HomeMy WebLinkAbout2299 PASEO SAUCEDAL; ; CB050480; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-15-2005 Plumbing Permit Permit No: CB050480
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2299 PASEO SAUCEDAL CBAD
PLUM Status:
Parcel No: 2552711300 Lot#: O Applied:
Construction Type: NEW Entered By:
Reference#:
Project Title:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
CLARK RES REPLACE H2O
HEATER
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
Plan Approved:
Issued:
Inspect Area:
Owner:
CLARK ALAN D&L YDIA V
2299 PASEO SAUCEDAL
CARLSBAD CA 92009
ISSUED
02/15/2005
KG
02/15/2005
02/15/2005
$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
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
2047 02/16/05 001)) 0' , . ..._ l..1_
CGF"
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 "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 feesJexactions 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
fee exactions of which ou have reviousl b n iven NOTICE similar to this or as lo which the statute of limitations has reviousl therwise ex ired.
02
27,0()
FOR OFFICE USE ONLY
PERMIT APPLICATION •11
PLAN CHECK NO{ /JO 5o 9 fu
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 'Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By~~~~~------
Date ct' f / S"/ fJ j
'L ;:i PROJl;CT,:INFORMATION':
2299 PASEO SAi ICEDAI
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
255-271-13-00
Assessor's Parcel # Existing Use Proposed Use
Replace Water Heater
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
A & J Foster Inc 13706 Hi~bway 6 Bus # B El Cajon Ca 92021
Name A dress City
~19) 390-4477 (p Telephone # Fax#
-~~ , AJjP[1CANt.;'\SO:iJiPiit!iOtq'i-:·: '1Il'A9elldf_P(;Q6iitfobtqf(i ):Gm:O\.il1.~f;:1)@i[]t~9~¥rii:f~r.:~n'e¥JY~, .i!:]~iiiiIJ:
A & ,I Easter Inc 13706 Highway 8 B11s # B El Cajon, Ca 9.2021
Name Address City
(619) 390-4477 State/Zip Telephone#
GI ARK Al AN 2299 PASEQ SAi ICEDAI CARI $BAD CA 92009
Name Address ' ' City (760) 635-2868 S.tate/Zip Telephone #
'6:
(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 ($500]).
Name A & d Fester IAe. 13978§dbli/Jr'it'BY 8 B~s. # B El Cajon. C2'c;~021 State,Z;J619) 39l).itf;J:le #
City Business License # --1<s2=1<aQ,.8>.Ja,ea--State License u -~6~3=0~1~2-w0~----License Cla~_J.,..6~-------
Designer Name
State License #
Workers' Compensation
Address
I hereby
City State/Zip Telephone
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 l have and will maintain workers' compensation, as· required by Section 3700 of tha 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 State El md Policy No. 1732576 04 Expiration oe:e05/A pril
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT JS FOR ONE HUNDRED DOLLARS 1$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 secure workers' com·. pensati?n cov~s un. lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,00~l~,.lfr'acf~ to the of com~~~i-,d~.mages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE ,· / ~j , ,_.,.-· ,/..~./,~· DATE
1·: .. '_'QW~E'R~'B)Jiiti'E8?0ECbARATIO·rit ...... -.a-.. ,, ... , .... ,, .. ,.-.,,;.,,, .. ,.,.
I hereby affirm that I am exempt from the Contractot's License reason:
O 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).
D 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/ have not) signed an application for a building permit for the proposed work.
3. 1 have contractsc:I 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 I 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 _________ _
.CoM~~ETE}l;H1s:;_sEct1ctN:.FOfl:~QNf#£sinEN.TiA1JBDfLDiijo'·pEftMiTS'~ONtY,:Jt@fiiJ:~:;J~ilfLi1~~:i\Hl:ifa~fJ;\,t:il~~TT:i11-~1t~;'.J\:[:;:'.[;:l~;:!:itl:H1t~!'1~;}1iff.;?):
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097fil Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9.
I certify that I have read the application and state that the above information ls correct and that the information on the plans !s 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 ANO 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.
EXPIRATrON: 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 180 days from the ate of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is com~i;o~J?7a period jj.,.180 day§-' ~~-1?'.".~.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE _; /..'.~ _.,, ,.r/ ~-.. ~ • ,,(;· ,·_ v••-DATE ___________ ._'~"~"~-'--
r )&w'filTE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 02/24/2005
Perm it# CB050480
Title: CLARK RES REPLACE H20
Description: HEATER
Type: PLUM Sub Type:
Job Address: 2299 PASEO SAUCEDAL
Suite: Lot
Location:
APPLICANT A&J FOSTER, INC.
Owner: CLARK ALAN D&L YDIA V
Remarks:
Total Time:
CD Description
0
Act Comment
Inspector Assignment: -J'M.
Phone: 7606352868
Inspector: ----
Requested By: ALAN
Entered By: CHRISTINE
25 Water HeaterNents fJ: _____ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments