HomeMy WebLinkAbout2758 SOUTHAMPTON RD; ; CB020479; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-14-2002 Plumbing Permit Permit No:CB020479
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
A&J FOSTER
2758 SOUTHAMPTON RD CBAD
PLUM
2081403000 Lot#: 0
Construction Type: NEW
DEATON RES-NEW WATER HEATER
Owner:
:/819 CENTRAL AVE
SPRING VALLEY
619 697-4151
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/14/2002
RMA
Total Fees: $27.00 Total Payments To Date: $0.00 Balance 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
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
1
0
0
FINAL APPROVAL
Date: 3 fol{ /o L-, )
$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
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 CMsbad 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 nf which vou have nreviouslv been n\ven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
FOR OFFICE USE ONLY
PERMIT APPUCA TION PLAN CHECK NO .. _____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck, Deposit ________ _
Validated By, __________ _
Date. _______________ _
1, PROJl;CT INFORMATION 2758 Southampton Rd. ---------Address {include Bldg/Suitti #) Business Name {at this address)
Ltigul Description Lot No. SFft1bdivision Name/Number Unit No. Phase No. Total # ot units
Assessor's Parcel # Existing Use Proposed Use
208-140-30-00
De:;cription of Work SO. FT. #of Sto11es # of Bedrooms # of Bathrooms
Water Heater Replacement
·-CONTACT P~RSOf,I li!-4ifl••"!'I from epp1;,"'1tl 00 760-729-5245 ___ I:li?aton, Mlchae.L __ L_i '.o8_S_o_u_t_h_am_p_t_on_R_d_._c_a_r_l_s_~ba~d ____ CA_·~-9~2~8-~~------
Nama:. Address City State/Zip Telephone # Fax #
0 Agent for Contraqor O Qwner D Agent for Owner Ca. 92021 ( 6.19) 390-4477 3, APPLICANT Ci Gqntractor
_Ar],_en Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon, --------'~------------------------Nanie Address City State/Zip Telephone #
4. PROPERTY 0Wtil~R
__ Deaton, Michae1 ____ ~2_7=5~8 Southampton Rd.Carlsbad Ca. 92008 760-729-5245
Name Address City State/Zip Telephone II
5. CONTRACTOft ~ COMPANY NAM!;
{Sec. 1031.5 Business and Professions Code: Any City or County whid1 requirtis a permit to construct, alter, improve, demolish or repair any structure, prior to its
issu<1nce, illso requires the .ipplicant for such permit to !iii; a signed statement thc1t he 1s licensed pursuant to the provisions of the Contractor's license law
[Chapter 9, commending with Section 7000 of Division 3 of the Businc1ss and Professions CodeJ or that he is exempt therefrom, and the basis for the alleged
exerllption. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicant to a civil penaltv of not more than five hundred dollars J $5001).
----A..-&-.J Foster Pl nmhi ng J 3706 ~!L.Bl.!s~_E.l Cajon CA. 92021 ( 619) 390-4477
Addre1:,s City State/Zip Telephone II
lictinse Class 9-3_~--. ______ City Business license# 1210836
NanHi
StaHJ licen1>e h _ __§)Ol2Q _________ _
---------------De:.;igner Name Address City State/Zip Telephone
Stc11e license h __ __.NjA.._
6, WORKERS' COMP~tJSAT101,,
Workers' Compensation Declarnuu11: I tiernl.Jy affirm under penalty of pi.:1/ury one of the following declarations:
0 l have and will maintain a CtJ1liflc<.1tll of consont to self•insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance
of t11e wo1k for which this permu 1:. 1:.sutH.L
[k I have and will maintain w_arkers' compensation, as required Uy Section 3700 of the labor Code, for thtl performance of the work for which this permit is
issued. My worker's comperisauon mswance Cdrr1er and policy number are:
lt1Sl1tance Company __ _S_tate. C.om~I_ns __ • ___ , ---------.--Policy No 467-01 0000713 Expiration Dattl~-04-_01~02
(THIS SECTION NEED NOT BE C0MPL.ETED IF THE PERMIT IS FOR ONE HUNDRED DOL.LARS [$100) OR LESS)
O CERTIFICATE OF EXEMPTIO/J; I certify that 111 the pttrformance of the work Im whict1 this permit is issued, I shall not tnnploy any ptuson in any miinner so as
to becomtl subject lo the Worki.:r:.· Cornpensution L.aws of Cc.1lifon11c.1.
WARNING: Failure to $eCurtl wo1l,,,rs' compensation coverage Is unlawful, a11d shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars { 0,000), in u1fo1tion to the cost of compensation, damages as provided for irl Section 3706 of the labor code, interest and attorney's fees.
