HomeMy WebLinkAbout2723 LYONS CT; ; CB023434; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-14-2002 Plumbing Permit Permit No: CB023434
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2723 L VONS CT CBAD
PLUM
1673913200 Lot #: 0
Construction Type: NEW
PAGE RES-REPLACE WATER
HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/14/2002
RMA
11/14/2002
11/14/2002
Applicant:
A&J FOSTER, INC.
STEB
PAGE SAMUEL A&LAURA L 1231 11/14/02 0002 01
CGP
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Inspector:
2723 L VONS CT
CARLSBAD CA 92008
Total Payments To Date: $0.00
0
0
0
0
1
0
0
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106.4.4 c·~
DATE s\ td a> SIGNATURE_ ... _ ... ~-----=--'
FINAL APPROVAL
Date: Clearance:
$27.00
NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 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
I
02
27-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. Ol~ °3'::(3. '-/
' CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
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2723 Lyons ct
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date. ________________ _
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR
Assessor's Parcel # Existing Use Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
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Name Address City State/Zip Telephone # Fax # ra~f!~1~i=~!;12~~~~,,~:~~~tiiP1,:1;~~~-B~:f(i!~~~~F,~~~~~~~~~,~~1.n~~rlr~~~ff~1B:~1~,~,91~~~~
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Name Address . City State/Zip Telephone #
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Name Address City S.tate/Zip Telephone #
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(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 tor 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 nQt more than five hundred dollars ($500]).
J}m~ J Fost:er Plumbing ½Jc70e "B Ruy,Q Bus. dress El Cai9~ CA 9202] (619)39D 4477
ty State/Zip Telephone #
State License # --'6~Jv0.1.J .. 2.-1.Q,__ ___ _ License Class _._C..=._.J.._6.__ _____ _ City Business License# 1210836
Designer Name Address City State/Zip Telephone
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, tor the performance
of the work for which this permit is issued.
_ O 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
2issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Stat£> Come. Ins. Policy No.487 Ol 0000713 Expiration Date Q4 Q] OJ
(THIS SECTION NEED NOT BE COMPLE'rED IF THE PERMIT IS FDR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify-that in the performance of the work tor 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 Cali ornia.
WARNING: Failure to~ecu or • c mpJt-'tlon cov' age 1, »nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100, ), 51"' JOit .~@l!91l. damages as provided for in Section 3706 of the ~!o/lc_gge, Interest and attorney's fees.
SIGNATURE. ___ ~;__ ________ ..,,._________________ DATE _-+i,.,/.J~/__,.J __ ~------
('z~'~jip~f{~fl&~j~i5.:~_!jJp~[~fli°!'iQ'~[[![~gfi~tl:~1~ktti\\ii!lf~~~~~-~-is!!~•1\'i1~~;:l~~~~~!mi~mi1~i~l~mf:i~mi!ifij'fjf~(rn:1fu"if.~ft\/~j)l1'.;[(!m[ii!\Ii]i;~
I hereby affirm that I am exempt from the Contractor's License La~ for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Busines$ 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 tor 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 tor the purpose of sale).
0 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 I am exempt under Section ______ Business and Professions Code tor this reason:
1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application tor a building permit tor 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):
4. 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 number/ contractors license number): ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _
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 Act7 0 YES O NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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.
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I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit is issued (Sec. 3097(1) Civil Code).
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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 Cit\' 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 Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permil Is not cortimenc · BO da*s the d such permit or If the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenc d of 8 ys (Sectl QS:1/4..Unlform Building Code). /
APPLICANT'S SIGNATURE ~z.c.i~,.~'--• ~ DATE ---1---1 Yl,c...i../...c.2 _______ _
YELLOW: Applicant PINK: Finance