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HomeMy WebLinkAbout1395 BUENA VISTA WAY; ; CB042034; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 b5-2;-2004 Plumbing Permit Permit No: CB042034 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1562312300 Lot #: 0 Applied: 05/25/2004 Reference #: Plan Approved: 05/25/2004 Issued: 05/25/2004 Project Title: RUlZ RES REPLACE WATER HEATER Inspect Area: 1395 BUENA VISTA WY CBAD Construction Type: NEW Entered By: FM Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: RUlZ FAMILY 2002 TRUST 01-02-02 1395 BUENA VISTA WAY 3033 05/26/04 0002 01 02 CARLSBAD CA 92008 CGP 27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalllRepair Water Line Water Heater andlor Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $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 Inspector: w- 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 feeslexactions. 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 infomation 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 subsequen! legal action to attack, review, set aside, void, or annul their imposition. FOR OFFICE USE ONLY c PERMIT APPLICATUQN CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units /,56 -23/ -23 - 00 Proposed Use DescriptioN of Work Sa. FT. #of Stories # of Bedrooms # of Bathrooms 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, cornmending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged Name city License Class Designer Name Address City StateKip Telephone 0 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 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 e work for which this permit IS issued. Insurance Company Policy No. 1 7 32376-w Expiration Date, -1 {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100j OR LESS) 0 to become subject to the Workers' Compensation Laws of California. 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 s up to one hundred , and shall subject an employer to ges as provided for in Section 3706 0 1, 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). 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have Contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number). Business and Professions Code for this reason: ON0 4. number I contractors license number): 5. of work): 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 I address I phone I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGNATURE DATE 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? 0 YES 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 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 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, 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. EXPlRATlON 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 commence at any time after the work is commenced fo APPLICANT'S SIGNATURE building or work authorized by such peyit is suspended or abandoned DATE .!5/2@/0$ -Lf City of Carlsbad Bldg For: 06/03/2004 Permit# CB042034 Title: RUlZ RES REPLACE WATER HEATER Description: Type: PLUM Sub Type: Job Address: 1395 BUENA VISTA WY Suite: Lot 0 Locat ion : APPLICANT A&J FOSTER, INC. Owner: RUE FAMILY 2002 TRUST 01-02-02 Remarks: Total Time: Inspection Request Inspector Assignment: JM Phone: 7604977878 Inspector: Jw Requested By: N/A Entered By: ROBIN CD Description Act Comment XI" 35 Fixtures 25- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments