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Home My WebLink About2041 CORDOBA PL; ; CB020481; Permit02-14-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB020481 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2041 CORDOBA PL CBAD PLUM 2073007600 Lot # 0 Construction Type NEW BOWER RES-NEW WATER HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/14/2002 RMA \pphcant A & J FOSTER 2819 CENTRAL AVE SPRING VALLEY 619697-4151 Owner Total Fees $2700 Total Payments To Date $000 Balance Due $27 00 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 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C, SECTION 106 4.4 $2700 DATE M^["t SIGNATURE FINAL APPROVAL Inspector 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 lees/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 Jees/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 BUILDI 1635 Faraday Ave , Carlsbad, 1 " PROJECT INFORMATION 2041 Cordoba Plac Address (include Bldg/Suite #) Legal Description Assessor s2Poar7Ce,ioo_76_oo NG DEPARTMENT fSre^WEl e Business Name (at this Lot No Subdivision Name/Number Existing Use Description of Work SQ FT #of Stories Water Heater Replacement 21 CC^CJ^ERSj^^fforentfromapp^^ CQrdoba p]_ Carlsbad Name 3 APPLICANT QCfiqtractor F] Ac Name 4 PROPERTY OWNER,Bower, Jerry Name 5 CONTRACTOR - COMPANY NAME Address City ent for Contractor - f~l Owner f] Agent for Owner FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date address) Unit No Phase No Total tt of units Proposed Use tt of Bedrooms tt of Bathrooms CA 92008 760-729-6792 State/Zip Telephone tt Fax tt Ca 92021 (619)390-4477 Addi ess City State/Zip Telephone tt 2041 Cordoba Pi Carlsbad Ca 92008 760-729-6792 Address City '£ •? State/Zip Telephone tt (Sec 7031 5 Business and Professions Codii Any City or Counly which requires a permit to construct alter improve demolish or repair any structure prior to its issuance also requires the applicant fur such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law IChapter 9 commending with Section 7000 of Division 3 of tfie Business and Professions Codel or that he is exempt therefrom and the basis for the alleged exemption Any violation of Suction 7031 b by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) A & J Foster Plumbing 13706-B Hwy 8 Bus El Caion CA 92021 (619)390-4477 Name Address City State/Zip Telephone tt 630120 „....„ C-36 r.... «....„.„,._„. 1210836License Class City Business License N/A Address City State/Zip Telephone State License It Designer Name State License 0 6 .WORKERS COMPENSATION Workers Compensation Declaration I heieby affirm under penalty of perjury one of the following declarations l~~l 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 worker s competition insurance carrier and policy number are Insurance Company State Comp Ins Policy No 467-01 0000713 Expiration Date_04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$1001 OR LESS) I | CERTIFICATE OF EXEMPTION I ceitity that in the performance of the woik for which this permit is issued I shall not employ any person in any manner so as to become subject to the Woikers 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 dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE_ C/tAfr-^L ^SSr^-JQi^O DATE £ ~/^~D^- 7 ,, OWNER BUILDER DECLARATION I hereby affnm that I am exempt from the Contractor s License Law for the following reason [~l I as owner of the property or my employees with wages as their sole compensation will do Ihe 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 hunscir 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 onu year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) (~1 I as owner of the progeny am exclusively contracting with licensed contractor to construct the project (Sec 7014 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) [~) I am exempt under Section Business and Professions Code for this reason 1 I peisonally plan to provide the major labor and materials for construction of the proposed property improvement (~1 YES f~lNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 1 have contracted with the following person (firm) to provide the proposed constiuction (include name / address / phone number / contractors license number) 4 I plan 10 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 woik 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 HESIDENTIAL BUILDING PERMITS ONLY _„ r- " f 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? d 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? l~1 YES [~l NO Is the facility to be constructed within I 000 feet of the outer boundary of a school site? [~l YES I") 