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Home My WebLink About2412 ALTISMA WAY; G; CB043720; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB043720 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152401732 Lot #: 0 Applied: 09/29/2004 Reference #: Plan Approved: 09/29/2004 Issued: 09/29/2004 Project Title: SALVO RESIDENCE Inspect Area: 2412 ALTISMA WY CBAD St: G Construction Type: NEW Entered By: MDP WATER HEATER REPLACEMENT Applicant: A&J FOSTER, INC. STE 6 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: SALVO GEORGIE L 241 2 ALTISMA WAY #G CARLSBAD 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 $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 PERMIT WP S WIRED IN ACCORDME Wm u.Q,@ SECTION 106.4.4 FINAL APPROVAL Inspector: 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 “feesiexactions.” 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 capaaty changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ~ 02 27.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 L FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Proposed Use DescriptioR of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms PA {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 Codel or that he is exempt therefrom, and the basis for the alleged Name Designer Name Address City Statelzip Telephone State License # 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 I have and will maintain workers' compensation. asrequired by Section 3700 of the Labor Code, for the performance of the work for which this Dermit is e work for which this permit is issued. Insurance Company Policy No. ] 7 3a57k-w Expiration Date, 4/65 - ~~ -1 81 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$loo] OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure w thousand dollars ($100.00 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 er as provided for in Section 3706 oft and attorney's fees. 0 I, as owner of the property or my employeos 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 ON0 I (have I have not) 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: 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 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 I type PROPERTY OWNER SIGNATURE DATE ..COM 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? is the facility to be constructed within 1,000 feet.of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO ere IS a cons LENDER'S 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 axcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by at any time after the work is commence APPLICANT'S SIGNATURE DATE itation and become null and void if the building or work authorized by such permit is not comme e building or work STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE Fu N C) CERTIFICATE OF WORKERS' COMPENSATION INSURANCE WRIL 7, 2004 POLICY NUMBER: 1732576 - 84 CERTlFtCATE EXPIRES: 4-1-05 r CITY OF CRRLSWD f4TT)J: WItDJPIG f CCIRLSBCU) CR 92008 * JOB: RLL OPERRTICNS L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the polic period indicated. 4 - This policy is not subject to cancellation by the Fund except upon R)Q days' advance written notice to the employer. We wilt also give yau 38 day& advance notice shouM this policy be cancelled prior to its normat expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed heretn. 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 poltcies described herein IS subtect to all the terms, exclusions and conditions of such policies. dwL bG c. 6kL AUTH bca OR I ZE 0 R E PR E S E NTATlV E PRESIDENT EMPLOYER'S LIC3BILITY EMDM;ESUUIENT t2BEr5 ENTI TIFICCITE HOLDERS' NOTICE EFFECTIVE LWIW DEFEm COSTS : % 1, W, tM0 PER OCCURRENCE. 84/87/84 IS fiTTKHEB-Tf3 f#l@ Ff3m R-MT OF THIS POLICY. EMPLOYER r F5 II J FOSTER, INC. P 0 BOX 2758 EL CWON CCI 92el