HomeMy WebLinkAbout2854 LEVANTE ST; ; CB021030; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-04-2002 Plumbing Permit Permit No: CB021030
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
A&J FOSTER, INC.
STEB
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Building Inspection Request Line (760) 602-2725
2854 LEVANTE ST CBAD
PLUM
2162300900 Lot #: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
RAYMOND RES/NEW WATER HEATER Inspect Area:
Owner:
RAYMOND KENNETH N
2854 LEV ANTE ST
CARLSBAD CA 92009
ISSUED
04/04/2002
CB
04/04/2002
04/04/2002
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due:
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
TOTAL PERMIT FEES
0
0
0
0
1
0
0
$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
$27.00
SIGNAT\JRE,..1cu\-Mu~) --
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reseivations, 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 connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any
nf ,.,h;,,h '""' h,,.,,. • h,,,.,, "'"'"l ::i N()Tlr.F .,.;..,.,;i,,, In thl,. n• "" tn ,.,hinh Iha ,.,,,t,,ta nf ' h<><> •
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO.Ci602 ){)_?O
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By _ _,C=.:a!!.?2:..<.-------
Date "'1 -<-J -0?..
1. PROJECT INFORMATION
2854 LEVANI'E-~
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 II Existing Use Proposed Use
216-230-09-00
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Water Heater Replacement
2. CONTACT PERsbN (If dlffetent fiom applh:1;!._n1)54 RAYMOND, KEN Ltl LE\IANTE SQ Carlsbad CA. 92009 760-944-1799
Name Address City State/Zip Telephone# Fax If
3, APPLICANT []coritractor O Agent for Contractor O Owner O AQent foi" Owner , Arlen Foster/Carol Foster 13706-~ Hwy.8 Bus. El CaJon, ca. 92021 (619)390-4477
Name
4. PROPEF\fV OWNEFl
RAYMOND KEN
Name
6. CONTRACTOR· COMPANY NAME
Address
2854 LEVANTE SQ
Address
City
carlsbad
City
State/Zip Telephone#
Ca. 92009 760-944-1799
State!Zip Telephone II
{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 ;ind 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).
A & J Foster Plumbing 13706-B Hwy.8 Bus. El Cajon CA. 92021 (619)390-4477
Name
State License II __ 6_3_0_1_2_0 ___ _
Address
License Class __ C_-_3_6
City St;oitetl.ip 12108~~phone II
City Business License II
Designer Name Address City State/Zip Telephone
State License II ---~N'.'l./~A-=------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
[]· 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.
OJX 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
is~ued. My worker's compensation insurance carrier and policy number are:
Insurance Company State Comp. Ins• Policy No. 467-01 0000713 Expiration Date 04-01-02
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
D 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 • compensation covera e unlawful, and shall subject an employer to criminal penalties and clvll fl}lfs up to one hundred
thousand dollars ($100,000}, di o t e c f com ation damages as provided for In Section 3706 of tll P'R: ct)e4',tf0{3'l! attorney's fees.
SIGNATURE • DATE_f' ________ _
7,
License law for the following reason:
O 1. 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).
D 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 f address f phone number / contractors license number):
4. 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 f address / phone
number f contractors license number): ________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone number/ type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE _________ ~
cbMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Hazardo11s Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality man11gement district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES D 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 HIE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION Ll!NblNG AGE~CY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Code).
LENDER'S NAME ______ I\O_NE _______ _ LENDER'S ADDRESS------------:,---------:---:----------------
9. APPLICANT, CERTIFlcAtiotl
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 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 buildin Official under t e prov~f this Code shall expire by hm1tallon and become null and void 11 the bu1ldmg or work
authorized by such permit is not cornJ¥ience n da">4S fr e dale _ _1-'"!~.~1I or ti the bulldmg or work authorized by such permit is suspended or abandoned
al any time alter the work is comme'nce o/.ftr Qt, 100 yS (SecUorr101:i~j 4 Uniform Bu1ldmg Code) A p R U ½: L ~'
APPLICANT'S SIGNATURE ,/ DATE
WHITE: File YELLOW: Applic;int PINK: Finance