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Home My WebLink About1329 CORVIDAE ST; ; CB043250; Permit08-17-2064 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB043250 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1329 CORVIDAE ST CBAD PLUM 2156910100 Lot# 0 Construction Type NEW WALLENFELS RES- REPLACE WATER HEATER Status ISSUED Applied 08/17/2004 Entered By KMT Plan Approved 08/17/2004 Issued 08/17/2004 Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner WALLENFELS FAMILY LIVING TRUST 06-02-92 1329CORVIDAEST 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 $2700 Total Payments To Date $000 Balance Due $2700 9175 08/lB/<h 0002 01 02 COP 27.00 Inspector FINAL AP. Date 3.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 you have previously been given a NOTICE similar to this, or as to which (he statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date Address (include Bldg/Suite it)Business Name (at this address) I ot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel tt Existing Use Proposed Use Description of Work ? CONTACT PERSON (if different from applicant) V""\ V —~\ ' f1^ Sf*f~> \ f~3 IX""* *-t V—\ r* \ *}*~ SQ FT #of Stories it of Bedrooms tt o\ Bathrooms Name 3 APPLICANT Address | Agent far Contractor Owner City Agent for Owner Name 4 PROPERTY OWNER + Address City ter\±)QG Address City State/Zip Telephone ttName 5 CONTRACTOR COMPANY NAME , . ,: , - ., * ,. '.„ ..„ .."-• -"; •.-. , * """ " (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 Ihan five hundced dollars I*"•• -—• —- - ^ _-.. ^* _..^ix-v -- * -7-—1>^. r7 lit. <\ I **7 1Z t i *f >—\ /'~~ \ ^-i /' t>/\ f}iS)f"\^ I / / - is~\. Name , ^-j , \ ^ s*^ Address .* ) State License tt Ci-\jL^-' I u«-v — ' License Class \^J Designer Name Address State License tt £7 / City J " State/Zip Telephone # (. Jv_(,X City Business License tt I L. \C_Jo!!jk£) 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 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 ^ST 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 __- -. f-\c^~*\i s~*u Insurance Company i~^MC JL lV.3- qV JT J^^-l Policy No J / JC'vJ /V^x'~VX^r Expiration Date_ (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 secufa^mprkers compepsiition ^cvB^ige is unlawful and shall subject an employer to criminal penalties and civil fines up 'to one hundred thousand dollars ($10Q*efDO) wO^litiqfi to-flje cost of jyfinpejsgtion. damages as provided for in Section 3706 of the-ljajjior codij/ interest and attorney s fees SIGNATURE £**&<6***1' '} * «<>' rf*Zt^> DATE 7 OWNER BUILDER DECLARATION JT ... „ 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason [~1 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) f~| 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 contrai tor(s) licensed pursuant to the Contractor s License Law) : [] I am exempt under Section jBusmess 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 [~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) i 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 NON RESIDENTIAL BUILDING PERMITS OWLY,; 0 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 25G05 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? O 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? O /ES l~1 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES l~| 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 AGENCY ' ' ",.,,.' . "^ - 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) ; i LENDER S NAME i LENDER S ADDRESS 9 APPLICANT CERTIFICATION - } , , .... " \>, " _-" ' ... , >' '- '•., "'""> * ' L "„ i I certify that I have read the application and state1 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 CitV 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 stories in height EXPIRATfON 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 permit is not commenced within 180 days from the date of such permit or if the building or work authorized byjuch permit is suspended or abandoned at any time after the work is commencedJo>«aT36)riC|Cl of 180 days, (Sectiaal0*4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/26/2004 Permit# CB043250 Inspector Assignment Title WALLENFELS RES- REPLACE WATER Description HEATER Type PLUM Sub Type Phone 7606039516 Job Address 1329 CORVIDAE ST Suite Lot 0 ~7T/\/-N. Location Inspector xjl/V^ OWNER WALLENFELS FAMILY LIVING TRUST 06-02-92 Owner WALLENFELS FAMILY LIVING TRUST 06-02-92 Remarks Total Time Requested By MIKE Entered By CHRISTINE CD Description Act Comment 25 Water Heater/Vents Associated PCRs/CVs Inspection History Date Description Act Insp Comments COMPENSATION I ISI S U R A N CE PO BOX 420807 SAN FRANCISCO CA 94142 0807 f U N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE APRIL 7, £004 I— CITY OF CARLSBAD >.ATTNs BUILDING DEPARTMENT?- -; - 1635 FARADAY AVE;, - ;CARLSBAD CA -92088 r I L f - '''-• v POLICY NUMBER 1732576 - 04 , CERTIFICATE EXPIRES 4-1-05 , X ALL-OPERATIONS This is to. certify that we have issued a valid Workers' Compensation-insurance policy in a form approved by the Cahlornia Insurance Commi_ssioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except.upon $H days' advance written notice to the employer•; ' -.; L.*' •; .-'^ ' •• ..f<'" t1. , • • We will also give you TfiN days'- aayance notice shpuld-this policy be cancelled;pnor to its normal expiration v. , ;_ -V -.- ' ';,-•' -'•>}.• -V.- . -! This certificate of insurance is not an insurance policy and does not amend extend or alter the1 coverage afforded by the policies listed herein Notwithstanding any requirement term or condition of any contract or other document with respect, to which this certificate of ..insurance may be issued or may pertain the insurance afforded by the policies described'herein is subject to all the terms exclusions and conditions of such policies a..••r*{ AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING; DEFENSE COSTS: $1,000,808 PER OCCURRENCE. \,.- i •„ •'• :' -< •' '••- " -'• '• CERTIFICATE; HOLDERS' NOTICE EFFECTIVED '0:4/07/04,13 ATTACHED, vTO;ANDvFOR»JS A xPART, OF THIS POLICY. ;. EMPLOYER r . ; A & J FOSTER, INC P 0 BOX^£758 . ,... EL CAJON,vCA 92821; (REV 3-03) THIS DOCUMENT.HAS A BLUE PATTERNED BACKGROUND