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Home My WebLink About2697 VANCOUVER ST; ; CB041429; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-29-2004 Plumbing Permit Permit No: CB041429 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2697 VANCOUVER ST CBAD PLUM Status: Parcel No: 1674413100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FOSTER RES NEW H20 HEATER Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 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: FOSTER MICHAEL L&COLLEEN M 2697 VANCOUVER ST CARLSBAD CA 92008 ISSUED 04/29/2004 SB 04/29/2004 04/29/2004 $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: $27.00 1.039 04, ?9 '04 -)002 )_ COi • Inspector: Date: Clearance: at 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 f I x i n f i i I Tl i ii r hi r f Ii i i I PERMIT APPLICATION FOR OFFICE USE ON~Y Jv(Z~ PLAN CHECK NO. D I ---------- CiTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ 1. PROJECT INFORMATION . ~ ~ ~622 V-4~ v. Address (indde Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms i. CONTACT PEIJSON (If dlfferaot from eppllctntl "\ J Name fi [3. APPLICANT O Contra.qtor .,,)o.....) D '--' ,,._).,J Address City ti,Agent for Contragior O Own.er O Agent for Owner ~l::b~ {,..J& E: LSt~ 04 State/Zip Telephone# Fax# Name d7ess City State/Zip Telephone# 7z_ / Cl't?-J L4, ~~~=-1:~L.:S:ll.-~~.....L-~~,,g_,J..Lc:!_~::.i..L_~~~----1...J~l,-(.,.)----:c-1-~~~Y \ ~~me CONTRACTOR -COMPANY NAME &3/ -" ~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 l$500]). c.~. q 0 Name State License # _ __,c ... 0 _\.,,_-'-12-c~c::;:,....,_...,'z,._~_,_- Address City State/Zip Telephone # City Business License # /Z / 0 4 OZ.... Designer Name Address City State/Zip Telephone ate License # WORKERS' COMPENSATION • orkers' 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 of~e work tor which this permit is issued . .,,..cl_ 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 c~mpensation insurance carrier and policy number are: S lnsuranceCompany~A::7:{;:: Fu..-..JG Policy No. {2£/6 G{/P,.J' Expiration Date C ~l'~cc/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$1001 OR LESS) ~ O hat 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' omp sati n Laws of California. WARNING: Failure to aecure w rker comp sation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred x;ousand dollars ($100,000), i e cost of compensation, damages as provided for in Section 3706 of the a or code, interest and ttorney's fees. GNATURE ___ -,,c---,<--,F-,t-~'----....::==-~,---------------DATE_+---f::::,.--6,--'""-+- 7. OWNER-BUil R "cE ---\ I he;eby affirm tha 0 I, as owner f e 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 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): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ tcoMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL y 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 cbnstructed within 1,000 feet of the outer boundary of a school site 7 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. COf,:IST!!UCTIQ_N l _ENDJNG 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 ______________ _ 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 t building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al O AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES W ICH MAY. NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for e EXPIRATION: Every permit issued by th authorized by such permit Is not commen 5'0" deep and demolition or construction of structures over 3 stories in height. der the provisions of this Code shall expire by limitation and become null and void if the building or work from the date of such permit or if the building or work authorized by such permit is suspended or abandoned ys (Section 106.4.4 Uniform Building Code). '\ Ji any time after the work is c ced \y,PPLICANT'S SIGNATURE ----1-+>.---+-------------------DATE --+-0_--=Z_2_-o-r-y __ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/26/2004 Permit# CB041429 Title: FOSTER RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2697 VANCOUVER ST Suite: Lot 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: FOSTER MICHAEL L&COLLEEN M Remarks: Total Time: Inspector Assignment: ~ Phone: 7604344681 Inspector:~ Requested By: MIKE Entered By: ROBIN CD Description 25 Water Heater/Vents µ_o_m_m_e_n_t --------------- ---------~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 0 I