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Home My WebLink About2605 CHESTNUT AVE; ; CB051646; Permit05-10-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB051646 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2605 CHESTNUT AV CBAD PLUM 1672701100 Lot#: Construction Type: 0 NEW SCHROEDER RESIDENCE WATER HEATER REPLACEMENT Status: ISSUED Applied: 05/10/2005 Entered By: MDP Plan Approved: 05/10/2005 Issued: 05/10/2005 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: SCHROEDER FAMILY TRUST 03-29-00 2605 CHESTNUT AVE CARLSBAD CA 92008 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 0 0 0 0 1 0 0 $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 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 8029 05/11/05 0002 01 02 CGP 27 = 00 Inspei FINAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" at 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 capacity 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 given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMAffilON 2605 CHESTNUT AVE. FOR OFFICE USE ONLY PLAN CHECK NO. UfjO EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite //)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number 167-270-11-00 Assessor's Parcel # Existing Use WATFR HF'VTER REPLACEMENTDescription of Work SQ. FT. #of Stories 2. CONTACT PERSON, (if different from applicant) '..''''.'' , •'' ". .''-"".' ""'~ . ', A & J Foster Inc 13706 Highway 8 Bus # B El Cajon, Ca Q2021 Name Address City 3, APPLICANT O Contractor ' Q Agent for Contractor - D Owner Q:Agent for Owner "-. A & J Foster Inc. 13706 Highway 8 Bus. # B El Cajon. Ca 92021 Unit No. Phase No. Proposed Use # of Bedrooms it (619) 390-4477 State/Zip Telephone * (619)390-4477 Total # of units -> of Bathrooms ff Fax # Address City State/Zip Telephone ffName 4, PROPERTY OWNER ' • ,,„ ,..",. ---•'. ; "_-.•-" ' " ..' SCHROEDER. FREDERICK 2605 CHESTNUT AVE. CARLSBAD. CA 92Q08 (760) 729-7560 Name Address | City State/Zip Telephone # 5. CONTRACTOR - COMPANY NAME •,, '<- ' .' ''->.'„,. " ", --"'',- - , " ,.-„-'".'-- , ;' ,;.. ~ "; (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than^fjye.hijrjdj-ed dollars [$5001). A & J Foster I nc. 13706 Highway 8 Bus. # B El Cajon, Ca 92021 it more than five hundre(619) 390-4477 Name State License #630120 Address License Class C-36 City State/Zi City Business License # Zip_ 1210836 Telephone tt Designer Name Address City State/Zip Telephone State License # 6. WORKERS' COMPENSATION • ',- " '* '- ." ' „'.","-/ '",',",. ~' • ~ " Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company _State Fund Policy No.1732576-05 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~| 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 wojK£fsTtg^ipensatiof)XoveragtR^inlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 OO.OOOl/Hfada'ititJaw thefcqfiref rnmpt;m|iitinnfj,lTrnrtTp"T as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE £^£t<&«S ' ) '?jr_Z3ZZ2> ^E {MY \\ 2005 7. OWNER-BUILDER DECLARATION > ~'. •'•• ;X»'" >-'"-!" -,"'''( *.-£-'* J •£ '""'-'"; :-•;, ", ,'4\ jjt;^ ,-";'; '"" <,-' -\>- ' , - """''"_ I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: |~| 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). n If 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). |~1 I am exempt under Section Business and Professions Code for this reason: ! i 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. (~1 YES QNO j 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 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): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS, SECTION FOR fltONtfES/DEMT/AL.BUlLDlNG PERMITS ONLY;,.; ,'if,'. - - -". . ".„' „ -'."'- . ~* 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O 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? CD YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? f~l YES l~l NO IF ANY OF THE ANSWERS ARE YES, AIFINAL 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. 8, CONSTRUCTION LENDING AGENCY ' ' ' '•',' ',"". '•'"'. ".;' * " , '.','..": •"...-' "- " I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). ! LENDER'S NAME I LENDER'S ADDRESS 9, APPLICANT CERTIFICATION „ ' * . < ' ">,. v '""••' I certify that I have read the application land 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 CitV 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 commenced withiniao days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced f^fXperig/rJ^f 18p da^Section 1tyg$A Uniform Building Code). W-><3?atri«AV APPLICANT'S SIGNATURE /^L^X-C**^ /" J ' r~~7V*£^ DATE ' ^ WHITE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/19/2005 Permit* CB051646 Title: SCHROEDER RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: 2605 CHESTNUT AV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: SCHROEDER FAMILY TRUST 03-29-00 Remarks: P M PLEASE Inspector Assignmen' Phone: 7607297568 Inspector: Total Time: CD Description 25 Water Heater/Vents ment Requested By: NA Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments B-10-OSM1:17AM!A J FOSTER C,TY: CARLSBAD ; 18183804448 j-us ii-.tirw rnvKTRUDin insurants > "* r-iwu» r »»i P.O. BOX 42Q807, SAN FRANCISCO. CA 94T42-0807 it.-jirm CERTHOLDER COPY » r N SuRA NCE FUN O CERTIFICATE OF WORKERS' CO] ISSUE OATS: CITY Off NATIONAL CITY 1243 NATIONAL CITY BLVD. NATTOKW. CITY CA 320SO MtoOT OF TION INSURANCE GROUP POLICY NUMBER: i73257fi-200S CERTIFICATE ID: 2S CERTIFICATE EXPIRES 04-01-3006 Tins is to ceraf^ mat «e nave is&ued a valid Wotders Compensation insurance policy in a form approved by the California Insurance Commissioner to me employer name*} beww for ffifr pohey pefioej irtfliea«e<t. This policy is not subject to cancellation by tne Fund except upon 10 days advance wrmen no&ce to me employer. We will also give you TO days advance notice srtouia tnts policy be cancelled pnorio its normal expiranon. Tms canificate of insurance is not an insurance policy anq ooes not amend, extend or alter tne coverage arfbroeo t>y mepolicy listed herein NotwnnsKmding any requirement, term or conqmon of any contract or other aocument mttvrespect to wmcn this certificate of insurance may be issued, or 10 wDidi it may pertain, tna insurance attaraed. by ma politydescnbed herein is subject to all the terms, exclusions, and conditions, of such policy. *»^~ C- AUTHORIZED R£PR6S£«rATlvE PRESIDENT EMPLOYER'S LIABILITY LIMIT I»CLUDIN& DEFSNSB COSTS: ?l,00^,aO^ PBR OCCBHREHGB P A & J FOSTBR, IHC FQ BOX 2758 EL CAJON CA 92021 [Hie.SD] ....-.,.-,_ , _. _ _• _ . PRINTED w<wu"R8ceived Tue'Apr. 5.^2:28Pr-^~WWM^'WlC'*mTC'UN(>DOCuM6'r »«iw»