SIGNATURE .... -. ·--------------·--------DATE-<:i}..-/'f-DJ-.-
7. 0WNER,BUILDER DECLAR~TION
l hereby ilffirm that I am exempt from tile Contractor's lice11se Law for the following reason:
0 I, dS owner of thti proµt11ty or my employetis with wages as their soltl .:omµ1msation, will do the work and the structure IS not intended or offered tor sale
(Sec. 7044, Business and Proftissions Code: The Contrdctor's license Law dotis not apply to an owner of property who builds or improves thereon, and who does
suet\ work himself or through his own timployees, µrovided that such improvtiments are not mtendtid or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-Uuildi.:r will hdve thti burdtin of proving thcll he did not build or improve for the purpose of saltil
0 I, as owner of the p1operty, am tixclusively contracting wuh licensed contractors to construct the project (Sec. 7044, Business and Profassions Code: The
Contractor's license law does not apply tu an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pwsu<>nt to the Contractor's lit.:ense Law)
0 l am tixernpt under Stiction Business and Proli;ssiom; Code for tllis ,eason:
1. I personally plan to provide thtl majo, labor and mate11<1ls tor cunstiuction of the propostid property improvement. 0 YES ONO
L I (/Javti / have not) siyned an application for a building µerrnit for tho proposed work.
3. I havtt contracted with the following µarson (firm) to provide the proposed construction (u1clude name/ address I phone number/ contractors license number]:
4. I pla1i to prnvide portions ot the work, but l hdvti lwtid the following porson to cuori.Ju1<1te, supervise and provide the major work (include namtl /address/ phone
number/ ..:01nractors lit.:t111st1 111m1bt1r):_ ·------____ _
5. t will provide some of the work, but I have contracted (hired) the following persons tu provide tt1e work indicated (include name/ addres:.; / phone number/ type
of work): ---· _______ . _______ --· ____ ··---·----_______ ___ ________ _____ _ _____ _
PROPERTY OWNER SIGNATURE -··------···-------DATE ____ _
COMPLETE THIS SECTION fOR NON-RESIDENTIAL a,UILPING P~FlMITS Ot,JLY
Is the apµi1cc1nt or future L>ullding occllPilllt roquued to sul>rrnt il IJ<1sine;,s µIan, ilcutely /1atardous n1ateri<1I::, registration form or risk management and prevention
program wider Sections 25506, 25533 or 25534 of thtl Pri.:sley-T,uiner Hazardous Substancti Account Act? D YES D NO
Is tlm aµphcctnt or future builthng occupant required to obtain a pt1r111it from the <1ir pollution control district or air quality management district? 0 YES O NO
1S the fat:ility 10 Ue constructed within 1,000 feet uf lhti outer bowidiHY of a school site 7 0 YES O NO
IF ANY Of THE ANSWERS ARE YES, A FINAL. CERTIFICAH OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
RE0UIR(MENTS OF THE OFFICE OF EMERGENCY St:HVICES AND HIE AIR POLI.UTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby aff1r111 that there is a construcuon l&nding "-uurocy lur tt1t1 pt11formance uf the ½Ork for which this permit 1s issued (Sec. 3097(i) Civil Code).
LENDEH.'S NAME--·--··----~~--···------------
9, APPLICANT ceijTlflCATION
LENDER'S ADDRESS
I certify that I have read the application and state that the above i11fonnation is correct and that thti infom1<1tion on the plans is accurate. l agrne to comply with all
City ordinances and State laws relating to building construction. I t1t1rt1by autho,ize represen1<1tives of the CiW of Carlsbad to tinter upon the above mentioned
propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST .0.11 1 IAR11 mi::c
_111nr..M1CMTC pr,CTC ,. .. , .... t::vr,,::,AI,..,.,. ,.,. ....... ---•• ·-· --·
City of Carlsbad Bldg Inspection Request
For: 02/28/2002
Permit# CB020479
Title: DEATON RES-NEW WATER HEATER
Description:
Type:PLUM Sub Type:
Job Address: 2758 SOUTHAMPTON RD
Suite: Lot 0
Location:
APPLICANT A & J FOSTER
Owner: DEATON MICHAEL&BROWN CANDACE
Remarks:
Total Time:
CD Description Act Comments
25 Water HeaterNents JtL ft jV fl/.,,
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: /{l f:,
Phone: 7607295245
Inspector: /{ {;/1:,
Requested By: CANDICE
Entered By: CHRISTINE