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Home My WebLink About2100 CHESTNUT AVE; ; CB031077; Permit04-15-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB031077 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2100 CHESTNUT AV CBAD PLUM 2053300100 . Lot#: Construction Type: PACHECO RES NEW H20 HEATER 0 NEW Status: ISSUED Applied: 04/15/2003 Entered By: SB Plan Approved: 04/15/2003 Issued: 04/15/2003 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: - PACHECO LEO J&DIANNA J 2100 CHESTNUT AVE CARLSBAD CA 92008 2890 04/16/03 0002 01 02 >, CGP 27-00 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 0 0 0 1 6 0 '$20.0'0 T •' . * $0.00 ;$0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total^Payments TaDate':?'•$0.00.Balance Due:$27.00 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 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 " , 2100 Chestnut Ave 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 1 Unit No.Phase No.Total # of units SFR Assessor's Parcel # Existing Use 205-330-01-00 Description of Work S.Q. FT. Water Heater Replacement 2. CONTACT PERSON (if different from applicant) , '- , ,' Pacheco, Dianna 2100 Chestnut Ave Name Address 3, APPLICANT jf3 Cpntraotor- ' 'Q Agent' for Contractor- - Q Owner ' Arlen Foster/iCarol Foster ] 3706-B Hwy.R Name Address :4. PROPERTY OWNER ••.'.. : ' \ '_,''-,-,' ."-u_ '!', Pafh^r-n Dianna ''lOO Chestnut Ave Name ' _ Address itof Stories Carlsbad City - [~LAgerit;forl0wner " • •,' Rns. Rl Cajon City " CarlsbadCity Proposed Use # of Bedrooms ' CA. 92008 State/Zip State/Zip Ca 9">OQ8State/Zip # of Bathrooms 760-845-6233 Telephone tt Fax tt (fiVQ)3QO-4477 Telephone tt 760 R15 6°33Telepnone # 5. CONTRACTOR - COMPANY NAME " "<_ f ,'.>'' , , - (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 [$5001). J Foster Flumbing El (019^-4/77 State License tt 630120 License Class r*_City Business License # 1210836 Designer Name State License # _ 6. WORKERS'CO Address City State/Zip Telephone :NSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' - ' J~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is •Mssued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy N°M Expiration Date_04-01-03Insurance ompany 04, j_ fnmr-i TnQ _ ' _ ocy °M(",7_m 000071 (THIS SECTION NEED N^f'BE^OMPLETED'iF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$ 1 00] OR LESS) f~| 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^ofRri compensation cotfiiwjB is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred on td the4st ofcora&jjpsatjmrriamages as provided for In Section 3706 of the Labor code, interest and attorney's fees. "*' ' thousand dollars ($100,0[ SIGNATURE £^< - _ DATE 7., OWNER-BUILDER DECLARATION " y/V- _ .* -'; ,„- _.;•„;', •'-..- ' . ' .. ~, ~ .' ,-''. '• ' .,.' . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: • Q 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). 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). j - ' [U 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, d YES fjNO 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 (include1 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 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? Q YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES d 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. >«." CONSTRUCTION LENDING AGENCY . , ''_ ,\s •/. • , .V'-'j-!.•,"-•:''.':," ,->'"".." "-•;'•"- , . ' . ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME M ATO • LENDER'S ADDRESS_1; .- '. 9. APPLICANT CERTIFICATION ' .'-',,/.',"" ''..., r ~ I certify that I have read the application and state that the above information^ 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 commencedjijihin 180 days from the date ofauch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedyWra p.$Q$ of ]80^y^(SectidT5TO6.4.^Uniform Building Code). ~ ..... 47/5 i>Xle APPLICANT'S SIGNATURE WHITE>YELLOW: Applicant PINK: Finance AUG-21-2002 WED 04:58 PM A & J FOSTER PLUMBING FAX NO. 619 390 4448 P. 02/07 a/1 - POLICYHOLDER COPY P.O. BOX 420807, SAN FRANCISCO, CA 94142^0607 PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATION INSURANCB MAY 14, 2002 COHTRACT0RS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT "> P O BOX 26000 SACRAMENTO CA 95826 GROUP: 000467 POLICY NUMBER: 713-2002 CERTIFICATE ID: 6CERTIFICATE EXPIRES: 04-01-200} 04-01.-2003/04-01-2003 CONTR LIC It: 630120 INCEPTIONi 4-1-02 LOS ANGEU5S 00 This 1$ to certify that we have issued a valid Worker's Compensation Insurance policy In a form approved by the California Insurance Commissioner to the employer namad below for Ihfi 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 10 days advance notice should (his policy be cancelled prior to its normal expiration. This certificate of insurance la not an Insurance policy and does not amend, extend or alter the coverage afforded by (lie policies listed herein. Notwithstanding arty requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the Insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions, of such policies. AUTHORIZE REPRESENTATIVE EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE A & J POSTER. INC 13706 HWY B BUSINESS ST St, CAJON CA 92021 SCIF 102«5 IEPF-UI: CO}