HomeMy WebLinkAbout2357 CARINGA WAY; 02; CB022285; Permit08-08-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB022285
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2357 CARINGA WY CBAD
PLUM
2152400516 Lot#: 0
Construction Type: NEW
FRENCH RES- REPLACE WATER HEAT
Status: ISSUED
Applied: 08/07/2002
Entered By: SB
Plan Approved:
Issued:
Inspect Area:
Applicant:
A&J FOSTER, INC.
STEB
13706HWY8BUS
EL CAJON CA 92021
619-390-4477
Owner:
WALTERS ANGELIQUE
2357 CARINGA WAY #2
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 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 PERWil
PERMT HAS EXPIRED IN ACCORDANCE WITH U.B.C,
.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 lees/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 oreviouslv been aiven 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
2357 CARINGA WAY #2
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 tt of units
Assessor's Parcel tt
215-240-05-16
Description of Work
Existing Use Proposed Use
SO. FT.#of Stories tt of Bedrooms tt of Bathrooms
Water Heater Replacement
2. " CdKlfASf-PERSOKlllfdlfferinffrariiappllcintt '' ','; ,•' 'M -' ,FRENCH, GREG 2357 CARINGA WAY #2 Carlsbad CA. 92009 760-476-9001
Name Address City State/Zip Telephone tt Fax tt
3. " APPLICANT '- jQ Contractor D Agent for Contractor- d Otoner Q Agent (of Owner • •
Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon,Ca. 92021 '(619)390-4477
Name
4 PROPERT*
FRENCH,
/! rtUfffhjttt
GREG
Address
2357
1 '
CARINGA WAY #2
City
i/f
Carlsbad
',"•
Ca.
State/Zip
j
92009
Telephone tt
766-476-9001
Name Address City State/Zip Telephone tt
JEu ' CONTRACTORS!feejViPANY'NAME i >< " > "' « ! ' X% * ' * <"" ' T' '
(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 l$500l).
1T7nfi-R Hwy.S Bus. El Cajon CAi__92Q21 1619)390-4477-A & J Foster PlumbingName
State License # 63Q120
Address
License Class C— 36
State/Zi
City Business License
te/Zip Teleph
# 12108J6
one #
Designer Name
State License tt
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
£H 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
Jbf 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 State Comp.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 ($100) OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify-that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure worke[*^£ompensationcoveragg>b«4fnlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($ 100.000), iiyaddltiojM)? tne»cos<6n compenaditlon-d^fJ'O''* as provided for in Section 3706 of lh« Labor podo* Intemst^md attorney's fees.
SIGNATURE £^6t*&*<*' f) ' *~7f4&*. > DATeAUU U 0 uMl
7. OWNER.BUILDER DECLARATION '. f' -'• ••>'<•:/,"• > . ~' • ." ,
I hereby affirm that I am exempt from the Contractor'sticense 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> 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. d 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
!c1-IICi«rflI^^ * ' *" -:"-' "' Y
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? d YES d 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 YES d NO
Is the facility to be constructed within 1,000 feet of the outer 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.
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code).
LENDER'S NAME NONE LENDER'S ADDRESS
9* i*"sliD1Dl*irvitfi£i*l" 'j^lBD'TiicYJ^jftYmH 1**? n r 5<" **''" ' ^L * " « **! \t* ?$$¥*'?' r> ' ^fi^" *,*J ~r .fa jr' fj » 1 " » *\ * { ~? ~ *» , Mrpl»pUf/"Wi I- vCrt I lr!|.v*c* * IUW r\f } * ' * > i f*tf«' *, * ' ^ it1 l 55 « r * ^ «, , j V 1 - * «' t
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 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 commenceijMWrin \RQ days frpp»the daW«Ruchi>ermit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commencedyKj^ pswd of JBOiHus (SeOiop0J)&J/yrittttrm Building Code).
APPLICANT'S SIGNATURE £^CA^***^ / /
WHITE:^ile YELLOW: Applicant PINK: Finance
AUG082002
POUCYHOLDE* COPY
P.O. BOX 420807. SAN FRANCISCO, CA 94142-0807
COMPENSATION
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
MAY 14, 2002
CONTRACTORS STATE! LICENSE BOARD
WORKERS' COMPENSATION UNtT
P O BOX 26000
SACRAMENTO CA 95826
GROUP: 000467POLICY NUMB6R; -713-2002
CERTIFICATE ID: «
CERTIFICATE EXPIRES: 04-01-2003
04-01-2002/04-01-S003
CONTK LIC Ml 630120
IHCEPTtQHt 4-1-02
LOS ANCBLKS DO
This b to certify that we hava issued a valid Worker's Compensation Insurance policy in a form approved by the CaliforniaInsurance Commissioner to the employer named below for the 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 this policy be cancelled prior to Its normal expiration.
This certificate of Insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by thepolicies listed herein. Notwithstanding any 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 condluona, of such policies.
AUTHORfiKO REPMStWTATIVE ••WSIOSNT
BMPLOyER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS; $1,000.000 PER OCCURRENCE
A & J FOSTER, INC
13706 HWY 8 BUSINESS ST
El* CAJON CA 92021
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