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Home My WebLink About2640 VANCOUVER ST; ; CB021479; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~5-16-2002 Plumbing Permit Permit No: CB021479 Job Address: Permit Type: Parcel No: Reference #: ?roject Title: Building Inspection Request Line (760) 602-2725 2640 VANCOUVER ST CBAD PLUM 1674420500 Lot#: 0 Construction Type: NEW FELLER RESIDENCE WATER HEATER REPLACEMENT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/16/2002 MOP 05/16/2002 05/16/2002 \pplicant: \&J FOSTER, INC. TE B FELLER DAVID L&ROSALIE E 7281 05/16/02 0002 01 CGP 3706 HWY 8 BUS :L CAJON CA 92021 i19-390-4477 Total Fees: $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 lnspecto . 2640 VANCOUVER ST CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 1 0 0 FINAl,tAPPROVAL Date: (/ '3 .,,. 0 Z.. Balance Due: $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 $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." 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 i 02 27-00 ' 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. PROJECT INFORMATION 2640 VANCOWER STREEI' Address (include Bldg/Suite Ill Business Name (at this address) Legal Description Lot No1 Subdivision Name/Number Unit No. Phase No. Total II of units SFR Assessor's Parcel # Existing Use Proposed Use 167-442-05-00 Description of Work SO. Fr. #of Stories II of Bedrooms # of Bathrooms Wate r Heater Replacement 2. CONTACT PERSON Ill dllleront from OPJ?l!J:~'lll NCOWER FELLER, DAVID Lb4U VA ST Name Address 3. APPLICANT X[J Contractor O Agent for Contractor O Own,u Arle n Foster/Carol Foster 1 3706-B Rwy.~ Name Address 4. PROPERTY OWNER Carls bad City 0 Agentl.Ar O~ner. Bus. .KL L:aJon, City FELLER. DAVID 2640 VANCOWER STREEI' Carlsbad Address City 6. CONTRACTOR -COMPANY NAME CA. 92008 760-729-0894 State/Zip Telephone II rax 11 Ca. 92021 (61~)3 90-4477 State/Zip Telephone II Ca. 92008 760-729-0894 State/Zip Telephone II (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, niter, 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 applica~t to a civil penalty of not more than fiv!l_hll(l!l.rJl.d 'Ji'!~$5001). A &c ,J Easter pJ 11mhing 13706-B Hwy. 8 Bus . El CaJon CA. 92021 ( 6b b~u- Name Address City State/1~l08 36 Telephone II State License II 630120 License Class C-36 City Business License # -------- Designer Name Address City State/Zip Telephone State License II --~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, lor the performance /' of the work for which this permit is issued. ~ 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 ! rssued. My worker's compensation insurance carrier and policy number are: 000713 04-01-02 -' lnsurence Company State Comp. Ins. Policy No. 4 67-0l O Expiration Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 sons to become subject to tho Workers' Compensation Laws of California. orkora' compensntlon cov go Is unlnwful, and sholl subject 011 employer to criminal penalties and civil lines up to one hundred npon tion. damages u provided for In Section 3706 of the Labor code, Interest and attorney'• fees. SIGNATURE_£4il~~~~~~~-z~'r..":-_L._ ______ DATE MAY 16 2002 7. I hereby affirm that I am exempt from the Co ctor'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 (Soc. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, and who doos 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 iR 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 end 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 notl signed an application for a building permit for the proposed work. 3. I have contracted w ith 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 tho work indicated (include name/ address/ phone n11mber / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, ocutely hauudous materlols registration form or risk management and prevention program under Sections 25605. 25533 or 25534 of the Prosley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant requirod 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 feot of the outer boundary ol a school sito7 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 HIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND Tl-IE 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(11 Civil Code). LENDER'S NAME _____ OO_NE _______ _ LENDER'S ADDRESS _________________________ _ 9. APPLICANT CERTIFICATION I certify that I have reed 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 ond demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Olliclal under the provisions or this Code shall expire by limilallon and become null and void if the building or work authorized by such permil is nol commenc • hin 180 days lrom the I such permit or II lhe building or work authorized by such permit Is suspended or abandoned at any time after lhe work Is common od I 1~ys (Sec .4 U_riilorm Building Code). APPLICANT'S SIGNATURE _ _L~~~~~:.__~~'._j ,~ -~~_.!~~~~~~=---------DATE MA V 1 ~ 2002 YELLOW: Applir~.,, PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/30/2002 Permit# CB021479 Title: FELLER RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Sub Type: Job Address: 2640 VANCOUVER ST Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: FELLER DAVID L&ROSALIE E Remarks: Total Time: CD Description 25 Water HeaterNents ?-Comments ----------- Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607290894 lnspecto&-__ Requested By: NA Entered By: KAREN