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Home My WebLink About2071 TRUESDELL LN; ; CB032383; Permit~¾ 0 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 '-\::08-27-2003 Plumbing Permit Permit No: CB032383 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2071 TRUESDELL LN CBAD PLUM Status: Parcel No: 1671802200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: LEVY RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 0 0 0 0 1 0 0 Owner: LEVY DAVID&ESTELLE TRS 2071 TRUESDELL LN CARLSBAD CA 92008 ISSUED 08/27/2003 SB 08/27/2003 08/27/2003 $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: Inspector: Date: Clearance: $27.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposi on" 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 ccnnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in ccnnection with this project. NOR DOES IT APPLY to any X i n f • • • hi whi • • • PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 i U l•,PRO'(ij:CT IN~ORMATI0N~ · 1i. ,.,,:.\, ,• "'1'.l(~'!l"i.1c,/!.,l!J~ 2071 Tr uesdell Ln. FOR OFFICE USE ONLY PLAN CHECK NO. _____ _ EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ Address !include Bldg/Suite #I Business Name (at this address} Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # 167-180-22-00 Description of Work Water Heater Repl acement 2. CONTACT PER~0N Ut dlfferentfrQ.m'eii'i!lic:!!J!t) Levy, David 20 /.L Name 3·_-,.,-, APP(ICANT ']CJ Oon~raotor Arl en Foster~Carol Name Address ,,.. ..... SFR Existing Use SO. FT. 4. ''•PROPERTY OWNER . levy, David 2071 Tr uesdell l n . Name Address s. CONTRACTOR·= ·c.PMPANY N/%ME #of Stories City City Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone # '::n~ ~: 760-729-7065 State/Zip Telephone # (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 Codei 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 I $500U. A & ,J Fos+er PJ nrobiog J 3706 B Hwy 8 Bus EJ Ca~on CA 9202] ( 61 9) 39D-4477 Name Address ity State/Zip Telephone # State License# 630120 License Class C-36 City Business License# 1210836 Designer Name Address City State/Zip Telephone State License# ----~"i~,.A,..,_ ____ _ !6. ,i,WOl1J{ERS' _cJ>MPE[\ISA'T!QN , \ "" Ja, ""'"' , '~ ~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 of the work for which this permit is issued. fJ 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company S+a+e Comp Ins Policy No. 467-Q] QQQQ7] 3 Expiration Date 04-01-04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$1001 OR LESS) 0 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. tlon ge I unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred damages as provided for In Section 3706 of tha\i')<>r e, Inter st and attorney's fees. SIGNATURE __ -4""!!!'.'t~~~~~~l.:.~~~~:::::::=----------..,--DATE =-~0±: /~='.::::I::=~~ lj ,. 'OWNER'.B,Ul~DER DECliARATION " ,,.. ¥1·-; • l;;;it"i:i• 't~;]1f•;•::~r"i".°•'[i;:'' · ~~.,.., £~ rl.:-1':'J:J-' ,t,': Jif,;~, 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 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 end 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 I am exempt under Section ______ Business and Professions Coda 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 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 / address / phone number/ 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}: ________________________________________________________ _ 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 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. ·a. r ,coN~TRi:JCi:ibN i.'Erfo1N<:. ~\>ENC¥ i/..,: jjl l"' :·•rt;;;_ji],jfi;;m!:!~1~11~7;1!~~,:; 'fl;,'~~• ;ff' "~~~;_ .• i. •,;~:~ ... ~'. l>,'l r1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code}. LENDER'S NAME l:)l NE 9. APl'LICANT CERTIFIC.ATI0"1 ,·· 'I 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" 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 limltatlon and become null and void if the building or work authorized by such permit is nol commenced within 180 days from the date of u ennit or If the building or work authorized by su7ch pennit Is suspended or abandoned at any time afler the work Is commenced for 80 ays ctlon 1 .4 U rm Building Code). DATE '/(/r)21/~ APPLICANT'S SIGNATURE Q_CL /_V...J PINK: Finance I ' I) . . City of Carlsbad Bldg Inspection Request ' For: 09/03/2003 . Permit# CB032383 Title: LEVY RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2071 TRUESDELL LN Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: LEVY DAVID&ESTELLE TRS Remarks: Total Time: Act Comment Inspector Assignment: Phone: 7607297065 Inspector: Requested By: DAVID Entered By: CHRISTINE CD Description 25 Water HeaterNents [£_ ______ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments