HomeMy WebLinkAbout2645 CAZADERO DR; ; CB012616; Permit08-0772001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No.CBOl 2616
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
' Parcel No
Reference #
*
Project Title
2645 CAZADERO DR CBAD
PLUM
2153002800 Lot #
Construction Type
STONE RES/ NEW WATER HEATER
0
NEW
Status ISSUED
Applied 08/07/2001
Entered By CB
Plan Approved 08/07/2001
Issued 08/07/2001
Inspect Area
Applicant
A&J FOSTER, INC
STEB
13706HWY8BUS
EL CAJON CA 92021
619-390-4477
2645 CAZADERO DR,
CARLSBAD CA 92009,
6668^08/07/01 0002 01 02
CGP 27.
Total Fees $2700 ; '/xT°te
1 / p "x"
* • /.^*~, /
' i t "•-«.'*~'~/ f
Plumbing Issue Fee "~— -^ '
Fixture or Trap ' rn <-> '
Building Sewer | \ ^ / r '
Roof Dram • s--_^y i
Install/Repair Water Line ', ^o
Water Heater and/or Vent \ c^ "•
Gas Piping System \ "x
Vacuum Breaker \ \
Other Plumbing Fees " ,
il Payments TcrDate ^^$0"00 \ Balance Due \ $27 00
/ ( > , ' \ -\ \ \"J " s
J 2 •-> \
\ {' -"---.
\ ,.„.-.... *"-/_ " „ / / ",- ^- ' /• i V' - *NV"^* *--l~"V',V"''*Jt /' ' ($20^00 ;"\ o " -^r X" /HI V$ooo; j^*ox <.IJ /' //*; l $0061 ',
//•^O vv ^_> XX -^'XCi fl ""$000
X /I/O ^' ^>x; /'( / "XV"~ / ^°°° I
•Xv^* fyAi '•' ffr"7 / /f -S3 r ; $700 ,'
"' ^Q^y '\ ul* I ,A* ^ K1 * / $000
v^ •-""O'X »' ""^ ( C ^ ^'S"7" $000^^ / v-j--- ' '"*>' •'"• i'*x"^ j <tn nn /' / 5 / i _. - / s>U UU '
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
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
jreferred to as lees/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 trnely follow that procedure will bar any subsequent legal action to attack,
•review, set aside, void, or annul their imposition
1
JYou are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
'changes, HOT planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exacltonsjjf 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
<Suite>mUi"!'.'!!!!.!^!-.,.-.-<Name>
FOR OFFICE USE ONLY
PLAN CHECK N
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)
<Legal Descr><Lot>
Business Name (at this address)
Subdivision Name/No> <Unit><Phase> <Total>
Legal Description
<Assessor No>
Assessor's Parcel #WATERHEATER INSTALL
Lot No Subdivision Name/Number
<Existmg Use>
Existing Use
<SQ FT> <Stones>
Unit No Phase No Total # of units
<Proposed Use>
Proposed Use
<Bedrooms> <Bathroom>
Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms
<City>ST <Zip> <Phone><Fax>
Name
Slfffi . ,
'NetClerklhc"
Address City State/Zip
^^^^^Sm^frrr^mso
Telephone*
8883301777
Fax#
Name Address Telephone*
2645 CAZADERO DR CARLSBAD CA 92009 7604808183
Address
•111!
