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Home My WebLink About2801 VIA CASCADA; ; CB011351; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/11/2001 Plumbing Permit Permit No:CB011351 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2801 VIA CASCADA CBAD PLUM Status: ISSUED 04/10/2001 CB 04/11/2001 04/11/2001 Parcel No: 1673001600 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MUCHANSKI RES/NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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 Inspector: Owner: SCHAEFER STEPHEN R 4873 TARRAGON DR OCEANSIDE CA 92057 Total Payments To Date: $0.00 0 0 0 0 1 0 0 Pt-. •; f 11 I S. -..,1,.1.~ L. : l DAlE \b·S·0 FINAL APPROVAL 6333 04/11/01 0002 01 02 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 CGP 27-00 $27.00 ~E RMiT j 1 I •~f'ORDANCE WITH u B C $27.00 1 1 I 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 permrt 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 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~ iven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN C HECK NoCeo I I ?3 / CITY OF CARLSBAD BUILDING DEPARTMENT 1635 F araday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ Plan Ck. Deposit ______ _ 1. PROJECT INFORMATION Validated By ( ez Date 1/11 (£) I 2801 VIA CASCAD A Carlsoad CA 92008 <Suite> <N ame> Business Name (at this address) Address (include Bldg/Suite #) <Legal Descr> <Lot> <Subdivision Na m e/No> <Unit> <Phase> Legal Description <Assessor No> Assessor's Parcel # water heater replacement Description of Work Lot No. Subdivision Name/Number <E xisting Use> Existing Use <SQ FT> SQ. FT. <Stories> # of Stories 2. CONTACT PERSON (If different from..;.a.:;.PP,.l..,lc .. a_nt"') ___ _ Unit No. Phase No. <Proposed U se> Proposed Use <Bedrooms> # ot Bedrooms <T otal> Total # of units <Bathroom> # of Bathrooms <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City State/Zip 3. APPLICANT NetClerk Inc C Contractor li2'.) Agent for Contractor C Owner C Agent tor Owner 720 Dubaque Ave ...... ---South San Fr, C/:l:. 9~080 Name Address City State/Zip 4. PROPERTY OWNER muc han ski,gene 2801 via cascada carlsbad ca 92008 Name Address City State/Zip 5. CONTRACTOR • COMPANY NAME Telephone# Fax # 8883301777 Telephone# 760-434-8508 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 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 [$500]). A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6 193904477 Name Address City State/Zip Telephone# State License # _6_3_0_12~0 ____ _ <N ame> License Class _c:...3:...6-=---------- <Address> City Business License # 121 08 36 <City> ST <Zip> <Phone> Designer Name Address CI ty State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. liZI 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 Mid-Century Ins. Policy No. A2OO75651 Expiration Date 05/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand do11.~-~A1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE _____________________ DATE..:O::..4.:..:./.:.O-=-3/:..:2:..:O:..:O'-"1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). D 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES O NO I (have/ have not) signed an applicant tor a building permit for the proposed work. I hayii contracted with the following person (firm) to Qrqvide the proposed construction (include name l <1\ldr"lsV phone number/ contractors license number): <Name> <Aaaress> <WorK Phone> <State License> 4. I plan to provide portions of the 'l'fQrk, but I have hired the following person Ip co.ordinate, supervise and provide the m,ajqr work (include name / address / ph_one number t contractors license number):<N a m e> <Aaaress> <Work Pho n e> <State License> 5. I will PfQVide some of the work, but I have contracted (l]irfi1d) the following person to provide the work indicated (include name / address/ Rti.o.ne ru,mber / type ot work): <Name> <Aadress> <Work Phone> <WorK I ype> PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR N·-=o-=-N=-=-R:-:E:-:S::ID::::E:::N::::T==IA:::L::;B:::U:::IL:-:D:::IN:::G;::;:P:;ER;:M::l::T-::-S-;O==N==L v::;::=-=::;;:::;;:::;;:~ --=.:.::.:=-;::;;:=---=::;;:::;;:= 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 D NO Is the appiicant or future building occupant required to obtain a permit from the air poilution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of 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. 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. 3087(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ----------====-:::-::=:----=---- 9. APPLICANTCERTIFICATION 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 City of Carlsbad to enter upon the above mentioned property tor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 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 of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE ...cO:....4"'-/.;;.O.;;.3'-'/2;;,.,;O:....;O:....1 ______ _