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HomeMy WebLinkAbout2402 ALTISMA WAY; H; CB000886; Permit1 7 City of Carlsbad 03-14-2000 Plumbing Permit Permit No:CB000886 Building Inspection Request Line (760) 602-2725 Job Address: 2402 ALTISMA WY CBAD St: H Permit Type: PLUM Status: ISSUED Parcel No: 21 52401 709 Lot #: 0 Applied: 03/14/2000 Reference #: Plan Approved: 03/14/2000 Issued: 03/14/2000 Project Title: HILARY RESIDENCE Inspect Area: Construction Type: NEW Entered By: MDP WATER HEATER REPLACEMENT TOTAL PERMIT FEES $27.00 FINAL APPROVAL I Inspector: Date: I NOTICE Please take NOTICE that approval of your project includes the 'Impifion" of fees, dedications, reservations, or other exadions hereafter mllectively referred to as Yeeslexadions." You have 90 days from the date this perm# was issued to protest imposition of these feeslexadbns. If you protest mem, you must follow the protest pmcedures set folth in Government Code Section 66020(a). and file the protest and any other required information with the City Manager for pracessing in accordance with Carlsbad Municipal Code Sedan 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their impsition. You are hereby FURTHER NOTiFlED that your right to protest the specified feaslexactsns DOES NOT APPLY to water and swer mnnection fees and capam changes, nor planning, zoning, grading or other similar application pmssing or sewice fees in mnnection with this project NOR DOES IT APPLY lo any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othewise expired. ~~ ~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 t. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPAR E& '' PLAN CHECK NO. 2075 Las Palmas Dr., Carlsbad CA 920 MAR EST. VAL. Plan Ck. Deposit Validated By (760) 438-1161 Date 1. PRRlECT INFORMATION , . ,, : , . ,,., Address (include BldglSuits XI 2402 Altisma Way #H Business Name la1 this address) Legal Description Lot No. Subdivision NamslNumber Unit No. Phase No. Total X of units Assessor's Parcel X Existing Use Proposed Use SFR Description of Work WAm HEATER RKeLAcENmc sa. FT. #of Stories X of Bedrooms X of BLhrOOmS 2. CO AC PER ON f 8pe!lan& 8i%%$!!m%vy-H Aitisma way ' CARLSBAD CA. 92009 760-918-6605 Namtl Address City StatsIZip Telephone X Fax X 4. ..PROPERTY OWNER Copeland, Hilary 2402-H Altisma Way CARLSBAD CA. 92009 760-918-6605 ,, Name 6. ' 'CONTRACTOR -COMPANY NAME issuance, also requires the applicant for such permit to file a signed Statement that he is licensed pursuant to the provisions of the Contractor's License Law ISec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, alter. improve, demolish or repair any structure. prior to its BXBmption. Any YiDletiDn Of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars 1650011. IChapter 9. commending with Section 7000 of Division 3 Of the Business and Profesrions Codel or that he is exempt therefrom, and the basis for the alleged Name State License a 630120 License class C-36 Address ,, City StataIZip Telephone X A J FOSTER PLUMBING 13706-B HWY a BUS. EL UON Address City CA. 92021 (619)390-4477 Statelzip Telephone X City Business License X 1200354 Designer Name Address City StatWZip Telephone State License I N/A 6. .WO,RKERS COMPENSATION Workers' Compsnration Declaration: I hereby affirm under penalty Of perjury one of the foliowing declarations: Of the work for which this permit is issued. 0 I haw and will maintain a Certificate of consent to reif-inrure for workers' compensation as provided by Section 3700 of the Labor Code. for the performance i have and will maintain workers' compensation. 8s required by Section 3700 Of the Labor Code. for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: insurance Company FARMERS INSURANCE policy NO. N2007-56-51 Expiration Date C~INuoUs ITHIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IdlOOl OR LESS1 0 CERTIFICATE OF EXEMPTION: I Certify that in the performance of the work for which this permit is issued. I shall not employ any person in my manner so IS to become subject to the Workers' Compensation Laws of California. WARNING: Fallun to sectme workers' compmsmlon coverags is mlawtUl. and shall subject an employw to orlmiml pMdties and civil fines up to one hdmd SIGNATURE DATE A* A 2m n. damages as provided for in Saclion 3706 o code. interest and anomer's tees. for the following reason: their sole compensation. will do the work and the StrUCtwe is not intended or offered for sale Such work himself or through his own Bmployees. provided that such improvements are not intandad or offered for sale. If, however, the building or improvement is ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner Of property who builds or improver thereon, and who doer sold within one year of completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose Of sale). 0 I, as owner of the property, am exclusivslv contracting with licensed COntraCtOrs to construct the project ISec. 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 contractorld licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this rearm: 2. I (haw I have not) signed an application for a building permit tor the proposed work. 1. I personally plan to provide the major labor and materials for Construction Of the proposed property improvement. 0 YES ON0 3. I have contracted with the following person lfirm) to provide the Proposed construction (include name I address I phone number I contractors license numbefl: 4. I plan to provide portions of the work. but I have hired the foilowing person to coordinate. supervise and provide the major work (include name I address I phons number I Contractors license number): 5. I will provide some Of the work, but I have contracted lhiredl the following perrons to provide the work indicated lincluda name I address I phone number I type COMMETHIS SECTION FOR UOKRESOENVML BUUMNG PERMITS ONLY ', , PROPERTY OWNER SiGNATURE DATE 1s the applicant or future building occupant required to submit B business plan. acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Resley-Tanner Hazardous Substance Account Act? 0 YES 0 NO 1s the applicant or future building occupant required to obtain a permit from the ail pollution Control district or eir quality management district? 0 YES 0 NO Is the facility to be constructed within 1 ,WO feet Of the outer boundary of a school site? 0 YES 0 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8 .__ilWNSTRUOnON LENDINQ AQENCY , ,, , , I hereby affirm that there is a ConstrYEtiOn lending agency for the psrformsncc Of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME e.. ~~~*PPUCINTCERNFlCATlDN ,. , I Certify that I have read the application and Set@ that the above information is correct and that the information on the plans is *ECwate. I agtae to comply with all City ordinances and State iaws relating to building construction. I hereby authorize representatives Of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every permit issu is Code shall expire by limitation and become null and void if the building or work authorized by such permit or abandoned at any time after th such permit or if the building or work authorized by such permit is suspended APPLICANT'S SIGNATURE DATE mNE LENDER'S ADDRESS tion 106.4.4 Uniform Building Code). WHI : Fils YELLOW. Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 811 712000 Permit# CB000886 Inspector Assignment: Title: HILARY RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: 2402 ALTISMA WY Suite: H Lot 0 Location: APPLICANT ABJ FOSTER, INC. Owner: COPELAND HILARY L Remarks: Total Time: Phone: 7609186605 Inspector: a- Requested By: HILARY COPELAND Entered By: ROBIN CD Description Act Comments 25 Water HeaterNents Associated PCRs Dale Description InsDection History Act lnsp Comments x99 0ST.L AGENT 7%