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HomeMy WebLinkAbout2880 HIGHLAND DR; ; CB000011; PermitCity of Carlsbad 01/04/2000 Plumbing Permit Permit No:CB000011 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB 2880 HIGHLAND DR CBAD PLUM 1 562001800 Lot #: 0 Construction Type: NEW REPLACE WATER HEATER 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/04/2000 GMF 01/04/2000 01/04/2000 Total Fees: $27.00 , ; ';,'""'f'ayments To Date: "If, fl""("'~• $0.00 ·• * ,-·, IUlbnce 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 *~•~·++ •• lnspecto0L-; Date: + ii,, -• 11? 0 • i-' ., ✓ f '® + * " $0.00 $0.00 $27.00 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 "fees/exactions." You have 90 days from the date this permtt 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ;_ ._r;; 'FOR OFFICE USE ONLY PERMIT APPLICATION 'ml ]A\ ~ PLAN CHECK NO. ____ _ CITY OF CARLSBAD BUILDING 'PAFffMJ=U13 2075 Las Palmas Dr., Carlsbad CA 92~"' (760) 438-1161 l :EST. VAL.---------- Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ -~--- 2880 Hi<Jbland Prive Address (include Bldg/Suite #l Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units SFR Assessor's Parcel I Existing Use Proposed Use Description of Work SO. FT. #of Stories I of Bedrooms # of Bathrooms Name Address City State/Zip Telephone I Fax # ,~......... '·~"::-7.4:• "n.;-, •:r.,wo!(,~-r:'!l!;!IJ;lil'~~.1c'!li/!r~1,:r~~rt~fff'•il:<t1:i,:t~~p•,,n1-,1~''.: a .f ~ -!Y~Y"'...A~,1.q"','"C?~ ,~1:~r-t:Jf1.t .. ,-,~,d~!":~u:a-.... ~iliw.),,.~~ ~.r~~t,'«''i'-v. ,_:;i. n1a-,1~. . SHELLY JOHNSON/KRISTY FOSTER 13706 B HWY 8 BUS. EL CAJON. CA, 92021 {6191390-4477 Name Address City State/Zip Telephone I ~'1BJ i<1i. •~/t'¥..f'1iJf;~,.1ii'¾.-i~';ir.~i!f~1~k~,.;j;1.i?!:fi:"J~F,!lri~¼'1:i'f',;\?':1~•l Bremer, M 2880 Highland Dr CARI$Eru:> c~ 92008 7GO 729 5322 Name Address I City :. .-·. • S.tate/Zip Telephone I -:wr~~~~~l~,itlJ'iliiiI~t~~;raw£~;,~a~w~1~.p: ·11.i.r ~w111tt--~ (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). Name EL CAJON Sf-, 920?,ffi ~61~)390 4477 State License# 630120 License Class ---'C ..... -_3.._6..._ ___ _ Designer Name Address City State/Zip Telephone State License I N (l\, , , , 1, ~icoM~o= .. ' il!lii.~lm.m1'~rtt~;;~~.,.i-.,~~;;:~; ,, -;:tif;f~~'1~~.:.~~#.;~~;.r;;;t ~.,;,1,. , -~-~:, .. ~~·u:~; 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 for which this permit is issued. ' O x 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 EARMEB INSTJBANCE Policy No. N2007 56 5l Expiration Date CONI'INUOUS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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. verage la unlawful, and shell subject .an employer-to criminal penalties and civil fines up to one hundred f c tion, damages es provided for In Section 3706 of th:Jft.iv , Interest end attorney's fees . .::~~:~;;:ju~.~~-~~~~~~'. e;c~· -~~·;:".'~~Qt, 8;~~.~-~. ~_f"~~~.,,.,;. ~;;;; ~~\~~-~. ;;~.~-~. ;;.; .. ~;;;;;;; .. ;;;~;-~;;;,.,;;;;;;; .. ;;;.;~;;;_;;; •. ;;:; .• :;;;;;_;::;;;;:f;::. _:;-;;.,;;,,~~-~;;;:,;.~:;;f;:::~:;::,,r~.i'~1-":;:;-;;:-;.....-ll,-,--i...;~...;t~..:.:..~--... :..~..:"ft:1;:..•¢1"'·.~~ ...... ,,1-1,~;.•,.t;;;fi·"•1J112.~1•~;f"47'.~~~i!rft~:;1;; I hereby affirm that I am exempt from the ontractor'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, 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 pr_otect' (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(sl 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 / 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 na,:!~ / 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 ~.nd, 11rovide 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): ___________________________________ -,-----;.-------------------- =~~;~;;~~~:~~~OCM61Q.E.'(~fl!WJ..Qlt{!i.~!Yd!I~NI.Y'~~~\P~ {.;,• ,w...,,,;i.....,~:~E.iX11bl4"'"'t "~Q.® .• :·,.1i 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 ai'., 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 7 0 YES O NO IF ANY OF THE ANSWERS ARE YU, 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. fji31(liffiiiii.Y~. ~, < ilfflit!f:~~%ii!!lidi1'AllJ1~-· », ... .,1;~:,i1•S.1, ¾'.\ .,'.;.( 'j ·, 1 ''1 J1, !\f):,:i,,_,, ,· , I hereby affirm that there is a construction lending agency for the performance of the work for which this perJ11it is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS _______ .=.. _______________ _ {~ .. ~fMCM.®gBTlflc.A.Tl9Jf.~;;&,:JS~M~&~~.:..,,:;l;"-l;'~ :;:; • .,!, ..;,w :1, ~11~','l~'~',, r.,;".;, · .· ,,. , • :r: ••. : .• ~ •. ,r'~f:'£c.~ I certify that I have read the application and state that the above information is correct and that the in'tormlltion 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 ANO 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 commenced within 365 days fro he date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wor · Jenced f period 80 d s (Section 106.4.4 Uniform Building Code). J A N Q 4 200D APPLICANT'S SIGNATURE _-f.:....,,&::1,::::~~::_~_L_:~~~:::::::::::_=--------DATE ____________ _ PINK: Finance City of Carlsbad Inspection Request For: 1/11/2000 Permit# CB000011 Inspector Assignment: J"L Tille: REPLACE WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2880 HIGHLAND DR Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: BREMER FAMILY SURVIVORS TRUST 11-16-92 Remarks: Total Time: CD Description Act Comments Phone: 7607295322 Inspector: Requested By: HOMEOWNER (MAYBE MAR Entered By: CHRISTINE 25 Water HeaterNents A.f_ __________ _ Associated PCRs Inspection History Date Description Act I nsp Comments j-!O ,1\,1\/\. I II<;.. CA--IU>-lJ,,11\ O £ ll.. '280 ll.. t./\llr '\ WA-'Tl"-~e_A-<(E.<'->'/ s