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Home My WebLink About2695 WATERBURY WAY; ; CB020208; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-f'P-2002 Plumbing Permit Permit No:CB020208 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2695 WATERBURY WY CBAD PLUM Status: ISSUED 01 /17/2002 JM 01 /17/2002 01 /17/2002 Parcel No: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GRUNER -REPLACE WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 Inspector: Owner: Total Payments To Date: 0 0 0 0 1 0 0 $0.00 9080 01/17/02 0002 01 02 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 CGP 27 -00 $27.00 ..:)'PIRED PER 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 Car1sbad 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. PERMIT ~PPLICATION cI•ry OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION 2695 Waterbury Way ' FOR OFFICE USE ONLY PL.A!N CHECK No.CB61,.✓ ~ EST. VAL. __________ _ Plan Ck. Deposi.,;.t~..,...-------- Validat ed By__,_LL~...,__,_ _ _,_ __ _ Date ________ H -l-+H4-lh-'--- Address (include Bldg/Suite #) Business Name fat this ~ddross) Legal Description Lot No. SFR Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel # 167-441-18-00 Existing Use Proposed Use Description of Work SO. FT. I/of Stories Wate r Heater Replacement II of Bedrooms II of Bathrooms .. . . 2. Wfli~~Rffr~Jfbront fronV7i~~;o Wat~tbury W~y ". ~~i'~bad • · • CA. ·92009 ' ·760-434-1151 Name Address City 3. ~• APPLICANT .xo/(.;,orrtratitdfi ~□"Agent for fW111ll.C!6r• n Own,e.r "'.' IT AgenUqr 0,»-ner ·n State/Zip Telephone II Fax II Arle n Foster1 caro1 Foste r J/uo-B Hwy.t5 Bus. t:.L caJon, Ca. 92021 (619.)390-4477 Name Address City State/Zip Telephone II 4. PROPEiliv··oWNER, •· William Gruner -rf! O:P•'°;,3' . iff:'~ 2695 Wa terbury Way ' ''carlsbad 92008 l 760-43 4-1151 Name City State/Zip I "1../"·f~' Telephone II ·6. CONT1i'°ACTQR, ·cofymANY,~ME (Sec, 7031.6 Business and Professions Coda: Any City or County which requires e permit to construct, alter, lrnprove, 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, ond 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 c1ollars 1$500]). A & J Foster Plumbing 13706-B Hwy. 8 Bus. El Cajon CA . 9,2021 ( 619) 390-4477 Name State License II _6_3_0_l _2_0 ____ _ Address License Class C-36 City . , . S\ate1fi~l0836 Telephone II City Busmess License II _______ _ ---------- Designer Name State License II __ N_/_A ______ _ Address City State/Zip Telephone 6. WQR.KER's· cbMPE~SA.T1l5N ~ , ., • ""'11 .~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tho 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. X[J I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perftrmance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Comp. Ins . Policy No467-01 0000713 04-01-02 Expiration Date _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100I 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 unlawful, ond sholl subject on employer to criminal penalties and civil fines up to ono hundred thousand dollars ($100,000), In addition to the cost of compensation, domoges as provided for In Section 3706 of the Labor codo, Interest and attorney's fees. SIGNATURE:=-:=-:=-:=-==-:::-:::-:-:-:-:=c:--:::::--:::::-=-==-:::::-=--::-=::-===-==::-::::-=::::-==:-:-DATE ---:--,----:------._ 7. OWNER~fiUiLDER DECL~RATIOif 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 tho work and the structure is not intended or offered for sale ISec. 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 fbr the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractprs to construct the project (Seel 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or !Jnprovas 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: I personally plan to provide the major labor and materials for construction of tho proposed property Improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I ,. 2. 3. I have contracted _with the following person (firm) to provide the proposed construction (include nemo / 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):. ________________________________________________________ _ Is the applicant or future building occupant roquired to submit a business plan, acutely hazardous materials rogls1ration form or risk managemont 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 constlucted within 1,000 feet of the outer boundary of a school site7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE fssl.JED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. (B.'' • C'Q:N~TRUj:r;loffLENDTNG'~a'ENCV, ,,.,·-~ ""'•--t< ' :,•r ,'" ~, , ,;,; •"I• :• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Soc. 30970) Civil Code). t-ONE LENDER'S NAME-----:-:--::-::----~-----LENDER'S ADDRESS __________________ ,,.-_____ _ r9. APPL.ICAN-T CERTll'fCP,ilON ? w~~ ·1ir.1 ,.'TlJT ,_. 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 Cit\,' of tarlsbad to enter I.Jpon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND kEEP HARMLESS tHE CITY bf CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRllE AGAINST SAID CITY IN CONSEQUENCE pF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolition or construction of structures over 3 storios in horght. EXPIRATlON: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation ahd become null and void if the building or work authorized by such permit is not commenced within 1 BO days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any lime after the work Is cotnm~erlod of 180~ (Seer 06.4.4 Un • ·n Code). APPLICANT'S SIGNATURE -~=---~---"'---..:;A_-=---<----"----------DATE /-[J-l)Z- PINK: Finance