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HomeMy WebLinkAbout2374 ALTISMA WAY; C; CB031977; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 07-1 71200T Plumbing Permit Permit No: CB031977 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152403411 Lot #: 0 Applied: 07/17/2003 Reference #: Plan ADDroved: 07/17/2003 2374 ALTISMA WY CBAD St: C Construction Type: NEW Entered By: RMA Project Title: RTUNO RES-NEW WATER HEATER Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 .. Issued: 07/17/2003 Inspect Area: Owner: BARNES SHARON A 2374 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 0 0 0 0 1 0 0 $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 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 9854 07/17/03 0002 01 CGP 02 27.00 FOR OFFICE USE ONLY PLAN CHECK NO. ez/97/ PERMIT APPLICATION Plan Ck. Deposit Validated By Date CITY OF C'ARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 2374 AZtim Way #C Address lindude BldglSuits XI Lsgsl Description Lot No. Subdivision NamslNumber Unit No. phase No. Total 11 of units A~sessor's Parcel # Existing Use Proposed Use # of Bedmoms Description of Work SO. FT. #of Stories Business Name la1 this address) MFR 215-240-34-12 f of Bathrooms Address Clf" SfafsRio Taleohone # Far 0 . ~ ~ . ... .. ~ ~~ - ~~ ~~~ .. 3. APPLICANT '.Io contraeior ~Agentforcoiitrabtor:, D:dwMrt: O:&grniitfcr!cjwndr<!i ;? :,. .' . .'; ,;;. &-:en FGSL~~-~CXCL Fuxt?!: 13706-0 Hwy .8 Bus. El c:ajcn, Ca. 9202.1 (628)'390-4477 Name Address city state1z p le suhons P . CONTRACTOR. COMPANY NhNE , IS~C. 7031.5 BUS~OSS ana Pioloiiions Code: Any City 01 Comrv Which requires a perm1 to CO~S~RIC~. alter, Improve. demolaah or repair any stwctm. prior 10 its trs~mee. also re~ums we WPlCmt lol such p.imil to tila a signed rlslement that he D bcenseo wlwsnt 10 the pr0v:siona 01 the Cmtiactoi's Licsnss Law ICnaptsr 9. comrnanoing w'tn Section 7000 01 Ow smn 3 01 tns BLsine.61 and Piofassions Codel Dl that ha is exempt thmtiom. and the bas.. lor the allage0 emmpt on. Any v.0lat1on of Ssct'on 7031.5 by any applicant 101 a permit ILbjects the applcant to a civil panally of not more than five hbnored d0l.m 1950011. C' (.3;rn -.. dtv state Licsnrs ? 6701 30 Licenseclass r-76 city BUS;~~SS L~WM I 1 31 nA76 Dsignsr kame Address c.ty Stalelzlp Taiaphons state Gcsnss # Woiksrs' Compensation Declaration: I hereby sffilm under uendty of perjdry one 01 tne lollowlng deciaiat on,: 0 of the work lor whch th;( permit io issued. 6. YjbRKE&&&Tlb;N '. ;*.. ":; . " .. . .; . . ,.I : . . I have and will mainla;" a certii;cate of conrsnt to self-hrum 101 worked COmPmSmOn as provided by Saction 3700 of thi Labor Coae. for tha peiloiman~e I have ana will maintain workers' compensation. as fewred by Saction 3700 of the Labor Code. 101 the performance of the wotk for wnich this porm:t is PERMIT is FOR ONE HUNDRED d-ii.. I Lea. My Worker's comumsBtion lnsumnce carrier and policy ndmber we: lnrurmcs Company L. nr Po1.c~ No. 71 2 Expiration Dat(lnn_m_nn tiHiS SECTION 0 to bscoms sLblect to tne Woiksrs' Compsniation Laws 01 Cai.fornia. WARNING; thousend dollars 1$100.0001. In addition to the cost of compsnratlon. damagar as provided for in Section 3106 of Ule Labor cod.. intaren and momey's fees. CERTIFICATE OF EXEMPTION I certify that on the psifoimsncs of the WOIK lor whlcn this permit is issued. I shall not employ my person in any manner so as Failure to ,.CUI. workers' comp.nsalon coverage 18 unlawh3l. and Shall Sub].ct an smployr 10 criminal penales and civil finer up to one hundred SIGNATURE DATE 7. 0WNER.BUILDER DECLARATiON .' . .' . . : I hereby dfwm that . am oxsmut lrom the ContmCfo1'~ License Law lor the IoliowinD reason: .. ,( I , *,L.. ,:' ,+~?,'-.,<.:;.;..*. .i. '.. '. " .- , '. ." i!( :. ::; ,. f:;. . :'..;:..~- I./ .,:. . ,. '. .. .. . . 