HomeMy WebLinkAbout2740 AUBURN AVE; ; CB010095; PermitCity of Carlsbad , 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
01/09/2001’ Plumbing Permit Permit No:CB010095
Job Address: Permit Type: PLUM Status: ISSUED
Parcel No: 1674201600 Lot #: 0 Applied: 01/09/2001
Reference #: Plan Approved: 01/09/2001
Issued: 01/09/2001 Project Title: TERRILL RES/ NEW WATER HEATER Inspect Area:
2740 AUBURN AV CBAD
Construction Type: NEW Entered By: CB
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-4477
Owner:
HART TERRILL L&HOLLY M
.. . g3;)Q gi; :!y?;, )“72 ,,
: ,. . . .. ,... . ,, . .: ~ ~.. 2740 AUBURN AVE CARLSBAD CA 92008 . .. .
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
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
TOTAL PERMIT FEES
$20.00
$0.00
$0.00 $0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
EXPIRED ERMIT
FINAL APPROVAL
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the ‘ImposiW of fees, dedications, reswvations, or other exactions hereafter dbcWeJy
referred to as ‘feeslexactions.’ You have 90 days hom the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you mUSt
follow the protest procedures set forth in Government Code Sedon 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance whh Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposi8on.
You are hereby FURTHER NOTIFIED that your raht to protest the specified feeslexatimns DOES NOT APPLY to water and sewer mnnection fees and capactiy
changes, nor planning, zoning, grading or other similar application pmssirg or Service fees in mnnection with this project NOR DOES IT APPLY to any
feeslexactions of which you have previously been given a NOTICE similar to this, or as to which me statute of limitations has previously othewise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA92008
FOR OFFICE USE ONLY
PLAN CHECK NO& loo%$
EST. VAL.
Plan Ck. Deposit
Date
2740 AUBURN AVE Carlsbad CA 92006
Aooress ( nc ude 0 OWSL te XI
.ega DescnPton Lot NO sdoaIv sfon hame.h.mwr Unit NO Pnare NO Tom # of mts
BUS ness hame (at m s adaress)
Assessors P~M u Ex st ng Use Proposed use
WATER HEATER REPLACEMENT oercnptlon Of WOIX sa FT # Of storms X of Bearwms # of Bathmoms
Sl
Na"W Address Citv Statelzio Teleohone# Fax 1) . . ._
HART.TERRILL 2740 AUBURN AVE CARLSBAD CP 92008 760-424-6879
%I-".- ritv
-.-, "".. . . I __" ~ . . . .. .. .. ~. .
(See 7031 5 0s ness and Profess ans code ~ny c ty or County wnch requires B permit to wnatnct alter. tmprove aemol.sn 01 repa I any 9tructue pnor Io .IS
sruance. B $0 remores the am cant for IUC~ oerm t IO rle a s gnea statement that ne .s I censea p~rwant to the promions of tne Contmctors -cerise La* ~~~~ ~~, ~ ~~ [Chapter 9, wmm'ending With'Section 7000 Of Division 3 of the hsiness and Professions Code] Olthat 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 [$500l).
A 8 J Foster lncoroorated PO Box 2756 El Caion CP 92021 6193904477
Name Address City Statelzip Telephone#
state Licanse # 630120
Designer Name Address City Statelzip Telephone
License Class c36 City Business License # 1210636
ST
State Licence 1
0. WORKERS'COMPENSATION Warkers' Compensation Dedamtion: I hereby amrm under penalty of peiury one of the following declarations:
0 of the work for which this permit is issued.
issued. My wotkeh wmpenration in8urance camer and policy number are:
insurance company Mid-Ceniurv Ins. Policy NO. A20075651 Expiration Date 05/01/2001
I have and will maintain a certificate of wnsenl to self-insure for workers' wmpensation as provided by Section 3700 of the Labor Code, for the Pertormane
I have and will maintain workers' wmpenration, as required by Section 3700 of the Labor Code, for the performance of the work for Which this permit is
to bewme subject to the Workers' Compensation Laws of Calltomia.
WARNING: Failure to secure woners' wmpensation coverage is unlawful. and shall subject an employer to criminal penaltler and civil flnes up to one hundred thousand dollars ($100.000). in addition to the wst of wmpensation, damages as provided for in Section 37M of the Labor wde, interest and aU0mey's tees.
SIGNATURE +- DATE 01/04/2001
7. OWNER-BUILDER DECLARATION
I nsreby anrm mat I am exempt from me Contractors ~cenre Law for me folmng mason
0 I, as owner of the property or my employees With wages as their sole compensation, wlll do the work and the structure is not intended or offered for sale
(Sec. 7044, Burinerr and Professions Code: The Contractor's License Law does not apply to an owner of property Who builds or improver thereon, and who does such work himself or through his avn employees, provided that such improvements are not intended or offered far 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, as owner of the properly, am exclusively cmtracting with licensed contractors lo wnstruct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of properly Who builds or improves threreon. and contracts for Such projects with contractor(s) llcensed b I am exempt under Section
1.
2.
ursuant to the Contraclots License Law). 0miness and Professions Code for this reason:
I penanally plan to provide the major labor and materials for wnst~ction of the proposed properly improvement.
I (have I have not1 signed an applicant for a building permit for the pmped work
0 YES 0 NO
3 I have wn~acted Wiih the foll-ng person (firm) to provide the proposed WnslrYCbOn (include name I address I phone number I wntmCtOrs license number) <Name> <Address> <Work Phone> <State License>
4.
5.
I plan to provide portions of the wh hut I have hired Ihe hll-no wrwn to mardinate, rupeNise and provide the ma'or work (include name I address I phone
I will provide some of the work, but I have conWacled (hired the following person to provide the work indicated (indude name I address I phone number I type
number1 wntradors license number] <Name> <Address> cdork Phone> <State License>
of work): <Name> <Address> <Work Phone> <Work Tvoe>
PROPERN OWhER SIGMTURE DATE
Is the appl cant or f.tde 0.1 a ng occ~pant req. red to s.omll a LLS ness pan acute y hazaidOUs mater as reg ~Iration form or rtsk management and prevent on
program Lnder Sea 0ns25505 25533 or 25534 01 the Presley-Tanner Hazaardo.i S-bstance Ammt Act? 0 YES 0 NO
is the applicant or future building OCCUPant required to Obtain a permit from the air pollution wntml district or air quality management district?
Is the facili to be wnstruded within 1,000 feet of the outer boundary of schwl site? IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 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
DYES 0 NO
I hereby amrm that there is a wnstruction lending agency for the pemrmance of the wlk for which this permit is issued (sec. 3087(i) Civil Code).
LENDERS NAME LENDER'S ADDRESS
I certify that I have read the amlication and state that the above information is wrred and that the information on the olans io accurate. i agree to wmDlv with ail ,~~~ ~~ ~~~~~ ,~ . ~~ ~ City ordinances and State laws relating to building wnrtrudion. I hereby authorize representatives of the City of Cirlsbad lo enter upon-the above kntianed property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIA0ILITIES, JUDGEMENTS, COSTSAND EXPENSES WHICH MAY IN ANY WAYACCRUE AGAINSTSAID ClNlN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
EXPIRATION Every permit issued by the building Omcial under the provisions Of this Code shall expire by limitation and bewme null and void if the building or work authorized by such permit is no1 wmmened within 180 days fmm the date of such permit or if the building or wolk authorized by such permit is suspended or abandoned at any time after the wrk is wmmencad for P period Of 180 days (Section 106.4.4 Uniform Building Ccde).
APPLICANTS SIGNATURE +- DATE 01/04/2001
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