The URL can be used to link to this page

Home My WebLink About2612 LA COSTA AVE; ; CB040452; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-10-2004 Plumbing Permit Permit No: CB040452 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2612 LA COSTA AV CBAD PLUM 2162800200 Lot#: 0 Construction Type: NEW MCMULLEN RES NEW H20 HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/10/2004 SB 02/10/2004 02/10/2004 A&J FOSTER, INC. STE B MCMULLEN FAMILY TRUST 12-04-02 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 2612 LA COSTA AVE CARLSBAD CA 92009 $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 Payments To Date: $0.00 Balance Due: E Xr II ry r-: n • t -Ji_-, "rJ\:atJ $27.00 PER:S".,.. H~S EX-., f,lD IN ACCORDANCE WITH U.B.C. Sr<·· 1 ;, . I ·jQC: 4 4 !:L--lvi~ u .• [l\l"E ~J. 9 t p '-\, SIGNATURF oW: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. _____ _ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. ubdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use # of Bathrooms Designer Name Address City State/Zip Telephone State License # __________ _ !(i;i:j~'<~l~W&Kitl;fl$_t~CJfM.RENS~:f1Qlf/;]~~rn~WJ!~crr~~~:;itr~ift~J£ill~J.iii~~r~,}'1~iJ]~~[~~;t~;~~l~!il~~~~1Wt.~~~i~'si1!iR}~~!~~1i~})~~Jj:;i~~;i/Tfi;1~1:;:t1:~1~i1.1:a.~~~;/;;,~ 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 ~e work for which this permit is issued. ~ 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 issued. My worker's e _ensatio insurance,.,i;a.o:ier and polic number are: () O ~J 11 J ) NJ Insurance Company -\-Policy No. ::, { 0 l -_ } ~-) 0 Expiration Date_~-+-4--... 1-#---"~..e..-1- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) / 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 secur thousand dollars ( $100 SIGNATURE '.1~J~iTIPWN~;BJ{i~ij~1.fEP~.flifi~ t(~~;t~~]i~~~j, · -u •. •:•::~:~i~~;~i;l~~!{ltfl:[ift~~1lii&~~~Briii~rlf~ifi}iW~~Jll:J1Jii;~~f~~t~JJjj~~ril!.~r(r~lr:di~~W~1 ,· I hereby affirm that I am exempt from the Contrac or'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 JSec. 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(s) 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 I 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):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _________________________ DATE __________ _ iCO~Rt~t.E\\t~l${,S~C[ij)j!'ii1;ef 1t~~Q'fJ!Rf!;iQEN:f:/Af.fijij1l[p1ij'Gpeij_M);'j'.~~9_N~~~t?i~~riii~~~~!l?t~iJl:~~,m~i~iiW,il~~l?itltii:~1~,~~;!pji;';t(l}.~:rijf~\~f; Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent 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 sit e? 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. !.8;f}(f1'.:C9,fJ~.J:~~lPtiPili~~~.NP.,.~q7i~·~N~:ftl~~f~!lt~ffiti~tfil~~~~t~m::fil:~~l}i~fll!~Ji?l~~~~iJ~ti~1~[i.~}i;]rr~fgf:;a~gtri~~¥J!i[~l!!i!~1~;~11ij~~~~~~&11~~!;;fi1:1T,:.-~~f~~~i~?~;; :1'.,~~r::~~;~~,-:·:::·::!-f.'.,!;~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS __________________________ _ ,9'~t~·:~t~u~e,t~J(ijf(i~@RJif iCAtFlQNJl.1~~!rj~,~;:~~~~~Wi~ti~J\ :;~';f,~f~~;i~;J~StJ11E~~~~,ir~:?~~lf~i~~Hti~~~l~~,..J;~mr;A~~l~&ljt;~~:~~~1~:~~~~1~~;ril1niji~:~~.~;~} 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 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 I excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATfON: Every permit issued by the building Otticla) under the provisions of this Code shall expire by limllation and become null and void if the building or work authorized by such permil is not commerlced w~~~ 1 ~e,r:ate f such · or If the building or work aulhorized by such permit Is suspended or abandoned al any time after the work Is commenced for a ~e · • 06.4.4 orm ilding Code). ]-/ .-o U APPLICANT'S SIGNATURE _____ _::=--=----------.!_~'.::--~•t, ,.~ .. t~--'!_~~ ~:~ -~ ~= =:.:::'.._____ DATE ---~ __ j ___ J-+----- WHITE: File YELLOW: Applicant PINK: Finance