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Home My WebLink About2349 ALTISMA WAY; D; CB013833; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 12-1 3-2001 Plumbing Permit Permit No:CBOl3833 Job Address: 2349 ALTISMA WY CBAD Permit Type: PLUM Status: ISSUED Parcel No: 21 52402940 Lot #: 0 Applied: 12/13/2001 Reference #: Plan Approved: 12/13/2001 Issued: 12/13/2001 Project Title: REYNOLDS- WATER HEATER REPLACE Inspect Area: Construction Type: NEW Entered By: JM Applicant: A&l FOSTER, INC. STE B EL CAJON CA 92021 13706 HWY 8 BUS 619-390-4477 Owner: REYNOLDS ROBERT&KELLY 2349 ALTISMA WAY #D CARLSBAD CA 92009 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 andfor Vent Vacuum Breaker Gas Piping System Other Plumbing Fees Sewer Fee Master Drainage Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 PIRED RRMIX r. :. ~. :: G\ ..:.._ \-\#I-# SlGNANRE.& ..- FINAL APPROVAL Inspector: Date: Clearance: I NOTICE: Please taka NOTiCE that approval of your project includes the 'Imposilon" of fees, dedications. reservations. or other exactions hereafler collectively referred to as "leedeuaclions." You have 90 days horn the date this permil was issued to protest imposition of these feesiexactons. If you protest them, you must follow the protest procedures set lolm in Government Ccde Section 66mO(a), and file the protest and any other required infwrnetion with the City Manager for review, set aside. mid, or annul their impasilion. processing in accwdanm with Carlsbad Municipal Code Won 3.32.030. Failure to (melyfollow that procedure will bar any subsequent iegai adion to attack. You are hereby FURTHER NOTiFiED that your right to protest the speclied feedexectons DOES NOT APPLY to water and sewer connection fees and capactiy changes, not planning, zoning, grading or other similar appliffltbn pmcessing or service fees in connection with this probct NOR DOES IT APPLY to any feedexactions of which vou have previously been (liven a NOTiCE Similar to this. or as to which the Statute of limnations has previoustv otherwise exrired. PERMIT. APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PRWECT INFORMATION - 2349 Altisma Way #D Address hclude BldgISuits X) , Businass Name la1 this addrssl FOR OFFICE US= PLAN CHEtk N . d/3g33 ' EST. VAL. L / Date I, I/ ' Legal DBLCription Lot No. Subdivision NamalNumbsr Unit No. Phase No. Total x Of units ASOBSJO~'S Parcel I SFR 215-240-29-40 Existing Use Proposed Use Doscription of Work SO. FT. #of Stories X of Bedrooms X Of Bathrooms Water Heater Replacement Name Address City StataIZip Telephone X 2349 AltislM Way #D Carlsbad Ca. 92009 760-336-0351 Name Address City StatalZip 6. CONTRACTOR COMPANY NAME Telephone X ISec. 7031.5 Business and PlOfeSsiOns Code: Any City or County which require0 a permit to CO~SI~UCI. alter, imurove, demolish or repair any struft~re, prior to its isoumcn, also requires the applicant for such permit to file a signed statsment that he is licensed pursuant to the provisions of the Contractor's License Law Chapter 9. commending with Section. 7000 Of Division 3 of tho Business and Professions Cads1 or the1 he is exempt therefrom. and the basil for the alleged exemption. Any violation f Se lion 7031.5 b Ii n or a p m' rubiects ., A J Foster pY&mrq !V"iB-B h.8 hs. %?P""CjFd~ a 'W." Of 5~~nt"aeflusfu~~~4~rr'S500". Name State Licmse I 630120 Address C-36 City Licsnre Clam City Business License X state/y2los36 Telephone X Designer Name .- ,. Address City StatslZip Telephone state License a N/A 0. WORKERS' COMPENSATlON Workers' Compensation Declaration: I hereby affirm under penalty of perjuv one of the following dsclarationr: 0 I have and wiii maintain a CeRifiCate of consent to self-insure for workers' comPenration as provided by Section 3700 of the Labor Code. for the performance of the work for whlch this permit is iksmd. a 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 c pe mi insura B carrier and policy number are: Insurance Company ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT is FOR ONE HUNDRED OOLLARS 1$1001 OR LESSi to become subject to the Workers' Compensation Laws of California. 0 CERTIFICATE OF EXEMPTION: I cenify that in the parformance of the work for which this permit is ibued. I shall not employ any person in any manner so as WARNING: Falbre lo secure workerr' cornpsnsatlon coverags Is unlawfd. and shall subject an smplover to crlminal panaltles and civil fines up to on. hundred thousand dollars 1$100.000~, In addltio? to the cost of compensation. dsmsges as Provided for in Section 3708 of the Labor code. Intersst and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I I hereby affirm that t am exempt from the ContreCtor'S License Law for the following mason: 0 i. as owner of the propmy or my employees with wages as their $01. compensation, will do the work and the slruc1ure is not intended or offered for sale iSec. 7044. Business and Professions Code: The Contra~tor's License Law doer not apply to an owner of propsny Who builds or improves thsrson, and who does Such work himself or through his own employees, provided that such improvements me not intended or offered for de. If. however. the building or improvement Is sold within one year of completion. the owner-builder will have the burden of Proving that he did not build 01 improve for the purpose of sale). 