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Home My WebLink About1345 CORVIDAE ST; ; CB041589; Permit\\Q3fc ^"505-11-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB041589 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1345 CORVIDAE ST CBAD PLUM 2156910500 Lot* Construction Type HULTS RESIDENCE WATER HEATER REPLACEMENT Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Status 0 Applied NEW Entered By Plan Approved Issued Inspect Area Owner HULTS THOMAS P&FRANCES E 1345 CORVIDAE ST CARLSBAD CA 92009 ISSUED 05/11/2004 MDP 05/11/2004 05/11/2004 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 1970 0002 C'B'i/r, PERMIT HA*. ' > STION U i4 'RED IN ACCORDANCE yfl ; H U B.C, PERMIT APPLICATION a CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO L^> Q V EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite if)Business Name (at this address) LCI Lot No Subdivision Name/Number Unit No Phase No Total ft of units Assessor's Paicel it Use Proposed Use Description of Work CONTACT PERSON,(if different from applicant)' SO FT #of Stories it of Bedrooms of Bathrooms Address ED Agent for Contractor Name Address City State/Zip Telephone # 5 CONTRACTOR - COMPANY NAIWE : , ' '"'".. , : „"'",.'..'''-"r ' ,.":"'t '" (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 fay any applicant for a permit subjectsjhe applicant to a civil penalty of not morelhan five hundred dollars [1500])- f Ruff/a Name State License i Address License Class City J ' State/Zip. City Business License # el_ephone # Q Designer Name Address City State/Zip Telephone State License # 8 ' WORKERS' COMPENSATION , "" . ..] ". Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 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 fssued My worker's compensation insurance earner arid policy number are Insurance Company v~J\C_JLTv—• TV-Jl iV~-A Policy No J / QC/Q J\£>~\J^\ Expiration Date_JL HI (_/O _ (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 rn 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 l-ailiire to secure wojrters' compensation coverage's unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 OOOL-rffaddnXSl to the jArff of corrfJTpfisatloa damages as provided for in Section 3706 of the Labor code interest and attorney s fees^ - S ntrai.tprs Li DATE f the Labor code interestesf J j -} I / ~\1 f_Q j I L. | \J^\ ' ' SIGNATURE 7 OWNER BUILDER "DECLARATION I hereby affirm that I am exempt from the Contrai-tpTs 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 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) fj] 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) Q 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~] YES I~|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 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 PERMlTSi-OMLY ;:1 : ''" , 'i i 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? QJ 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? d YES [_] NO \s the facility to be constructed within 1,000 feet of the outer boundary of a school site' fj YES f~| NO IF AMY 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 ' , '"',," s " 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) LENDER S NAME , LENDER S ADDRESS 9 APPLICANT CERTIFICATION : j ,,, "~,. " ; , '; ,. , r ', ; I certify that I have read the application land 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,e>-cavations 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 exp.re by limitation and become null and void if the building or work authorized by such permit is not commenced withinJ^IQ days from the date of sycl^ermit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced forjj^p^nodj/j^lO dpysjfefflion 1 oS^C'fUnifprm Building Code) APPLICANT S SIGNATURE DATE JDJJ2/CM WHITE File/YELLOW Applicant PINK Finance