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