HomeMy WebLinkAbout2828 CEBU CT; ; CB054286; Permit12-21-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB054286
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2828 CEBU CT CBAD
PLUM
Lot# 0
Construction Type NEW
BUSHREE RES- REPLACE WATER HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/20/2005
LSM
12/21/2005
12/21/2005
Applicant
A&J FOSTER, INC
STE B
13706HWY8BUS
ELCAJONCA 92021
619-390-4477
Owner
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
$2000
$000
$000
$000
$000
$700
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000
PERMIT HAS EXPIRED IN ACCORDANCE WTH C B.C
SECTION 106 4 4 AS AMENDED BY C.« 0 1U 04 030
DATE
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" ot (ees, dedications, reservations or other exactions hereafter collectively
referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions 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 fees/exactions DOES NOT APPLY to water and sewer ccnnection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions jf which vou have previously been qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
CSTY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1 _ PROJECT INFORMATION,,,
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address [include Bldg/Suite it)Business Name (at this address)
Logal Description Lot No Subdivision Name/Number Unit NCI Phase No Total ff of units
Assessor's Parcel ff Existing Use Proposed Use
Description of Work SQ FT #of Stones # of I3edrooms # of Bathrooms
Warne Address City State/Zip Telephone ff Fax*
3 APPLICANT ^ P.pdniraotor1 i ,Q'Agent%r£onYral:tV
Name Address City State/Zip Telephone #
PROPERTY QVV
Name Address City State/Zip Telephone #
S 1|COWTRACJpRli,qgMP;AWy"WAi\flEil-ili''lll'l!iiifl,^liJi'l[trN^ ^} i-u^iTi LKF*^^^
(Sec 7031 5 Business and Professions Code Any City ar County which requires a permit to construct, alter, improve, cemolish 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 tha piovisions 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 6 by any applicant lor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [SSOOil
Name
State Licence it
Address
License Class
City State/Zip Telephone #
City Business License ff l~ ' O o 5 ^=>
Designer Name Address City State/Zip Telephone
State License it
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
D 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
of the work for which this permit is issued
B, I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of tha work for which this permit is
ibsued My worker's compensation insurance carrier and policy number are ,
Insurance Company ^yf^^C^ pOKL& Policy No £0 /J>"Z-5i? "" j"**"^*' Expiration Date *""" / £*&-*=>
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS1
[H CERTIFICATE OF EXEMPTION I certify thai in the performance of the work for which this permit is issued, I shall rot employ any parson in any manner so as
to bocoma subject to the Workers' Compensation Laws of California
WARNING Failure to secure,^«rrTc*r^ compensiijjon cot/e[aoj^is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100
SIGNATURE . _ _
7, 'OWN£^BU|LDERlDECL'ARATIQl\K;''^^ ^' ^^J^^Z^^'l^l*^^^'^.] ^'i'M ,'A
1 hereby affirm that i am exempt from the Contractor's License I aw for the following reason
Q 1, as owner of the property or my empioyeas with wages as their sole compensation, will do tha work and the structure is not intended or offered for sale
(Sec 7044, Business and Professions Code The Contractor's License Law does not appiy 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 °^ completion, the owrvei-builder wiil have the burden of piovmg that ha did not build or improve for tha purpose of sale}
n I. as owner of the propeiW, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The
Contractor's License Law doas not apply to an ownar of property who builds or improves thereon, and contracts for such projects with contractors} licensed
pursuant to the Contractor's License Law}
Q I am exempt under Section Business and Professions Code for this reason
1 1 personally plan to provide the major labor and materials for construction of the proposed property improvement f] YES Q^O
2 1 (have i 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)
' compensiiuon coveragp/is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hu
>n to thafetfst of corm>Znsation, damages as provided for in Section 3703 of tha Labor code, interest and attorney s fees
^J fj_ » —^r T /^7 - )*7 —Of""
4 I plan to provide portions of tha 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 tha work, but 1 have contracted Ihited) the following persons to provide tha work indicated (include name / address / phone number / type
of work) —
PROPERTY OWNER SIGNATURE .DATE
COMPLETE'THIS'SECTWHWWtoiW^0^ li-is^ JijUA^t.^^i^*^'Jv^AV1.'i.V./> . '-S
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
piogtam undsv Se«sc,r,s 25SQ5, 15531 or 2.5534 of the Presley-Tar\ner Hazardous Substance Account Act? Q YES Q 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 d NO
IF AMY OF THE ANSWERS ARE YES, A FlWAL 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
1 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 NAME ____ LENDER'S ADDRESS_ , . .
