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