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Home My WebLink About2315 CARINGA WAY; 54; CB023595; Permit11-27-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB023595 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2315 CARINGA WY CBAD St: 54 PLUM 2152402748 Lot#: 0 Construction Type: NEW FKAMINISKI RESIDENCE WATER HEATER REPLACEMENT Status: ISSUED Applied: 11/27/2002 Entered By: MDP Plan Approved: 11 /27/2002 Issued: 11/27/2002 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: JACKSON VIRGINIA P 200 S PARK ST CRESTON IA 50801 2228 U/27/02 0002 01 02 COP 27.00 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 Line 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 DATE,.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 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 2315 Caringa Way #54 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No.Phase No.Total # of units Assessor's Parcel tt 215-240-27-54 Existing Use Proposed Use Description of Work Water Heater Replacement SQ. FT.#of Stories # of Bedrooms 9 of Bathrooms George Name Address gC^iiA^BplOANfcH^iJIfllntraS^ _Arlen Foster/Carol Foster State/Zip Telephone #Fax ff Name tetGeoro& Kami enski Address • City State/Zip Telephone tt 2315 Carinaa Way #54Carlsbad Ca. 92009 760-931-8 Name Address City State/Zip Telephone # (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 [$500]). a.. K, T T^cvt-Qy p-HTmK-iTVT TT7nfi-R Hwy.ft Rns. El Canon CA. 92021 (619)390-4477 State License # 630120 Address License Class C-36 City State/Zip Telephone # City Business License # 1210836 Designer Name State License Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [U 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. £1 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 ued. My worker's compensation insurance carrier and policy number are: Insurance Company State CCTOP-InS. Policy No.467-01 0000713 Expiration Date 04-01—03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNINO: Failure to secure workers' compensation coveuge Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (.$100,0ap|^ffildflltlon totaftost ortRMpenutipn. damages as provided for in Section 3706 of the Labor ^odof interest and attorney's fees. SIGNATURE ? ^^8.1^- -I -^, ^ +^* 1?Z ", DATE \\ I 2 K>jte&^m'#'f®$.^ I hereby affirm that I am exempt from the Contactor'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 contractor(s) licensed pursuant to the Contractor's License Law). D 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. Q YES QNO 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 (include 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 Q 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 CERTIRCATE 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 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 LENDER'S ADDRESS 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 ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 commencedjijithin 180 days torn the«|Bjfmf such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is commencpd'tor a^J^Rod pf 1£J£6ays (Se^njJjBgAd Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE:!File YELLOW: Applicant PINK: Finance AUG-21-2002 WED 04:58 PH A & J FOSTER PLUMBING FAX NO, 618 390 4448 P, 02/07 POLICYHOLDER COPY P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPtNSATION PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAY 14, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT 9 O BOX 36000 SACRAMENTO CA 95826 GROUP: 00046? POLICY NUMBER: 713-2002 CERTIFICATE ID; 6 CERTIFICATE EXPIRES; 04-01-200) 04-0,1-2002/04-0:1-2003 CONTR LIC »: 630120 INCEPTION) 4-1-02 LOS MWBWB3 00 Thla I* to certify that we have iscuad a valid Worker's Compensation Insurance policy In a form approved by the CaliforniaInsurance Commissioner to the employer named befow for lh» policy period Indicated. This policy *m not subject to cancellation by the Fund except upon 10 days advance written noUoe to the employer. We will also give you 10 days advance notice should this pofloy be cancelled prior to its normal expiration. Thfa certificate of insurance la not an Insurance policy and does not amend, extend or alter the coverage afforded by Hiepoltetet Itetad herein. Notwithstanding any requirement, term or condition of any contract or other document withraepeot to which this certificate of insurance may be issued or may pertain, the Insurance afforded by the policiesdescribed herein Is subject to all the terms, exclusions, and conditions, of such policies. AUTHORIZED mmeSENTATIVC EMPLOYER'S LIABILITY LIMIT IMCLUDIHG DEPfiNSR COSTS; $1,000,000 PER OCCURRENCE A 6 J POSTER. INC 13706 HOT 9 BUSINESS ST SL CAJON CA 92021 SCIF10245