HomeMy WebLinkAbout2715 ANTA CT; ; CB042822; PermitCity of Carlsbad
Inspector: 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 "feeslexactions." You have 90 days from the date this permit 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
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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any . feeslexactions of which vou have areviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has ixeviouslv othelwise exdred.
G b 1635 Faraday Av Carlsbad, CA 92008
07-2 1-2004 Plumbing Permit Permit No: CB042822
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 21 53201 700 Lot#: 0 Applied: 07/21/2004
Reference #: Plan Approved: 07/21/2004
Issued: 07/21/2004
Project Title: SPRATT RES- REPLACE WATER Inspect Area:
271 5 ANTA CT CBAD
Construction Type: NEW Entered By: KMT
HEATER
Applicant: Owner:
STE B
A&J FOSTER, INC. BEAM RICHARD J&GATES PATRICIA A FAMILY TRUST 08-
13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-4477
271 7 ANTA CT 7064 07/21/04 0002 Of. 02 CARLSBAD CA 92009 CGP 2-7-w
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstalVRepair Water Line
Water Heater and/or Vent
Gas Piping System Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee Additional Fees
$20.00
$0.00
$0.00
$0.00 $0.00 $7.00
$0.00 $0.00 $0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
PERMIT H'" SECTION I 36.4.4
3ED IN ACCORDANCE WlTH U.B,C
FINAL APPROVAL I
FOR OFFICE USE ONLY
PLAN CHECK NO. @oqJ8q
EST. VAL.
Plan Ck. Deposit
Validated By
PERM IT APPLl CAT1 0 N
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
.
Address (include BldglSuite C)
Legal Descri tion Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Business Name (at this address) -
Existin Use Proposed Use 2\3- 326-\7*CO
me> LLeiw Re 4. a+er
Descriptiokof Work Sa. FT. #of Stories # of Bedrooms # of Bathrooms
-
(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
IChaoter 9. commendino with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exemDt therefrom. and the basis for the alleaed .-. -
Name Address City StatelZip
State License # \ZO License Class City Business License #
Designer Name Address City Statemp Telephone
State License #
Workers' Compensation
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
I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is
e work for which this permit is issued.
Insurance Company Policy No. 1 7 3=7(112-w Expiration Date,
-1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to se
thousand dollars ($100,
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
, and shall subject an employer to crimlnal penalties and civil fines up to one hundred
t and attorney's fees.
0 I, as owner of the property or my EmplOyeQS 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).
[7 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
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
ON0
4.
number I contractors license number):
5.
of work):
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 I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
PROPERTY OWNER SIGNATURE DATE
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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
0 YES 0 NO
0 YES
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,
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 excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Offlcial 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 commenc
at any time after the work is commenced
APPLICANT'S SIGNATURE DATE
e building or work
P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807
COMP6N$A\TIQN INSURANCE FUN ID CERTlFlCATE OF WORKERS' COMPENSATtON INSURANCE
L
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California
Insurance Cornmtssioner to the employer named below for the polic period indtcated.
This policy is not subject to cancellation by the Fund except upon Be# days' advance written notice to the employer.
We will also give yau ?$j@,dtty$
This certtfidate of insurance is not a0 insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document wtth
respect to which this certifrcate of insurance may be issued or may pertain, the insurance afforded by the pokcies described herein IS subject to all the terms, exdusions and conditions of such policies.
d -
3@ notic3e&.hould this pdky be cancelled prior to Its normal expiration.
EMPLOYER
r
&I & J FOSTER, INC. P 0 Blsx 2'758
UCcWQl'p CCI 9*f
I IRN. 3-03) o