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Home My WebLink About1836 COTTONWOOD AVE; ; CB043870; Permit10-13-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB043870 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1836 COTTONWOOD AV CBAD PLUM 2155033710 Lot* Construction Type YOUNG RES NEW H20 HEATER 0 NEW Status ISSUED Applied 10/13/2004 Entered By SB Plan Approved 10/13/2004 Issued Inspect Area 10/13/2004 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner YOUNG TRACY B TRUST 03-30-94 1836 COTTONWOOD AVE 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 HAS F.V''RE SECTION 106.4.4 DATE. DANCE WITH U.B.C 3273 10/14/04 0002 01 CGiP 2? .-00 Inspector FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposiftbn" 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 aie 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 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) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Proposed Use 2 CONTACT PERSOM.df different from applicant) .' ," CONTRACTOR - COMPANY MAME (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 subjectsJhe applicant to a civil penalty of not morelhan five hundced dollars l Name State Licenso tt Address License Class ^ -C_v City J State/Zip. City Business License # I elephone tt Designer Name Address City State/Zip Telephone State License tt 6 WORKERS;COMPENSATION '...'" , ,-i "" '- .."•:' "" ' •,","..', I ,r.T '""' • f r'-'V - 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 t£je work for which this permit is issued j^f 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 carrier and policy number are ~--i *3 *-^,^.«. .*. * " Insurance Company iJ) 1C JLTV—*' TV^I JV—'\ Policy No J / ^JCf ^J J\C^ VX^f Expiration Date ,_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) f~l CERTIIICATE 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 secureworkers' compensation coverage is unlawful, and shall subject an'employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 QtWfTrTliMition to Uj0A:ost oHtMfpensjtion, damages as provided for in Section 3706 of the Lajjor cod« interest and attorney s fees SIGNATURE X^V^^-LV./! u* ~JT ' DATE 7 OWNER-BUIL I hereby affirm that I am exempt from the Contactor's License Law for the following reason n 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-buijder 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«, 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) j l~l I am exempt under Section {Business and Professions Code for this reason 1 I personally plan to provide the major labor B_nd materials for construction of the proposed property improvement i t YES j iNO 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-RESIDENTi^L BUILDING PERMITS; OWLY.,.£. clCi^ ,'*..: .*_ 4 1 ;,L=,^~• - :', ,1 '".i LA \' » ,.' '• • ' 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? Q 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 YES D NO Is the facility to be constructed within 1,000 feet! of the outer boundary of a school site? 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 AGENC'Y -. ''! ' ".,, ' ' ' -] .•/' \ =i/ "^fT/ "" 1"' " i " .~\ v ... ";: ~ •• ,- 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 ADDRESSLENDER S NAME ! 9 APPLICANT CERTIFICATION'"' r f ' ; 'r '" 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 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 forexcavations 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 commenra«rtJithjK080 dayskjxfi the da'fewsuctypermit or i) the building or work authorized by such permit is suspended or abandoned at any time after the work is commenj APPLICANT S SIGNATURE irm Building Code) DATE WHITE^File (H f*T 1 Q JJ U I 1 0 YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request r \For 06/27/2005 Permit* CB043870 Title YOUNG RES NEW H20 HEATER Description Type PLUM Sub Type Job Address 1836 COTTONWOOD AV Suite Lot 0 Location APPLICANT A&J FOSTER, INC Owner YOUNG TRACY B TRUST 03-30-94 Remarks GATE CODE PRESS KEY TWICE THEN 9877 Inspector Assignment Phone 6192782531 Inspector Total Time Requested By TRACY YOUNG Entered By CHRISTINE CD Description 25 Water Heater/Vents Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments COMPENSATION INSURANCE PO BOX 420807, SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER CERTIFICATE EXPIRES -. L . , his is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California isurance Commissioner to the employer named below for the policy period indicated his policy is not subject to cancellation by the Fund except upon t£n days' advance written notice to the employer o-;:: /e will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration Ins certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the olicies listed herein Notwithstanding any requirement, term, or condition of any contract or othei document with Aspect to-which this certificate "of insurance may-be issued or may pertain, the insurance afforded by the policies escribed herein is subject to all the terms, exclusions and conditions of such policies JO AUTHORIZED REPRESENTATIVE PRF.:SIDENT Q.i.C^r.l'itf'i ft"? '-•' E-r7i I EL- f =KI ;: "n"H = r ''•••j ':;" G--V iB VU ! '!-5"r'r.D '0 M'.-:V '-'i-,!^ 'i ^'H^' EMPLOYER r •• PATIO COVER I DE£K SQ. FT EXISTING RESIDENCE DRIVE WAY JAMES AA TDDMBS COTTD/VW00D AV£ \