i — i mi i ii 111 HI ii, ™ i.,11,, i-in imw n ill in ii ii ,f j " IT,I i "• »~<-IFI™ 7i"ir ri J" - " *"', i .ws» * i * i ^FIMS. jus y. . iff. •r.'"'1 *£J--,'Tf> r> |u Si|~V ' "9 ' APPLlCA[\ITi,CERT||FIQATlQNii ''' ill PI "'pini' ti'! Ii! Biii'i'ii' UF> 'i.i-t |BF i'1 ' jd'H' V-UJ. ui^'iiii-Jur •& \ w t& ii»L£^i!i^lK^JTJ!«is^
I cemtv xhat t have ^earf xhe application and slate that the above information is correct and that the information on the plans is accurate 1 agree to comply with all
Citv ordinances and State laws relating to building construction i hereby authorize representatives of the CitV of Cailsbad to enter upon tha above mentioned
property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES
JUDGMENTS COSTS AMD EXPENSES WHICH W1AY IM 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 stones in height
EXPIRATfON Every permit issued by the building Official under th.9 provisions of this Cods shall expire by liftutalion and become ™\\ and void rt Ihe buiWmg or wotk
authorized by such permit Is not commencr>imt|iiQ 180 days frpm the ifej^ such permit or if the building or work authorized by such permit is suspended or abandoned
at any time alter the work ts commeijpsrflor a^rtod of isbftlays (Secj^J0.6\4f^JJQjfQrm Building Code) j -^ t . j"^
APPLICANT S SIGNATURE *•-"" ^_~ * /*_ DATE
WHIT* File YELLOW Applicant PINK Finance
City of Carlsbad
November 2, 2006
RE. BUILDING PERMIT EXPIRATION
PERMIT TYPE PLUM
Building Department
Permit Number CB054286
Issue Date 12/21/2005
ADDRESS: 2828 CEBU CT
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 12/19/2006
The provisions of UBC, Section 10644 as amended by the Carlsbad Municipal Code state "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 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building'
Official within each 180 day period upon the initial commencement of work authorized by such permit
Before such work can be recommenced, a new permit shall be obtained to do so, and ihe fee, therefore, shall be
one-half the amount required for a new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall
pay a new permit fee
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken No permit shall be extended more
than once
Please check below indicating your intentions and return this letter to us
Project abandoned A new permit will be obtained prior to commencing work
No fee extension requested for 180 days (attach a letter of explanation)
Renewal permit requested
If the project has been completed and only a final inspection is needed please call the inspection request line at
(760) 602-2725
If you have any questions, please contact the Building Inspection Department at (760) 602-2700
Christine Wauschek
Office Specialist
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-27OO » FAX (760) 602-856O
'Dec 20. 2005 11:09AM A & J FOSTER PLUMBING No.3241 P I SD
CERTHOI _DER COPY
P.O, BOX 420807, SAN FRANCISCO,CA 34142-0807COMPCNSAT10H
FUND CERTIFICATE OP WORKERS' COMPENSATION INSURANCE
ISSUE DATE: OA-27-2005 GROUP. 000048
POLICY NUMBER 001S2BB-200S
CERTIFICATE lt> 10
CERTIFICATE EXPIRES: 04-01-2006
04-01-2009/04-01-2000
CITY OF SAM DIEGO SD
1222 FIRST AVE MS 301
SAN DIEGO CA 92101
This Is to certify thai wo have issued • valid Workers' Compensation insurance policy In a form approved by the
California Insurance Commissions to the employer named below for the poBcy perfgd indicated.
This policy is not subject to cancellation by the Fun.d except upon 10 d«y* advance written notice tet the employer,
W« will ilto give you 10 days advance notice should this policy be cancelled prior to Its normal expiration
This certificate of Insurance Is nat an Insurance policy md does not amend, extend or Jiter the coverage afforded
by the policy listed her«(a Notwithstanding any requirement term or condition of any contract w other documentwith respect to which thu certificate of Insurance may be Issued or to which it may pertain, the Fncuranco
afforded by the policy described herein is subject to all the terms, exclusions, md conditions, of such Policy.
AUTHORIZED REPRSScNTATlVE PRESIDENT
EMPLOYER'S LIABILITy LIMIT INCLUDING DEFENSE COSTS: J1,000,OOO PER OCCURRENCE.
EMPLOYER
A & 0 POSTER, INC SD
PO BOX 2758
EL CAOON CA 92021
EV2-05) PRINTED • 08-27-2008