HomeMy WebLinkAbout2412 ALTISMA WAY; A; CB000014; Permit. J& 9 City of Carlsbad 01/04/2000 Plumbing Permit Permit No:CB000014
Building Inspection Request Line (760) 438-3101
Job Address: 2412 ALTISMA WY CBAD St: A
Permit Type: PLUM Status: ISSUED
Parcel No: 21 52401 732 Lot #: 0 Applied: 01/04/2000
Reference #: Plan Approved: 01/04/2000
Issued: 01/04/2000
Project Title: REPLACE WATER HEATER Inspect Area:
Construction Type: NEW Entered By: GMF
TOTAL PERMIT FEES $27.00
FINAL APPROVAL I Inspector: Date: Clearance: I
NOTICE: Please take NOTICE that approval of your project includes the”Imposilon‘offees, dedications, reservations, or other exactions hereafter WlleCbvelY
referred to as ‘feeslexactions.’ You have 90 days hom the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must
follow the protest procedures set forth in Government Code Sedan 66020(a), and file the proat and any other required information with the City Manager for
processing in accordance with Cadsbad Municipal Code Section 3.32.030. Failure to bmely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their impasition.
You are hereby FURTHER NOTIFIED that your fght to protest the specified feeslexactions DOES NOT APPLY to water and sewer mnnection fees and CapaCtiY
changes nor planning, zoning, grading or other similar application pmcessing or service fees in connection with this project. NOR DOES IT APPLY toany
feesiexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
j . '2 .' FOR OFFICE USE ONLY
PERMIT APPLICATION .' PLAN CHECK NO.
CITY OF CARLSBAD BUILDING
2075 Las Palmas Dr., Carlsbad CA
EST. VAL.
Plan Ck. Deposit
Validated By (760) 438-11 61
Legal Description Lot No. Su@yyr NamdNumber . ,. Unit No. phase No. Total #of uniu
Au-or's Parcel t Existing Use Proposed Use
Description of Wwk WATER HEATER REPLACEPENT so. m.1, #of Stories ,.. . #of Bedrooms X of Bathrooms
Name Address City StatelZip
0
I g,&@J@*ws?7&p .x. ~~ * iir"ia>,t*
ISsc. 7031.5 Business and Professions Code: Any City or Countq which requires a permit to construct, alter, improve, demolish or mpair any str~cture, prior to its
issuance. 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
exemption. Any Violation of Section 7031.5 by any applicant for I permit subjects the applicant to a civil penalty of not more than five hundred dollars 1650011.
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom, and the bsDir for the alleged
Name Addraas
A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL WON CA. 92021 (619)390-4477
State Llcenrs t 630120 License Class
City StatelZip Teiephone I C-36 city Burines; License X 1200354
Designer Name Addrnss city ' ' StateRiu
State License X
Telephone
Worken' Compensation Oadarstian: I hereby affirm under penally of perjury one of the following declarations:
1 have and will maintain a Cenificate of consent to Self-insure for workers' compensstio".'as provided by Section 3700 of the Labor Code, for the performance
Of the work for which this permit is issued.
i &a and will maintain worked compensation, as required by Section 3700 of the Labor Code. for the performance of the work for which this parmit i8
issued. My worker's campensatim insurance carrier and policy number are:
Insurance Company FARMER INSURANCE Policy No. N2007-56-51 hpiration oate 'CONTINUOUS
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
CERTIFICATE OF EXEMPTION I cartify that in the performance of the work for which this permit isissued. I shall not employ any perron in any manner 60 as ..
to bacoma subject to the Workers' Compensation Laws of California.
WARNINO: FdIur.
.i
thousand Mlan It
A-
haurful, and shall subject an emplow la =dmlnal pen&es and clvll hs up to'ons hundred
d sttomay's fees.
i ,. ?i' '!'.$x~Z:,*-,', >!':,.,: , , .. -,.
I, as owner of the property or my employees with wager as their sole COmpenSatiOn, will do the work and the structure is not intended or offered for sale
(Sec. 7044. Business and Professions Coda: The Contractor's License Law doer 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 improvemem 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 pvrpo8e Of salel.
Canttactor's License Law does not apply to an owner of propew who builds or improves thereon, and contracts for such proiactr with cont~actorlsl licensed
0 I, as owner of the property, am exclusively contracting with licensed contractors to Constwct the proiect'iSec. 7044. Business and Professions Code: The
pursuant to the Contractor's License Law).
I am exnmpt 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 propeny imprdvemant. YES ON0
2. I (have I have not1 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 I address I phone number I contractors license number):
.~
4. I plan to provide ponians Of the work, but I have hired the following person to coordinate, supewise and provide the major work (include name I address I phone
number I contractors lieewe number):
5. I will provide some of the work. but I have contracted ihiredl the following persons to provide the wbrk-indicated linclude name I address I phone number I type
of work):
Program undsr Sections 25505, 25533 or 25534 of the Rerlsy-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to submit LI business pian. acutely hazardous materials registration form or risk management and prevention
15 the apPiiCBnt or future building Occupant required to obtain B permit from the air poilution control district or air quality management district? 0 YES 0 NO
Is th0 facilii to be ConRmcted within 1.000 feet of the outer boundsry of a Ichooi site? 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 "NO THE
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
r which this permit is issued iSec. 3097iil Civil Codel.
LENDER'S NAME LENDERS ADDRESS .. .I ?@ggJ ?..-;r*"*zii@;,,,i:i.: i?.isri:b-....,-..,~::.:3 :, rr,i!?r*""'"'i~?m,.cn.:,;!~.u..*.r,.i,li':;.~'~i t"!~,,#, (_V 1% ~..,,~~~.,~..~~~~~.,~!.,~.~~,.~~~.~~,~~',~~~~ , ,+,.ax
I Csnify that I have read the application and state that the above information is comsct and that the information on the plans is accurate. I agree to comply with all
Citq ordinances and State laws relating to building construction. I hereby authorize representatives of'tha CnV of Carlsbad to enter upon the above mentioned
properm 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT.
)SHA An OSHA permit io required for excavations over 5'0' deep and demolition or construction of, structures ov0r 3 StoriBs in height.
KPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if thO building or
zk authorized by such of such permit or if the building or work authorized by such-permit is suspended
abandoned at any time emion 106.4.4 Uniform Building Code).
'LICANT'S SIGNATURE DATE JAN 0 4 2000
pplicant PINK: Finance
DESCRIPTION %+&@ wis - 0900
CODE - ACT COMMENTS
COMMERCIAL CERTIFICAX OF: INSURANCE Issue Dale (MMIDDWY)
AGENCY
Name *AKANMENDOZA
Address ' SAN DmI CA 92108 & ' 8880 XU0 SAN DIEGd DR. #700 This cerWale is issued as a mailer a( informalion only and confers no rights upon lhe certificate holder. This cerlikdle does not amend, exlend or allw Ihe .. coveraw afjorded by Ihe polides shm below.
COYPUUES PROVID~HO mv-
corn mu A TRUCK INSURANCE EXCHANGE
wm 6 FARMERS INSURANCE EXCHANGE
c MIDCENNRY INSURANCE COMPANY WW
mym -D
CATLO. NoIwrmslANOlNG I PERTAM. THE INSUAANCE MAY HIVE BEEN AEOUCEO
t 1,000,000
t1,000,000
S1,OODIOOO