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HomeMy WebLinkAbout2852 ENGLEWOOD WAY; ; CB001359; PermitJ ' • City of Carlsbad 04/11/2000 Plumbing Permit Permit No:CB001359 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 2852 ENGLEWOOD WY CBAD PLUM 1674802010 Lot#: 0 Construction Type: NEW WATER HEATER 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/11/2000 RS 04/11/2000 04/11/2000 Total Fees: $27.00 ·· * · ''. T~l"ayments To Dafe: $0.00 , 0 , • • :lSlll•tice Due: $27.00 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 TOTAL PERMIT FEES Inspector: -~=-\?-.~--- 0 ~ 0 0 1 0 ,Q FINAL APPROVAL Date: 'J lof>/00 0 0 ~ :$20.00 0 '$0.00 ',$0.00 $0.00 $0.00 $7.00 Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, 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 wah 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 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 fees/exactions of which vou have orevlouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoirecf. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY P.fRMl1' APPLICATION PLAN CHECK NO. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. __________ ~ Plan Ck. Deposit--------- Validated By __________ _ Date, _____________ _ 1. PROJECT INFORMATION 2852 En lewood Wa Address (include Bldg/Suite #) Business Name {at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPLACEMENT 2. CONTACT PERSON {if different from applicant) Jane Bryant 2852 Englewood Way CARLSBAD CA. 92008 760-434-5615 Name Address City State/Zip Telephone# Fax# 3. APPLICANT «) Contractor O Agent for Contractor O Owner O Agent for Owner ARLEN FOSTER/KRISTY FOSTER 13706-B HWY 8 BUS. EL CAJON, CA. 92021 (619)390-4477 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Jane Bryant 2852 Englewood Way CARLSBAD CA. 92008 760-434 5615 Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or reparr 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 not more than five hundred dollars [$5001). A & ,T FOSTER PLUMBING 13706 B HWY 8 BUS, EL CAJON CA. 92021 (619)390-4477 Name Address License Class --'C'----3~6 _____ _ State License # --'6'-'3'--0'-1=2-'0 ___ _ City State/Zip Telephone # City Business License# 1200354 Designer Name Address City State/Zip Telephone State License # --~N~(~A~----- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 tor which this permit is issued. [3a: 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company -~F~ARJ=MER==S~I=N=S~URAN==~C~E~------Policy No. N2007-56-51 Expiration Date CONTINUOUS !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT rs FOR ONE HUNDRED DOLLARS [$1001 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. I hereby affirm that I am exempt from the Contractor's W ense 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 sate (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 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. 0 YES ONO 2. I (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 I address I phone number I contractors license number): 4. I plan to provide portions ot the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number I contractors license number):------------------------------------------------- 5. 1 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----------------------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ _ 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 O NO ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____ N_O_NE _______ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that J 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 Citt 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 building Official under the provisions of this ode shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 fr m the~a e f such the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a per of 1 ys e · 106.4.4 Code). • ., '""'l ., APPLICANT'S SIGNATURE • DATE J'. l_ :, , ';; j 1 WHITE: File PINK: Finance ) m . . . • ~-~ ~- City of Carlsbad Bldg Inspection Request For: 7/28/2000 ,. Permit# CB001359 Title: WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2852 ENGLEWOOD WY Suite: Lot Location: APPLICANT A&J FOSTER, INC. Owner: BRYANT MARILYN J Remarks: Total Time: CD Description 25 Water HeaterNents Associated PCRs Inspection History Date Description 0 Act Comments Act lnsp Comments Inspector Assignment: SR --- Phone: 7604345615 Inspector: 3R I Requested By: NA Entered By: CHRISTINE