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Home My WebLink About2404 ALTISMA WAY; B; CB033167; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 11-1 8-2003 Plumbing Permit Permit No: CB033167 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152401718 Lot#: 0 Applied: 11/18/2003 Reference #: Plan Approved: Issued: Project Title: ROSS RES-NEW WATER HEATER Inspect Area: 2404 ALTISMA WY CBAD St: B Construction Type: NEW Entered By: RMA Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Owner: ROSS PATRICK ABVICKY K 2404 ALTISMA WAY #B CARLSBAO CA 92009 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 TOTAL PERMIT FEES 0 0 0 0 I 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 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 9062 lli19/03 W2 01 02 CGP 27.00 referred to as 'feeslexactions? 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 6602!l(a), and file the protest and any other required information with the CiV Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely foilow lhat procedure will bar any subsequent legal action to attack. review, set aside, void, or annul their impcaition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I Address iinclude BldglSuite #I Legal Description Lot No. Subdivision NamdNumber Unit NO. Phase NO. Total X of units ASSBSSO~% Pard # Exisling use Proposed Use Dsscriotion of Work sa. FT. #of Storias X Of Bedrooms I of Bathrooms Business Name iat this address1 * SFR 215-240-17-18 FOR OFFICE USE ONLY PLAN CHECK N0.B 03 3 16f EST. VAL. Plan Ck. Deposit Validated By Water Heater Replacemnt P&b Name Address city StateRip Telephone X Fax # Name Address City StateRip Telephone # (sec. 7031.5 Business and Pmfeasions Cads: Any City or County which requires a permit to COnLNCt. alter. improve, demolish or repair any structure, prior to it6 isman~e. also mqvires the applisam for Such permit to fils a signad stnemsm that he is licensed pursuant to tha provisions of the Contractor's License Law IChaptar 9, commending with Sactian 7000 of Division 3 of the Business and Profesrionr Codel or that he is exempt therefrom. and the basis for the alleged ex@mption. Any violation of Section 7031.5 by any applicant for a permit rubjsots the applicant to a civil Penalty of not more than five hundred dollars 1950011. Name Address City StatelZip Telephone # State License x 630120 License Class C-36 city Business License # 1210836 Designer Name Address City StateIZip Telephone A (T. .T FW-. - El C-inn CA. 971371 (619)390-4477 c] of the Work for which this permit is issued. a issued. My worker's compensation insurance carrier and policy number are: Insurance Company State. Poiicy ~0.467-01 0000713 Expiration Date 04-01-04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1 0 CERTIFICATE OF EXEMPTION i certify that in the performance of the work for which this permit 10 issued, I shell not employ any perron in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING Fall lawtul. and shall subject an smpioya s up to one hundred thousand dollars SIGNATURE I hereby affirm that I am exempt rom t i, as owner of tho property or my BmployeBs with wages as their Soie Compmsiltion, will do thn work and the Structure is not intended or offered for 1.18 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 employBes, 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 wiii hew the butdm of proving that he did not build or improve for the purpose of salel. I. as owner of the property. am excIusiveIy contracting with licensed contractors to COnStrUCt the projact 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 Contracts for such projects with Contractorid licensed pursuant to the Contraclor's License Lawl. 1. 2. 3. I have and will maintain a Certificate of consent to self-insure far workers' compensation ar provided by Saction 3700 of the Labor Code, for the performance I have and will maintaln workers' compensation, asrequired by Section 3700 of the Labor Coda. for the performance of the work for which this permit is damagar LU provided for in Section 3 . . ... . . .. . ,. OWN€ i am exempt under Section I personally plan to provide the major iobor and materials far Construmion of the proposed property Improvement. 17 YES OND i (have I have not1 signad an application for a huiiding wmit for the poposed work. I have contracted with the following p~lrson (firm1 to provide the proposed construction lincluda name I address I phone number I Contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): i plan to provide portions of the Work, but I have hired the following person to coo,rdinats, supervise and provide the major work iinclude nama I addrsas I phone I will provide some of the work, but i have contracted ihifedl the following persons to provide the work indicated iinclude name I address / phone number I type PROPERTY OWNER SIGNATURE DATE CU 1s the applicant or future building DCCUPB~~ required to submit B business plan. aoutdy hazardous materials registration form or risk msnagsment and prevention program under Sections 25505, 25533 or 25534 of the Prerlev-Tanner Hazardous Substance Account Act? 1s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Is the fscllity to be Construoted within 1,000 feet Of the outer boundary of a school Site? 0 YES NO REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. YES 0 NO YES NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY Mar NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE 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 ail City ordinances and State laws relating to building construction. i hereby authorize representatives of the CitV of Csrlsbad to enter upon the above mentioned proparty for inspaction 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 he building Official under th0 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 within 180 d at any lime after the work is APPLICANT'S SIGNATURE DATE I WHITE File YELLOW Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE --- PERMTT # a- INSPECTOR @& PLAN CHECK # SO POLICYHOLDER COPY ,. STATE ! ,. .. " ;, FUND c COMPENSATIC~N ,'IN$URANCE' .~ 1 AN FRANCISC0,CA 9@142-!38P7, '. "1 ,.' ', ,, .... I ., i< ,. " 6 ! COMPE&SAT~N I N s U'-R 9 we.& '%. : ,, .,7 .. .,. ,.:. ' GROUP 000467 POLICY NUMBER: 0000713-2003 .* .: ISSUE DATE: 04-01-2003