HomeMy WebLinkAbout2422 BADAJOZ PL; B; CB054058; PermitCity of Carlsbad
t 1635 Faraday Av Carlsbad, CA 92008
1 1-30-2005 Plumbing Permit Permit No: CB054058
Building Inspection Request Line (760) 602-2725
Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2161905001 Lot #: 0 Applied: 1 1 /28/2005
Reference #: Plan Approved: 11/28/2005
Issued: 11/28/2005 Project Title: KIESCHNICK RES REPLACE H20 Inspect Area:
2422 BADAJOZ PL CBAD St: B
Construction Type: NEW Entered By: KG
HEATER
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-4477
Owner: MCGURGANlBAY 2001 TRUST 09-04-01
1349 FRONT 9 DR
FORT COLLINS CO 80525
Plumbing Issue Fee Fixture or Trap
Building Sewer
Roof Drain
InstalllRepair 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
$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: $27.00 Balance Due: $0.00
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the ’Ilkpodon” of fees, dedications, reservations, or other exactions hereafter collectively
referred to as “feeslexactions.” You have 90 days from the date this penit was issued to protest imposition of these feedexactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capacity
FOR OFFICE USE ONLY
PEWMOB APPLICAPUON PLAN CHECK NO.
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit
a
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # . Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
a 1~- t70 -50 az
LQkr- Lb4-4 2-
(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 is licensed pursuant to the provisions of the Contractor's License Law
IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he Is exempt -therefrom, and the basis for the alleged
Name City Statelzip Telephone # '
State License # License Class C -3 lo city Business License # I 'L1tJ 83 6
Designer Name Address Ciy . Statelap Telephone
of the work for which this permit is issued.
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
ensation, as-required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
carrier and policy number are:
,
Policy No. Sh-g 26 Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$I001 OR LESS]
to become subject to the Workers' Compensation Laws of California.
WARNING: Failur
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
, damages as provided for in Section 3706 o
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(s1 licensed
pursuant to the Contractor's License Law).
0
1,
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed work;
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4. number I contractors license number):
5.
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 I address I phone
I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type
of worlcl:
PROPERTY OWNER SIGNATURE DATE
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
IS the facility to be constructed within 1,000 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.
0 YES 0 NO
I certify that I have read the applicatlon and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 limitallon and become null and void if the building or work
authorized by such permit Is not commenced such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comrne&$8$ 06.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
180 days fro
WHITE. ile YELLOW: Applicant PINK: Finance
Permit##
Title:
Description:
City of Carlsbad Bldg
For: 12/06/2005
CB054058
KIESCHNICK RES REPLACE H20
HEATER
Type: PLUM Sub Type:
Job Address: 2422 BADAJOZ PL
Suite: B Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner:
Remarks:
Inspection Request
Inspector Assignment: 53
Phone: 7606332274
Inspector: (45
Total Time: Requested By: MELVIN
CD Description omment
Entered By: CHRISTINE
25 Water HeaterNents
Associated PCRsICVs
Inspection History
Date Description Act lnsp Comments