indude name I address I phone number I contractors license number): 4. I plan to provide portions Of the work hut I have hired the followinn ~mon to coordinate, supervise and provide the major work (include name I address I phone 5. I will provide some of the work, but I have contracted (hired the following pereon lo provide the work indicated (indude name I address I phone number I lype unuant to the Contradds License Law). <Name> <Address> <Work Phones <State License> number I contractors license number) <Name> <Address> <Work Phone> <State License> Of WON <Name> <Address> <Work Phone> <Work TvDe> PROPERN OWNER SIGNATURE n4TE RM program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance AcmuntAd7 0 YES 0 NO Is the applicant or future building occupa111 required to &lain a permit from the air @An wntid dijtvict D( air qualily management district7 YES 0 NO 1s the facility lo be conotNded within '1.000 feet of the outer boundary of school site7 OYES 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 MERGENCY SERViCES AN0 equir ~ll~~!~~~~~~~!!!~ii~~~~il~~!~~~~~~~~[~~~~~~~~~ i hereby amlm that there is a COnStNdion lendlng agency for the pelfarmance of the work for whlch this permit is issued (SBC. 3087(i) Civil Code). LENDERS NAME LENDER'S ADDRESS I cenw that I have read the application and state that the above information is wrrect and that the Information 00 the plans is accurate. I agree to wmply with all Cily ordinances and State laws relating lo building construction. I hereby authorize representatives of the Cily of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGEMENTS, COSTSAND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSTSAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit io required for excavations over SO deep and demoillion or con~tludion of st~dures over 3 stories in height. EXPIRATION: Every prmit issued by the building Offic authorized by such permit is not wmmenced within 180 at any time aner the work IS wmmenced for a period APPLICANTSSIGNATURE WE 11/28/2000 provisions Of this Code shall expire by limitation and bewme null and void if the building or work date Of Such permit or if the building or work authonred by Such permit is Suspended or abandoned 06 4 4 Uniform Building Code). City of Carlsbad Bldg Inspection Request For: 1211 9/2000 111747 Permit# CEO04542 Title: PUSL RESlNEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2352 ALTISMA WY d Suite: 12 Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: TOWNEND SCOTT H&KATHLEEN E Remarks: PM PLEASE - RENTAL HOUSE Inspector Assignment: Phone: 8587557835 Inspector: Fc Total Time: 1310' Requested By: JOE Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents 4 Associated PCRs 7 Dale Description InsDection History Ac1 lnsp Comments