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Home My WebLink About2430 GARY CIR; ; CB052128; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ✓ \d~3~ 06-07-2005 Plumbing Permit Permit No: CB052128 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2430 GARY CR CBAD PLUM 1671550900 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: ff\ ant: I/ 1~j1 ~0STER, INC. STE B 13 6 HWY 8 BUS EL CAJON CA 92021 619-390-4477 HENLEY RES-REPLACE WATER HEATER 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 1 0 0 Plan Approved: Owner: HENLEY PHOEBE R 2430 GARY CIR CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 06/07/2005 LSM 06/07/2005 06/07/2005 $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: Inspector: $. U~ FINAL APPROVAL Date: b:f'f'-C < Clearance: $27.00 NOTICE: Please take NOTICE that approval of your project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/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. FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. ~ 0C a1 ;;y:f CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit L7::: Validated By ___ ~--,-------- Date &J / 7 f DC ti .11 ·1~Jf RO]ECif J)NFP ~M}\-1.J~ N!:1/1!ir.:r~ir1tg~rj~~~~m1.~~~~~[f,.~1~~ ·i~~tr~;:;:[.~lll!i't ;J~~~HIW~~~,l~fJ~tli~~~jlilf~~~~l'it~ 2430 GARY CIRCLE Address (include Bldg/Suite //) Business Name (at this address) r 7 Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total II of units 1e7 165 0Q 00 Assessor's Parcel II Existing Use Proposed Use Description o~TE~ HEATE~ ~EPLACEMENTso. FT. /lot Stories II of Bedrooms II of Bathrooms Name A & J i;::ester lne. 1~70~ Mi9fl':t~ S Qus. # El 51 Cajon, Cii Q:20~1 ~614t, 390--4477 tatei ~P Telephone II Fax II 1~·: ·•ra ~ii11~·tct,.'Nt 2;S.Olqfi\i~raoig7.'.!(:'0 ~)1/'gil'nrusli~i®nt1~t~EJI§.wri'lif28Ig~~QG.~95t!W":~ . ~'iwfi&/,,: ~;1r •--~1'3iii'.:1A~~ . A & J Foster Inc. 13706 Highway 8 Bus.# B El Cajon, Ca 92021 (619) 390-4477' Name Address City State/Zip Telephone II i',i.Jl~~'PiQ'J!Ei:ti'~!iWN~Rtlt1:J:il!~~a.-;;r:~·:~1.~!i~:'!'~Jl!'!li?•''!''"''.~r•-:r••l',"-,,;'ll:,r,-;:;~ Jlir..;;'•~"l'.f~I . . • ~~i,& Name 243_Pc ~.A.RY Cl RCbli, CAAL.Sa.A.O, C 4, Q:2008 d ress City · 76~12a..2ooa S.tate/Zip Telephone II ~5. ".:1 ,; '(;.diitflfi'.«GI,0RI ~ ciQM.Rrut"tiiN.8~~1'ti~a1-~lm:r~=m(·1£!i~t'a/"'~:~..,,-,;,¼t'Fi'Bk'!~~ff. ~-~Ji (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 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). A & J Foster Inc. 13706 Highway B Bus. #8 El Cajon, Ca 92021 (619) 390-4477 Name Address City State/Zip Telephone II State License II 630120 License Class C-36 City Business License 111:..:2=-1.:...0=-8=-3=6 ___ _ Designer Name Address City State/Zip Telephone State License II _________ _ •6.,"':.~.w,oJ1~Ja~;.J~or;;~N~Aif.1b~~J'.iir,i~mr,--~ua •• ~·"·";:..iJ.'f':~,::m,i,~~1:i,1,\i'i~J:J~~J.m.~~f.~~~~~~~~til~;r111i~l•n~,~-;::1J:..ij~1Jl~;~i1:~1:r,;:~1,:.i:! Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaretlons: 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. O 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Fund Policy NS.732576-05 Explra~RIL -------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] DR LESS) • 0 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 secu~e w~ellj~~~verag nlaw I, and shall subject an employer to criminal pe allies and civil fines up to one hundred thousand dollars ($100,000) ~-~oT"J i~m · as provided for in Section 37DOA6ToEf the ab ~e\ l']Ml[q,s!and attorney's fees. SIGNATURE.________________________________ i I u:::) •i.,$;·1:ro.wiife'iffBi!lfi:rDeR·1·0EcU~a~"fior(l'11"1~~Efii':l!~~· :A'frll'a "T:i"r.~ii1Jil~'$1111r:rn~l!J:l~~W~J®f',':";.io;;s1EffJ':T~v·.~, ~~ i h~reby afi'I;,,.; that'i'a;;:;-~~e,;pt fro;,, the Contracto;'; License Law f~r the following reaso;: • O 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). O 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 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. 0 YES ONO 2. I (have/ have not) signed an appllcation 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):. ________________________________________________________ _ 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from tho air pollution control district or air quality management dlstrict7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 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. 1a',~i'.l¢'of{sJr·Mi:~;rit?N~\f!'ffm@~!i!lijG~nrs}~11~&1SJ~1Ti]J.'l'f;f:l~1~JE,1f,)~~~~~!'.ir5mt~'WlD:1~'2?~l"&~c~.:::'.'~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code). LENDER'S ADDRESS ~iiir~,_.., '$;;...! .. ~iN 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 Cit\! 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 end demolltion or construction of structures over 3 stories in height. EXPIRAT{ON: Every perm\\ Issued by \he building 011\cial under \he provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit \s no\ commenced wllhln 180 days lrom \he da\ f such permit or ii \he building or work authorized by such permit is suspended or abandoned at any time aner \he work is commenc r iod of 1 ys (S 106 .4 Unllorm Building Code). DATE {_Q_.,.. ~ ){ ID~ APPLICANT'S SIGNATURE _ \ _ • YELLOW: Applicant PINK: Finance . m • . City of Carlsbad Bldg Inspection Request . . Permit# CB052128 For: 06/15/2005 Title: HENLEY RES· REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: 2430 GARY CR // ~ /,-4 ~ Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: HENLEY PHOEBE R Remarks: did not leave her phone number Total Time: CD Description Act Comment Inspector Assignment: Phone: Inspector: /JLJ Requested By: PHOEBE Entered By: CHRISTINE 25 Water HeaterNents ..l}J!_ __________________ _ 2[_________ t---_______________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments