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Home My WebLink About2508 LA GOLONDRINA ST; ; CB004746; Permit··------ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/14/2000 Plumbing Permit Permit No:CB004746 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2508 LA GOLONDRINA ST CBAD PLUM Status: ISSUED 12/14/2000 CB 12/14/2000 12/14/2000 Parcel No: 2155612300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MANGAN RES/ NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: Owner: MANGAN BRENDAN M&COLLEEN A 2508 LA GOLONDRINA ST ,5699 12/h CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 1 0 0 $0.00 FINAL APPROVAL Date: )..,I/\~ }01 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 ---(·, $27.00 NOTICE: 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 capactiy 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/exactions of which you have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. t '\ FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO_C/?()6,q 7~ CITY'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ IIIIIMilllltPPffPRN 2508 LA GOLONDRINA STREET Address (include Bldg/Suite#) Plan Ck. Deposit ~ Validated By -:: Date / z.. / 14{,0 Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No. Total # ol units Assessor's Parcel # Existing Use Proposed Use WATER HEATER REPLACEMENT Description of Woril SQ. FT. # of Stories # of Bedrooms # ol Bathrooms ST Telephone# Fax# I[ Hm HJ1J~Bllllm Name Address City State/Zip Telephone# -•-11m-mmmm1111111111111 ST Name Address City State/Zip Telephone# -Ill 1111111 7117:r:'IIII.IIIIWIP777Ti-llr:7'- cSec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve. demolish or repair 1;my structure, prior to its issuance, al$O requires the applicant lor such permit to file a ,igned ,tatement 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 pennlt subjects the applicant to a civil penalty of not more than live hundred dollars [$500]). A & J Foster lncoroorated PO Box 2758 El Caion Cf!,, 92021 6193904477 Name Addreias City State/Zip Telephooe# State License# 26~30~1~2~0,_ ____ _ License Class Cs,a6a.._ ______ _ City Business License # 1210836 ST Designer Name Address City State/Zip Telephone State Licence# ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Oeclaratkm: 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 \he Perfom,ance of the work for which this pem,it is issued. liZI 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 inaurance carrier and policy number are: Insurance Company Mid-Centurv Ins. Polley No. A20075651 Expiration Date 05/01/2001 j!_HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 secure workers' compensation coverage is unlawful, and shall subject an employer to crimlna! penalties and civil fines up to one hundred thousand doller, ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's feea SIGNATURE ~-DATE ~12:/~11~/:20~0~0~---- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor', License Law for the followini;i reason: D I, aa owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not Intended or offered ror sale {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improve, thereon, and who does such work himself or through his own employees, provided that such improvements ere not Intended or offered for sale. If, however, Ille building or improvement is sold within one year ol completion, the owner-builder will have the burden of proving that he did r.ot build or improve for the purpose of sale) 0 I, as OW11er of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) licensed e!:!..rsuant to the ContracTo(s License Law) LJ I am exempt under Section ______ Business end Professions Code for this reason· 1. I personally plan to provide the ma.lOr labor and materials for construction of the proposed property improvement. □ YES ONO I (have/ have not) signed an applicant for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number)· <Name> <Address> <Work Phone> <State License> 4. I plan to provide portion$ of thA wnrk h11t I h"'"'' htr""1 thP rn11nwonn .,..,~on to coordinate, supervise end provide the major work (include name/ addres.s I phone number I contractors license number) <Name> <Address> <Work Phone> <State License> 5. I w_ ill provide some of the work, but I have contracted (hired) the following person to provide the work Indicated (Include name I add res, I phone number I type of work)· <Name> <Address> <Work Phone> <Work Tvoe> PROPERTY OWNER SIGNATURE IIB•l 1171&7751-IPPl-ll~ll!illllTIITlll,,ii e-:'mr:- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sedions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is lhe facility to be constructed within 1,000 feet of the outer boundary of school site? DYES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. !IIISPIFrllar-NIE llfbild IIW ii I hereby affirm that there ia a construction lending agency for the performance ol the work lor which this pem,it 19 Issued (Sec. 3067(i) Civil Code). LENDER'S NAME _____ LENDER'S ADDRESS fJrf775P77fEZTT ui,1 um HZ£ r n IT I certify that I have read the application and state that \he above Information is co1rect 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 City 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, JUDGEMENTS, 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 end void if the building or work authori.zed by such permit Is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time atter the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~. CATE -~1=2/~1~1~/2~0~0~0~------ City of Carlsbad Bldg Inspection Request For: 04/12/2001 Permit# CB004746 Title: MANGAN RES/ NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2509 LA GOLONDRINA ST Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: OHNUMA RYUJl&KATSUKO Remarks: PM PLEASE -RESET FROM TUESDAY Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604311505 Inspector: .$9_, Requested By: COCHE RESIDENCE Entered By: CHRISTINE 25 Water HeaterNents ~ 'r>NOO Associated PCRs Inspection History Date Description Act lnsp Comments 04/10/2001 25 Water HeaterNents CA CW RESET FOR THURS.