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Home My WebLink About2388 ALTISMA WAY; B; CB033168; PermitCity of Carlsbad 1 1-1 8-2003 Job Address: Permit Type: Parcel No: Reference #: b 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB033168 2388 ALTISMA WY CBAD st: B PLUM Status: ISSUED 2152401802 Lot#: 0 Applied: 1 111 812003 Construction Type: NEW Entered By: RMA Plan Approved: Issued: Project Title: KROTT RES-NEW WATER HEATER Inspect Area: Applicant: Owner: ABJ FOSTER, INC. STE B EL CAJON CA 92021 KROTT ELAINE M 13706 HWY a BUS 2388 ALTISMA WAY #B CARLSBAD CA 92009 61 9-390-4477 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstallIRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 I FINAL APPROVAL I Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ‘Imposition” of fees, dedications, resewations, or other exactions hereafter collectively referred to as “feedexactions.‘ You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project NOR DOES IT APPLY to any feedexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute o f limitations has D reviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 b FOR OFFICE USE ONLY PLAN CHECK NO. Cfl6 2J&J EST. VAL. Plan Ck. Deposit Validated By Date RM 2388 Altism Way #B Business Name (at this address) Address (include BldglSuite #) -% Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units CWD ar n Assessor's Parcel # Existing Use Proposed Use 215-240-18-02 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms City StatelZip Telephone # Fax # Krott, E. 2388 Altism Name Address Krott, E. 7188 ~it-ismalr~ay #R -a ca- 97nn9 -- 0 Name Address City Statelzip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improva, 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 [$5001). 1 a\ 2-77 Tdephone # - Name State License # 6301 20 License Class C-36 City Business License # 1210836 Designer Name Address City Statelzip Telephone State License mjje Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. E I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is ued. My worker's eompensation insurance carrier and policy number ara: Insurance Company c+ Policy No.&? QL I)BBCI?~Z Expiration Date nd -- n1 np I- (THIS SECTION NEED NoTTNDRED DOLLARS 141001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to thousand dollars ($100 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 , damages as provlded for in Section 3706 o 0 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). 0 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not1 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: UNO 4. number l contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number l type 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 0 YES 0 NO 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). LENDERS NAME M krn 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 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. 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 ovar 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 n r work authorized by such permit is suspended or abandoned at any time after the work is c APPLICANT'S SIGNATURE DATE 11 I\?/& I@ WHITE:& YELLOW: Applicant PINK: Finance SD POLICYHOLDER COPY ISSUE DATE: 04-01-2003