HomeMy WebLinkAbout2774 BERKELEY AVE; ; CB030198; Permit0 1 -22-2003
Job Address: Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant: A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021 61 9-390-4477
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB030198
2774 BERKELEY AV CBAD PLUM Status: ISSUED 1675630900 Lot #: 0 Applied: 01/22/2003
Plan Approved: 01/22/2003
Issued: 01/22/2003
Construction Type: NEW Entered By: SB
WEISENBURGER RES NEW H20 HEAT Inspect Area:
5303 011/22,q3 :~02 01 52
CGP Owner: WEISENBURGER KIRK F&SUSAN J
2774 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 $0.00
$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 I
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.
PERMIT APPLICATION
CITY OF CAR~SBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By 1 Date
@h.M
2774 Berklev Ave
Address (include BldglSuite #I Business Name (at this address)
Legal Description Lot No. Subdivision NameINumber . Unit No. Phase No. Total 1 of units
Assessor's Parcel # Existing Use . Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
S??R
167-563-09-00
Name Address City Statenip Telephone # Fax #
nhiircrer Siisi e 977A krkl ev Awe rnr 1 *ii ra 99Q@3 Name Address City ' S.tate/Zip Telephone #
(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
[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 nat more than five hundred dollars ($500)).
PA A1177
State License # mfl License Class - City Business License # 1 71 n836
Designer Name Address City StateKip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is Issued.
0 iss&d. My worker's compensation insurance carrier and policy number are:
(THIS SECTION NEED NOl!-&%&?%%riERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS1
to become subject to the Workers' Compensation Laws of California.
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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Insurance Company CC " Policy No. -712 Expiration Date "? 01 93
I 0 CERTIFICATE OF EXEMPTION: I certifythat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
s up to one hundred
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 end 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 1, es 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.
4.
number I contractors license number):
5.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
1 (have I have not) signed an appllcation for a building permit tor the proposed work;
I have contracted with the following person (firm1 to provide the proposed construction (include name I address I phone number I contractors license number):
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 parsons to provide the work indlcated (include name I address I ohone number I tvoe
Business and Professions Code for this reason:
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 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollutlon control district or air quality management district7 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
ax
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 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 CONSEOUENCE 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
at any time after the work is or If the building or work authorized by such permit is suspended or abandoned
DATE APPLICANT'S SIGNATURE
ELLOW. Applicant PINK: Finance