HomeMy WebLinkAbout2104 LINDA LN; ; CB021167; Permit------------------
City of-Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-17-2002 Plumbing Permit Permit No: CB021167
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2104 LINDA LN CBAD
PLUM
2051604300 Lot#: 0
Construction Type: NEW
COOPER· REPLACE WATER HEATER
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/17/2002
JM
04/17/2002
04/17/2002
Applicant:
A& J FOSTER
Owner:
COOPER DENNY L&ANNA M 5311 04/18/02 0002 01
2819 CENTRAL AVE
SPRING VALLEY
S19 697-4151
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
2104 LINDA LN
CARLSBAD CA 92008
Total Payments To Date: $0.00
0
0
0
0
1
0
0
Balance Due:
$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
CGP
$27.00
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Inspector:
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. NOR DOES IT APPLY to any
27,00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. ____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date. ______________ _
1. PROJECT INFORMATION
2104 LINDA LANE
Address {include Bldg/Suite #) Business Narne lat this address)
Legal Description lot No. sPI1fdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
205-160-43-00 Existing Use Proposed Use
Description of Work
Water Heater Replacement SQ. FT. llof Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON lit different from appllCAn,,tlQ 4 COOPER, DENNY LL LINDA LANE Carlsbad CA. 92008 760-720-9772
Name Address City State/Zip Telephone It Fax#
3, APPLICANT CM:;ontractor D Agent for Contractor D Owner D Agent for Oicmf!(. , Arlen Foster/Carol Foster 13706-l;l Hwy.873us. El caJon, Ca. g2021 (619)390-4477
Name
4, PROPERTY OWNER
COOPER, DENNY
Name
5. CONTRACTOR ~ COMPANY NAME
Address
2104 LINDA LANE
Address
City
Carlsbad
City
State/Zip Telephone#
Ca. 92008 760-720-9772
State!Zip Telephone If
(Sec. 7031.5 Business and Professions Code: Any City or County which re11uires 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 Urnt 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 exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant t.o a civil penalty of not more than five hundred dollars [,!5001).
A & ,J Foster Plumbing 13706-B Hwy.8 Bus. El CaJon CA. 92021 (619)390-4417
Name Address City State{Zip 12108~1!,9phone #
State License# 630120 License Class C-36 City Business License# ________ _
Designer Name
State License # ___ _cN,.,/_,A"------
Address City State/Zip Telephone
6. WORKERS; COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury on<i of thi:, following declarations:
[]• 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.
[]x 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
is~ued. My worker's compensation insurance carrier and policy number are: _
1
_
02 Insurance Company State Comp. Ins. Policy No. 467-01 0000713 Expiration Date 04 0
!THIS 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 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
thousand dollars ($100,00 , n a Is unlawful, and shall subject an employer to crlmlnal penalties nnd civil fines up to one hundred
• da1i:nages BS provided for in Section 3~:6T;'ll?Wr Id~ ln'r□sb2d attorney's fees. SIGNATURE
7. owNEn.iiUILDER DEClARATloN
I hereby affirm that I am exempt from the Contrac r's License Law for the following reason:
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).
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 contractorfs) 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 matflrials for construction of the proposed property improvement. 0 YES ONO
2. ! (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person {firm) to provide the proposed construction (include name / address / phone number/ contractors license number):
4. 1 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 I contractors license number): _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------·------
COMPLETE THIS SEbTiON !=OR NON-RESIDENTIAL 8UILDH1JQ PERMiTS ONLY ·
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 D NO
Is the applicant or future building occupant required to ohtain a permit from the air pollution control district or air quality management district7 D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. 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. 3097Hl Civil Code).
LENDER'S NAME ______ ~_NE ______ _
9. APPLICANT-CERTiFICAtiON
LENDER'S ADDRESS. __________________________ _
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. r 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 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 ii the h11i!ding or work
au!horized by such permit is not commenced within 180 days from the dale s permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for 'j da action .4.4 ifortT) Building Code). A p R 1 8 {LJ\....,i
APPLICANT'S SIGNATURE DATE ----------------
/\pr!icant PINK: Fin11nce