HomeMy WebLinkAbout2406 TORREJON PL; ; CB021937; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-27-2002 Plumbing Permit Permit No: CB021937
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2406 TORREJON PL CBAD
PLUM Status: ISSUED
06/27/2002
MOP
06/27/2002
06/27/2002
Parcel No: 2162400200 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference#: Plan Approved:
Issued:
Project Title: BUNYAGIDJ RESIDENCE Inspect Area:
WATER HEATER REPLACEMENT
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
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:
BUNYAGIDJ CHAIYUN&PREEDA
2406 TORREJON PL
CARLSBAD CA 92009
Total Payments To Date: $0.00 Balance Due: $27.00
0
0
0
0
1
0
0
$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
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106.4.4
DATE >1 \;wl Ok SIGNATURE ....io~.W .. • ,;;r.,,. __ _
FINAL APPROVAL
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. NOA DOES IT APPLY to any
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.Cf) o:I. I t/"1i
EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit _________ _
Validated By ___________ _
Date _____________ _
1. PROJECT INFORMATION
2406 TORREJQN PI.ACE Address (include Bldg/Suite #) Business Name (at this address)
LAgal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total # of units
SFR
Assessor's Parcel# Existing Use Proriosed UsA
--21 6 240 02 00
Description of Work so. n. #of Stories # of Bedrooms # of Bathroom,;
water Heater Replacement
2. CONTACT PERSON (If different frolil applicant)
BUNYAIDJ, CHAI 2406 TORREJON PLACE Carlsbad CA. 92009 760-436-6989
----~--"--·-Name Address State/Zip Telephone #
3. APPLICANT ~ Contractor O Agent for Contractor D Owner
Arlen Easter/Carol Foster 13706-B Hwy.8
City
0 Agent for Owner
Bus. El Cajo_n~• __ Ca. 92021 (619)390-4477
Name Addre.'ls City State/Zip Telephone#
4. PROPERTY OWNER
--P.1===1.+-~Ge-!laJia.A<>.cilc----~--2L4"'Qui6CL.:.JTOcurRu:Ru:E..,,J_O!'LPLACE car lsl:Ja,,,d.___ _ _.,.c,,.a_,_. ---'9'-'2c:;0c-=0:.c9 ___ 7_;_6.:_0-_4_3_6_-_6_9_8_9 __ r-PaMl~YJ\DIDJ,., Address City State/Zip Telephone#
6. CONTRACTOR -COMPANY NAME
{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 exemrt therefrom, and the basis for the allegerl
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a dvil penalty of not rnore than five tnmdred dollars [$500]).
_ • 13706-B Hwy 8 Bus. _-EL.Cajon . CA. 92021 (619)390-4477 ~ -Address City State/Zip Telephone #
State License# _fi3nl.2.fi__,______ License Class __ 9::-J..§ --·------City Business Lic1mse # ~~~Q-~~--------
Designer Name Address City State/Zip l elephone
State License # N/Z\ ____ _
B. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirrn 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
J' of the work for which this permit is issued .
.[J I have and will maintain workers' compens;ition, as required by Section 3 700 or the Labor Cnde, for the performance of the work for which this permit is
\ ffsued. My worker's compensation i11sura11ce carrier and policy number are: -Ol-02 Insurance Company State Camp. TD~----------·--·-Policy No._!(52=..Q! __ _Q_OOO_?_!_~-----Expiration Date __ --~~----· __ , ___ _
{THIS SECTION NEED NOT BE COMPLETED IF TUE PERMIT IS FOR ONE MUNDRED DOLLARS 1$1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify thnt in thR performance of the work for which this permit is issued, I shnl! not employ any person i11 any rnanner so as
to become subject to the Workers' Compensation Laws of California.
satlo age Is unlawful, and shnll subject on employer to criminal penalties and clvil fines up to one hundred
·on, damages os provided for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE
1. oWNER-au1tDER o.EctARATloN
DA TE !1___,. <'' •• , : ' .• ) ~Nf lUUL
I hereby affirm that I am exempt from the Con actor'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 safe
(Soc. 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-bui!dor will have the burden of proving that he did not build or improve for tho purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 704-1, Business and ProfBssions Code: lhe
Contractor's license law does not apply to an owner of property who builds or improves thereon, and contrncts for such projects with contractur(s) licensed
pursuant to the Contractor's License Law).
D 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 t1ave cuntractsd with tile following person (firm) to provide the proposed construction (include name I address / phone number/ contractors !ic:ense number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the rrn1jor work (include name I adrlress I phone
numbor / contractors license number}: __________________________ _
5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated {ind11dfl name/ address/ phone number/ type
of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
COMPLETE:t..,IS'SECTlbN FOR NDN,REstbENtiAL BUilo/NG PERMrts' ONLY,'; .. ,
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managP.rnent and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 7 D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET on IS MEETING HIE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
l hereby afflrm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENorn·s NAME NONE LENDER'S ADDRESS _______________ _
9. APPLICANT CERTIFICATION
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 bu'1lding construction. I hereby authorize representatives of the Cit~ of Carlsbad to enter upon the above rnentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UI\BILITIES,
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 demoHtion or construction of structures over 3 stories in height.
EXPIRATION: Every permi1 issued by the b • ding Official under the ov· ons of this Code shall expire by limilal/011 and become null and void if the building or work
;lllthorized by such permit is not comm a • 18 ~~om the of s h permit or If the building or work a11lhorizAd by. 11;u.ctJ. f~n~. is .~uspendsd or abandoned
nt.iny!imeafter!heworkiscomm ed ,• f~U,fJY.. UnilormBulldingCode). -~t.:c~ i_. 1; t., ,
APPLICANT'S SIGNATURE ----~------~--DATE
WHITE: File YELLOW: Applicant PINK: finance