HomeMy WebLinkAbout2711 ABEJORRO ST; ; CB010796; PermitCity of Carlsbad
1635 Faradav Av Carlsbad. CA 92008
02/23/2001 Plumbing Permit Permit No:CB010796
Building Inspection Request Line (760) 602-2725
Job Address: 271 1 ABEJORRO ST CBAD
Permit Type: PLUM Status: ISSUED
Parcel No: 2153003401 Lot #: 0 Construction Type: NEW Applied: 02/23/2001
Reference #: Plan Approved: 02/23/2001
Issued: 02/23/2001
Project Title: BUECHAE RES/ NEW WATER HEATER Inspect Area:
Entered By: CB
Applicant: A&J FOSTER, INC.
STE B
EL CAJON CA 92021
13706 HWY 0 BUS
61 9-390-4477
Owner:
BUECHE KURT D&BRIDGET
271 1 ABEJORRO ST CARLSBAD CA 92009 2523 02/23/01 0002 31 02
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstalllRepair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
$20.00
$0.00
$0.00
$0.00 $0.00
$7.00
$0.00
$0.00
$0.00
$0.00
I FINAL APPROVAL
Inspector: Date: Clearance:
NOTICE Please take NOTICE that apprwai of your project includes the ’impmition’offees, dedications, resewations, or other exactions hereafter mliectively
referred to as ”feeslexactiins.” You have 90 days from the date this permt was issued to protest imposition of these feeslexactions. 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
pmzssing 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 impasition.
You are hereby FURTHER NOTlFiED that your rQht to protest the specified feeslexactions DOES NOT APPLY to water and sewermnneclion fees and capaCfjY
feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
changes, nor planning, zoning, grading or other similar application processing or sewice fees in connection with this project NOR DOES IT APPLY to any
4
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 FaradayAve., Carlsbad, CA92008
FOR OFFICE USE ONLY
PLAN CHECK Nd-k40!074@
EST. VAL.
Plan Ck. Deposit
Validated By C&
Date 2-7 - 3-01 L
Address (include BldglSuite #) <Legal Descr>
Legal Description Lot NO Subdivision NameiNumber Unit NO. Phase NO. Total # Of units
Business Name (at this address) <Lot> <Subdivision Name/No> <Unit> <Phase> <Total>
<AssessOr NO> <Existing Use>
AIS~SSO~S Parcel # WATER HEATER REPLACEMENT
Description of Work SQ. FT. It of stories # Of Bedmoms # of Bathrooms
<Proposed Use>
Existing Use Proposed Use <SQ FT> <Stories> <Bedrooms> <Bathroom>
Name
<Name> <Address> <City> ST <Zips <Phone> <Fax>
Address Citv StatelZiu Telephone# Fax X
(Sec. 7031.5 Business and Pmfessions Code: Any Cily or County which requires a permit to wn~t~ct, alter, improve, demolish or repair any st~cture. prior to its issuance. also requires the applicant for Such permit to tile a signed statement that he is licensed pursuant to the provisions Of the Contractor's License Law
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars [$5001).
[Chapter 8, commending with Section 7000 Of Division 3 Of the B~~iness and Pwfessions Code] or that he is exempt therefrom. and the basis far the alleged
Name Address City StatelZip Telephone#
A & J Foster Incorporated PO Box 2758 El Won CA 92021 6193904477
state ~~cense t) 630120
Designer Name
<Name> License class C36 CIW 0usine.s License t 1210836 <Address> <City> ST <Zip <Phone>
city StatelZip Telephone Address
State Licence 11
6. WORKERSCOMPENSATIDN Worken' compensation Oeclaratian: I hereby amn under penally Of peiury one of the following declarations:
I have and will maintain a certificate of consent to self-insure tor wrken' compensation as provided by Section 3700 of the Labor Code. tor the Performance
of the wrk for which this permit is issued.
I have and will maintain worken' compensation, as required by Section 3700 of the Labor Code. for the performance Of the work for which thls permit is
issued. My worker's compensation insurance Carrier and Policy number are:
lnSulance Company Mid-Centw Ins. Policy NO. A20075651 Expiration Date 05/01/2001
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$loo] OR LESS) 0 CERTIFICATE OF EXEMPTION I certity that in the performance Of the work tor which this permit is issued, I shall not employ any penan in any manner LO as
to become subject to the Worken' 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:" "." ^^
SIGNATURE
1). in addition to the cost of compensation. damages as provided for in Section 3708 of the Labor code, interest and attorney's fees.
