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Home My WebLink About2161 LEVANTE ST; ; CB013466; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-08-2001 Plumbing Permit Permit No:CB013466 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2161 LEVANTE ST CBAD PLUM Status: ISSUED 11/08/2001 JM 11/08/2001 11/08/2001 Parcel No: 2164840100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: HOSTIN -REPLACE WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $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 TOTAL PERMIT FEES Inspector: Owner: HOSTIN RICHARD N 2161 LEVANTE ST CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: $27.00 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 ~·u•p, 'R· ED p*~~n1y ;':',!'~,: • cn1v1 f :-" . :} , : fXPlRED !~J f:CCO~ WiTH U.B.C. ,; 00 j Vv,4,4 r,-·:-"s-,-UJ,,, SIGNATIIRE ... ®==----- 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 Garlsbad 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 "OU have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ci}5J?/.f66 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ .1, PROJECT INfORMA TION 2161 Levante St. Address (include Bldg/Suite #) Business Name (at this address) Legal Description lot No. sp_Rubdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel II 216-484-01-00 Existing Use Proposed Use Description of Work WATER HEATER REPLACEMENT SO. FT. #of Stories I/ of Bedrooms # of Bathrooms 2. CARLSBAD CA. 92009 760-753-4150 Name Address City State/Zip Telephone II Fax# ~-A~~A~s~;c!Mfi'L Ri~~fili°1 Coi137106-fl filW' 8 ~Tt§~.01 '0ftl."CAJClN, CA. 92021 (619)390-4477 Name Address City State/Zip Telephone# 4. PROPERTY QWN~R Richard Hostin 2161 Levante St. CARLSBAD 9ibo9· 760-753-4150 Name Address City State/Zip Telephone# 6, CQNTRACTQR.o COMPANY NAME (Stoc. 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 extimption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars I $5001). A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4477 Name State License # __ 6_3_0_1_2_0 ___ ~ Address License Class __ C_-_3_6 _____ _ City State/Zip lQS -g,1ephone II City Business License # 12 3 Designer Name State License II --~N~/~A=----- Address City State/Zip Telephone 6, WORK~RS! COMP~JIISATIQN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations; 0 I have and will maintain a certificate of consent to self-insure for workers' compensatia11 as provided by Section 3700 of the Labar Code, for the performance of the work for which this permit is issued. [}{ 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 compensation insurance carrier and policy number are; Insurance Company State Comp. Ins. Policy No. 00506395 04-01-02 Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 000), In a dltlon o the c st ompensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE __ ~«,~tr.~:;l:;O'!l~~r,.,'_____________ DATE /1-&1-O t 7, ;OWNER•~UILDER DECLARATION 1 l hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 Coda: 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. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contractad with the following person (firm) to provide the proposed construction (include name/ address / phone number I 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 parsons to provide the work indicated (include name/ address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETecltllS SECTION FOR NQN·Rl!SJDJ;NTJAL PUILP!NG PERMITS ONLY 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 Act7 0 YES O NO Is thu applicant or future building occupant required to obtain a purmit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outar boundary of a school site? D 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. B, .<;Q.NSTRUCTION LeNDING AG~NCY I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097{i) Civil Code). LENDER'S NAME _____ ~_NE ______ _ LENDER'S ADDRESS ________________________ _ ~-AePUCANT ceftTlflCATION 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 Cit\' 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 ii the building or work authorized by such permit is not commence · in 180 ~~m the such per_mil or it the building or work authorized by such permit is suspended or abandoned :~:::ct:Ne/:1~; 1 :::;~:; commen od '}} ::s (Sec· lform Building Code). DATE N Q v 8 2000 WHI YELLOW: Applicant PINK: Finance