HomeMy WebLinkAbout2430 BADAJOZ PL; B; CB002999; Permit.
08/15/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No:CB002999
Job Address: 2430 BADAJOZ PL CBAD 0 Permit Type: PLUM Status: ISSUED
Parcel No: 2161 905401 Lot #: 0 Applied: 0811 4/2000
Reference #: Plan Approved: 08/15/2000
Issued: 08/15/2000
Project Title: WATER HEATER REPLACE Inspect Area:
Construction Type: NEW Entered By: JM
Applicant: Owner:
A & J FOSTER SCAFlDl MICHELANGELO&SIRI
2819 CENTRAL AVE
SPRING VALLEY
61 9 697-41 51
21 W325 TEE LN
ITASCA I1 60143
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Plumbing Issue Fee Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
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
FINAL APPROVAL
Inspector: Date: Clearance:
~~~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
NOTICE: Please take NOTICE that approval of your project includes the 'ImposiSon" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'feedexactions.' You have 90 days from 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 Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Catisbad 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 fight to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
c
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. mm 397
EST. VAL.
Plan Ck. Deposit
Validated By
Date
I W PROJECT INFORMATION 2430 Badajoz Place
Address (include BldglSuite #I Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
SFR
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City Statelzip Telephone # Fax #
PUCANT a Contraator a Agent for Contractor ARLEN FoSm/WSTY FOSTER 13706-B HWY'b
Name Address City Statelzip Telephone #
4. PROPERTY OWNER
Name Address city Statelzip Telephone #
Scaf idi , Michael 2430 Badajoz P1 CARLSBAD CA. 92009 760-944-4213
6. CONTRACTOR - COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which r 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
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 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 [$5001).
Name Address city Statelzip Telephone #
State License I 630120 License Class C-36 City Business License # 1200354
Designer Name Address City
State License # N/A
6. WORKERS' COMPENSATtON
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following
0
of the work for which this permit is issued. a issued. My worker's compensation insurance carrier and policy number are:
Insurance Company FARMERS INSURANCE policy NO. N2007-56-51 Expiration Date coNT1~ous
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SlOOl OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
A & J FOS'I'RR PLUMBING 13706-B HWY 8 BUS. EL WON CA. 92021 (619)390-4477
Telephone StatelZip
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
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
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
an employer to criminal penakia and civil fines up to one hundred
SIGNATURE
7. OWNER-BUILDER DECLARATION
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 propefty 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 contractorls) 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 l contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-R€S/Dm77AL BUILDING PERMITS 0
Is the applicant or future building occupant required to submit a business
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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perfo
LENDERS NAME
9. APPLICANT CERTIFICATION
I certify that I have read the appljcation 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 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 is not comm
at any time after the work is commenc
APPLICANT'S SIGNATURE DATE
I plan to provide portions of the work, but I have hired the following person to coordinate, SU~ENISE and provide the major work (include name l address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
0 YES 0 NO
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