0 I. a9 owner of the uroperty, am exciusivsly contracting with licensed contractors to ~onslru~t the project ISec. 7044. Business and Professions Coda: The Contractor's License Law does not apply IO an owner of propany who builds or improves thereon, and contracts for such projects with contractarlsl licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 2. I Ihave I have nml signed an application for a building permit for the proposed work. 1. I personally plan to provide the major labor and materials for conrtruction of the proposed property improvament. 0 YES ON0 3. I have contract4 with the following person (firm) to provide the proposed COnStrUCtion iineluds name I address I phons number I Contractors license number): safe "emp."fns. 467-01 0000713 Policy No. Expiration Date 04-01-02 4. I plan to provids ponions Of the work, but I have hired the following pmon to coordinate. supervise and provide the major work (include name I address I phone number I conlracto~?~ license numberi: of work): 5. I will provide Soma of the work. but I have contracted lhirsdl the following per$ons to provide the work indicated lincluds name I address I phone number I type COMPLETE TMS SECTION FOR NON-RESIDDVML sUiLbiNo PERMITS ONLV PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupml required to submit a business plan. acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25633 or 25534 of the Prsdey-Tanner Hazardous Substance Account Act7 0 YES 0 NO 1s the applicant or future building Occupant required to obtain a permit from the air Pollution control district or air quality management distdct? YES 0 NO Io the facility to be constructed within 1,000 feet of the outer boundary of a Oehool 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hsrsby affirm that there is a ~f@ctio" lending agsncy for the pwformance of the work for which this Permit is issued ISec. 3097111 Civil Codsl. 9. APPLICANT CERTIFICATION LENDER'S NAME LENDER'S ADDRESS I Csnifv that I haw read the epplication and state that the above information is CoIOct and that the information on the plans is ac~~rete. I agree to comply with ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit). of Carlobad to enter upon the mbove mentioned PIOPORV 101 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excwations over 5'0' deep and demolition or construction of st~u~tures over 3 stories in height. EXPIRATION Every permit issued by Ihe building Official under the provisions of this Code Shaii expire by limitation and become null and void if the building or work authorized by such Permil is no1 commenced within 180 days from the dale oi such permit or If the building or work Bulhorized by such permit is Suspended or abandoned at any time after the work is .4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE /&-/3- Of ., ,+ WHITE: Fils YELLOW: Applicant PINK: Finance .- Page 1 of 2 CWTDRNUiCO~~ STATELECNSE BOARD License Detail Contractor License # 630120 s%b . .. .. .. . * * * Business Information * * * A & J FOSTER INC P 0 BOX 2758 EL CAJON, CA 92021 Business Phone Number: (619) 390-4477 Entity: Corporation Issue Date: 10/07/1991 Expire Date: 10/31/2003 , * * * License Status * * * This license is current and active. All information belowshould be reviewed. * * * Classifications * * * m-1 * * * Certifications * * * Description HOME IMPROVEMENT CERTFICATION~ * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 1002375 in the amount of $7,500 with the bonding company http://www2.cslb.ca.gov/CSLB_L1BRARYILicense+Detai1.asp 10/30/01 Page 2 of 2 Su-~.~"c~M~~-o~~H~p.~~I~c. Effective Date: 07/01/1994 Contractor's Bonding Histmy BOND OF QUALIFYING INDIVIDUAL(1): This license filed an exemption certificate for the Responsible Managing Officer (Rh40) ARLEN KEITH FOSTER certifymg that hekhe owns 10 percent or more of the voting stocwequity of the corporation. A bond of qualifylng individual is not required. Effective Date: 10/07/1991 I, . , * * * Workers Compensation Information * * * !' This license'has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 467-0000713 Effective Date: 05/01/2001 Expire Date: 04/01/2002 .. .. ,. . . . Personnel listed on this license (current or disassociated) are listed on 0ther:liceases. ___ Llcense Number Rewe3 Contractor Name Request Personnel N~me..&~U~S ' ' ,.,;, Salesperson Request salesperson Name Request public service of lhe Contractors State License Board. Copyright 02001. All rights reserved. 4* 6a"l* ,., Last Updated 1010812001 10/30/01