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Home My WebLink About1019 DAISY AVE; ; CB050952; Permit03-22-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB050952 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1019DAISYAVCBAD PLUM 2144221900 Lot* Construction Type 0 NEW DUFFY RES REPLACE H2O HEATER Status ISSUED Applied 03/22/2005 Entered By KG Plan Approved 03/22/2005 Issued 03/22/2005 Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS ELCAJONCA 92021 619-390-4477 Owner DUFFY FAMILY TRUST 10-28-03 1019 DAISY AVE CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due $2700 33/23/C5 0002 DO Inspector f/W ROVAL 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 lees/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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION » CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION 1019 DAISY AVE FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite II)Business Name (at this address) Legal Description 214-422-19-00 Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel it Existing Use WATER HEATER REPLACEMENT Proposed Use Description of Work SQ FT #of Stones # of Bedrooms # of Bathrooms CONTACT PERSON (if different from applicant) - f ., , ' , .•*„, 1 A & J Foster Inc. 13.706 Highway 8 Bus. # B El Cajon. Ca 9202.1 (619) 390-4477 Name Address City 3 APPLICANT D Contractor Q Agent for Contractor !Q Owner "" Q Agent for .Owner . A & J Foster Inc. 13706 Highway 8 Bus. # B El Cajon, C,a 92091 State/Zip Telephone # * i. (619^390-4477 Fax # Name Address City 4 PROPERTY OWNER •• ... .... ' DUFFY. KAY 1019 DAISY AVE, CARLSBAD, CA 92009 State/Zip Telephone ff (760) 438-3057 Name Address City State/Zip ' Telephone # 5 CONTRACTOR COMPANY NAME • .. .. ", ". ,.jO ...... ,- :' L,..i,,f %.""%"' ...i"f i?.. ^ ".'",, ...".-. L ; (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 [$500D A,& J Foster Inc 1397Q^dHighway 8 Bus # B El Cajon, Cg|t02021Name State License tf 630120 License ClassC-3fi ity City Business License # Designer Name Address City State/Zip Telephone State License ff 6 WORKERS COMPENSATION , , . ' "=" ? " ; "'> , Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 C3 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 earner and policy number are Insurance Company State Fund Policy No 1732576-Q4 Expiration (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 workerscorrififensiition coverage is uflbymil and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to thaxcost 6f «>%pensation^amages asjirovided for in Section 3706 of the Labor code interest and attorney s fees 7 OWNER BUILDER DECLARATION \7 " ~~• "• ' ' I hereby affirm that I am exempt from the Contractor s License Law for the following reason |~| 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 ono year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) [~l 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) |~| 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 l"~l YES f~lNO 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 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 DATE _ COMPLETE THIS SECTION FOR NONRESIDENTIAL BUILDING PERMITS OWLY ;."-"",•«,. "'- " "^ yj, / f ' 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? i~1 YES C] 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 AfeENCY •- '"! , ,, '-' ' \." "' " ~ i " /""a] ' ~ ; --~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9, APPLICANT CERTIFICATION i i ' •• - > "~~ , " „'""' ~ ~... ..,i -,.'', *~'j'l "*' „ i.~ „*::•" .'I " ,, 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 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 5 0 deep and demolition or construction of structures over 3 stones 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 permil is not commenced w?itfi|h/J-80 daysfjpni the dafesfsuctypermit or if the building or work authorized by such nermit is suspended or abandoned at any time after the work is commencedtoi>a pfiTOd of/1 SQ^fSys (SecApn--K>eJ2pi Uniform Building Code) ' ' ~~ ^ l^^-tJft**-^ f f "**/ **®-^**t^<~~*' APPLICANT S SIGNATURE """ / DATE WHITE'File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/05/2005 Permit* CB050952 Title DUFFY RES REPLACE H20 Description HEATER Inspector Assignment Type PLUM Sub Type Job Address 1019 DAISY AV Suite Lot 0 Location APPLICANT A&J FOSTER, INC Owner DUFFY FAMILY TRUST 10-28-03 Remarks PM PLEASE Phone 7604383057 Inspector Total Time CD Description 25 Water Heater/Vents Act Comment Requested By MS DUFFY Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 'Mar 22 2005" 2 52PM™-A & J FOSTER PLUMBING i Jo 0553-.P I/I, (?0/BQX*20807, SAN FRANCISCO, CA$4142-t)8jD74 _y>' > 5 '',.'> ' * * v "" „ " *> \f * CERTIFICATE POLICY NUMBEB CERTIFICATE EXPIRES i/35575 - d r / N.*• «.„-,-" -». \<- / ^>, //u ;/ n \V ^:> ' GB^LSBOD CP 33M& ' I i... ^ 3 RuL rz nr«^* - , -• f This is to certify that we h^ve issued a valid'Workers Compensation insurance policy in a form approved by the California insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fung! except upon tejj days' advance written notice to the employer 30 ,...-' -. ' > -•"--., We will also give you 'pBty8ays"ajdvance notice should this policy be cancelled prior to its no/nlal'^xp'ir-alK&i \" , I""". « ' $, f f T "J" " jji" f J •" •» « " 'This cermidate of^insliranctys not a/i insurance policy and does not amensi. ^xtend^oralter the coverage1 afforded by the policies lietdd rterafn Notiwlthatahdjnp ^a^y rsqulrernentjterm, or condTO/i of ^ny confract^or ^ther document with respect to^ivftjah/his certificaTeTof irtswSnce m^|)aj^Jteji or may per^ih.^thefinsurance^afforded byijthe po^des- described hV«^!*fe subject to an ,the tetms ^.e>&lusioris^and cdf c%ions of such pojicies t . ; \ \^i \ \ I °~7 \ i S I *V QrilZEO ^SE^ESBMTATli'E * RT|FK:ftTH MOLDERS'NOTICE EFFECTIVE TO m&-?tmS $ PfiRT Of TMIS POLICY. '* T,li ^~ 7 i t , '* * s" ^T &" •» ftXJ^TjtSlA^ if^bn % jT Jft t\\ b-'fitlp* ). 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