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Home My WebLink About2032 LADERA CT; ; CB031544; Permit06-04-2dt)3 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB031544 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2032 LADERA CT CBAD PLUM 2164821800 Lot# Construction Type 0 NEW Status ISSUED Applied 06/04/2003 MDP 06/04/2003 MORI RESIDENCE WATER HEATER REPLACEMENT Entered By Plan Approved Issued Inspect Area 06/04/2003 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner MORI KENICHI 2032 LADERA CT 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 SO 00 SO 00 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 DATE 27- 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection wi'h 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 OF5 CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION 2032 Ladera Ct. FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated B Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number SFR Unit No Phase No Total tt of units Assessor's Parcel tt 2.16-482-18-00 Existing Use Proposed Use Description of Work SQ FT #of Stones Water Heater Replacement 2 CONTACT PERSON (if different from applicant) > " ; „ Mori, Ken 2032 Ladera, Ct. Carlsbad tt of Bedrooms # of Bathrooms CA. 92009 760-943-8548 State/Zip Telephone #Name Address City 3 APPLICANT ' J£] Contractor Q Agent for Contractor D Qwrier '"'' D Agent for Owner Arlen Foster/!Carol. Foster 13706-B Hwv.8 Bus. El. Canon. Ca. 9202.1 (619)390-4477 Fax* Name 4 PROPERTY OWNER Mo?" i K^n Address 20^2 Lad City <>>"• ... .•" cvra i"1* <"*ar ^ ^a^ State/Zip ':.- " Pa Q2fifiQ Telephone tt 7fiD-Q4"*_Rc;4R Name Address City State/Zip Telephone if 5 CONTRACTOR'-COMPANY'NAME "" :.... '" : : K ,' >"" ,".,";"" ." -..,. :•? „ :/"" ,' "";?f"". ..fl.",, ' > "--f,, j',~«l ^ .'." ., *, (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 [$500D A-39£&t=h State License It License Class f City Business License # 1 01 nfilfi Designer Name Address City State/Zip Telephone State License # KJ T> 6 WORKERS' COMPENSATION • '... « ,~,\ "" "": ' ' " ' y-";"." '•' ' "..'"'., Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~l | 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 issuedgl 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 ued My worker's compensation insurance carrier and policy number are Insurance Company gtaa-e Comp jns ^ Policy No ^J^Ql QQQQ71 3 Expiration Date Q4 QT_ ,Q4 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~l 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 securewjjjkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,OQ0lrtnadra0bn to the&rf?t of cdffipflrisatian, damages as provided for in Section 3706 of the^abor/cpde/ijjtereat and attorney s fees SIGNATURE X^j^irXBftttX ft • -* ' J/Ljr^TT^T DATE 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the ContragfSr s License Law for the following reason l~l I as owner of the property or my employees with wages as their sole compensation, will do tho 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 ownei 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 buiid or improve for the purpose of sale) l~l 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) 0 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 f~l YES f~|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 PERMITS ONLY .JL-i'U 1, ".. J:'" ,: 1 ; ',";'' / ^ , .. ; Is the applicant or future building occupant required to submit a business plan, acutely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? d 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? l~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YES O 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 AGENCY ~ .. ;. ' .'"' V,- ': !i " .. .. '" -.,,'.. • , 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 LENDER S ADDRESS 9, APPLICANT CERTIFICAT/oV^ ~ - « : "",,'./'",.',I,;' "':'•„, ','•-,. "'•' I ,, ". I .',.,£, " ,' '. >•"«, !f, "" '...4 , '"',.' I certify that I have read the application jand 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 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 pejjfBWrjbj^days (S^ptjpn 106 ^j^JMIform Building Code') APPLICANT'S SIGNATURE DATE PINK Finance SD POLICYHOLDER COPY COMPENSATION INSURANCE PO BOX 807, SAN FRANCISCO,CA 94142-0807 F~UND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 04-01-2003 CONTRACTORS STATE LICENSE BOARD SD WORKERS-COMPENSATION UNITp o BOX 26000 , • ; * ' - SACRAMENTO CA 95826 GROUP 000467 POLICY NUMBER OOQ0713-2003 CERTIFICATE ID 4 CERTIFICATE EXPIRES 04-01-2004 04-Ot-2003/04-01-2004 LICENSE NUMBER LICENSE #530120INCEPTION DATE. 04-01-2003 D".o.. 'so This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the 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 -to days' advance notice should this policy be cancelled prior to its normal expiration 1 , 5- •-.".' <" • - ','*,? ' - ' This certificate of insurance is not an insurance policy and does not amend,, extend-'or alter the coverage afforded by the policies ^sted herein Notwithstanding; any requirement, term, or condition of any contract or othee document with respect Jo Which this certificate of .insurance' may be issued or may pertain, .'the insurance afforded by the policies described herein is subject to all the terrns,' exclusions and conditions of such polipies , ,. , AUTHORIZED REPRESENTATIVE .'; PRESIDENTf' • • -? EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS. $1,060:000 oo PER OCCURRENCE. EMPLOYER LEGAL NAME ,A £ J FOSTER, INC 13706 HWY-8 BUSINESS ST #B EL CAJON CA 92021 A!& U FOSTER, INC PRINTED PQ409