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Home My WebLink About2721 VANCOUVER ST; ; CB020918; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-27-2002 Plumbing Permit Permit No: CB020918 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2721 VANCOUVER ST CBAD PLUM Status: ISSUED 03/27/2002 MDP 03/27/2002 03/27/2002 Parcel No: 1674320200 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: REWOLDT RESIDENCE Inspect Area: WATER HEATER REPLACEMENT Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS ;.:L CAJON CA 92021 619-390-44 77 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 Inspector: Owner: REWOLDT RONALD&KAREN 2721 VANCOUVER ST CARLSBAD CA 92008 3979 03; 28/02 )002 01 CGF· Total Payments To Date: $0.00 Balance Due: $27.00 0 0 0 0 1 0 0 $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 ;~l~~P'RED PERN1iT ~ -'i-/RED IN ACCORDANCE wrrn U.B.C. '-.4 ~IQk. SICNATIJRE 0-;4,Q 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 · I . • I .. 02 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. PRoji:cT INFORMATION 2721 VANCOWER STREEI' Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. SFR Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # 2 OO 167-432-0 - Existing Use Proposed Use Description of Work Water Heater Replacement SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. ~~S~~erent from a~~t) VANCOUVER ST Carlsbad Name Address 3. APPLICANT XO Contraq_tor D Agent forIC!).r}t.r,11<;1orB Arlen Foster7Caro.l Foster J/uo- Name Address City □ Owrw □ AgenUqr Qi.yne.r ffwy . lj Blffi • t;.L ca Jon , City 4. PROPERTY OWNER REWOLIY.I', KAREN 2721 VANCOUVER ST Carlsbad Name Address City 5. CONTRACTOR -COMPANY NAME CA . 92008 760-434-6261 State/Zip Telephone # Fax# Ca. 92021 ( 619.) 390-44 77 State/Zip Telephone II Ca . 92008 760-434-6261 State/Zip Telephone I/ (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 applic~nt to a civil penalty of J:!CJ.IJ...TI.Qtp t11,9g!i~)l1.4rw1,9d ~~o/-'j 1$5001). A & J Foster Plumbing 13706-B Hwy.8 Bus. El CaJOn CA. ~LUL.l l .l~ j~U- Name State License # _6_3_0_l _2_0 _____ _ Address _36 City Statei.f_i~l0836 Telephone II License Class C City Business License II -------- Designer Name State License # __ N-'/_A ______ _ Address City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the 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 i· □ J' 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 tho performance of tho work for which this permit is t issued. My worker's compensation insurance carrier and policy number are: 6 -Ol 0000 7 l3 04-01-02 • Insurance Company State Comp. Ins· Policy No4 7 Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t o the Workers' Compensation Laws of California. WARNING: Failure to securo workers' compensation coverage is unlnwful. nnd shall subject on employer to criminal penalties ond civil lines up to one hundred thousond dollars($ 0.0001. in additl n to the cost of compensation, damoges os provided for In Section 3706 of the labor code, Interest ond attorney·s lees. SIGNATURE _ __J~.L,!UZ::t;..,-.;p,c;t::!~...&..a.L-_____________ DATE 3-2,./i?-O 2... 7. OWNER-BUILDER 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 sale. II, however, tho 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(sl 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 ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contractsd 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 (includo 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 ________________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUiLOING 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 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 tho 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 on IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTibN 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 _____ OO_NE _______ _ 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 authoriie 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 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 permil issued by the building Official under !he provisions of this Code shall expire by limitalion and become null and void if the building or work authorized by such permil is nol commenced within 180 days from !he date of such permit or if the building or work aulhorized by such permit is suspended or abandoned al any time after (he work is comme~ted for a p • of 180 days (Seclion 106. Uniform Building Code). DATE Mf\h: 2 8 2002 PINK: Finance