HomeMy WebLinkAbout2826 AVENIDA VALERA; ; CB002244; PermitI"
06/13/20oQ
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
Plumbing Permit Permit No:CB002244
Building Inspection Request Line (760) 602-2725
2826 AVENIDA VALERA CBAD PLUM Status: ISSUED
2164601400 Lot #: 0 Applied: 06/12/2000
Plan Approved: 06/12/2000
Issued: 06/12/2000
Construction Type: NEW Entered By: JM
WATER HEATER REPLACMENT Inspect Area:
Applicant:
A & J FOSTER RUST 09-1 0-97
3959 Q6f13i00 OOQf. 01 02
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstalllRepair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES $27.00
$0.00
$0.00
$0.00
$0.00
$0.00
FINAL APPROVAL
Inspector: $II-;g- Date: &. Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactbns. 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 feeslexactions DOES NOT APPLY towater and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection 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 the statute of limitations has previously othewise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date I c
PROJECT INFORMATION 2826 Avenida Valera
Address (include BldglSuite #) Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units SFR
Assessor's Parcel # Existing Use Proposed Use
Description of Work sa. FT. #of stones # of Bedrooms # of Bathrooms WATER HEATER REPLACEMENT
Leitner, Je en Cd PEdSON (if
Name Address City Statelzip Telephone # Fax #
APPLICANT 1[11 Contraator Agent for Contractor Owne A em forhner ARLEN FOSTER/KRISTY FOSIER 13706-B W 8 kk?. EL WON,
Name Address City Statelzip Telephone #
PROPERTY OWNER
Name Address City StatelZip Telephone #
CONTRACTOR - 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, 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
IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions 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).
Name Address city StatelZip200354 Telephone #
State License t 630120 License Class C-36 City Business License #
Designer Name Address City Statelzip Telephone
State License # N/A
6. WORKERS' COMPENSATION
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.
A & J FOSTFR PLUMBING 13706-B W 8 BUS. EL WON CA. 92021 (619)390-4477
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 Dermit is - issued. My worker's compensation insurance carrier and policy number are:
Insurance Company FARMERS INSLJF2XNCE policy N~. N2007-56-51 coN!r1Nu0us Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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
er to criminal penalties and civil fines up to one hundred
3706 of the Labor code interest and attorney's fees.
DATE
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
1.
2.
3.
4.
number I contractors license number):
5.
of work):
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 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):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the malor work (include name I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
Business and Professions Code for this reason:
ON0
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NONdESD~Af BUILDING PERMITS ON
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 pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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.
8. CONSTAUCTION LENDING AGENCY
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).
LENDER'S ADDRESS "E LENDER'S NAME
9. APPLICANT CERTIFICATION
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
authorized by such permit is not commence
at any time after the work is commenced fo
APPLICANT'S SIGNATURE DATE
mitation and become null and void if the building or work
ork authorized by such permit is suspended or abandoned
City of Carlsbad Bldg Inspection Request
For: 6/29/2000
Permit# CB002244 Inspector Assignment: JL
Title: WATER HEATER REPLACMENT
Description:
Type: PLUM Sub Type:
Job Address: 2826 AVENIDA VALERA
Suite: Lot 0
Location :
APPLICANT A & J FOSTER
Owner: LEITNER FAMILY TRUST 09-10-97
Remarks:
Total Time:
Phone: 7604310180
Inspector: pL
Requested By: JERRY LEITNER
Entered By: ROBIN
CD Description Act Comments
25 Water HeaterNents
Associated PCRs
InsDection History
Date Description Act lnsp Comments
6/26/2000 25 Water HeaterNents NR JL NO ACCESS LEFT CARD