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Home My WebLink About1008 MERGANSER LN; ; CB030796; Permit03-19-2003 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB030796 Building Inspection Request Line (760) 602-2725 1008 MERGANSER LN CBAD PLUM 2157600500 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: HAUNG RES NEW H20 HEATER Inspect Area: Owner: HUANG MING-HSIUNG& YEI-KUEI 1008 MERGANSER LN CARLSBAD CA 92009 ISSUED 03/18/2003 SB 0711 03/19/03 0002 01 02 --------------------------....CGE~--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 Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 Total Payments To Date: $0.00 $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: $27.00 EXPIRED PERMiT PER1c':T HIIS D','!RED IN ACCORDANCE WITH U.9.C. SECTION iOo.4.4 DATE-?,,l..,,"'1">\J',o""'"=----s1aNATURE ... c£w:_,,..._. __ _ FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmposif1on" of fees, ded'1cations, reservations, or other exactions hereafter collectively referred to as "lees/exactions.n You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information wtth the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ; nf ,.,hi"h ""'' h,:n,o • i..AA--'·•--, 11 · • tn ,i..,_ A• A~ tn , •. i..:AI-. +i..--•-••••-nf · • · , n_,...,;,_,,i -~------ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. l>ffoSECT INFORMATION 1008 Merganser Ln FOR OFFICE USE ONLY PLAN CHECK NO. ~3 7 7 ~ EST. VAL. _________ _ Plan Ck. Deposit-----==------- Validated By_2~""----f3...._ ______ _ Date 3 ,.. / ~ -C "3> Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Assessor's Parcel # 215-760-05-00 Existing Use Description of Work SO. FT. Water Heater Replacement 2. CQ_~TACT PEJ!.&$)N. (If different froni applicant) Huang Edwin 1008 Merganser Ln Name Address 3. 'APPLICANT K) Contractor O Agent for~Contracti>r · 0 Owner Arlen Foster~Carol Foster 13706-B Hwy.8 Name Address 4. PROPERTY OWNER #of Stories -., • st• Carlsbad City D ~gent"t'for Owner Bus. E) Cajon, City Huang F.dwin 1008 Merganser Ln C'.ar) sbad Name Address City '5. CONTRACTOR· COMPANY NAME Proposed Use # of Bedrooms CA . 92009 State/Zip ea: 92021 State/Zip C'..a. 92009 S.tate/Zip ... ... # of Bathrooms 700-929-8683 Telephone # Fax # ' ' (619)390-4477 Telephone# 760-929-8683 Telephone# (Sec. 7031.5 Business and Professions Code: Any City or Coun,y 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 I $5001). A & J Foster Plumbing 13706 B Hwy 8 Bns E) Caciao CA 9202) (6)9)390 4477 Name Address 1ty State/Zip Telephone # State License# 630120 License Class C-36 City Business License# 1210836 Designer Name Address City State License # ---'~J1<1.D.c;A,._ ____ _ . . 6 .. WORKER$" COMPE!\ISATldN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. KJ I have and will maintain workers' compensation, as requ;•~d 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 No. 467-QJ 000071 3 Expiration Date 04-0] 03 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labz,o~, Interest and attorney's fees. SIGNATURE ____ -:7',c;._-h'1----r:.,,,..,----.....-::.;--==-----------DATE 3 _ D._ ~here~:a~f~!,Bt~~\01 E ram~. . JP-1' . ' ... ·I , . •" ,---,-.,"'."l!~,..-.. --.,----,,-.. -· 0 I, as owner of the property or my employees ith 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 t hereon, and who does such work himself or through his own employees, provided th"t 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 0 for construction of the proposed property improvement. 0 YES O NO 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 provi~e 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---------------=-------- COMPLETE THIS SECTION FOR NON-RESIDENTIA.L BUILDING PERMITS ONL V ' DATE _________ _ 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 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 the facility to be constructed 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 ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. a: CONSTRUCTION LENDING AGENCY a ,t"} : • ,•·· ~w f~'.I:'"''" '. t '!:I', '¥ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME NONE 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 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WA . ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. WHITE: F, PINK: Finance