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HomeMy WebLinkAbout2727 SOUTHAMPTON RD; ; CB013470; Permit,.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-08-2001 Plumbing Permit Permit No:CB013470 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB Building Inspection Request Line (760) 602-2725 2727 SOUTHAMPTON RD CBAD PLUM 2081540300 Lot #: 0 Construction Type: NEW MCCREESH -REPLACE WATER HEATE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 MARTINEZ JOANNE -;A"l,.\ ~SOUTHAMPTON RD CARLSBAD CA 92008 ISSUED 11/08/2001 JM 11/08/2001 11/08/2001 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $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: ~ 0 0 0 0 1 0 0 FINAL APPROVAL Date: / J....ht /4 / I I $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 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.n You have 90 days from the date this permtt 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 wtth 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. 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-__________ _ -1, PR~~FORMATION Date. ______________ _ "'9,:f2J_ Southampton Rd Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. S~ubdivision Name/Number Unit No. Phase No, Total # of units Assessor's Parcel # 208-154-06-00 Existing Use Proposed Use Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPLACEMENT CARLSBAD CA. 92008 760-434-9660 Name Address City State/Zip Telephone# Fax# APPLICANT G4_ Ccmtractqr O Ag~nt-for Contractor O Owner O Ag1;1nt for.Owner ARLEN FOSTER/CAROL FOSTER 13706-B HWY 8 BUS. EL CAJON, CA. 92021 (6J.9)390-4477 Name Address City State/Zip Telephone# 4. rROPERTY OWNER McCreesh Carol Name ' 2721 Southampton Rd CARLSBAD Address City CA. 92008 760-434-9660 State/Zip Telephone# 6. CONTRACTOR i GOMPANY NAME · tSec. 7031.6 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 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). A & J FOS'l'ER I1LIJMBING 13706 B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4477 Name Address City State/Zip Telephone# License Class C-36 City Business License# 1210836 State License # 630120 Designer Name Address City State/Zip Telephone State License # ·--~~~I,~(,,A._ ___ _ .P, 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. D., I have and will maintain ~ork~rs' compens~tion, as r~quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is is&ed. My worker's compensation insurance earner and policy number are: Insurance Company state Comp Ins Policy No. 00506395 Expiration Date 04-01-02 {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 dollars 1$100, O}, in addition t the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATUAE, __ _j'.:.J.~~!:'...__.,.;i~~[Z.,.'-,1_ ____________ DATE // -?-0/ 7. OWN~R,BUILD!:R DECLARATION I hereby affirm that I am exempt from the Contractor'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 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 sate. lf, 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 imprnves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Uc{lnse Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to prnvide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) sign{jd 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. 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 / phone number/ contractors license nurnberl,,_ ------------------------------------------------ 5. I will provide some of tha 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 ______________________ _ DATE _________ _ COMPL~TE •THIS SECTIOlll .fOff NON-RESIDENTIAL ~UILDING 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 25634 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO Is the applicant or futura building occupant required to obtain a permit from the ail pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sne7 0 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8. CQN~T~UCTION LENDIN<, AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDEA"S NAME !'ONE 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 building construction. I hereby authorize representatives of the Citt 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 6'0N deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the pr isions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comm · in 182 from I e of uch permit or if the building or work authorized by such permit is suspended or abandoned atanytimeal1ertheworkiscom edf eri 7]0•days niformBuildingCode). DATE NOV 8 2000 APPLICANT'S ·.JIGNATURE -~~~':".~~::~~'-"-'".;Z~:'.'::=:__ ________ _ YELLOW: Applicant PINK: Finance " City of Carlsbad Bldg Inspection Request For: 12/20/2001 Permit# CB013470 Title: MCCREESH -REPLACE WATER HEATE Description: Type:PLUM Sub Type: Job Address: 2721 SOUTHAMPTON RD Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: MCCREESH FAMILY TRUST 10-05-95 Remarks: Inspector Assignment: /{ c6 Phone: 7604349660 Inspector: /1 {f3 Total Time: CD 25 Description Act Requested By: HILDA Entered By: CHRISTINE Comments Water HeaterNents ,,, /..,. I Ill tit-_________ Associated PCRs Inspection History Date Description Act lnsp Comments