HomeMy WebLinkAbout2353 TERRAZA SALVO; ; CB011700; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05/09/2001 Plumbing Permit Permit No:CB011700
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2353 TERRAZA SALVO CBAD
PLUM Status: ISSUED
05/09/2001
CB
05/09/2001
05/09/2001
Parcel No: 2155713800 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: NEWBERG RES/ NEW WATER HEATER Inspect Area:
Applicant:
A&J FOSTER, INC.
STE B
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
Additional Fees
TOTAL PERMIT FEES
Inspector:
Owner:
NEWBERG/ERSKIAN LIVING TRUST 10-03-00
2353 TERRAZA SAL VO
CARLSBAD CA 92009
8903 05/09/01 0002 01
CGP
Total Payments To Date: $0.00 Balance Due: $27.00
Date:
0
0
0
0
1
0
0
Clearance:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
NOTICE: Please take NOTICE that approval of your project includes the 'Im ition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a N OT!CE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired.
02
27 ~oo
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK Nc(£>oll 700
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ________ _
Plan Ck. Deposit,,.-------
Validated By .._( ..... {R""' _____ _
Address (include Bldg/Suite#)
<Legal Descr> <Lot>
Date G'Cj---Q I
.:.::·:~j;irirl1!l!!:fii'.P <Suffe>
Business Name (at this address)
<Subdivision Name/No> <Unit> <Phase> <Total>
Legal Description
<Assessor No>
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
<Existing Use> <Proposed Use>
Assessor's Parcel # P r□posed Use
WATER HEATER REPLACEMENT
Existing Use
<SQ FT> <Stories> <Bedrooms> <Bathroom>
Description of Work SQ. FT.
2. . . :19~t'ftACT Pl;:~$!:!~'J\~~lff•rant frorn/~~e!J~ant)
<Name> <Address>
Name
4. . PROFl~l'l.1¥,0~NER
NEwBERG:ifrEvE
Name
J{ ·· ; coNJMit~flh~o"'r~~~!J
Address
Address
# of Stories # of Bedrooms # of Bath rooms
<Phone> <Fax>
City State/Zip Telephone# Fax #
~•-~ijiiii'ror'~~i~,'s;~t1¥µ\l!~A11::t}~oi6 'i~~g~30111/ H-; .
City State/Zip Telephone#
City State/Zip Telephone#
(Sec. 7031.5 Business and Professions Code: Any City or 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 statement that he 1s 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 ls 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 [$5001).
A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477
Name Address City State/Zip Telephone#
State License # ..:6::c3=-0=-1..:.;2=0-=-------
< Name>
License Class _c_3_6 _______ _
<Address>
City Business License # 1210836
<City> ST <Zio> <Phone>
Designer Name Address City State/Zip Telephone
State Licence# _________ _
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 the work for which this permit is issued. 121 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 Comp Ins. Policy No. 00506395 Expiration Date 05/01/2002
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand doll-_}.M.~.:~1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ....,.....,.,., _____________________ DATE_0_5~/0_3_/2_0_0..,.1 ____ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reasoff
D 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 threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law). D tam exempt under Section ______ Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement
I (have / have not) signed an applicant for a building permit for the proposed work. □ YES ONO 1.
2.
3. I ha)II) contracted with the following person (firm) to orqvlde the_proposed construction (include name l !;l(ldr~ss_j phone number/ contractors license riumber):
<Name> <Aadress> <WorK Phone> <State License>
4. I plan to provide portions of the 'l'/Qrk, but I have hired the following person tp ca.ordinate, supervise and provide the m/ljqr work {include name I address I ph_one
number/ contractors license number):<Name> <Aaaress> <work Phone> <State License>
5. I will P[QVide some of the work, but I have contracted (bir~d) the following person to provide the work indicated {include name I address I P.h.o.ne riumber I type
of work) <Name> <Aadress> <Work Phone> <WorK I ype>
PROPERTY OWNER SIGNATURE
!l/,9~f'LETE;'l'.~!~iil~l::-tf~~-'~OR·Nl,l;O>NNi..,tiimiJ~i~l?i'~1'.~'l'ti.lAL~':--;e~u;.;,L~E:ll~~G~ .. lfffli;;;i,m~Mmi1mi~!:QiQ~~µ:;yJ~-'-;--.--;--.-~-~i:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management 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? □YES □No
Is the facility to be constructed within 1,000 feet of the outer boundary of school site? DYES 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 AND THE AIR POLLUTION CONTROL DISTRICT.
a. ,s:q~~t~\J,i;:f,pN L,~N.1?,lti~;~ffi~,~er:m1m: : ,
I hereby affirm that !here is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code).
~~N~~;:~~;;T_C_e_R_Jl_.f_j~---,~-.. PN-•. ,-J-m-m1_t_t-~i-:;;_:_· -----LENDER'S ADDRESS:t:~-::11-:1m-1ll!_!_li!f-jlJ:1fmiiifJ:1if ________________ _
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 lo building construction. I hereby authorize representatives of the City 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,
JUDGEMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY 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 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 such permit or ifthe building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 1 BO days (Section 106.4.4 Uniform Building Code)
APPLICANT'S SIGNATURE ~~------------------DATE _0_5_/_0_3_/2_0_0_1 ______ _
City of Carlsbad Bldg Inspection Request
For: 06/01/2001
Permit# CB011700
Title: NEWBERG RES/ NEW WATER HEATER
Description:
Type:PLUM Sub Type:
Job Address: 2353 TERRAZA SALVO
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: NEWBERG/ERSKIAN LIVING TRUST 10-03-00
Remarks: fi ~1"t~-c.,c,"" 9~0 -\t>',6~
Total Time:
Description Act Comments
Inspector Assignment: ~
Phone:
Inspector: AL
Requested By: HOMEOWNER
Entered By: CHRISTINE
CD
25
Water HeaterNents -ff. ___________________ _
Assodated PCRs =-t
Inspection History
Date Description Act lnsp Comments