0 I, as owner of the property or my employees with wages as their soie compensation, will do the work and the structure is not intended or offered for sale ISec. 7044. Business and Profaorions Code: The Contractor's License Law does not apply to an owner of ufoperty 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 lot 6.18. If, however, the building or improvement is sold within one year of completion. the ownsr-builder will have the burden of proving that he did not build or improve for the purpose of said. 0 I, 8s owner of the property. am exclusively contracting with licensed EontraCfOrs to COnitrUCt the project ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds Or lmprovas thareon, and Contracts for such projects with Contractortsl licensed pursuant to the Contraotor'e License Law). 0 1. 2. 3. I am exempt under Section I personally pian to provide the major labor and materials for EOnstrUCfion of the proposed property improvement. YES ON0 I thaw I have not) signed an application for a building permit for the proporad work. I have contracted with the following person lfirmi to provide the proposed Constrvctlon llnclude name I oddreis I phons number I contractors license number): Bualnasr and Professions Code for this reason: 4. numbsi I contractors li~en~e number): 5. of work): I plan to provide portions of the work, but I have hirad the foilowing parson to coordinate. suporvisn and provide thn major work linciude name I address I phone I will provide soma 01 the work. but i haw contracted lhirsdl the following persons to provide the work indtcnted lincluds name I address I phone numbsr I type Is the applicant 0, future building occupant required to submit a business plan, DCUteiv hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Prsrlsv-Tanner Hazardous Substance Account Act7 YES NO 1s the applicant or future building OCCUpam required to obtain a Psrmit from the air pollution control district or air quality management dlstri~t7 0 YES 0 NO Is the facility to be canrtrueted within 1,000 feet of the outer boundary of a school site7 YES 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR PDLLUTIDN CONTROL DISTRICT. !8 Nm i is B c LENDEWS NAME LENDER'S ADDRESS I Certify that I hwe read the appllcatlon and state that the above information is correct and that the information on the plans is ICEU~~ILI. I agree to comply with ail City ordinances and State laws relating to building construction. I hereby authorize representatives of tha Citt of Carlsbad to enter upon the above mentioned property for inspection purparsr. I ALSO AGREE TO SAVE, INDEMNW AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABiLITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSERUENCE OF THE GRANTiNG OF THIS PERMIT, OSHA An OSHA permit lo 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 Oniclai under the provisions of this Code shaii expire by limitation and become null and void a the building or work authorized by such permit is not commenced wiVlin 180 days from the date of such permit or if the buliding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unllorm Building Code). APPLICANTS SIGNATURE DATE WHITE File YELLOW. Applicant PINK Finance City of Carlsbad Bldg For 07/25/2003 Permit# CB031977 Title: RTUNO RES-NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2374 ALTISMA WY Suite: C Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: Remarks: Total Time: Inspection Request Inspector Assignment: v* Phone: 7606038883 Inspector: i Requested By: CARLOS Entered By: CHRISTINE! CD Description Act Comment G5 //27-&7 .c/d an 6,s 25 Water HeaterNentr Associated PCRsICVs InsDection History Date Description Act lnsp Comments SO POLICYHQLDER COPY STATE. ,: YP. SAN FRANCISC0,CA 94142-9807' i , ., ~ ." ., COMPEhSATiON ':; "., ", ,. %. I .'- , .. INSIJRAr.+CE ',,* 2 . .' ,<; .. Fa'D I. .i CERT PE~PSATI~~IV~~&IRANC .. .. . " ,._ ISSUE DATE: 04-01-2003 GROUP: 000467 POLICY NUMBER: , 00007f3-2003