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
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J * J FOSTER INC.
13706 B HMV B BUSINESS
CAJON, CA 52021
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$1,000,000
51,000,000
11,000,000
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Nang CITS OF OCEANSIDE
BUILDING DEFT.
300 K. HILL St
QCEANSIDB, CA
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630120