The URL can be used to link to this page

Home My WebLink About1804 COTTONWOOD AVE; ; CB021992; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2002 Plumbing Permit Permit No CB021992 Building Inspection Request Line (760) 602-2725 Job Address 1804 COTTONWOOD AV CBAD Permit Type PLUM Status ISSUED Parcel No 2155033716 Lot* 0 Applied 07/03/2002 Construction Type NEW Entered By MDP Reference # Plan Approved 07/03/2002 Issued 07/03/2002 Project Title PAKULA RESIDENCE Inspect Area WATER HEATER REPLACEMENT Applicant , Owner A&J FOSTER, INC PAKULA FAMILY TRUST 06-19-90 STEB 13706 HWY 8 BUS 1804 COTTONWOOD AVE EL CAJON CA 92021 CARLSBAD CA 92009 619-390-4477 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $27 00 FINAL APPROVAL Inspector ——>vs Date t \ <*& 'Q«. 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 whidi 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 . RROJECfJNFQRMATION 1804 COTTONWDOD AVE FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total it of units SFR Assessor s Parcel tf 215-503-37-16 Existing Uso Proposed Use SO. FT #of StonesDescription of Work Water Heater Replacement . . :2,:\ CONTACT. PERSON (if different from applicant) •' , -. . ,." ,-,. ;,, PAKULA, ROBERT 1804 COTTONWUOD AVE . Carlsbad of Bedrooms tt of Bathrooms . , CA. ' 92009 760-931-8408 Name CityAddress [3> , APPLICANT xQO Contractor O Agent for Contractor-; Q:0wnor CD [Agent for Owner '• Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon, State/Zip Telephone #Fax ft Ca. 92021 (619)390-4477 Name '4 '.iPROPERTY'QVi/NERV PAKULA, ROBERT Address City 1R04 cnTTONWOOD AVF. Carlsbad Ca. State/Zip Telephone tt 'iff"\ ;:i;|;: NK jf. '• i 's>-,..i*? ' ; .(ii;: • j'F1 • • .'i; , y-; 92009 760-931-8408 Address City State/Zip Telephone ttName 6" 'CONTRACTOR'; COMPANY NAME i1' * ,•-,;,'„"""'' '" ' ,;; ' : £'J''v>'f> ^'•'."' i"' •? '/'I''" .'' !«-o": :'<; ; |'V.. »',T ..',:' • ;. ; f (Sec 7031 5 Business and Professions Code Any City or County which requires a peirrut 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 Codel or that ho 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 [$500D A & J FoName State License tt Designer Name Stote License tt c-t-f^T Pi nml-n ncr 630120 N/A 1^7Dfi-R Hwy.8 RilS. El i Address License Class C— 36 Address Cajon "City City City CA. y^u^i (biy i jyu-44/ / State/Zip Telephone tt Business License tt 1210836 State/Zip Telephone 6~ WORKERS', COMPENSATION ',,"„.;"" '- ' '!' .v • " " ' i "" :,''•> '" Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations . |~1 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 •JT] 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 1 issued My worker s compensation insurance carrier and policy number are Insurance Company State COmp.InS. Policy No467-01 0000713 Expiration Date 04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS |$100| OR LESS) l~1 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 secut^uorkers compensation cpvppige is unlawful and shall subject on employer to ciinunal penalties and civil fines up to one hundred thousand dollars ($10Q^0U). jj/W-fcition to^Mfcost offijmpenjBtion, damages as provided for In Section 3706 of the Labor code interest and attorney s fees 7 : OWNER-BUILDER DECLARATION • "S ,~~~~l:," - „ JJ~~ ~ "~ ,- '•' > "•• ' '' I hereby affirm that I am exempt from the Conjpractor s License Law for the following reason l~l If 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) G 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) (~1 I am exempt under Section Business and Professions Coda for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement [~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 narno / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE >?, ;; .'."£•"' "'$'''"-'>"•'"''':".& , '.,. •' .. „, v Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 01 risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES D 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 d NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? £] YES O NO > IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MFT OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT IAGENCY;: :, :y _,, .;., . ,,..•.?-• :,. ^'•/''•.•ii •. I hereby affirm that there is a construction lending agency for the performance of the work I LENDER S NAME NONE LENDER S ADDRESS :9 , APPUCANf/CERflF.iCATION ^'r'. ^"''•-. ''•• ' !-:«."W ::lF--'%^" :™*W"t ""':< : • which this permit is issued (Sec 3097(i) Civil Code) 1 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 ovor 5'0" doep 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>«**il80 days frop the dajeo|i£uch permit or if the building or work authorized by such permit is suspender) or abandoned at any lime after the work is commence.i.H6ra roKOSof Jflfl^p! IRerAuytfrififytyniinrm Bmirim^ rnrf0\ "'' " " ~~^~ APPLICANT'S SIGNATURE ' "* A 0 U <* WHITE/File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 07/19/2002 Permit* CB021992 Title PAKULA RESIDENCE Description WATER HEATER REPLACEMENT Inspector Assignment 1804 COTTON WOOD AV Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT A&J FOSTER, INC Owner PAKULA FAMILY TRUST 06-19-90 Remarks AM'PLEASE ~- WILL'NOT BE HOME IN PM Phone 7609318408 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By MRS PECULA Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments P. 05»«n *i~ raAiQjo-MJf-3r^3 (-en r ^UU2 CERTIFICATE OF LIABILITY INSUR \NC ONLY AND CHOtpmiALT&tHBAevney )363 QMWMrioh Pr, #120 !M»0«*S*93 BAH Oi*«0 OH «S8-437-3730 OOkMMW, MMBV4. UWMUIV oceutt OWA. A49WW1B UMrr AWUUfW: *in tb« •vent ofi boa p«y»ant P.O. »OX •XCRMOWTO CX £0 'd em Q6£ 619 -ON xyj oHiauaid HHISOJ f >» y wa ZZ-.M am