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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 SCIF10263 ei/eo 068 619 'ON XVJ HELSOJ f fEPF-UI: CG 1 V HV 9£:OI (EM 2002-iO-Ony »-ax.*.CERTIFICATE OF LIABILITY IN8U Ag*»eyPr, fUO;**ofl<t*3S3 ••& »i*«o ex taiaa Phontt 15(1.487-5730 fftxi 151-451-3 TTNWMIUMNOI CUITIFIOATl HOLPM «compiM*.lM«o»ict •««•«« UTTB» D ATI TMtMOK TN( H9TKITOTNI vwuMiii«.L»«MKyeiiTeMML JO* MT NHjMMMTWNMMWk M AMiR M P.O. IPX aeoootACMiatnro c*. r«v wy 9£:ot QHM£1/20 'd