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Home My WebLink About2303 CARINGA WAY; A; CB023602; Permit11-27-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB023602 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2303 CARINGA WY CBAD St: A PLUM 2152403502 Lot #: 0 Construction Type: NEW VANHEE RESIDENCE WATER HEATER REPLACEMENT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/27/2002 MDP 11/27/2002 11/27/2002 Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJONCA 92021 619-390-4477 Owner: VANHEE DOUGLAS A 2303 CARINGA WAY #A CARLSBAD CA 92009 2228 11/27/02 0002 01 02 CGR 17-00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Lino 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 ^i->f«t6-s SIGNATURE 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 vou have previously been given aNOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION*CITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 920082303 Caringa Way #A FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL.Plan Ck. DepositValidated ByDateAddress [include Bldg/Suite #}Business Name (at this address)Legal Description Lot No. Subdivision Name/NumberSFR Unit No.Phase No.Total # of unitsAssessor's Parcel #215-240-35-02 Existing Use Proposed UseDescription of WorkWater Heater Ret SQ. FT.#of Stories # of Bedrooms of Bathrooms Douglas Van Hee 2303"Carincra Way #A Carlsbad CA. 92009 760-804-0962 Name Address City State/Zip Telephone ft Fax 9 Arlen Foster/Carol Foster 13706-B Rwv.8 Bus. El Cajonf Name-' "Address 3~ " J "" "^"Oty* "StaTeftfp ' "Telepfibne ftiS&swftM^^ (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 I$500J), JA 01 u I'uon-'j. — t'j-miiu-ti-tq •Vg./yo— -u nwy.o uName J /redress -* State License # 630120 License Class p ^£ Designer Name Address State License # u /n U.J. J-.-L Wl^ Wl. ^Y^ VU^T_^-??,, City Business License # \$\ QS36 City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. Q 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 _stat^_eeff-ft9_ Policy No4G7_Q1 0000713 Expiration Date Q4,01_03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 aecujfr «JnrKere' compensation tjjyffge Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred m, damages as provided for in Section 3706 of the Labor, code. Interest and attorney's fees.thousand dollars (*100_ SIGNATURE DATE _ 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). Q 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 contractors} licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. t (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 parson to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number!1. _, 5. t 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 NO . , *, _ i 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? D Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. ; -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(i) Civil Code). LENDER'S NAME NFttJT? LENDER'S ADDRESS. I' * v ". > ,' « 1 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. 1 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 commenpadjWlthin 1 80 days, from tiB__j|ere of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cpmmjjfrtffifqj^periojri qfrtpTdaya (aJTtlnrrtftil 1 'fntfnrm Building Code). M/£6 _APPLICANT'S SIGNATURE DATE ITE: File YELLOW: Applicant PINK: Finance AUG-21-2002 WED 04:58 PM A & J FOSTER PLUNBING FAX NO, 619 390 4448 P. 02/07 POUCYHOLDER COPY STATE p-°- BOX 420807, SAN FRANCISCO, CA 94142-0807 I N * U KA NC a PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAY 14, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P C BOX 36000 SACRAMENTO CA 95326 GROUP: 0004S7 POLICY NUMBER: 711-2002 CERTIFICATE ID; 6CERTIFICATE EXPIRES: 04-01-300) 04-0.1.-2002/04-01-3Q03 COWTR LIC fl: 630120 INCEPTIONi 4-1-02 LOS ANQELJ5S tX) This Is to certify that we hava issued a valid Worker's Compensation tnfiurance policy In a form approved by the California Insurance Commissioner to the employer named bofow for (ho pottey period Indicated. This policy » not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We mil also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of Insurance IB not an Insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding arty requirement, term or condition of any contract or other document withrespect to which this certificate of insurance may be fssuad or may pertain, the Insurance afforded by the policies described herein (s subject to atl the terms, exclusions, and conditions, of such policies. AUTHORIZED lUPfflSENTATIVE BMPLOYBR'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: ?X,000,000 PER OCCURRENCE •MPL.OYSR A fc J POSTER, INC 13706 HWY B BUSINESS ST BL CAJON CA 92021 SCfF 10265