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Home My WebLink About2824 WINTHROP AVE; ; CB031471; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-21-2003 Plumbing Permit Permit No: CB031471 Building In spection Request Line (760) 602-2725 Job Address: Permit Type: 2824 WINTHROP AV CBAD PLUM Status: ISSUED 05/21 /2003 SB 05/21 /2003 05/21 /2003 Parcel No: 1674802136 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: KLAMM RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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 Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 Owner: KLAMM NANCY G 2824 WINTHROP AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 EX 5662 05, 21/03 ~02 01 02 $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 Balance Due: CGP T-00 $27.00 PER' ~ • , • • ~ ED l,\J J\CCOHDANCE WITH U.9.C SEc·, ,v. J 'JvA.4 DATE ,,\ q.\03,.. SIGNATURE _a_\w~-.,-, 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 f . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carl sbad, CA 92008 ,., 1. FOR OFFICE USE ONLY PLAN CHECK No.c.l3o3 I'( 7/ EST. VAL. __________ _ Address (include Bldg/Suite II) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total II of units Assessor'i Parcel # 67-480-21-36 Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms II of Bathrooms Water Heater Replacement i.' ,cm_~~E~~gydilferent,from@ll~tt2~ ·~Fn~~r~~d •..;.:.~CA4,i-._;,,i9 .. 2'"'0-0.;;,8,,..,.i,..,,7.,.6:...:,0,;:,,-•7"'30 9764 City State/Zip Telephone # Fax # Ca. 92021 (61'9}39D 4477 Name Address City State/Zip Telephone# i4. PR.OPERlif OWNER Klamn, Nancy 2824 Wint hrop Ave . Carlsbad City Ca 92008 Address State/Zip 760 730 9764 Name Telephone # \5. CONTRACIOR -CPMPANYNAl'JII: (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 ($500)). A & J Foster Pl 11mbi og J 3706 .e Hwy, 8 Bue . El Cai:<3n EA ~~ ( 6!:9;) ~:Ml; rtl-99 Name Address Ity • S ~ et ne State License# 630120 License Class C 36 City Business License# 1210836 Designer Name Address City State/Zip Telephone State License # .;-:~N~11~A~:::;;::::-;---:;;-:..,....,, __ ....,_.,,.....,,.,... J~; "WORJ{Eij$' _QOM~[\ISATfQN ,,,,,..,,.._,,,,,.._ • , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 performance 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 No167 01 0000713 Expiration Date_+Q+.41-,_.,0H!:+=+0+<41,-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is Issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure w kers' compensation covera Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ensaf n, damages as provided for in Section 3706 of thn Lab code, nterest end attorney's fees. SIGNATURE li ~r:~R-B.tlll!O • ., , ' .• ! '~ I hereby affirm that I am exem for the following reason: O 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). O 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). O 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. 1 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 COMP.~E 'THiS SECTION FOW'N:;O,:--N~-:;:;R:::ES::l::DE:-N:::T.;;;7A:;-L:--_~BU::;:l::-LD:;;l~N::::;G::;;;P;::::E~ll;:,M:_:;;f;f;:;:s;::o;::N:,::b:;::'f:~'=r.=:::!=:~::::~t:::::::::::s:-:;;::--;--~;;-:---::;: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk manegem·ent and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act7 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 tho facility to be constructed 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. LS, . CO,NSTRl!9TION.LENoiNG AGl:°ijCY -'''•--.!f.;Ji~Jid,,;,r,,;,; ~ 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 N NE '9'; ,:~Pi>t:lCANI Cl;I\TiFIC'ATiON 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 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 and demolition or construction of structures over 3 stories In height. EXP\Rfl.i\ON· Eve~ perm\\ Issued by \he building OH\c\al under \he provisions o1 this Code shall expire by \\mi\a\\on and become nu\\ and void \t the bu\ldlng or work au\horized by. such perm\\ Is no\ commenced wi\hin 180 days from the date o1 such permit or If lh~ building or work authorized by su h permit s suspended or abandoned at any lime afler Iha work Is commenced for a perio ays (Sec lo 106.4 arm Bulldmg Code). / ------J'~~z~~~q~,-7'~16:z;:::..:~----DATE _:,,..£..-4---UC-'-+~c_::,-"-----,pUCANT'S SIGNATURE PINK: Finance