HomeMy WebLinkAbout2864 LEVANTE ST; ; CB010361; Permit. '
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01/29/2001 Plumbing Permit Permit No:CB010361
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2864 LEVANTE ST CBAD
PLUM Status: ISSUED
01/29/2001
CB
01/29/2001
01/29/2001
Parcel No: 2162301000 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: DAVEY RES/ NEW WATER HEATER Inspect Area:
Applicant:
A&J FOSTER, INC.
STEB
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Total Fees: $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:
Owner:
DAVEY FAMILY TRUST 12-07-89 TRUST 3
2864 LEVANTE ST
CARLSBAD CA 92009
Total Payments To Date: $0.00 Balance Due: $27.00
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
EXPIRED PERMIT
pl'"~"'T HAS EXPIRED If ACCORIWilefi wm~ U.B.C.
l l:J6.4.4
. '""l-? S-<2' SIGNATURE""""'c...,(,y,..,}.._ __
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your prq'ect includes the "\mpositjon" 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 with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wrn bar arY-f 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 .oreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exnired.
FOR OFFICE USE ONLY
PERMIT APPLICATION (i) PLAN CHECK No(f;())Q?Ja)
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
. EST. VAL. _______ _
. Validated By :,~,....,8,_.=,-----Plan Ck. Depa;~
Date I -7f-O {
Address (lnclude Bldg/Suite#)
<Legal Descr>
Legel DHctiplion
<Assessor No>
Assesso(a Parcel # water heater replacement
Description of Work
Business Name (at this address)
<Lot> <Subdivision Name/No> <Unit> <Phase>
Lot No. Subdivision Name/Number
<Existing Use>
Existing Use
<SQ FT>
SO. FT.
<Stories>
# of Stories
U11it No. Phase No.
<Proposed Use>
Proposed Use
<Bedrooms>
# ol Bedrooms
<Total>
Total # of units
<Bathroom>
# of Bathrooms
<Name> <Address> <City> §T <Zip> <Phone> <Fax>
Address City State/Zip Telepn<>ne# Fax# ;;a eagw~w11e1 1-IHI._ R Hal 11 iHM8\M"-II
Name Address City State/Zip Teleph0!18#
davey,lee 2864 levante street carlsbad ca 92009 760-436-3870
Address City State/Zip Telephone#
l'lll!IINl"'tl-■111111,-11111111wr:rz 111,w...,"'il!IIH"W ,_ (Sec. 7031.5 Business a11d Professions Code: Any City or Cou11ty which requires a permit to construct, alter, Improve. demollsh or repair any structure, prior to Its
issuance, also requires the appHcant for such permit to file a signed stateme11t that he Is licensed pursuant to the provisions of the Contractor's License Law
[Chapter Iii, commending with Section 7000 of Division 3 01 the Business and Prolessions CodeJ or that he is exempt therefrom. and the basis for the alleged
exemption. Any violation of Section 703Hi by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars !$5001}.
A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477
Name Address City State/Zip Telephone#
State License# 630120 License Class c36 City Business License # 1210836
<Name> <Address> <City> ST <Zip> <Phgne>
Designer Name Address City State/Zip Telephone
State Licence# ________ _
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty ol perjury one of the following declarations:
0 I have and will maintain a certificate ol consent to self-insure for workers' compensation as provided by Section 3700 ol the Labor Code, for the Performance
of the work for which this permit ls Issued li2I I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit 1s
issued. My workefs compensation insurance carrier and policy number are:
Insurance Company Mid-Century Ins. Polley No. A20075651 Expiration Date 05/01/2001
!!t'IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 aecure workers' compensation coverage is unlawful. and shall subject en employer to criminal penalties and civil lines up to one hundred
thousafld do11.~-i,J.;i,.:_:-~1), ln addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE~~--------------------DA11S00~1~/2~2/=2~0~0~1 ___ _
7, OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensabon, WIii do the work and the structure Is not Intended or offered !or sale
(Sec. 7044, Business and ProleS&ions Code: The Contractofs License Lew does not apply to an owner of property who builds or improves thereon, and wtm does
such work hlmaell or through his own employees, provided that such Improvements are not Intended or offered for sale. II. however, the building or Improvement Is
sold within one year ol completion, the owner-builder will have the burden of proving that he did not build or improve for the purpoae Of sale).
0 I, as owner ol the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business &lld Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or Improves threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Busi11ess and Professions Code for this reason:
1. I personalty plan to provide the major labor and materials for construction of the proposed property improvem811t □ YES ONO
I (have / llave not) signed an applicant for a building permit for the proposed work. 2.
3. I ha.YI! contracted with the following persori (firm) to prqv(.de the oroposed construction (include name l 11i;td~sli.f phone number I contractors license number}
<Name> <~aaress> <WorK Ptione> <State License>
4. I plan to proviGe pcrtlons of the -.yqrk, but I have hired the following person \p r;;qordinate, supervise and provide the ma}Qr work Incl.Ide name / addresa I gh,one
number, contract<:irs license number}:<Name> <Aooress> <Wo P on > <State ucense>
5. I will wovlde some of the work, but I have contracted (bi~dl the following pemon to provide the wor1<. indicated (include name I address I 111-to.ne plijllber I type
of work)· <Name> <Aadress> <Work Phone> <worK I ype>
PROPERTY OWNER SIGNATURE
Is the applicant or future building occupant required to submit a businesa plan, acutely haiardous materials ~lstralion form or risk management and prevent!on
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haiardous Substance Account Act? LI YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO
Is the facility to be constructed within 1,000 feet ol the outer boundary of school site? 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 THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I l\ereby affirm thet there is a construction lending agency for the performance of Ille work for which this permit is issued (Sec. 3087(i) Civil Code).
LENDER'S tv.ME LENDER'S ADDRESS
I certify that I have read the application and atate that the above lnlormation Is correct and that the Information on the plana Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. l hereby authoriie representatives of the City ol Carlsbad to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 ol structures over 3 1tories 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 builo'ng or work
authorized by such permit is not commenced within 180 days 1tom the date of such permit or if the bullding or wort<. aulhoriied by such permit Is suspended or abandoned
at any time aner the work Is commenced for a period of 1 eo days (Section 106.4.4 Uniform BUIiding Code)
APPLICANrSSIGNATURE ~~-------------------DAllS c0~1~1=2=2~12~0~0~1~------