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HomeMy WebLinkAbout2840 ANDOVER AVE; ; CB002888; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08/07/2000 Plumbing Permit Permit No:CB002888 Job Address: 2840 ANDOVER AV CBAD Permit Type: PLUM Parcel No: 1674801908 Lot #: 0 Applied: 08/07/2000 Reference #: Construction Type: NEW Plan Approved: 08/07/2000 Entered By: MDP Status: ISSUED Project Title: WATER HEATER REPLACEMENT SCHILPP RESIDENCE Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Issued: 08/07/2000 Inspect Area: Owner: SCHILPP JOHN II 17703 WEAVING LN SAN DIEGO CA 92127 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 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 Sewer Fee Master Drainage Fee TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 EXPIRED R~MIT I FINAL APPROVAL Inspector: Date: Clearance: NOTICE Please take NOTICE that approvalofyour project includes the’lmposition’ofiees, dedications, reservations, orother exactions hereaftermllecbvely referred to as ’feeslexaflions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexacibns. if you protest them, you must foiiow the protest procedures set fwth in Government Code Section 66020(a), and fiiethe protest and any other required information with the City Manager for processing in accordance whh Cadsbad 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 imwition. You are hereby FURTHER NOTlFiED that your right to protest the specified feeslexatiwns DOES NOT APPLY to water and sewer mnnection fees and capactiy changes, nor planning, zoning, grading or other similar application pmcessing or service fees in mnnection with this project NOR DOES IT APPLY to any feedexawns of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired * ,- FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT PLAN CHECK NO. 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. Plan Ck. Deposit Validated By 1.: FW&CT INFORMATION Address iindude BldglSuite XI Business Name la1 this addrsrrl Legal Description Lot No. Subdivision NamalNumbar Unit No. Phase NO. A~e~or's ParcnI I Existing Use Fmposed Use Descrimion of Work SQ. FT. #of Stories X of Badrooms X of Bathrooms I . - ::: :*.:~.,'~~,.PS .. ,7 -. !.,.:...: .,. ., 2840 Andover Ave ,, ,, ,.. :.., : ., SFR Tmll X Of units 4. PROPERTY OWNER Name Address City StatslZip Telephone X 6. . 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 BNctYre, PIiW to its issuance, elso requires the applicant for such permit to file a signed statement that ha is licensed pursuant to the provisions of the Contrsctor's License Law exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to II civil penalty of not more than five hundrad dollars lt50011. [Chapter 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 Name Address State License t 630120 Designer Name Address City StatelZip State License X N/A Telephone 8. WORKERS' COMPENSATION Workers' Compensation Osclaratian: i hereby affirm undar pemity Of perjury one of the following declarations: 0 i have and will maintain a certificate of consent to self-insure for worked compensation as provided by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. I have and will maintain workers' compensation. as required by Section 3700 of the Labor Codn. for the partormanca of the work for which this permit is issued. My worker's compensation insurance carrier and Paiicv number are: ~nruranca Company FARMERS INSURANCE policy N~. N2007-56-51 Expiration Date coNTINuous [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ldlOOl OR LESS) 0 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 work ' ompansation ovem .' nlawtul. and shall subbct M ernpbvm to edrnlnd penalties and dvH fines up to one hundred thousand dollars 16100.0001. in ti0 SIGNATURE &zf* 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the ContraCtor'S lcenss Law for the following reason: 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 1.1. such work himself or through hi6 own employees, provided that such improvements are not intended 01 offsrad for de. If, however, the building or improvement is 1Sec. 7044. Business and Professions Code: The Contractor's License Law doer not apply to an owner Of p~operty who builds or improves thereon, and who does 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 salel. 0 I. as owner of the property. am exclusively contracting with licensed contractors to construct the project 1Ssc. 7044. Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and contrams for such projects with COntraCtOrlsl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: 2. I Ihwe I haw nml signed an application for a building permit for the proposed work. 1. I personally plan to provide the major labor and materials for Construction of the proposed property improvement. 0 YES UNO 3. i have contracted with the following person lfirml to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work. but I haw hired the following person to coordinate, supervim and provide the major work (include name I address I phons number I contractors license numbed: 5. I will provide some Of the work. but I have Contracted (hiredl the following perrons to provide the work indicated lincludr, name I address I phons number I type Schilpp, John 2840 Andover Ave . &SE& &.. 92008 858-487-2360' , .. , ., . , ,. : .>: :,.i;- .,11, - , . , . ,. ,, , .. . .,:. .,. .~ ... .. . . '. A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4477 City ~icense class C-36 City Business License X Statslz~Z00354 Telephone X compm ti0 s as provlded for In Section 3708 of Rot$ vgam momev's fees. DATE - ,. PROPERTY OWNER SIGNATURE DATE COMPLETE'THIS SECTION FOR NON-RESIDIOVML BUlLDlNQ PERMETS'ONLY. Is the applicant or future building occupant required to submit I business plan, acutely hazardous materials registration form or risk management and pravsntion program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant rsquirad to obtain a permit from the air polimion 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 LI 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a ConStrumion lending agency for the performance of the work far which this permit is issued ISec. 30971il Civil Codel. LENDERS NAME 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is cornem and that the information on the plans is accurate. I agree to comply with 111 City ordinances and State iaws relating to building constwction. I hersby authorize representatives of the City of Carlsbad to enter upon the above mentioned property far inSpection purpo~es. 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 comm at any time after the work is cornmen m Building Code). APPLICANT'S SIGNATURE DATE ,, . , . . . , . ,. .. ', . .. . . ,, ,. mm LENDER'S ADDRESS . .., . . . ,, ,. . ,, ,, ,, ,, s Code shall expire by limitation and become null and void if me building or work or if the building or work authorized by Such permit is suspended or abandoned AUC; 0 8 2008 WHITE: File YELLOW. Applicant PINK Finance ~~ ~~~ ~~~~ -