HomeMy WebLinkAbout2745 BERKELEY AVE; ; CB041153; PermitCity of Carlsbad
* 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
04-06-2004 Plumbing Permit Permit No: CB041153
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 167561 4500 Lot #: 0 Applied: 04/06/2004
Reference #: Plan Approved: 04/06/2004
Issued: 04/06/2004
Project Title: MlLLlMAN RES NEW H20 HEATER Inspect Area:
2745 BERKELEY AV CBAD
Construction Type: NEW Entered By: SB
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-4477
Owner:
MltLlMAN JAMES G&MARGARET A FAMILY TRUST 12-27-9
9841 94/13/04 Fge2l 02
I. 37 Ij ix) 2756 BERKELEY AVE
CARLSBAD CA 92008
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
TOTAL PERMIT FEES
$20.00
$0.00
$0.00
$0 .oo $0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
FINAL APPROVAL
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
FOR OFFICE USE ONLY
PLAN CHECK NO. PERMIT ,. APPLICATION .
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit
Subdivision NamelNumber Unit No. Phase No. Total # of units Lot No.
Proposed Use
- 00 !Q7-5CCl -q5 Le al Description
Descriptioh of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exemnt therefrom, and the basis for the alleaed
Name City
City Business License #
Designer Name Address City Statelzip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
e work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this Dermit is
Policy No.- 1 7 swTb WExpiration Date \s]w
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS)
0
to become subject to the Workers' compensation Laws of California.
- ,
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
fines up to one hundred
and attorney's fees.
lawful, and shall subject an employ
damages as provided for in Section
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, 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).
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 for this reason: ,
1.
2.
3.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 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):
ON0
4.
number I contractors license number):
5.
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 provlde the work indicated (include name I address I phone number I type of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE~THIS'SEC~~N'FOR'~~~~-~~S~~~T~.BUI~~DING PERMIT&OK
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? YES NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
1s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES Is] 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
LENDER'S NAME LENDER'S ADDRESS
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 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 180 davs from the date of such oermit or if the buildina or work authorized bv such oermit is susoended or abandoned
at any time after the work is comm
APPLICANT'S SIGNATURE DATE