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Home My WebLink About2411 LA COSTA AVE; B; CB042820; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 07-21-2004 Plumbing Permit Permit No: CB042820 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2411 LA COSTA AV CBAD St: B PLUM 216240553! Lot#: 0 Construction Type: NEW TILLOTSON RES-REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/21/2004 KMT 07/21/2004 07/21/2004 Applicant: Owner: ?064 07 /21./04 0002 0.1. A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 PFEIFER KRISTINA M 2411 LA COSTA AVE #C CARLSBAD CA 92009 Total Payments To Date: $0.00 $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 Balance Due: FINAL iPROVAL Date: .,. ? -~ Clearance: CGF" $27.00 NOT!CE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/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/ex ti ns f whi h u have reviou I en iven a NOTI E imilar to this or as whi h the t e of limit ti n ha r vi u I h rwis ex ired. IVl J,;;_ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. C/sQ{J.2&>b EST. VAL. __________ _ Plan Ck. Deposit __ 4/;;;ri___,,____~.....;:;:.--- Validated By ___ ~~'-=-'----'---- Date _______________ _ Address include Bldg/Suite II) Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units As Proposed Use #of Stories # of Bedrooms # of Bathrooms 1:s,:::~~~~~C0N~.R'A:Glt~Rl~~CoMRAN~ijAIVJE·~iifNJ~ll!i~~r~~l~Cllif~~&~tlmJmr~r&~TC~~mli~~~~~t&\~,,a~i~~~m:rnr~~j~~i~•!J (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 e empti~ An viola ·on of Section 7031.5 by any applican for permit subjec~ the applicant to a cjvil penalty of no} more _an fve hund e,d dol ars ( 5 01). ~....,,,,,__.........__,.,,""'-LL.:"""'-=;:..,--...,,,,__,_-->....,,y~--.,.L...-'-'-"-"<:....::i--~~~~>-a.+:~~±---l-~~ULL.Jl..,L.l.,L~__J_J TJ Designer Name Address City State/Zip Telephone State License# __________ _ t.G~;;t~tW:0jfl{fBS;J .. 0MB.EN$:A!ftQN:t~t~l~~l1I~t~li~~.t~ij,~t~f.t?ii!i~1;~\lilii!~~~~~~~?i~~fi~!!~t~J~~~tl~lilt~1t~li~j~~~i~il1U1~~l~J~~~~;~~~::~ti::a Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 ~~e work for which this permit is issued. ~ I have and will maintain workers' compensntion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's O pens tion lnsura e carrier a policy number are: . ~ r-u . . 4-' I l'-t:=.. Insurance Company ..,._~..._,....: ..... c...::""''--'l-..... OL.-:'-"":::..O--------Policy No. 11 "';Joj7(o-~ '.:i Expiration Date........ I V....J _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ' D 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 secur s' comp n tion c e Is unlawful, and shall subject on employer to criminal penalties end civil fines up to one hundred ,;hf 1;:;~;~;;::::~~:;,."""'~~~'7f'"' i::~".,,,,:::: ::,:~~~•cc•~1•"''=•~=:::~::::::,:~:::::~;:;~~h1 ~1I d~l~9:::::.:~::.:n:~:.:~~. 5 ~,r,i~· ;, 11.,,,,,•QW.1• !;fhB, Jl!QER P EP!.!~RP.i: .IQ l\! . .,.,ll,l:.!l.t/Th1t,i,' .,,~w,;;ijil!i!Jl:li,M~ .. .,,~,t,~£i'f1:&filt~,,:1:;;,el1,~;;~~11:11.:.,,~,,,,~ .. h!~S<11io,;.,~i • .,:!,\;ii.'i~,~::1! ,!li~1i,.J,,;a.'f~""1,,i!til ili!J'::,;t:,f~"ri~{].,Jl;li,i<i\M!liii·:i I hereby affirm that I am exempt from the Contra ·tor's License Law for the following reason: D 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). D 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(sl licensed pursuant to the Contractor's License Law). D I am exempt under Section _______ Business end 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 ONO 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 _________ _ 1coMrit.~i:~~J1a1$:.s~¢if.i1:iitJi~·ttit~titt)Nfilt.s1QtiiJiJJ'f!:a"ti1~ijln~rnilioo1:t~~cii].'!i'.t~,ffi'.~mi'!:iiii,1l~i' .. ~lltii!~!!Dini;;ir~.Tu1i:f!lt:JW%~at~1tl½l~l~t,\1~,11j~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O 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? 0 YES O 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. !.a·:cH\iI~:IJ.fJi't.8g&,ti.QijjQ~NR!&~II~N.C.¥lff]~]11t}~~~f;f(~B')~~i]t'!!rr'i:iJi'J&i'~1!iiJl11lm'..£~i~;r~i~Jlf.::r::1'Zi~~l\ir~]iitlf~1:tll~}l~:it'i&it~~l'\::l'.?fl'.~1~~.:i❖:~'.ilt:.'-:~: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS. __________________________ _ ;9·, ,r,j::['Ai/iil;.LGANii,~C:~ij\ti~l'.c'A,'Ji(o.l'f,~~'"[~j~~t\iii~r~~~il!tlil.i'f,1:".~ir:nt&'"~l!fltiiw~Ii-QUcm:%~~'ilmifl"ault..1i:~!!llil~IW~11l~~l I certify that I have read the application and state that the above Information Is correct end that the information on the plens Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\t 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. EXPIRATfON: Every permll issued by the building Olflclal 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 comme!)ced wlthi O days from the date permit or if the building or work authorized by such pef It Is suspended or abandoned al any lime after the work is commenced for . s·oia eclion .4.4 o Building Code). DATE --: /2 / • Q ( J APPLICANT'S SIGNATURE V I "'-1 _______ _ PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/03/2004 Permit# CB042820 Title: TILLOTSON RES-REPLACE WATER Description: HEATER Type: PLUM Sub Type: JobAddress: 2411 LACOSTAAV Suite: B Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: Remarks: Total Time: Act Comment Inspector Assignment: ---0 Phone: 7604392785 Inspector: .J1 ~ ----=.,-::::::_:::> Requested By: LINDA Entered By: CHRISTINE CD Description 25 Water HeaterNents /tf_ _________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments