HomeMy WebLinkAbout2861 ANDOVER AVE; ; CB050468; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB050468
.. 1
02-1 5-2005
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant: A&J FOSTER, INC. STE B
13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-4477
2861 ANDOVER AV CBAD
PLUM Status: ISSUED
1674801 832 Lot #: 0 Applied: 02/15/2005
Plan Approved: 02/15/2005
Issued: 02/15/2005
Construction Type: NEW Entered By: KG
WILLIAMS RES REPLACE H20
HEATER Inspect Area:
Owner:
TUTTLE CARL H
14069 24TH AVE NE
SEATTLE WA 98125
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
$20.00
$0.00
$0.00
$0.00
$0.00 $7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
ED PERMi?Wi' 02/16/05 0002 01
PERMIT HAS EXPIRED IN ACCOKOANCE Wrm C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 CGP
DAm8(\llln6iGNATUm-nQu(
FINAL APPROVAL
Inspector: 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection 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
feedexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise exDired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
.
I FOR OFFICE USE ONLY
EST. VAL.
Plan Ck. Deposit
Validated By .
Date " /K/o
NWO'RM~
2861 AWVFR AVF
I
Address (include BldglSulte #I
Legal Description Lot No. Subdivision NarnelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Descrivtion of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Business Name (at this address)
167480-1 8-32
Replace Water Heater
A & J Foster Inc. 13706 -. # R FI CqcmJXg7n71 if=I 77 Fax # Name Address City statehip- Telephone #
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 [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
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).
IC
Name StatelZidv
State License Y 6301 20 License CIaC-36 City Business License # 17 1-
Designer Name Address City StatelZip Telephone
State License Y
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
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 permit is
Insurance Company State Fund Policy No. 173755lkl Expiration D-1
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 181001 OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure
thousand dollars (8 100.0
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
unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred
ages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
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 sale
ISec. 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 ere 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(s1 licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
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):
Business and Professions Code for this reason:
4. number I contractors license number):
5.
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 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
of work):
PROPERTY OWNER SIGNATURE DATE
CUM
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 Act? 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 site?
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
0 YES 0 NO
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).
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 Cit 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 Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not co r if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm
APPLICANT'S SIGNATURE DATE --" * FEB 1 6 2005
City of Carlsbad Bldg Inspection Request
For: 03/14/2005
Permit# CB050468 Inspector Assignment:
Title: WILLIAMS RES REPLACE H20
Description: HEATER
Type: PLUM Sub Type:
Job Address: 2861 ANDOVER AV
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: TUTTLE CARL H
Remarks: PM PLEASE
Phone: 76051 81 034
Inspector:
Total Time: Requested By: APRIL
CD Description
25 Water HeaterNents
Entered By: JANEAN
Associated PCRs/CVs
Date
InsDection History
Description Act lnsp Comments
-I Feb.15. 2005" 2:50PM"""A & J FOSTER PLUMBING-No.6277-P. 3r-
bL . . > N' , XL-''