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Home My WebLink About2586 HIGHLAND DR; ; CB040285; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-27-2004 Plumbing Permit Permit No: CB040285 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2586 HIGHLAND DR CBAD PLUM Status: Parcel No: 1561300100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 BERTOLLI 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: Issued: Inspect Area: Owner: BERTOTTI ERIC A&LISA P 2586 HIGHLAND DR CARLSBAD CA 92008 ISSUED 01/27/2004 KMT $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: Evp•pr·' ·. i'"1 AGC(.f.T;;'.',~J(;t WITH C.8.C. PERMIT HAS " ' •-" 030 6 4 . .,,,oa_,_,i_·-,~·-t,_ .:v.J_,.16.04. SECTiON 10 . ' ;i · DATE .iµQlb!t $27.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO{l] ~ lJ ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ j,;! ,,'l'Rb~l;l:;:t['INfORMATIONi'', 2586 Hi hland Dr. Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Assessor's Parcel # Existing Use Proposed Use 156-130-01-00 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms i2,,jCC! c!~t~!i f ~if !1~1t.lti~,'fu~~if ~:i!:,~r!~r"~8't!~!:i>J~ft!'i:1'@:~:,f~~li~li!l~ill<i[;J_if~ioill~~b~!:,:~11~,,g:~~~;1:§1~1!~'1l~','"'' Name Address City State/Zip Telephone # Fax # !tL''.ii\:tAPPlf10ANT:::;!\[~~G.~A~~ii]~tQf1!Hi\i1]{:l]'.[~98n~fP]tlAKf~¢J9rt~tmllui~~a~11i~l),B!i'GJfliftf9.!iefif<filiji~!;~~l1!1 '.ii~!~i~l~~,~iN!~1~!/if;!t,~jffij@)!\!J!ij!~;i:ltmmli!fol:!::,~: ___ :J~,r,::,:t;: 1 ..• Arlen FosterArneredith qalm 13706-B Hwy.8 Bus. El Cajon, Ca. 92021 (619)390-4477 Name Address City State/Zip Telephone # Bertolli Eric 2586 Highland or rarl sbad City 92008 Name Address S.t11te/Zip 760 518 2584 Telephone# ,·s·;, : ,;,,:,:C.O:liiT:MClb'R!:~ii,C,:OMRANYiJlNAM·1;.;;1:J::i~irHi~~~l~!~[f;'ii~~;r,rn1j~~i:::1~~::·: ~::~J~[gj~~ i~~~l~~Wl~i~i1~1;ffi~~~~~~~li:JJl\irJ;J€iillb~l;I~~B~~ti;lf§~!~it~~-'%-~~~~ml\~~1~~~!tl!~12~]f~1J(i!~:~~:~::1~•~jW,1ii~ii:111 'j'}~,,r:~-v,;··~ (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 appllcant to a civil penalty of not more than five hundred dollars ($5001). r1~mr J Fascter: Plumbin<j Hl.~~ ll »;,,,,, g llus, Ill Ca');P,~ C" s&t.l¼il,l ( (;19,),~~h~n,4,477 State License# 63D] 2D License Class (' 36 CitY Business License# J 210836 Designer Name Address City State/Zip Telephone State License # ---l~~l,.,,A\--:-:-:-,,::---, ...... ---: ilh:,;'(J:WOJ~J(~'RS,~;,c,oMWerisA:tlQN:i:,1,iiJ@fi;i~,i!i[1~ir~::;},~::~1i~,;:;it+:i~!/jk~ii::,,:,,~ ;:::;i):iitJ1~~:~1~:;~~~~i~~r:~f~tg!~;~:~~m1::~:;w~:;;?~~~i!WiW~~~iTI!~i~ltlill~fif;~ffi~~i;:~~~"fiii~!;~~ifr~1!WifF~'.;~:~:i)i::1::;r:~:ii!;i;s,1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. ,CJ 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 ifs-sued. My worker's compensation insurance carrier and policy number are: lnsuranceCompany atat.Q Co~ lR.8 PollcyNo.467 OJ 00007)3 ExpirationDate 04 OJ 04 (THIS 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: Failura to s erage Is unlawful, and shell subject an employer to criminal penalties and civil fines up to one hundred , 0 on, damages as provided for in Section 3706 of tho L , Inter st end attorney's fees. SIGNATURE,,,,,~~~~ DATE ','.i+::,:;\t'9WrJij;~{B,UlliD~li:i!P~Cwt8A1TIQNii~:i!i:!(!iif.i'·" I hereby affirm that I am exempt from the llowing 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 llcensed 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 contrector(s) licensed pursuant to the Contractor's License Lew), 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. 0 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. l 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. 1 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 _________ _ .CbMP.(E'r.e:;THiSilSE¢/fi'ONli.~Q"JJjl(QN#1¥$iQtjV;tf~j~Qj~tJJN'QrR~Rfvi1T&10Jitill¥I~;[~ii~)til[iff:l~~,~~~;]~J1t&~i~f;l[J:t!~l~@E1t~l~~J@,:]::[t t'ii~'.(~i:iS:1· i~):· 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 26505, 25533 or 25534 of the Presley-Tanner Hazardoi.Js Substance Account Act7 0 YES O NO ts 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? D 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. er,;-:_'(•Q~•-taU,QJitj_iji!lleijt\1(Qiij'Q~Mf:~i:ilit'~j~~l:[~\i!(~;1(itill:!:~::;:s1:1:::::i:iil]i~i~It;i11~1lilQN~~~m;~m~i:1j~tr~ii:!~!ITTf{cjil~•rJ,,irft1jJ~1~-~?.tii•~~1:1'.t~i~i![i~~~:~;f:!;i:1~,,::d':!'fi 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 ----~-l>U,;..________ LENDER'S ADDRESS ________________________ _ ,·g'~ ,,:::)ji;E'e"~1tl.Ji~::1i:i$ittlJl;t*$jli~~:1f:lm,;:::,:: ::-.11::•1i,~if1Ui{!!i!i~~,]:,:~:,r}~~;,::t:t,i;i;it,::t~~!t}ll!l!tiU.ll~'itT~i\E!!,~i!ili!!ilfi1~.t;1!i'IHEllfii'lf■l■l~!kl~lleli~!Bii'ti~~t:li!iiW;;ll1/~Ji0~itif;~J\iii-:r ,,if:ti\: I certify that I have read the application and state that the above information ls 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 ANO 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 ln height. EXPIRAT[0N: Every pennit Issued by the buildlng Offlcial under the provisions of this Code shall expire by llmltatlon and become null and void if the building or work authorized by such permit is not commenc ithin 180 days from th a f such permit or if the building or work authorized by such p rmlt Is suspended or abandoned at any time after the work is comma lod of 1 ays (Se n 10 .4 U_nlform Buildlng Code). APPLICANT'S SIGNATURE DATE l../-"'--'-4--"---J.------- YELLOW: Applicant PINK: Finance