HomeMy WebLinkAbout1073 SEAHORSE CT; ; CB050712; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
' 03-08-2005 Plumbing Permit Permit No: CB050712
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1073 SEAHORSE CT CBAD
PLUM Status:
Parcel No: 2145304500 Lot#: 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
619-390-44 77
MASON 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:
MASON JONATHAN R&DIANE B
1073 SEAHORSE CT
CARLSBAD CA 92009
ISSUED
03/08/2005
KG
03/08/2005
03/08/2005
$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
3428 03/09/05 0002 Ol
C['lP
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 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 . . . ' . .
02
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO.~ 0 ·v~07 I do--
I CITY OF CARLSBAD BUILDING DEPARTMENT
EST. VAL. _________ _
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit--~--..-----
Validated By ____ ~~...;....~----
Date __ -"-@_31""-f--f9_,_/-=-D-=->--
1:1::~ f!'t'.lR6!i_ECt:[1NJ{O.R_Mlrt10N:~•~fii;;f;:;t:;;fJff!tl~~i~il .:t~t-;~~:~~:~~i~~.·:1:t!~~\Jt%""TT%T?i~M~~~~J;[iuJl~i~~!}ll~\~ij;~
1073 SEAHORSE CT
Address (include Bldg/Suite II) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
214-530-45-00
Assessor's Parcel II Existing Use Proposed Use
WATER HEATER REPLACEMENT
Description of Work SQ. FT. I/of Stories # of Bedrooms # of Bathrooms
i12~jfJ~J:CON[~CJtiP~tl.§.O.N1::lfUdtJf.~fiiiti)t8ffi.li~P1i~-llt1~t~~~~l~:~~fil~:tlil¥~~~l§~l~il~~]lrJ~~il~l:~,t-~~~~m~J;~~~:;;~;!:~r~mt~)r~~~irJ:~;~
A & J Foster Inc. 13706 Highway 8 Bus.# B El Cajon, Ca 92021
Name Address City
(619) 390::4477
State/Zip Telephone # Fax #
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· A & J Foster Inc. 13706 Highway 8 Bus.# B El Cajon Ca 92021 (619) 39D--4477
Name Address City State/Zip Telephone #
MASON, JOHN 1073 SEAHORSE CT, CARLSBAD. CA 92009
Name Address City (760) 402-1073
S.tate/Zip Telephone II
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(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)).
A & J foster lac 1397D6 Highway a B11s # B El Cajno Ca 92021 (619) 390-4477 Name Address ' City State/Zip Telephone #
State License # 630120 License ClasC-36 City Business License # 1210836
Designer Name Address City State/Zip Telephone
State License # __________ _
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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 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 State Fund Policy No. 1732576-D4 Expiration D<flf}05/April
(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.
WARNING: Failure to secure ' awf , and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,0001, 111 s provided for in Section 3706 of the Labor coda, Interest and attorney's fees.
SIGNATUREc.-____ _(_...:::::::~~~=_:__J!_:_,.L.:._:_=------------DATE 3{9/2005
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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 ha 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 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 / 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 numberl: _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type of work I: ____________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ DATE _________ _
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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 AND THE AIR POLLUTION CONTROL DISTRICT.
!J:nr:~tri}~QJ{$.J:8,ij,t:ftlQf~~U~NP)[G)l~-~ijC,-:-)j;~itITf1t1i~~~{t~~i~~l~iBi1:ml~~~~t\lllffllll!~t~!t{~!:}.if~t:a~~~l~l1l~~~J.[~l[ill~~t~~~~~l~~~i1~1frJf'.~lt~i~1ll:~~~~t~~itt~y~:ai~~g~;t:f:f.~~:
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Codel.
LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _
.g'-'·J'•~r~ififo, i:')(Nii'•,c:co;rjcii>Krrto"'X1t\!i;lJ1,[:t~t1;,,-_;:;1,riro,;•~.1n:itr·,s:,,-1-i,~;.c,r,•1i·1[:vui!l!!!,'1i1T,1'!.j~lit~:it1tli!!'<l8'.l':lr,"t11r1r:f.'f~~f~~iii:r,,i~-t~"'t!!l,t'ill:;',~1::i;,;,::i;;;r-!1':1:m,,,'!:f.,;'1::)t~•~:••~\"iJi!lill,,i:J!'s•"'i''''l'Bm'i;\!'!.',''" , . ,_ . ,I, t .. !LJ.;-!I,..!.,~ . .,, .ilia ~f•J~! .~!Jv..~,... .'!!111.U\'I .,;t, llr~" ~lt.:,i~~. (fw'~r ,1$o.Nt)y.)H.lt:.,,iW;dli.!l.'~l!!'.F...J.:.:!;lllt.ii..W ... I\J;1~'a.i••Wf.C,O\.On""'iln:illLltioiid'itia"t:~ 11~--~~~i.N/,i(ii&..!i;l~~.iih.1~ .... Rr'lt '!!,., ~'l'l#,Hl-iilli~ .j !litili!!'M'wl'IN
I certify that I have read the application and state that the ebove 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 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.
EXPIAATrON: 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 date of sue permit or If the building or work authorized by such permit is suspended or abandoned
al any time after the work is commence~ for p~ 180 day eclion .4 U form Building Code). , MAR O 9 2Q05
APPLICANT'S SIGNATURE J • _J.;..-:--".:I"--=:::::-DA TE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/24/2005
Permit# CB050712
Title: MASON RES REPLACE H2O
Description: HEATER
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1073 SEAHORSE CT
Lot
APPLICANT A&J FOSTER, INC.
0
Owner: MASON JONATHAN R&DIANE B
Remarks: PLEASE INSPECT AROUND 11 :30AM
Total Time:
CD Description Act Comment
Inspector Assignment: PD ---
Phone: 7604311040
Inspector: ----
Requested By: DIANE
Entered By: CHRISTINE
25 Water HeaterNents ~------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
03/15/2005 25 Water HeaterNents CO PD NO ONE HOME