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Home My WebLink About2402 ALTISMA WAY; A; CB032231; PermitCity of Carlsbad . b 1635 Faraday Av Carlsbad, CA 92008 08-1 2-2003 Plumbing Permit Permit No: CB032231 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152401709 Lot#: 0 Applied: 0811 212003 Reference #: Plan Approved: 08/12/2003 Issued: 08/12/2003 Project Title: ROMERO RES NEW H20 HEATER Inspect Area: 2402 ALTISMA WY CBAD St: A Construction Type: NEW Entered By: SB Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: ROMERO LUIS A 2402 ALTISMA WAY #A CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 FINAL APPROVAL I Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, 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 feeslexactions. 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, ming, grading or other similar application processing or setvice fees in connection with this project. NOR DOES IT APPLY to any feeslexacb 'ons of which YOU have Drev iouslv been aiven a NO TlCE similar to this. or as to wh ich bstatute o f limitations has Drev iouslv ptbenv ise exdred. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. Plan Ck. Deposit Validated By Address (include BldglSuite #) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Business Name (at this address) SFR 215-240-17-09 Name Address City State/Zip Telephone # Fax # 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 Codel 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 155001). FT- ' n PA om71 (61 o \ w 77 r- tv Telephone # State License # 6301 70 License Class (1-36 City Business License # 1 710836 Designer Name Address City StatelZip Telephone State License # 0 of the work for which this permit is issued. I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance 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 sued. My worker's compensation insurance carrier and policy number are: Insurance Company -- C+-C -. Policy No.-yl.lj Expiration Date nu -- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS1 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to thousand dollars ($1 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred em' compensatlo n, damages as provided 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 ISec. 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). 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. 4. numt am exempt under Section personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES (have I have not) slgned an application for a building permit for the proposed work. 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 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 r I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE CUM 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 I will provide some of the work, but I have contracted (hired1 the following persons to provide the work indicated (include name I address I phone number I type 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). LENDER'S ADDRESS NAME 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 Citt 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 commenced at any time after the work is commenced for APPLICANT'S SIGNATURE DATE SD POLICYHOLDER COPY STATE PO. BOX 807, SAN FRANCISC0,CA 94 142-0807 COMPENSATION INSURANCE Fu N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 04-01-2003 GROUP: 000467 POLICY NUMBER: 0000713-2003 CERTtFICATE ETPRES: 04-01 -2004 CERTIFICATE ID: 4 04-01:-2~03/04-Q1-2004 LICENSE NUM~ER: LICENSE #630120 This policy is not subject to cancellation by the Fund except upon lodays' advance wr notice should this policy be cancelled