HomeMy WebLinkAbout2605 CABRILLO PL; ; CB023197; Permit.. .
10-23-2002
Job Address: Permit Type: Parcel No:
Reference #:
Project Title:
Applicant:
A&J FOSTER, INC. STE B
13706 HWY 8 BUS
EL CAJON CA 92021
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB023197
2605 CABRILLO PL CBAD
PLUM Status: ISSUED
155271 41 05 Lot #: 0 Applied: 10/23/2002
Plan Approved: 10/23/2002 Issued: 10/23/2002
Construction Type: NEW Entered By: RMA
MARONEY RES-REPLACE WATER HEAT Inspect Area:
Owner:
MARONEY RAYMOND P&ROSEMARY R
2605 CABRILLO PL
CARLSBAD CA 92008
CGP 27=w 61 9-390-4477
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Plumbing Issue Fee Fixture or Trap
Building Sewer
Roof Drain
InstalVRepair 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
EX D PERMIT
PER?ET HAS EXPIRED IN ACCORDANCEm U.B.C.
SECTION 106.4.4 L DATE U-7 1 - 0% SIGNATURE
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
.' -
RMATION
Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units
FOR OFFICE USE ON Y
PLAN CHECK NO. (!go2 3(p7 - EST. VAL.
Plan Ck. Deposit
Validated By
Date
SFR
Assessor's Parcel # Existing Use Proposed Use
155-271-41-05 Description of Work sa. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City SteteIZiD TeleDhone # Fax Y
(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
[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 [$5001).
State License # A301 713 License Class C-36 City Business License Y 1 3.10836
Designer Name Address City StateIZip Telephone
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued. e I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
sued, My worker's eompensation insurance carrier and policy number are:
Insurance Company ct c Policy NO.~ 51 gQ~Q7l-2 Expiration Date n4 -- nl n? LC
(THIS SECTION NEED NOTZ%EXi%'THE PERMIT is FOR ONE HUNDRED DOLLARS i$iooi OR LESS)
L.
0 to become subject to the Workers' Compensation Laws of California.
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
0 1, 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 en 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 ha did not build or improve for the purpose of sale). 0 1, 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(s) licensed pursuant to the Contractor's License Law).
0
1.
2.
3.
4.
number I contractors license number):
5.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
1 (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):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maior work (include name I 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 / phone number I type
Business and Professions Code for this reason:
of work):
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupent 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 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? 0 YES 0 NO
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.
!ab?? LENDER'S ADDRESS ON
LENDER'S NAME
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with ell
City ordinances and State laws 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 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 co he building or work authorized by such permit is suspended or abandoned at any time after the work is comm
APPLICANT'S SIGNATURE DATE