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Home My WebLink About2043 AVENUE OF THE TREES; ; CB043721; Permitt . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 09-29-2004 Plumbing Permit Permit No: CB043721 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1562903600 Lot #: 0 Applied: 09/29/2004 Reference #: Plan Approved: 09/29/2004 Issued: 09/29/2004 Project Title: CALUYA RESIDENCE Inspect Area: 2043 AVENUE OF THE TREES CBAD Construction Type: NEW Entered By: MDP WATER HEATER REPLACEMENT Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: CALUYA-WILBER CHERYL 2043 AVENUE OF THE TREES CARLSBAD CA 92008 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 TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 21.00 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 'Yeedexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feedexactions 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 feeslexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exuired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (indude BIaglSuite 11) Business Name (at this address) ~ ~~~ Legal Description - Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units !3CS Proposed Use - 240- xo - 06 Descriptid of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms c (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 IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom, and the basis for the alleged I%F&WZYIL. An viola 'on of Section 7031.5 City City Business License # Name Address State License # &fD ' \ZO License Class Designer Name Address City StatelZip State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 Telephone R.EN 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 e work for which this permit is issued. I have and will maintain workers' compensation, a5 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Insurance Company Policy No.m'.T@W Expiration Date- -1 4 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$I001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wo thousand dollars ($100.000L 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 as provided for in Section 3706 oft nd attorney's fees. 0 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-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 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 ownar of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: ~ ~~~~ 4. number I contractors license number): 5. of work): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGNATURE DATE C0MPLETE;THIS SECTldN FOR"&' 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? 0 YES NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. LENDER'S NAME LENDER'S ADDRESS RLICANT: 6ERTIFICA;TiON 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 over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Evety permit issued by the building Official under the provisions of this Code shall expire by limltation and become null and void if the building or work authorized by such permit is not commen at any time after the work is commenced APPLICANT'S SIGNATURE DATE the building or work .- STATE COMPbNSATlON INSURANCE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 Fu N C) CERTIFICATE OF WORKERS' COMPENSATtON INSURANCE RPRIL 7, 2004 POLICY NUMBER. 1732576 - 04 CERTIFICATE EXPIRES: 4-1-05 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 polic period indicated. This policy is not subject to cancellation by the Fund except upon N# days' advance written notice to the employer. We will also give YQU 7#@ days' advawe notice should this policy be cancelled prior to its normal exptration. This certificate of insurance IS not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed heretn. Notwrthstanding arly requirement, term, or condition of any contract or other document with respect to whrch this certificate of insurance may be rssued or may pertain, the insurance afforded by the pobcies described herein is subject to all the terms, exclusions and conditions of such policies. 3y6 - 30 do?-- c. w AUTHORIZED 6cd REPRESENTATIVE PRESIDENT EMPLOYER'S LIRBILITY LIMIT XNCLUflING MFEW COSTS: C1,0$0,968 PER OCCURRENCE. E"XWENNT #2065 ENTITLED CERTLFLCGTE H0U)ERS' NOTICE EFFECTIVE 84/07/04 IS RTTQWEB-Tb QM FGRW R pc#IJ OF THIS POLICY. - EMPLOYER # & J FOSTER, INC. Q 0 BQY 2758 EL CRJON CR 92W1