1. OWNERIUILDERDECLARATlON
I hereby amrm that I am exempt ham the Contractoh License Law tor the following reason:
(Sec. 7044, Business and Professions Code: The ConVactor's License Law does not apply to an owner of pmperty 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 impmvement is sold within one year of completion, the owner-builder Wll have the burden Of proving that he did not build Or impmve for the purp0Se Of Sale).
0 I. as owner Of the property, am eXElUSively contracting with licensed contractors to constr~ct the project (Sec. 7044, Business and Pmfessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves threreon. and contracts for Such projects with cootractor(r) licensed
pursuant to the Contraclots License Law). 0 I am exempt under Section Business and Pmfessions Code forthis reason:
1. I penonally plan to provide the major labor and materials for ConstNction of the proposed propedy improvement. 0 YES 0 NO
2. I (have I have not) signed an applicant for a building Permit for the proposed work.
nATE 02/20/2001
0 I, as owner of the property Or my employees with Wages as their Dole compensation, Will do the Work and the Structure IS not intended Or offered for Pale
3. Ih% contracted with the following penon (firm) to I v' e the mpased WnStNCtiOn (include name i dr 3 phone number I contractors license number): < ame> &ddressP <\aPori$hone> <State License>
4. I plan to provide portions of the rk. but I have hired the following person ordmate, supervise and provide the ma'or wolk include name I address I phpne
5. I wil1JefSame> "#de Some of the work, but I have contracted ( lr d the fOllOWing person to provide the wrk indicated (include name I address I one u ber I type of work): <Lddress> <Work Phone> &orG Type>
PROPERM OWNER SIGNATURE DATE
number I contractors license number):< Y ame> <Xd%ress> dark Phone> <State Licenses
program under Sections 25505, 25533 or 25534 Of the Prerley-Tanner Hazardous Substance Account Act7 0 YES 0 NO
Is the applicant or future building occupant required to Submil a burinear plan. acutely hazardous materials CegiStratiOn form 01 risk management and prevention
1s the applicant 01 future building occupant required to obtain a permit hom the air pollution control district or air qualily management district7 0 YES NO
is the facility to be constructed wlthln 1,000 feet of the Outer boundary Of schwl site7 DYES 0 NO
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICESANO THE AIR POLLUTION CONTROL DISTRICT. 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
I hereby affirm that then is a const~clion lending agency for the performance of the work for WhlCh this permlt is issued (Sec. 3087(i) Civil Code).
LENDERS NAME LENDERS ADDRESS
City ordinances and State laws relating to building construction. i hereby aulhorize representatives Of the Cily of Carisbad lo enter upon the above mentioned I certify that I have read the application and St& that the above information is correct and that the lnformatlon on the pian6 is accurate. I agree to comply with all
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTSAND EXPENSESWHICH MAY IN ANY WAYACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for ex~avations over So' deep and demolition or con~truction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the building Oficial under the provisions 01 this Code Shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 160 days from the date Of such permit or if the bullding or work authorized by such permit is suspended or abandoned at any time aner the work is a period Of 160 days (Section 106.4.4 Uniform Building Code).
APPLICANTSSIGNATURE nATE 02/20/2001
. -,
720 Dubuque Ave., South San Francisco, Ca. 94080
Government Services: 888-330-1777
Fax: 877-846-5888
Permit
Application
1 Mail
Building
1635 Faraday Ave
Carlsbad
92008
Phone: 760602271 8
Permit Handling Instructions
Mail
The approved permit will be mailed to you.
Additional Comments
lompany: A 8, J Foster Incorporated Worker’s Comp carrier: Mid-Century Ins.
4ddress: PO Box 2758 Worker’s Comp: A20075651 Exp. 05/01/2001
City: El Cajon State Contractor’s License: 630120 Exp. 10/31/2001
State / Zip: CA
Phone: 6193904477
92021 License Class /Type:
Fax: 6193904448 Business License #: 121 0836
Exp.
Exp.
Exp. 08/31/2001
Zredit Card Number:
Expiration Date: 1
Card Holder Name:
Visa: U
Mastercard 0
Other: 0
Homeowner Name: Homeowner Phone Number:
Project Address: 271 1 ABEJORRO ST Carlsbad CA 92009
Valuation:
Job Description:
Residential 0 Commercial 0 Pa er
Permit Type: Check Agent Authorization: ORG 0 NOT. 0
Permit ID 76344 AA Type:
i