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Home My WebLink About1348 CORVIDAE ST; ; CB023196; Permit10-23-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB023196 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1348 CORVIDAE ST CBAD PLUM 2156913100 Lot# 0 Construction Type NEW ECKHARDT RES-REPLACEH2O HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/23/2002 RMA 10/23/2002 10/23/2002 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner ECKHARDT FAMILY 1999 TRUST 1348 CORVIDAE ST CARLSBAD CA 92009 9481 10/23/02 0002 OJ 02 CGP 27.00 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 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 D PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C, SECTION 106.4.4 SIGNATURE PERMIT APPLICATION i • CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 .:• PROJECT INFORMATION YP 1348 Corvidae St FOR OFFICE USE ONLY PLAN CHECK NO <V3/7 JL J/f ^ EST VAL Plan Ck Deposit Validated By Date /V5 / J^ Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number SFR Assessor's Parcel tt Existing Use2] 5-691-31-00 Description of Work SO. FT Water Heater Replacement ,2 ., CONTACT PERSON (if ; Afferent from applisam) - :Y Y,,,.. .^'J-- _iLinda Ecknardt 1348 Cirvidae St Name Address 3 APPLICANT 5Q Contractor "O Agent'for Contractor ;: Q. 6 wrier!;1 :Arleri Foster/Carol Foster "T3706-B Hwy."8' Name Address 4 PROPERTY OWNER '> ... "j '.'< A.. :^.-k V'*' -:>.., / ^,f- -:, Linda Eckhardt 1348 Corvidae St #of Stories •:,,.' ... v;M'K^;h;:.~ " ^" •"^Carisfead*4^*^ City Di^gent ; fpr/Owner l*S~:VS.t:. Bus. El Cajon, City Carlsbad Ca . Unit No Phase No Total # of units Proposed Use tt of Bedrooms ': ' . ;-.-]': ~* ••• '* State/Zip Ca. 92021' State/Zip '.,. ••*"-3|T?:-j i-.""18 '• 92009 # of Bathrooms ":< 760-^918-0510 " Telephone tt Fax # "(619") 390-4477 Telephone tt .-:J^ ' .I,''' ';:- " , - ., - Name Address City State/Zip Telephone # S." CONTRACTOR ;; COMPANY NAME Y:KT ""Y Y'•• ^i, ,:..3\j;, J ^ IV Y:,. Y' \YV J ,"Y:"S* ;* "-t^u Yir^'V-^Y' '"' * f *,.» :,hY-* (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 [$5001) A & J Fostpr Plumbing 11706-R Hwy.ft Rns . El Cainn CA. _°l?Q?~\ (63 9J390-4477 Name State License # 630120 Address License Class C—36 t -i r_?~'\_' — 'i'lt tity State/Zip Telephone # City Business License tt 1210836 Address City State/Zip Telephone N/A Designer Name State License tt 6 » WORKERS' COMPENSATION ' ',.: < jf, ' ":: "T/'-., '5 ., ..'"' ..''•: Y YY' .: T '" Y ' 'Y - " '-" ,. > ... Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~| | 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 ^j~1 | 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 carrier and policy number are Insurance Company State Comp.InS. Policy No4fi7-Cn 000071 1 Expiration Date Q4_Q1_Q3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure tos^df?Tkj»kers cojngfnsatioA&^rage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($^fMJj^O),*ygaddj^bn^^he cos^^aaatfyaetten, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE C*^** €9*** *Jr »<•««*• DATE 7 OWNER-BUILDER DECLARATION •• f~" " •. ... - *-% YY-™YY, '*- ~If" ....i :.,.'-" ; ' ; YYf/: Y' - ;' *•• ••" I hereby affirm that I am exempt from the Contractor s License Law for the following reason O 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) 0 '. 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) f~| 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 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? C] YES £] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? t~l YES f~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 REQUIREMEN FS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 18. " CONSTRUCTION LENDING AGENCY A - -'•-^"!'J'-»a: YYYY-fWIfc-'"1^ .«'•? "- "•<"• " - Y-UK*?I j-;'" -.^'\A Si */'•• -;: .,. 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 MONE LENDER'S ADDRESS ;§':, APPLICANT CERTIFICATION * " "YvY "'"." ' '"'*? V ~Sftl Y\ e~ Y.J1 ""Y " •":•' ~1 -Y^S "YY"' >T" ., , 7 Y"" S;Y ,» t 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 stories 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 commenced^mJtiii 180 days from the dgtedf such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc^rtorajre^d oJ 1Mfe{fys (SecmSnoe^ Uniform Building Code) APPLICANT'S SIGNATURE ^f^f^mifM^ r DATE WHIT>TFile YELLOW Applicant PINK Finance AUG-21-2002 WED 04:58 PM A & J FOSTER PLUMBING FAX NO. 619 390 4448 P. 02/07 POLICYHOLDER COPY STATE p ° BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPfcNSATION INSUKANCB FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAY 14, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P O BOX 36000 SACRAMENTO CA 95B26 CROUP 00046; POLICY NUMBER: 711-2002 CERTIFICATE ID1 6 CERTIFICATE EXPIRES 04-01-? 00) CONTR LIC # 63012Q INCEPTIONi 4-1-02 LOS ANGELES 00 This Is to certify that we have issued a valid Worker's Compensation Insurance policy in a form approved by the California Insurance Commissioner to the employer named below (or ih» 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 10 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, extand 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 all the terms, exclusions, and conditions, of such policies AUTHORIZED REPftESENTATIVC WSltlENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- $1,000,000 PER OCCURRENCE EMPLOYER A fir J FOSTER. INC 13706 HWY B BUSINESS ST SU CAJON CA 92021 SCIF 10265 (EPF-UI CGI