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Home My WebLink About1848 COTTONWOOD AVE; ; CB011350; Permit04/11/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB011350 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1848 COTTON WOOD AV CBAD PLUM 2155033707 Lot# 0 Construction Type NEW MONICI RES/NEW WATER HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/10/2001 CB 04/11/2001 04/11/2001 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJONCA 92021 619-390-4477 Owner MCCOY FAMILY TRUST 09-23-94 7864 GRADO CIPRESO CARLSBAD CA 92009 6333 04/11/01 0002 01 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 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 capactiy 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 "~ : 1848" COTTONWOOD~AVE~"Carlsbia'CA 9200 "<Suite>~""<Name> FOR OFFICE USE ONLY PLAN CHECK No££?<0 I EST VAL Plan Ck Deposit Validated By Date 1^, Address (include Bldg/Suite #) <Legal Descr><Lot> Business Name (at this address) <Subdivision Name/No> <Unit><Phase> <Total> Legal Description <Assessor No> Assessor s Parcel # water heater replacement Lot No Subdivision Name/Number <Existmg Use> Existing Use <SQ FT> <Stones> Unit No Phase No Total # of units <Proposed Use> Proposed Use <Bedrooms> <Bathroom> Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if diffe£enUrom applicant) ___ <Name> ' <Address><City>ST <Zip> <Phone><Fax> Name Address 3 APPLICANT1 :D Contractor- lt/\ Agent for Contractor Q Owner • O!'A< NetClerkTnc Name 4 .PROPERTY OWNER monici.elame rzv uuDuque Ave Address 1848 cottonwood ave City State/Zip gent for Owner-""—South San-Fr. CA City carlsbad '94080 State/Zip ' ... ... ca • i- '"92009 Telephone* Fax* J8883301777 " " Telephone* ; ••••••••• " i 760-431-8916 Name Address City State/Zip Telephone* 5 :C6NTRACTOR"COMPANYNAME 3~"": •••-:----•—:• - (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 Contractors 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 [$500]) A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name State License # 630120 Address License Class C36<Address>' City State/Zip Telephone* City Business License # 1210836 <City> ST <Zip> <Phone> Designer Name Address City State/Zip Telephone State Licence # 6 WORKERS'COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations C] 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 0 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 workers compensation insurance carrier and policy number are Insurance Company Mid-Century Ins Policy No A20075651 Expiration Dale 05/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 1 I 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 workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll' /?"£ ') m addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney's fees SIGNATURE »^%^ DATE 04/03/2001 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason I I 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 Contractors 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) CD I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves threreon and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) I I I am exempt under Section Business and Professions Code for this reason I personally plan to provide the major labor and materials for construction of the proposed property improvement I (have / have not) signed an applicant for a building permit for the proposed work I have 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~1 YES l~l NO 2 3 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 / phonenumber / contractors license number) <Name> <Address> <Work Phone> <State License> 5 I will provide some of the work but I have contracted (hired) the following person to provide the work indicated (include name / address / phone number / typeof work) <Name> <Address> <Work Phone> <Work Type> contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)me> <Addrress> ' <Work Phone> <State License> PROPERTY OWNER SIGNATURE DATE _LJ 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? I I YES I I NO Is the facility to be constructed within 1 000 feet of the outer boundary of 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 F"'r;'coNsfRUCTiONLENDiNGAGENCY "" "•~.~'"''i^"!7n"-:";'~ 7~~rT=TTTT~rr'~''T- '-~~"~ ~""T": • -T'" :rr~"' --r-^-rry I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087(i) Civil Code) LENDERS NAME LENDERS ADDRESS -g- -.- "APPLICANT CERTiFiCATIONV" '""rr~ ___. -_--_., . 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, 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANTS SIGNATURE DATE 04/03/2001 AGENCY ST..59 PSUHKJ Name COMMERCIAL CERTIFICATE OF INSURANCE 5655 CftMlKQ DEL StIQ N, STB 120 SAW DXBGD, CA 92108 (619)291-0600 .OKI..376 A * J FOSTER INC. 13706 B Htt* 8 BUSINESS EL CAJ0N, CA 92021 kafflOala CMM^Emt 09-28-00 POUPJUQEt mV)Onig CCVEfUQE: A TRUCK 1MSWWWCS BtCWNGE g fARMEBS. WSUKflMJE EXCHAMSE B fcW-CENTUfiV iNSIBWCi D