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Home My WebLink About1715 VALLEY PL; ; CB002126; PermitCity of Carlsbad 06-06-2000 Plumbing Permit Permit No:CB002126 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1715 VALLEY PL CBAD PLUM Status: Parcel No: 2050803400 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: REPLACE WATER HEATER Applicant: A & J FOSTER 2819 CENTRAL AVE SPRING VALLEY 619 697-4151 Plan Approved: Issued: Inspect Area: Owner: DUBONA MARLEEN 1715 VALLEY PL CARLSBAD CA 92008 ISSUED 06/06/2000 JM 06/06/2000 06/06/2000 Total Fees: $27.00 Total Payments To Date: 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 TOTAL PERMIT FEES lnspectoW--.t_, FINAL APPROVAL Date: ~-IOJ-00 Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 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 wijh 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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE Ofil ~ PLAN CHECK NO . ~ t 2-b CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ 1. PROJECT INFORMATION 1715 Valley Place Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPLACEMENT 2. CONTACT PERSON (It different from applicantL Dubona, Marleen 1715 Valley Place CARLSBAD CA . 92008 760-720-4760 Name Address City State/Zip Telephone# Fax# 3. APPLICANT Kl Contractor O Agent for Contractor O Owner O Agent for Owner ARLEN FOSTER/KRISTY FOSTER 13706-B HWY 8 BUS. EL CAJON, CA. 92021 (619)390-4477 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Dubona, Marleen 1715 Valley Place CARLSBAD CA. 92008 760-720-4760 Name Address City State/Zip Telephone# 5. CONTRACTOR · COMPANY NAME (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 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 to a civil penalty of not more than five hundred dollars ($5001). A & ,I FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 ( 619) 390-4477 Name Address State License # __ 6_3_0_1_2_0 ____ _ License Class __ C_-_3_6 _____ _ City State/Zip Telephone # City Business License# 1200354 Designer Name Address City State/Zip Telephone State License# __ _,._N,./..,A""'------ 6. WORKERS' COMPENSATION 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. Ga 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 __ F"-"-'ARMERcc..c.-=......cs_I_N....,c.S-eURAN __ -'C_E ______ _ Policy No._N_2_0_0_7_-_5_6_-_5_1 __ _ Expiration Oate. __ C_O_NT __ I_NU_o_us (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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. WARNING: Failure to secure workers· compensation coverage is thousand dollars ($100,000), in a awful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred n, da ages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____ ~~~.c,..,s,i:;,u-,::...L-J:....:..c::.~-,,.,s..s.,c~=-------- 7. DATE ILJM 6 2000 v h I hereby affirm that I am exempt from the Contractor's ense 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 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 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O NO 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): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENnAL 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 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 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. 3097(i) Civil Code). LENDER'S NAME _____ NJ_NE _______ _ LENDER'S ADORESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the informat ion 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 Gitt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 f this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced • days )~e date ch p mit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced f~ dr't~ecti f&r Building Code). APPLICANT'S SIGNATURE------------------DATE JUN 6 2000 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 6/16/2000 Permit# CB002126 Title: REPLACE WATER HEATER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1715 VALLEY PL Lot APPLICANT A & J FOSTER Owner: LINTON BRIAN Remarks: OR 619/524-7135 Total Time: CD Description 25 Water HeaterNents Associated PCRs Inspection History 0 Act Comments Date Description Act lnsp Comments . r:--L Inspector Assignment: V~-- Phone: 7607204760 Inspector: (J'7__ Requested By: MARLEEN DUBONA Entered By: CHRISTINE