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HomeMy WebLinkAbout2772 DUNDEE CT; ; CB040032; PermitOt-06-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB040032 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2772 DUNDEE CT CBAD PLUM 2081024200 Lot #: Construction Type: MONK RES NEW H20 HEATER 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/06/2004 SB 01/06/2004 01/06/2004 Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Owner: MONK TIMOTHY R 2772 DUNDEE CT CARLSBAD CA 92008 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 2594 0i,''C3/04 0002 ai 02 ""XPIRED PERMI ? EXPIRED IN ACCORDANCE WITH U.3,C Su ..v-^ i06.4.4 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 iliiiliifiSlliiiBiM 2772 Dundee Ct. liiiHiiiiiiliiiii^ifSfci fi£r-1 Ir^ (i )l.iil^!!!!iiiil!llt FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit. Validated By Date_ Address (include BIdg/Suite ft) Business Name lat ttils address) »• Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use 208-102-42-00 Proposed Use Description of Worli SQ. FT. Water Heater Replacement 2. CONTACT PEHgON (iflififllBiifllllntl . . V Monk, Timothy 2772 Dundee Ct. #of Stories Carlsbad ft of Bedrooms "'••cA. • 92008 # of Bathrooms 760-720-3944 Name Address City 3. APPUCANT 3D Contraotor! • Agent ffiWnWtor Q.OwSwT • AgentfriiJOwner ' \ Arlen Fosteryiroeredith qalm 13706-B ffc^y.S Bus. El Cajon, State/Zip 'Ca. '92021 Telephone ft Fax ft IPIPiipiiipliSliiliilipi: (61-9) 390-4477 Name Address 4. PROPERTY OWNER . , t 1 Mnnk, Timnthy 7117 Tnmci^. Ct. City ilSlliiliiiiliiiiMililB Carlsbad State/Zip Ca. 92008 Telephone ft 760-720-3944 Name Address City State/Zip Telephone # S. CONTRARTOR-COMPANY NAME . , , (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. Improve, demolish or repair any structure, pnor 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 (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profession!! Codel 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 not more than five hundred dollars ($5001). El Cajon CA™—92021 (619)390-4477 " Te A&J Foster Plumbing 13706-B Hwy.8 Bus Name Address ^ame State License # fi."^m ?.fl Address License Class C—.36 :ity State/Zip Telephone ft City Business License # 1210836 Designer Name Address City State/Zip Telephone State License # KT. A 6 woBKEfts'coMPEwWiQir,,' -^iX:Z '^3£4'WI;i^4^,^P|!4%V-i--s^:T.WM^^ • N •',; r Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. JTl 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 nssued. My worker's compensation insurance carrier and policy number are: InsuranceCompany State Comp.InS. Policy No.467_QX QQQ0713 Expiration Date Od-Ol -04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) Q 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 to become subject to the Workers' 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 dollars (SIO^MflfT'tj^ditlon tajjfa cost 4Mi^pensatlon, damagas as provided for in Section 3706 of the Lsftoi^coflf, iijtefest and attorney's fees. SIGNATURE ^^'^^'r^ DATE L 7. "OWNERiBi llSiiiiiiliiiiaiililii I nereoy affirm tnat i sm exempt from the Cogiracxor's License Law for the following reason: Q I, as owner pf 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). Q 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). • I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for 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): PROPERTY OWNER SIGNATURE DATE COMPLETETTHIS SECTION FOE/irO/l/</r£StfI£V77>l£ BUiLDiNG PERMIT&:0NtYi|.4 ' " ' Is the applicant or future building occupent 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LEND)NG'AGENCY jiigiiiiiligiiigjiiilil I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME [sJ [sJE LENDER'S ADDRESS I certify that I have read the application land stats 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 ths CitV 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 jexcavations over S'O' deep and demolition or construction of structures over 3 stories In height. EXPIRATrON: Every pennit 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 commeijce(Jj|itt;iin 180 days ft^ the dala^such pennit or If the building or work authorized by such pemiit is suspended or abandoned at any time after the work Is commenca((«Dr a. APPLICANT'S SIGNATURE ^ form Building Code). DATE YELLOW: Applicant PINK: Finance