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Home My WebLink About1336 CORVIDAE ST; ; CB032897; Permit10-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No Building Inspection Request Line (760) 602-2725 CB032897 Job Address Permit Type Parcel No Reference # Project Title 1336 CORVIDAE ST CBAD PLUM 2156913400 Lot# Construction Type CHOW RES NEW WATER HEATER 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/21/2003 RMA 10/21/2003 10/21/2003 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 6193904477 Owner CHOW KIT M&HONG KEUM JOO J 1336 CORVIDAE ST 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 PERMIT Wc L) IN ACCORDANCE WQMU0&/Q3 0002 01 02 SECTION 1IK, . CGF-U .00 pare 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 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 1336 Corvidae St. FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit. Validated By Date Address (include Bldg/Suite If) Legal Description Lot No Subdivision SFR Assessor s Parcel tt Existing Use 215-691-34-00 Description of Work SQ FT Water Heater Replacement 2 CONTACT PERSON (if different from applicant) . = <<• Chow, Kit 1336 Corvidae St Name Address 3 APPLICANT Jp Contractor Q Agent for Contractor d Owner Arlen Foster^ Carol Foster 13706-B Hwy.8 Business Name (at this address) Name/Number #of Stones "" Carlsbad City D Agent "for Owner.,* , Bus El Ca^on, Name Address City 4 PROPERTY OWNER > < ., Chow Ki t 1 336 Cnrvidas St. . Carlsbad Unit No Phase No Total # of units Proposed Use # of Bedrooms CA ~™ 42009 State/Zip Ca 92021 State/Zip Ca 92009 tt of Bathrooms 760-931-1713 Telephone ff Fax # (619)390-4477 Telephone # 760-931-1713 Name Address City State/Zip Telephone # 5 CONTRACTOR - COMPANY NAME ... ,. " , ..„ >'" :ss i;s „'. ~/ .„ - * '(:' i'~: * '•"''' - ' ..-C. '"' ". ... , (Sec 7031 S 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 I $500)) A r Name State License tt fi'^01 Pi nml~iT ncr.iiy 13706 B Hw 8 Bu^Address J License Class C— 36 El Canon r-a Q9D91 I f.~\ Q ^ '^qn_ dty State/Zip Telephone City Business License tt 1210836 44tt77 Designer Name Address City State/Zip Telephone State License tt hjn A 6 WORKERS' COMPENSATION !' , "; ; £ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [U 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 S 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 ued My worker s compensation insurance carrier and policy number are Insurance Company gtatc^ COIUp.InS Policy No 4g7_Q"[ QQQQ7.13 Expiration Date 04—01 —04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*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 wgrkers compensation cov^ao^is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 0ftnjyirr irjjjjjyi tatheAst of con^ns^UgJ^damages as provided for in Section 3706 of the Labor cade Interest and attorney s fees DATESIGNATURE 7 OWNER BUILDER~DECLARATION I hereby affirm that I am exempt from the Contracted s License Law for the following reason D 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) n 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) l~l 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 f~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 NON RESIDENTIAL BUILDING PERMITS; ONLY* J; * '"•• , ,' ~ , -iL."." /' 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? CD YES CD 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~| YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? L~l YES l~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 30970) Civil Code) LENDER S NAME M NTU- LENDER S ADDRESS 9, N NE 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 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 permit is not commericedj(|to180 days from the d^eoj^uch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc^pma yflyR of JSQ^rs (Seclioam)6.4J>Uniform Building Code) APPLICANT S SIGNATURE WHITE YELLOW Applicant PINK Finance DATE so POLICYHOLDER COPY COMPENSATION INSURANCE FUND PO BOX 807 SAN FRANCISCO CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 04-01-2003 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 SO GROUP 000467 POLICY NUMBER 0000713-2003 CERTIFICATE ID . 4 CERTIFICATE EXPIRES 04-01-2004 04-01-2003/04-01-2004 LICENSE NUMBER LICENSE #630120 INCEPTION DATE 04-01-2003 Do SD This is to certify that we have 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 Fund except upon 10 days' advance written notice to the employer We will also give you -fo days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the 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 alf the terms exclusions and conditions of such policies' AUTHORIZED REPRESENTATIVE _ ;- , .... PRESIDENT .-'•"'"••: . •' EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00 PER OCCURRENCE EMPLOYER LEGAL NAME H £, J FOSTER, INC 13706 HWY 8 BUSINESS ST #B EL CAJON CA 92021 A & J FOSTER, INC PRINTED 03-17-2003 P0409