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HomeMy WebLinkAbout1731 BLACKBIRD CIR; ; CB002563; PermitCity of Carlsbad 07/ 1-3/2000 Plumbing Permit Permit No:CB002563 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 21 5601 71 00 Lot #: 0 Applied: 07/10/2000 Reference #: Plan Approved: 07/10/2000 Issued: 07/10/2000 Project Title: NESTICO RES-NEW WATER HEATER Inspect Area: 1731 BLACKBIRD CR CBAD Construction Type: NEW Entered By: RMA Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee - $27 .oo TOTAL PERMIT FEES $27.00 Inspector: CI earance : NOTICE: Please take NOTICE that approval of your project incl referred to as 'fees/exactions." You have 90 days from the date 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 fight to protest the specified fees/exactiins 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 feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. s, reservations, or other exactions hereafter collectively tion of these feeslexactions. If you protest them, you must CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 I FOR OFFICE USE ONLY PERMIT APPLICATION cip'v OF ~ARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 WECT INFORMATION 1731 Blackbird Circle /PLAN CHECK NO. ~~?'~~~? EST. VAL. Plan Ck. Deposit Validated By Date Address (include BldgiSuite #) Business Name (at this address) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SFR Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPLACEMENT 2, COWA~TPERSON M dme ?t Nestico, SamueT Name Address City Statelzip Telephone # Fax # a Contractor Agent for Contractor 0 Owne ARLEN FOSTER/KRISTY FOSTER 13706-B HWY Name Address City Statelzip Telephone # 4. PROPERTYOWNER 6. CONTRACTOR - COMPANY NAME 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 Code1 or that he is 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 [$5001). Name Address City Statelzip Telephone # State License # 630120 License Class C-36 City Business License # 1200354 Designer Name Address City Statelzip Telephone State License # N/A 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following 0 of the work for which this permit is issued. a issued. My worker's compensation insurance carrier and policy number are: Insurance Company FARMERS INSURANCE policy NO. N2007-56-51 Expiration Date Co~I~oUs (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. A & J FOSTER PLJJvFJING 13706-B HWY 8 BUS. EL WON CA. 92021 (619)390-4477 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 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 penalties and civil fines up to om hundred fdli?@ud attorney's fees. SIGNATURE 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 ON0 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: 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 (hired) the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-l?€S/DLWTW BUILDING PERMITS ONLY 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS "E LENDER'S NAME 9. APPLICANT CERTIflCATION 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 Cit) 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 CONSEOUENCE 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 bv limitation and become null and void if the buildina or work authonzed by such permit is not co at any time after the work is comm APPLICANT'S SIGNATURE DATE r if the building 0; work authorized by such permit is su rfj-@)oracandoned Building Code). JuB. a WHITE: de YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# Title: Description: CB002563 Inspector Assignment: For: 711 8/2000 NESTICO RES-NEW WATER HEATER Type: PLUM Sub Type: Job Address: 1731 BLACKBIRD CR Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: NESTICO SAMUEL L Remarks: Total CD 25 Time: Description Water HeaterNents Phone: 7606038480 Requested By: SAMUEL NESTICO Entered By: ROBIN Associated PCRs Date Description lnsuection History Act lnsp Comments