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HomeMy WebLinkAbout2633 SUTTER ST; ; CB003634; Permit.... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/27/2000 Plumbing Permit Permit No:CB003624 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2633 SUTTER ST CBAD PLUM Status: ISSUED 09/27/2000 CB 09/27/2000 09/27/2000 Parcel No: 1675112500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: TUFTS RES NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $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 Inspector: Owner: TUFTS JOHN C&LORRAINE J 2633 SUTTER ST CARLSBAD CA 92008 Total Payments To Date: $0.00 Balance Due: 0 0 0 0 1 0 0 FINAL APPROVAL Date: /&r/;2...,,.~ Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 NOTICE: Please lake 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 dale this permit was issued lo 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 accoldance 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 waler 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 vou have oreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired. FOR OFFICE USE ONLY ' PERMIT APPLICATION PLAN CHECK N0Li3cx:J33J1 ClTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ______________ _ Address (include Bldg/Suite #l Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessorj: Parcel# ·.J.. /)J/A J er 1va1r1/ ½ Existing Use Proposed Use Desc,iption of Wark f lfi tt,~flUt ?r SO. FT. #of Slories I/ of Bedrooms II of Bathrooms 2;, . CONTACT PERSON (II dlffer .. nt from appllcantJ Name Address City State/Zip Telephone // Fax# . ·' .. , . _·· ... ,. ·· · 'forowner: . , -~>;". 6. CONTRACTOR c COMPANY NAME· ISec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prio1 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 th" Business and Professions Codel or that he is exempt therefrom, end the basis for the alleged ex · · tion of Section 1. ·cant ermit sub"ect he a I' nt to a civil enalt of not more than fi e hundred dollars $500 . ,, /11/Cl/ 77 Name City Business License # _______ _ Designer Name Address City State/Zip Telephone Stata License # _________ _ 6. WORKERS' COMPENSATION. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 o/ work for which thls permit is issued. [il"" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which t11is permit is issued. My worker's compensation i_nsurance carrier __ and policy_ nu/2er are: ,... · I A,,;f·, .. --,.-,,,,t-1·7 C. Insurance Company lrvcll //'h j ITll/[C: e ;({". J Policy No, IV.;: lV,; Su: _J/'(/(.. Expiration Dale 7 -~JI -0/ iTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS] D CERTIFICATE OF EXEMPTION: I certify that in the performance of the wo,k 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 workeu' compensation coverage Is unl•."?f_".J u ._ and shall subject an employer to criminal penalties and civil fines up to ona hundred _thousand dollars ($100,000), in addition to the cost of compensatlon,_,~t•,ns provided for In Section 3706 of the Labor code, Interest and attorney·s fees. ~'.GN~:::R-BUILDER DECLARATION · __ · ·. ~·-#£.y:e, ·._ .· _ DA,TE ·_. ·. SEp 2J 2000 I hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason: 0 I, as owner of the prnperty or my employees with wages as their sole compensation, will do the wo,k 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 ol prope,ty who builds or improves thereon, .ind who does such work himself or through his own employees, provided that such imprnvements a,e not intended or offered for sala. 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 1he property, am exclusively contracting with licensed conllactors 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 ihereon, and contracts for such projects with contrac10,(sJ licensed pursuant to the Contractor's License Law!. D I am exempt under Section ______ Business and Professions Code for this reason: 1. I pernonelly plan to provide the major labor and materials for construction of the proposed property imprnvement. 0 YES ONO 2. I lhave I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following P.Brson (firml to provide the proposed construction (include name I address I 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 number): _______________________________________________ _ 6. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ ~ COMPLETE THIS SECTiON FOR lVON-RESIDENn.,U. BUILDiN<HERMltS ONLY. Is the applicant or future building occupant required to submh a business plan, acutely hazardous materials rBgistration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley· Tanner Hazardous Substance Account Act? 0 YES O NO 1s the applicant or future building occupant required to obtain a permit from the air pollution control distfict or air quality management district I D YES D NO Is the facility to be constructed within 1,000 feet of the outer bounda,y of a school site7 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. 8, CONSTRUCTIONtEl',IDINGAGENCY ' I hereby affirm that there is a construction lending agency for the perfoImance of the wo,k for which this permit is issued (Sec. 30971i) Civil Codel. LENDER'S NAME _______________ _ 9, ' APPLICANT CERTIFICATION• I certify that I have read the application and state that the above Information is correct and that the info,mation on the plans is accurate. ) agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of !he 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 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 limllation and become null and void if the building or work aulhorized by such permit Is not commenced wilhin 180 days from the dale of such permit or i! the building or work aulhorlled by such P}lr,jllil.,!S ~s~ended or abandoned al any Ume afler the work is commenced for a period of 180 days (Se~7 06.4.4 Uniform Building Code). .;)t'..t' ('; l 2000 APPLICANT'S SIGNATURE li-r,.:.; • • DATE ,: ··>,,,,,.,._. WHITE: File --v-p.tOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/11/2000 Permit# CB003624 Title: TUFTS RES NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2633 SUTTER ST Suite: lot 0 location: APPLICANT A&J FOSTER, INC. Owner: TUFTS JOHN C&LORRAINE J Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604348918 Inspector: Requested By: JOHN Entered By: CHRISTINE 25 Water HeaterNents flf_~-~~-~-- Associated PCRs Inspection History Date Description Act lnsp Comments "