HomeMy WebLinkAbout2128 SALIENTE WAY; ; CB041447; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-29-2004 Plumbing Permit Permit No: CB041447
Building Inspection Request Line (760} 602-2725
Job Address:
Permit Type:
2128 SAUENTE WY CBAD
PLUM Status:
Parcel No: 2164814400 Loi#: 0 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
TRUONG RESIDENCE
WATER HEATER REPLACEMENT
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:
TRUONG SONNY&THU B
2128 SALIENTE WAY
CARLSBAD CA 92009
ISSUED
04/29/2004
MDP
04/29/2004
04/29/2004
$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:
Inspector: Jfu FINAL
Date: Clearance:
$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 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
I h.
FOR OFFICE USE ONLY
!PERMIT APPLICA T~ON PLAN CHECK NO. _____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By ___________ _
Date ______________ _
Business Name (at this address)
Q Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Proposed Use
f~~)exf' ~ ptioof Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
12 •· ........ ~ .. ~ ................ h•-,~ ...... ., .. , ·} ., .. •·-·-· -. · • -··-··· ,.~ , .• -... • -··· ·• ···~, · ·•·"·' -.. 3 ···-~ ...... -•·· _., • --···-····, ·· ·• ... • ~ ·-Wlf1j::r~m~1,~m~iJ01~fi&
Fax#
·-''"""'""'"' ,, • " . ,. . '•C ,.,.l,-0 ;~ ,~:~~ ~1e.it~~!o
(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 Proiessions Code) or that he ls exempt -therefrom, and the basis for the alleged
e emption. An violafon of Section 7031.5 by any applican for permit subj ct the applicant to a cjvil penalty of not more an five hundred dollars I 5AO J,
~-~--:'"'"'--) __,·. __,,_.,,~,::i__,=-'-e=:l.'--'--. _.__,,..,,~c:......J.,l'-Ll.1£-"'--,--.>L-1,,. LIU-.o<~c=-"---".........,,,_~' ~·a..+----1-=~-J.J·L.L.J.., _,.,.-·~· ..£___.JLJ I]
Name /Ir,--.°:::-\·--Jo
State License# _UV='--~=~=--'--'--'{.,,.-____ License Class ---="---'".c....-""----City Business License# ']_ \ :i.Q
Designer Name Address City State/Zip Telephone
State License # __________ _
r6~''.;tsr·Wl>.R.~ER'S,ft~L¢.QM:~EN$:Ait'iANt1~;1I11~½~im;m;mr~;·~m:lS.:1~u1~I'.'ill!~,Jfl~~~i;~l~1J~l~i~if.~l)J~!J~ltl~i1:lJ[it~i~l~11~~:~~tl.itt:{~tu1~'1~1~~111~~i;~;i)~li~~t~2[~t~~:r~~;iHi~~il·,:c~:~~~rc.~1;1;:$
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 l 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
.otJ.ie 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~ £ens, tlon lnsura e carrier a policy number are: . -1 ·:z.. ~7/ --('U . , 4//'-c:=...
Insurance Company ..,,._L.....,,...::.....,,_,,='-_,L...:...,1-~==-----------Polley No. J ./ .,J,9 J ~ v" ,l Exp1rat1on Date-1. V ...,J
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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.
WARNING: Failure to secure w ' compensntio cove e · unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
:'.,;~;~;,;;
1
,
1
,a,~~,'('~' ~:~~~~''•I'"""~: ~ ., ,,,,.: ~'1'•e:,'JT,'f,:.,,. -= ,-~~~'.~,>! ,::::~::.:~:.~:::~~:.::l:~'~•t'j':: .. ~:;;;~;~~~~'Jjr[~: ~,~t-~,::.~~ ~' 1
,~:,S,:,, ·•e' a 1. , , ,, ,,OWNER-B.t!llllD ER,' o. EPll~RAJ1,ION •~:'1,. .< ·::, ... ,,~:ti,,; At:.~·J .; ,.;,,;::: ~i.,:.'!ils: .. ,IJ.:?',\f] ;;.:;..,;lW,1,tlli '.rni~,;.,;;, •. ~.:r,ti,. ".;;,;,:~ .l!i :;,,,[:,,,;,:tf&, ;'1.~ii":·.:.• :""'6'~i ,,," ,.,;~'f~!l.i'i:i ,,:,: "'-':. ,, ,:,, Pr e., l'f ;,.1, t~ ,.1,
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, 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 tho 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 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 name I address / phone number / contractors license number):
4. I plan to provide portions of the work, but l 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 I the following persons to provide the work indicated I include name / address / phone number / type of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
i.coMr.~e'rJ::llrri:i1st~~c/fioN}F.!liilt~"i!Ft,Jift'Esi'QiN/tf,?,°ttiiiil@j}'tG~ijM"1;r§;il@Yffi.&.1'.l~~~!;r2~fi0'~Ji1~r~1:itm~~~~i:J~~l1I~J.~j•/(j~~~!l\1?,~~i~:;E~~~f,:•b1lli
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? 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
:,EJ'i:;:::~:jt9:Q~~J,6.~,~3!iQN~~Nfi!ijQ_l!~:~,E.&¢.~~;J:~~rt~t!filt{t~~1ti~l~l!t~t:f~;\?,~~]ri~Jfu\~f~tif.~~!ti~.f.r~~f~Z~~~;~iJ?ia~~\fl~II~J.i~4~i~i~l]lliiUir~~~ii~~1ffi1?ii~~:;t~;~~1~~~f;~:~;;,,t:til~);;~➔~!:;~~~i~•
I hereby affirm that there is a construction lending agency for the performance of the work for which t his permit is issued (Sec. 3097(il Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _
·9'!·1~ .. rAPiP,l1:cAfiit 1~-ESitiF.tC~iftQ.Nlffi:,~~1t;·:[UJ;J;;~f~~}.~J~j~~~~~fi!21Jtii,f~~tl?~~1~i';lf~-Dfjj[,8f~i!!J§f~:1~t1:~1Jij1W~i~~rur.~~tF4!~;~)~~r~rr~~lt!i~]il~/itf.itJ:l~l;Q
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 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.
EJCPIRATfON: Every perrnll 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 perm ii Is nol commenced · days ~e dat h permit or If the building or work authorized by such permit Is suspended or abandoned
at any time afler the work is commence I 1 T] l:ecllon S.4 Building Code). DATE l.{ f ~lq' ~ J
APPLICANT'S SIGNATURE ~ LX. /U -T---+-----
WHITE: PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/05/2004
Permit# CB041447
Title: TRUONG RESIDENCE
Description: WATER HEATER REPLACEMENT
Type: PLUM Sub Type:
Job Address: 2128 SALIENTE WY
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: TRUONG SONNY& THU B
Remarks: 858/485-2088 WRK
Total Time:
CD Description
25 Water HeaterNents
~ Comment
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7609424621
Inspector: _J ~
Requested By: SONNY TRUONG
Entered By: CHRISTINE