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Home My WebLink About2530 CHESTNUT AVE; ; CB023195; Permit10-23-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No. CB023195 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2530 CHESTNUT AV CBAD PLUM 1672703500 Lot#: 0 Construction Type: NEW PORTER RES-REPLACE WATER HEATE Status: ISSUED Applied: 10/23/2002 Entered By: RMA Plan Approved: 10/23/2002 Issued: 10/23/2002 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: PORTER MICHAEL S&REGINA&81 10/23/02 0002 01 CGF"2530 CHESTNUT AVE CARLSBAD CA 92008 02 27.00 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 Additional Fees Total Payments To Date: 0 0 0 0 1 0 0 $0.00 Balance Due: $27.00 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C, SECTION 106.4.4 ni_ SIGNATURE,DATE.U . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE OQILY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By. Date 2530 Chestnut Ave Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No.Phase No.Total # of units Assessor's Parcel # 167-270-35-00 Description of Work Existing Use Proposed Use SQ. FT.#of Stories * of Bedrooms # of Bathrooms Water Heater Replacement Name Address City State/Zip Telephone tt Fax # Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon, "ca.7"^92021 ' (619)390-4477*" Name ;ii Michael Porter Address City 2530 Chestnut Ave Carlsbad Ca. State/Zip Telephone # 92008 760-434-1153 Name Address City State/Zip Telephone 9 (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). Name State License tt 630120 Address License Class C-36 •*%ity State/Zip Telephone # City Business License f 1210836 Designer Name State License * Address City State/Zip Telephone 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 of the work for which this permit is issued. 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 ued. My worker's compensation insurance carrier and policy number are: Insurance Company State COHID-InS. _ Policy No.4£7_(V[ QQ0071? _ Expiration Date Q4— fll — CH (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100) OR LESS) CD 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 sepMryadcer*' cormprMatlorABTOagj Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars H)1",n1Tr]n) il^ltililliaii MrPi ....... | u|f niiiHiTimiliiii damage* aa provided for In Section 3706 of the Labor code, interest and attorney's fees. I hereby affirm that I am exempt from the Contractor'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). 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 and 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 QNO 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 tha 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 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? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME JtflrJF. LENDER'S ADDRESS 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 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, 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 the building Official 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 ^rnerjpwtTrtthjp 180 days from the^ate«f such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cornmepd&for tafartod of 180 days (Section 1064.4 Uniform Building Code).' APPLICANT'S SIGNATURE DATE i: File YELLOW: Applicant PINK: Finance AUG-21-2002 WED 04:58 PM A & J FOSTER PLUMBING FAX NO, 618 390 4448 P. 02/07 POLICYHOLDER COPY P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATION INBISft ANC a MAY 14, 2002 COHTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P O BOX 26000 SACRAMENTO CA 95826 GROUP: 000487 POLICY NUMBER: 7U-2002 CERTIFICATE IP; 6 CERTIFICATE EXPIRES: 04-01-200) 04-0.1-8002/04-01-2003 CONTR LIC #: 639120 IHCBPTIOH» 4-1-02 LOS AJWELJBS DO This Is to certify that we have iwuod 9 valid Worker's Compensation Insurance policy In a form approved by the California Insurance Commissioner to the employer namod bolow for Ui» policy period Indicated. This policy is not subject to cancellation by the Fund exoepl upon 10 days advance written nolloe to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate or Insurance Is not an Insurance policy and does not amend, extend or alter the coverage afforded by (he policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with fMpeot to which mis certificate of insurance may be Issued or may pertain, the Insurance afforttod by the policies described herein is subject to all the terms, exclusions, and conditions, of such policies. EMPLOYER'S LIABILITY LIMIT INCMJDINO DEfrEHSB COSTS; $1,000,000 PER OCCURRENCE A 6 J FOSTER. INC 13706 HWTf 9 BUSINESS ST St* CAJON CA 92021 SCIF1026S