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Home My WebLink About2622 LA GOLONDRINA ST; ; CB000231; PermitCity of Carlsbad 01/25/2000 Plumbing Permit Permit No:CB000231 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2622 LA GOLONDRINA ST CBAD PLUM Parcel No: 2155620800 Lot#: 0 Construction Type: NEW Reference #: Project Title: REPLACE WATER HEATER Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/25/2000 GMF 01/25/2000 01/25/2000 $27.00 $0.00 $0.00 0001 01 C-FRHT $27.00 I ( C.,z-4\ 110 02 27-00 r~~ FINAL APPROVAL Inspector: Date: Clearance: 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 Ca~sbad 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PRO.iECT INFORMATION 2622 La Golondrina FOR OFFICE USE ONLY PLAN CHECK NO. cBOcJo"Z3/ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By,_,Le,_,._ _______ _ Date ("s(tJo Address (include Bldg/Suite #I 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 Description of Work SQ, FT. #of Stories # of Bedrooms WATER HEATER REPLACEMENT CONTACT PERSON (lf dlffeAlf\t·from.appllcant) Anderson, Kent 2622 La Golondrina CARLSBAD CA. Name Address 3. APPLICANT O C~>ntractor ·□ Agent for Contractor SHELLY JOHNSON/KRISTY FOSTER Name Address City D Owner O Agent~r Owner 13706-B HWY 8 BUS. City 4. · PROPERTY OWNER Anderson, Kent 2622 La Golondrina Name Address City 6. CONTRACTOR •"COMPANY NAME State/Zip EL CAJON, CA. State/Zip CARLSBAD CA. State/Zip # of Bathrooms 92009 760-438-5434 Telephone # Fax # 92021 (619)390-4477 Telephone# 92009 760-438-5434 Telephone# (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 1$500]). A & J FOSTER PLUMBING 13706 B HWY 8 BUS. EL CAJON CA. 92021 (619)390 4477 Name Address City State/Zip Telephone# State License # _____ 6_3_0_1_2_0_ License Class C-36 City Business License# 1200354 ---------- Designer Name Address City State/Zip Telephone State License # ______ N_/_A~-- 8. WORKERS' COMPENSATION 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. D I ha~ 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 FARMER INSURANCE Policy No. N2007-56-51 Expiration Date CONTINUOU (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 ii unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0 in addition to mpensation, damages as provided for in Section 3706 of t~~bor cJtiie.Jnterest and attorney's fees. SIGNATURE ✓' DATE d9, N £11 2000 7. OWNER-B actor'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). D 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(sl licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I 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 NON..JlESJDENTIAL BUILDING PERMITS ONLY 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 Act1 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? D YES D NO ts the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES 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 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. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ ·l!. ,AP,WCANT C:ERTIFICATION 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 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 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 pro ions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is'"~ with!~ days ' the te of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after th~~ 1"} ~erio tion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --------J.----------DATE ;.[A &f 2 ~ ?flf'l11 WHI YELLOW: Applicant PINK: Finance