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HomeMy WebLinkAbout2631 COLIBRI LN; ; CB010795; Permit02/23/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB010795 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2631 COLIBRI LN CBAD PLUM 2155432500 Lot# 0 Construction Type NEW WEINER RES/ NEW WATER HEATER Status Applied ISSUED 02/23/2001 Entered By CB Plan Approved 02/23/2001 Issued 02/23/2001 Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJONCA 92021 619-390-4477 Owner WIENER-AVNEAR ELIEZERfifiiBfig^oi 0002 01 CGP2631 COLIBRI LN CARLSBAD CA 92009 02 27 00 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 0 0 0 0 1 0 0 PIPED $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions 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 fees/exactions 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 fees/exactions of which you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 V " PROJECT INFORMATION . ;: ,:, y^: ; " "'^JK. 5^"""' : "' ••;':";:~:.: 3725 "CATALlNA DR Carlsbad CA 92008 ""' <Suite> <Narrie> FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By C Date 7-7 Address (include Bldg/Suite #) <Legal Descr><Lot> Business Name (at this address) <Subdivision Name/No> <Unit><Phase> <Total> Legal Description Lot No Subdivision Name/Number <Assessor No> <Existmg Use> Assessors Parcel # WATER HEATER REPLACEMENT Existing Use <SQ FT><Stones> Unit No Phase No Total # of units <Proposed Use> Proposed Use <Bedrooms><Bathroom> Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms <Name> Name 3 •••.:' APPDCANT :-?D Contractor El NetClerk Inc '•'"""""" <Address> Address Agent for Contractor- D Owner 720 Dubuque Ave <City> City D Agent for Owner ""'•' South San Fr ST ST <ZlD> State/Zip 94080 <Phone> Telephone* "8883301777 <Fax> Fax# Name 4 PROPERTYOWNER CLARK. JEAN IE" & BRIAN Address 3725 CATALlNA DR City State/Zip Telephone* ' I. • .:'''./'• CARLSBAD CA "92008 760-434-7041 Address City State/Zip Telephone #Name 5 V-5; CONTRACTOR COMPANY NAME •"^•I™: " ^ ^ "i, '"'"''."'::;.: ;i::.::: U- .•• (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 Contractors License Law [Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] 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 [$500]) A & J Foster Incorporated PO Box 2758 El Caion QA 92021 6193904477 Name State License # 630120 <Name> Address License Class C36 <Address> City State/Zip Telephones City Business License # 1210836 <City> ST <Zio> <Phone> Designer Name Address City State/Zip Telephone State Licence # 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations I 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 0 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 workers compensation insurance carrier and policy number are Insurance Company Mid-Century Ins Policy No A20075651 Expiration Dale 05/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 1 I 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 secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll /TT" —0 in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorneys fees SIGNATURE **««5*f- DATE 02/20/2001 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason l~l 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 Contractors 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) I I I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves threreon and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) I I I am exempt under Section Business and Professions Code for this reason YES NOI personally plan to provide the major labor and materials for construction of the proposed property improvement II I (have / have not) signed an applicant for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) <Name> <AdcTress> <Work Phone> <State License> 4 I plan to provide portions of the work but I have hired the following person_5p_ccjordinate supervise and provide the major work^jmclude name / address / phone number / contractors license number) <Name> " ...... «...<Address>' <Work Phone><State License> 5 I will provide some of the work but I have contracted (hired! the following person to provide the work indicated (include name / address / phone number / type of work) <Name> <Address> <Work Phone> <Work Type> DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY :';: J: "J % :™. .,:„,- Is the applicant or future building occupant 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? l~l YES f~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? I I YES I I NO Is the facility to be constructed within 1 000 feet of the outer boundary of school site' l~1 YES l~l 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 " •%; "T,' i: I "/:•./ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087(i) Civil Code) LENDERS NAME LENDER S ADDRESS 9,, APPLICANT CERTIFICATION . ' ,-"-~-^7 ' "' — , "™;. ••••'.. "%. T;.;/ '' .•,"-'~: 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 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, 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE 02/20/2001 KBKDOZA CAMIKO _ SAtt DIEGO, CA (ei$)291-0€0Q €OMMfREAL CERTJFICAn OF INSURANCE STE ,20 annum mviDixu wraswte A TRUCK IKSW*NC£ EXCHANGE • FARMERS WSUJWNCE EXCHAI^SE c wsj-amufty WSUSWNCE OD»ANY J * J FOSTER INC. 13706 B HMV B BUSINESS CAJON, CA 52021 mnmr EttKACCDOtl DCElfiE-flCH EMFliSdF $1,000,000 51,000,000 11,000,000 A2007 S6 SI Nang CITS OF OCEANSIDE BUILDING DEFT. 300 K. HILL St QCEANSIDB, CA sUMRiraR TO » KK^a[TOlUMHJlflTW LffT ^f«MT8S1lft3JSND^^LB*^WCeJG^Il^^U«aFf Of "MIKN.1KI " ^-—=*- l(L 630120