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Home My WebLink About2400 ALTISMA WAY; B; CB033033; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 11-05-2003 Plumbing Permit Permit No: CB033033 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152401701 Lot#: 0 Applied: 11/05/2003 Reference # Plan Approved: 11/05/2003 Issued: 11/05/2003 Project Title: WALLIS RES NEW H20 HEATER Inspect Area: 2400 ALTISMA WY CBAD St: B Construction Type: NEW Entered By: SB Applicant: A&J FOSTER. INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Owner. PRiNCE ROBERT DBHENRY MICHELLE A 2400 ALTISMA WAY #A CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstailIRepair 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 $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: $27.00 8089 ll/05/03 0002 01 02 CGP 27.00 I -1 FINAL AR~R~VAL 1 Inspector: -LLkL Date: Clearance: NOTICE: Piease take NOTICE that aDDmval of Your Droiect includes the 'Imowition" of fees. dedications, reservations. or other exactions hereafter mlledivelv referred to as Yes exacoons ' t'o- haie 90 dais fmm tne dare M s perm 1 u'is ss.~ D protest impas ton of these feeslexacuons. f you prolest tnem yo^ kt fol OY Ihe protest procedues set fonh n Gorernment Code Secl.on 66020.a). an0 f e me protest an0 any olher req. rea :nlmnaton w In Ine C ty Manager lor piocess ng m accaroam * Ih Cadsoao M.n c pa Code Smon 3 32 030 FaLre to tme Id on mat pm.re B . car any s.oseqLent eqal acton to anau review. set aside uo d or ann. mer mw Iion FOR OFFICE USE ONLY PLAN CHECK NO. -A33 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit > Legal Description Lot No. Subdivision NamslNumbsr Unit No. Phase No. Total X of units A~sess~r's Parcel X Existing Use Proposed Use Description of Work SQ. FT. #of Stories I of Bedrooms # of Bathrooms m - -- isec. 7031.5 Business and Profe~siono Code: Any City or County Which requires a permit to construct. sitar. improve. demolish or repair any StrUCtUre. prior to its i~suance, also requires the applicant for such permit to file a signed statement that ha is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and PrDfeDsiDn$ Codel or that ha is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by my applicant for a permit subjects the appiimnt to a civil panalty of not more than five hundred doliars 195001). N%% " -llY Dub. bI LdMl state License # License Class c 25 City Business License X Designer Name Addrsss City StatalZip Telephone m.-- - - 0 of the work for which this permit is issued. I haw and will maintain a certificate of Consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code. for the performance of tha work for which this permit is sued. My worker's compensation lnsurancs carrier and poiicy number are: insurance Company - Poiicy No. -3 - Expiration Date (THIS SECTION NEEmEbw%k PERMIT IS FOR ONE HUNDRED 0 CERTIFICATE OF EXEMPTION: i Certify that in the performance of the work for which this pmmit is issued. I shall not employ any person in my manner so 8s to become wbiect to the Workers' Compensation Laws of California. WARNING: Fail awful, and &ail subject an employ ?i up to one hundred thousand dollars damages as provided for in Sonion 0 I. as owner of the propmy or my smployass with wages as their soie compensation, will do the work and the structure io not intended or offered for sale ism. 7044. Business and Professions Code: Tha Contractor's License Law dons not apply to an owner of property 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 for sale. If, however. the building or improvement is sold within ons year of completion, the owner-builder will have tha burden of proving that ha did not build or improve for the purpose of saIe1. I, as owner of the property, am exclusively contracting with licensed contractors to Constwct the project iSsc. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlil licensed pursuant to the contractor's Licmse Law). 1. 2. 3. I am exempt under Section I personally plan to provide the major iabor and materials for construction of the proposed property imprwemant. 0 YES ON0 i ihavs I have not) signed an application for a building permit for the proposed work. i have contracted with the foliowing person (firm1 to provide the proposed Construction (include name I address I phone number I contractors license numbsrl: Business and Professions Code for this wason: 4. number I Contract016 license number): 5. of work): I pian to provide portions of the work, but I have hired the foliowing person to coordinate. supervise and provide the major work linciude nsme I address I phone I will provide some of the work. but i have contracted ihiredl the failowlng persons to provide the work indicated linciuda name I address I phons number I type PROPERTY OWhER SIGNATURE DATE . . : . . . COMPLETE.THIS SECTION FOR NON~ES~DENTlAL.BUlLDlNC PERMiT@QNlY~<$?~':': j: ', 'F,?: '. .' '!! : ; .. 1s the applicant or future building occupant required to submit a business pian. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 01 25534 of the Praslev-Tanner Hazardour Substance Account Act7 YES 0 NO Is the applicant or future building occupant requirsd to obtain a Permit from the air pollution control district or air quality management district7 YES NO Is the facility to be wnstwoted within 1,000 feet of the Outer boundary of a school oita7 YES 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT. i certify that i have read the application and state that the above information is Correct and that the information on the plans Is accurate. I agrae to comply with ail City ordinances and State laws relating to building cowtruction. i hereby authorize representatives of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AN0 KEEP HARMLESS THE CiTV OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN0 EXPENSES WHiCH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEOUENCE OF THE GRANTiNG OF THIS PERMIT. OSHA. An OSHA permit is requirsd for excavations over WO" deep and demolition or construction of structures owr 3 stories in height. EXPiRATDN: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and became null and void if lhe building or work authorized by such permit is k authorized by such permit is suspended or abandoned at any time after the work is APPLICANT'S SIGNATURE DATE WHITE Fie YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/18/2003 Permit# CB033033 Inspector Assignment: dw Title: WALLIS RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2400 ALTISMA WY Suite: B Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: Remarks: v*- Phone: 7604312571 Inspector: & Total Time: Requested By: JANET Entered By: ROBIN CD Description &Comment 25 Water HeaterNents Associated PCRs/CVs Inspection History Date Description Act lnsp Comments SD POLICYHOLDER COPY .. .. .. STATE, i AN FRANCISC0,CA 941 42-O007: .,. ,* "' < ,, ". . . . .'.., .. '4 ; ,, COMPEWAT~O~$ 1, , N s UR .a NICE .. .". , , a PENSATION %N~URANCE i .,: FUND c .. GROUP 000467 POLICY NUMBER: 0000713-2003 . .. < ,"... . . ISSUE DATE 04-01-2003 GERTIFIC&E ,IO: 4 , .,. .v<. ,CERTIFIC,~IE I~~ES: 04:01-2604 < .~04-0 v2003/04 01-2004 ,:. . , *I %. .-