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HomeMy WebLinkAbout2406 LA PLANCHA LN; ; CB023368; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-05-2002 Plumbing Permit Permit No: CB023368 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2406 LA PLANCHA LN CBAD PLUM 2550911900 Lot#: 0 Construction Type: NEW GEARHART RES REPLACE H2O HEAT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/05/2002 SB 11/05/2002 11/05/2002 Applicant: A&J FOSTER, INC. STE B GEARHART FRANKLIN S&JANEll@42 11/06/02 0002 01 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 Install/Repair 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 2406 LA PLANCHA LN CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 1 0 0 Balance Due: $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 CGP $27.00 02 27-00 FOR OFFICE USE ONLY PERIVilT APPLICATION PLAN CHECK No:"/~ a c ::%78 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit +f'\~-------- Validated By ~ '5 Date (~f<,p Z ft~i.iE8Ql)lcl'JlNEQRM~t•m11iili/Jl~t1[£i;l~f~B~1~=tt~!rm:l-~mJ:ill1iilfi!&~ii! 2406 La Plancha Ln Address (include Bldg/Suite #) Business Neme (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. SFR Assessor's Parcel # Existing Use Proposed Use 255-091-19-00 Total # of units Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms , ... .,,,,;;a,,,.~.ila,,:t~i,. .ve~tr. :i;-. .~~.1?~.l~ ... ~~~IJ.t,, "''•·•~l"·"~,<ifjl;!',,m'~ffi"•"',74ll't .• ·~'!J:i>''''.1!>~;t\'!~,....,, ..•. ··••*i:f.••',1!,!W\!1'!-. ,JI,' ,,..,~,m.,..·~~.' ""'l\•.lll!. ~1th\. i .... ""''"'•'"··-·••r ··.·,.~ , ..... ''". ., ' ~l-w!~~t~tB&l!~:~J!!~~~Yr:t.r~~•nda~~~.1Ji!i,• ;;W•' ·' .. ,ililf~~~~d'~\1t~~~:9!6o!f~till,lf7t'G~.rt,J~f'gf-1~ifi,iiit:,~ Name Address City State/Zip Telephone # Fax # ~~~~.¢~~~~Tc~~~1@~;;~~~ ~~~f7~~~~~~?1~~iol~i~~r~~~~t1x~~~!~l~!fff~,~f~i~~~f1~~~\~~ Name Address City State/Zip Telephone # C4i:il'Ri?BJ5.ij~1~TJY:11QWN~6.l~~~~1~J.'•~~B!r,i"',.j~~~~l~l'.~i~f£.111Blml~~~!!~~~~-li~~fliml.lf,\~!if~lr;lru':.ttllf1i~;,~~jr;/]tr..tt:il{fl:.Jll Pr:aok & ,Jane r..earbart 2406 Ia Pl aocba I,o Carl shad Ca 92QQ9 760-436-7) 8) Name Address City · S.tate/Zip Telephone # ~~&~<1NOOM~ft&iB~~-gj:jh1]fANrJltfAfiiig~~"'S'~'.l.~l~G~5!'~11.~i~fi"~i"B.~'lll!~J~~m';~=~~au (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he ls licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 92021 (619)390 4477 ~\ & J Foster Plumbif1'J ame 1ty State/Zip Telephone # State License # ~6~3~D~l~2~D~----License Class ~C_-~3~6~------City Business License# 121083 6 Designer Name Address City State/Zip Telephone State License # N (", . to"!rl!li::t·,1,,...,1.-·•r··"-· • ·· · .'J.. ·;i,:~--AA'·, "'"'~•·•~•-"-'f!•••""'"'ii!!"''l">""''~·r,=,,,..,~,~,,,!l'.,,,iif!S"'''1'"~''":ll¥fi"""'~•;.&1'>'\l'""-'l!!l""'~'-, .. ,.,,,m-~.,-•~•· .,..,,, ... ••nffl"~ .. •·•··· "·'"·','i\Ji', .··"' , ,,1 tyj~rc»!,~E'-!S~C.P..M.e~f!l~al~ · ·~~Nl~!l~)IIJJ:J~~~4'~-~}je{~!lit~i(tfi~~-~~~~ifilV~~~ji~~t~~h~~~~i~i1~\~'ff-F.,~~•if;i\:;,i.~~!h.';..W1rJ~~~~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have 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 of the work for which this permit is Issued . . 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is {!;sued. My worker's compensation insurance carrier and policy number are: lnsuranceCompany ~tat£> CGmf).Inc. PolicyNo.48 7 Ql QQGG713 (THIS SECTION NEED NOT BE COMPLE'tED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date_.....,.0...,4,=,0..,].-.=,..,0,-.J..,.· _ 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 any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to sec r ers' com e satlon ga Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars~~ 10 ), ltl t cost of pen tlon, damages as provided for In Section 3706 of the Labo:'~e. Interest and attorney's fees. SIGNATURE ' • DATE __ J ..... l ....... L~-2~----- \?i:(fiiPYitl~Ki!,iJiI!~h:'P.~~:.~~T:!Q'Nl~!ff:i~f :· .·iltlr.\iiifi~t:fi~~~l~~1;~f!i~~ffi"A~~~[~~~mil~iirn,Jlt;J,~~1:{lr;11filt!'!!il:wi:):~ I hereby affirm that I am exempt from the Con ctor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does 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 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 exclusively contracting with licensed contractors to construct 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 thereon, and contracts for such projects with contractor(sJ licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work: 3, I have contracted .with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. !ff1~1l'§flit!!i~i'!~NTu);fffi'JN'W~ijff[~~~m'~i[iEr~~-;,ll'{~llii\i!..~.-.w.~E'li~B!f~i!l(~l:~~fii\iti,,~~lt~~'.,~ I hereby affirm that there ls a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME f>Ot)JE LENDER'S ADDRESS _______________________ _ t~.J.ti~l\mLCANB WJ.ll<.]rri.QN~S'.ma;i~~t11'i'•1Jlii'.llHJi11UB,1~l~~~~~\.SPdi~"irHlmBt,;:;fil.'~~~ I certify that I have read the appllcatlon and state that the above information is correct and thet the Information on the plans is accurate. I agree to comply with all City ordinances end State laws relating to building construction. I hereby authorize representatives of the Cit\-of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 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 issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit ls not commence hin 180 days from the date o such permit or If the building or work authorized by such permit Is suspended or abandoned at any lime after the work Is commen 10d <jf 1B s (Se 6.4.4 Uniform Building Code). DATE [ \ / .5 APPLICANT'S SIGNATURE _J,~~~~~c,/~'.__!~~~'.:,~4t2~:_:_________ ___.,_,_,_,f--"°-"'""----------1 PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/13/2002 Permit# CB023368 Title: GEARHART RES REPLACE H2O HEAT Description: Type:PLUM Sub Type: Job Address: 2406 LA PLANCHA LN Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: GEARHART FRANKLIN S&JANE C Remarks: Total Time: CD Description 25 Water HeaterNents Acr Comments Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: Inspector:~~ Requested By: FRANKLIN GERHARDT Entered By: KAREN