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Home My WebLink About1120 CAMINO DEL SOL CIR; ; CB023005; Permit10-04-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB023005 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1120 CAMINO DEL SOL OR CBAD PLUM 2062611100 Lot#: 0 Construction Type: NEW VERKLEEREN RES-REPLACE H2O HEA Status: ISSUED Applied: 10/04/2002 Entered By: RMA Plan Approved: 10/04/2002 Issued: 10/04/2002 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJONCA 92021 619-390-4477 Owner: VERKLEEREN JOHN L&BARBARA A Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$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 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES PERMIT Inspector: 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1130 CAMTND PET. SOL CIRCLE FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite if)Business Name (at tills address) Legal Description Assessor's Parcel * 206-261-11-00 Description of Work Water Heater Ret Lot No. Subdivision Name/Number SFR Existing Us« SQ. FT. #of Stories >lacement Unit No. Phase No. Proposed Use * of Bedrooms Total # of units # of Bathrooms CAMENO DEL SOL Carls T.T—nn ir i|rr— nTiini|Tj|^MinnnrrTn-n^j7»riTn iiraiTipirn |g^^Tin^"iTn^irifjpnrii:nriiawiTilPg*Miii''i iiT^iiniBirmi rirpiiiiiriiinrpiiriiiiirr>-inrip-raT|i-Tifr-r-niTni-n n in- i-i-n.-imnnr-nmiirrrirrnmini- \t-,-\\ rimnmri -mr i~i- m r ,,—,--. Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Galon, Ca. 92021 (61-9)390-4477 Name Address City fAMTHn rrer. SOT. r.ari ghaa _Ca State/Zip Telephone # .92008 760-729-6269 Name Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires s permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file s signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 3, 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 1*600)). V & J Footer Plumbing B Hwy.8 Bus.Name Stete License # dress License Class _ - —ity ' " State/Zip " Telephone * City Business License * 1210836 Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to setf-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. f~l I nave 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 g-hatc Comp.IllE. Policv N°^467-Q1 0000713 Expiration Pate QA-OI -03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 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 workers' compensation coverage Is isjiiatll. and she* subject an employer to criminal penalties end ch/fl fines up to one hundred thousand doiars ($100,000), (n addjUuero thi^ost of cjAf«nsatlon9amtajAjssjDrovlded for hi Section 3706 of the Labor code. Interest and attorney's fw. SIGNATURE * X^JKiX/l-^HSE^ __ DATE I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work end the structure is not intended or offered for ssle (Sec. 7044, Business and Professions Code: Tha 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 ere not (mended or offered for sale. If, however, the building of 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 aale). Q 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 Improve* thereon, and contracts for such projects with contractor(s) licensed pursuant to tha Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plsn to provide the major labor and materials for construction of the proposed property Improvement. Q YES QNO Z. 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 tha 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 tha major work (include name / address / phone number / contractors license number); _i_. 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 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 25634 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 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 HOME LENDER'S ADDRESS _^___^_^ 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 end 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 S'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building OffjcjaMjnder the provisions of JbjsAxle shall expire by limitation and become null and void If the building or work authorized by such permit is not commenced witnin^KfaaYj£j#m tjje djflrof such p^mft orJMhe building or work authorized bv sycrujermlt tesuspendeq' or abandoned^—- OTTO*at any time after the work Is commenced for a APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance flUft!l-Z0Q2 NED 04:58 PH A & J FOSTER FLUKING JfiQML TERTIFICATcSTLiABII FAX Na 819 390 4448 P. 03/07 t.O* MB 3OM WfM 9/8 l OHIflWIVld «3iSOJ P "8 V HVH:t ^002 't '