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 * ;, I hereby affirm that there is a constiuction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) NONE LENDER S ADDRESSLENDER S NAME ________________________ __________________ 9 APPLICANT CERTIFICATION 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 ordinani es mid State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned p(operty 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 OSIIA permit is lequiied for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height EXPIRATION fc\ery permit issued by Ihe building Official under Ihe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by siic,h permit is no! commenced within 180 days from Ihe dale of such peimit or il the building or work authorized by such permits suspended or abandoned at any time aller Ihe work is commenced lor s ttupnerly fj 80 clays (Seclion IQja 4>yUiiitorm Building Code) APPLICANT b SIGNATURE DATE WHITE File /YELLOW Applicant PINK Finance FEB-14-2002 THU 02:19 PN A & J FOSTER PLUMBING FAX NO, 619 390 4448 P, 06 FCQ WATER AJ Foster Location BOWER JERRY 1106J/7 2041 CORDOBA PLACE , CARLSBAD, CA 92008 v Ph 760-729-6792 Fax Equipment Worked On 'Bill To Home Depot Central Install Sates 4720 Mission Gorge Place, San Dfego, CA 92120 Ph 6195828266 Pax 81 958281 86 Item iDescription ||Mfg ||Model# IITBA || [ WO731 Date Page 1/28/2002 1 Of 1 •Quote* Q34 P0# 679467340 FWO# Technician 92008 1106 Scheduled 1/28/2002 Time And W/OType Materials Contract Start Time Completed Equipment TBA Problem Quote Pnonty High Status In Progress Taken By KARL, CHRISTINA Caller AuthBy Serial* IJPhys Loc |l Technician Date Qty Description Qty Part*Description Source PERMIT, CB WH Carlsbad Water Heater Permit Warehouse Service Instructions 487-441 "• X-ST= HILLSIDE DR ""Quoted Materials **" (PartNum] [DeacJ JQty] 425276 ] [12 year water heater r-20 sg40H2xa(C 40,6 40000,0] [1] QS50 ] [Earthquake Strap] [1] 6IL048078 ] [61 X 7/8" ID /1/2" Wall Pipe Irt$ulati0n] [1] B342) [3/4" x 2" Brass Nipple] [2] F3418SN ] [3/4" x 18° Water Flex Sweat by Nut] [2] C3490 ] [3/4°copper 90(C ,B .0 ,V ,T ,S )] (5] C34 ] [3/4' Type M Copper Tubing] [10J [C34MA] [3/4' male a<Jp«C ,B ,D V T S )] [1] [FG1224WVI [1/2"x 24" gas flex w/valve] [1] ""Quoted Reg Labour"" [Descnpton] Install 12yr 40 Gal Gas Water Heater Description Of Wo fk Done Regulated llem(s) Used/Recovered Date Used/Rec' Qty(lbs) Type * 'LT = Used, "R1 = Recovered Customer Signature License Detail Page 1 of2 r«i IFORNIA i irrrisr no.tRn License Detail Contractor License # 630120 I i DISCLAIMER A license status check provides Information taken from the CSLB license data base Before relying on this information you should be aware of the following limitations • CSLB is prohibited by law from disclosing complaints until they are referred for legal action • Per B&P 70/1.17 or|ly construction related civil judgments known lo the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration o Due to workload there may be relevant information that has not yet been entered onto the Board s license data base Extract Date 11/08/2001 * * * Business Information * * * A & J FOSTER INC P O BOX 2758 LI, C A JON, C A 92021 Business Phone Number (619)390-4477 Entity Corporation Issue Date 10/07/1991 Expire Date 10/31/2003 * ** License Status * * * Plus license is current and active AH information below should be reviewed * * *Classifications * * * Class |C36 Description] PLUMBING * * *Certifications * * * Celt me Description HOME IMPROVEMENT CERTIFICATION] * * * Bonding Information * * * CONTRACTOR'S BOND This license filed Contractor's Bond number 1002375 m the amounti of $7,500 with the bonding company SURETY COMPANY OF TIIE_PACLFIC Effective Date 07/01/1994 http //www2 cslb ca gov/CSLB LIBRARY/I icenset-Detail asp 11/8/2001 License Detail Page 2 of2 Contrat tor's, [loading History. BONO OF QUALIFYING INDIVIDUAL(l) This license iiled an exemption certificate for the Responsible Managmg'Oflicer (RMO) ARLEN KEITH FOSTER certifying that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 10/07/1991 * * Workens Compensation information * * 1 his license has workers compensation insurance with the s r^iE COMPENSATION iINSURANCE FUND Policy Number 467-0000713 Effective Date 05/01/2001 Expire Date 04/01/2002 Personnel listed on this license (current or disassociated) are listed on other licenses Personnel List Other Licenses se Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request Q, A public service of the Ccnturfors State: License Bodrc! CopyilQlU '' 200! A,l rights rr"y?i«eti :iM Updated iOK!a/;.00-l ! httn //www2 cslb ca aov/CSI.B IIBRARY/1 icense I Detail asp 11/8/2001