City State/Zip Telephone #Name
Bl'lltONTRACTORlCOMPANYNAMEfllSMUiMMrslilSttiMSSttUU llrt'HISUIUHIMSJSSSSMhHUWl UWUHUimUi N
{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 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 Cajon CA 92021 6193904477
Name
State License # 630J20_
<Name>
" Address
License Class<Address>
C36
C i ty
Cit
State/Zip
Business License # 1210836
/> ST
Telephone #
<Zip><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
C] 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 worker's compensation insurance carrier and policy number are
Insurance Company State Comp IflS Fund Po|ICy NO 00506395 Expiration Date 05/01/2002
(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 ttie work for which this permit is issued, I shall not employ any person in any manner so as
1o 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" ,_7Y" ~"n) m addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney's fees
SIGNATURE **«%f- DATE 08/03/2001
7 OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
f~1 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 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)
CH 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 1 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 l~i YES I I NO
2 I (have / have not) signed an applicant for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)<Name> _ < Ad dress > _ <Work Phone> _ <State License>
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
r / contractors license number) <Name> <Address> <Work Phone> <State License>
/ phone number / ty<Work Type>
number / contractors license number)
5 I will provide some of the work but I have contracted (hired) the following person to provide the work indicated (ir\clude name / address / phone number / typeof work)<Name><Address><Work Phone>
PROPERTY OWNER SIGNATURE __,.,,_.
COllfl PLETE |Tlj! |J||6|10N||0 R |£NlR^
DATE
^'^iiili^
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? Q YES I I NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?YES LJ NO
Is the facility to be constructed within 1 000 feet of the outer boundary of school site"? [J YES d N0
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 SERVICESAND THE AIR POLLUTION CONTROL DISTRICT
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)
LENDERSNAME LENDERS ADDRESS
a^lllAHPOCANtCERTIFICATION
1 certify that I have read the application and state that the above information is correct and that the information on the plans is accurate 1 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 1 80 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 fora period of 180 days (Section 10644 Uniform Building Code)
APPLICANT'S SIGNATURE DATE 08/03/2001
720 Dubuque Ave , South San Francisco, Ca 94080
Government Services 888-330-1777
Fax 877-846-5888
Permit
Application
ID# 94697
Mail
To: Carlsbad
Building
1635 Faraday Ave
Carlsbad
CA 92008
Phone 76Q6022718
Fax 7606028558
Email
: «- ! _,;/. - ' /, Co 'n t r a
Company A & J Foster Incorporated
Address PO Box 2758
City El Cajon
State /ZIP CA 92021
Phone 6193904477
Fax 6193904448
Email
I.'1 ' '' "' "' "' 'CrediLi i ', i i, > > _ i
Credit Card Number
Expiration Date
Card Holder Name
„. ,' ' E r o j e
H II 1 l! 1 , ' 1 *»
C T f% ¥* ! 1' iWil! TT rt 'l*! Tiri« ' ti " JT ' i f\> ! n , ^ ^ ! • '-, * ' ' ' . ' *• f ' <L V Jl JL JUT1 1 JL V Ji , . JJU1 d. > L 1. i \J$ , J-l | % | J ^ ::• , :: , ' ::
Worker's Comp Carrier State Comp Ins Fund
Worker's Comp No • 00506395 Exp 05/01/2002
State Contractor's License 630120 Exp 10/31/2001
License Class / Type c36 Exp
Exp
Business License # 1210836 Exp 08/31/2001
t Card Inf orma'ti(on «., in 'I..,' /fi; !;• -r ,S
Visa r~|
Mastercard Fn
Other [•] Check
i i . l , ' iji l| !| , ' ,!t« ,1 ,li< „"' s ,! s'i
c t Info r'm a tujoi'l-nt.^11^ ', <i^';| ., '"; '.,'."
Homeowner Name BONNIE STONE Homeowner Phone Number 7604808183
Project Address: 2645 CAZADERO DR CARLSBAD CA 92009
Valuation 155 Residential | | Commercial I I
Job Description
WATERHEATER INSTALL
.' ' :,\t \ • .' '• f N o t e s ,;" ''r "^^^{'IVj'Vv11;1;1"'" '^''^v^' /' . • <
Payment -Check
Permit Type Paper Agent Authorization ORG Q NOT Q
AAType
TMW'C jpcrncaTt it jasueo AS A MUTTO
63 Gr@Hiowa.Kb. Or,
* 1,000,006
BOM f&Tf«Ein: OP FRZMTTft! Kfts*XO AKt HOXICB 0?
e»«r*ti-Dnis of
A & J FOSTER IIC