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HomeMy WebLinkAbout2875 LEVANTE ST; ; CB001243; Permit\ City of Carlsbad 04/04/2000 Plumbing Permit Permit No:CB001243 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 2875 LEVANTE ST CBAD PLUM 2162302900 Lot#: 0 Construction Type: NEW REPLACE WATER HEATER 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/04/2000 GMF 04/04/2000 04/04/2000 Total Fees: $27.00 $0.00 , ·•-ceDue: $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: rf' l__,-- 0 Q 0 0 1 0 .o ~A 0 ""~ • > FINAL f'PF Date: L/ '/~ ' bVAL 0] • $20.00 .. • $0.00 • •. 0 '.'$0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 Clearance: $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 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 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 nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nrevious1v otheiwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION fr;il E1 ;,R CITY OF CARLSBAD BUILDINGMEP.Affl'ft1181'3" 2 1635 Faraday Ave., Carlsbad, CA 92008 I. PROJECT INFORMATION 2875 Levante St FOR OFFICE USE ONLY PLAN CHECK NO. 0 O { £,.LJ,:~ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPIACEMENT 2. CONTACT,-PEFiSoN Pt dlffererit tioin '1Pe.!1c'an1I Potter, Aubrey L875 Levante St . CARLSBAD CA. <)2009 760:.632-6650 Name Address City 3. APPLICANT :%] Contractor O Agent for Contractor D Owner D Agent for owner State/Zip Telephone# Fax# 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 Potter. Aubrey 2875 Levante St CARLSBAD CA. 92009 760-632-6650 Name Address City State/Zip Telephone# 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 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 & ,J EQSTEB PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 ( 619) 390-4477 Name License Class C-36 Address State License # _6=3~0;1~2_0 ____ _ City State/Zii Telephone # City Business License# 200354 -------- 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 1 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. ~ 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: lnsu,ance Company _;F;ARMERS===~I~N"S~URAN==;C;E~------Policy No. N2007-56-51 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date CONI'INUOUS 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 worke co~ sation.~age Is ~fu.', a.nd shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars ($100,000), in ltl to e,' o;,crpe . , a ea a~ provided for in Section 3706 of the labor code, Interest and attomey's fees. SIGNATURE -· DATE A p R 4 2ggg 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 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, end 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(s) licensed pursuant to the Contractor's License law). 0 I am exempt under Section ______ Business and Professions Code tor 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/ 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 / address / 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 / address / phone number/ 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/ address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE 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 Hazardous Substance Account Act? 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 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. 30970) Civil Code}. LENOER"S NAME _____ NO __ NE ______ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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. l 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 Code shall expire by limitation and become null and void if the building or work authonzed by such permit 1s not commence~w1th19-180 ~a s from th~ gate of sy_ch permit or if the building or work authorized by such penrut 1s suspended or abandoned APPLICANT'S SIGNATURE / / ~ DATE t \ ' ."\ · at any time after the work 1s commenced for n d oY. ~s ~:~ion 106 :4;._lJntform Building Code) ~ ["'; "'"'l: ·~ 2000 ---------------- WHITE: File YELLOW Apphcant PINK: Fmance m City of Carlsbad Bldg Inspection Request ' For: 4/11/2000 ' Permit# CB001243 Title: REPLACE WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2875 LEVANTE ST Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: POTTER AUBREY H&VIRGINIA M Remarks: Total Time: CD Description 25 Water HeaterNents :J!f_ Comments Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: TL-- Phone: 7606326650 Inspector: TL,., Requested By: A.H. POTTER Entered By: CHRISTINE