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HomeMy WebLinkAbout2645 CAZADERO DR; ; CB012616; Permit08-0772001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No.CBOl 2616 Building Inspection Request Line (760) 602-2725 Job Address Permit Type ' Parcel No Reference # * Project Title 2645 CAZADERO DR CBAD PLUM 2153002800 Lot # Construction Type STONE RES/ NEW WATER HEATER 0 NEW Status ISSUED Applied 08/07/2001 Entered By CB Plan Approved 08/07/2001 Issued 08/07/2001 Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 2645 CAZADERO DR, CARLSBAD CA 92009, 6668^08/07/01 0002 01 02 CGP 27. Total Fees $2700 ; '/xT°te 1 / p "x" * • /.^*~, / ' i t "•-«.'*~'~/ f Plumbing Issue Fee "~— -^ ' Fixture or Trap ' rn <-> ' Building Sewer | \ ^ / r ' Roof Dram • s--_^y i Install/Repair Water Line ', ^o Water Heater and/or Vent \ c^ "• Gas Piping System \ "x Vacuum Breaker \ \ Other Plumbing Fees " , il Payments TcrDate ^^$0"00 \ Balance Due \ $27 00 / ( > , ' \ -\ \ \"J " s J 2 •-> \ \ {' -"---. \ ,.„.-.... *"-/_ " „ / / ",- ^- ' /• i V' - *NV"^* *--l~"V',V"''*Jt /' ' ($20^00 ;"\ o " -^r X" /HI V$ooo; j^*ox <.IJ /' //*; l $0061 ', //•^O vv ^_> XX -^'XCi fl ""$000 X /I/O ^' ^>x; /'( / "XV"~ / ^°°° I •Xv^* fyAi '•' ffr"7 / /f -S3 r ; $700 ,' "' ^Q^y '\ ul* I ,A* ^ K1 * / $000 v^ •-""O'X »' ""^ ( C ^ ^'S"7" $000^^ / v-j--- ' '"*>' •'"• i'*x"^ j <tn nn /' / 5 / i _. - / s>U UU ' Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively jreferred to as lees/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 trnely follow that procedure will bar any subsequent legal action to attack, •review, set aside, void, or annul their imposition 1 JYou 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, HOT planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exacltonsjjf which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 <Suite>mUi"!'.'!!!!.!^!-.,.-.-<Name> FOR OFFICE USE ONLY PLAN CHECK N EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) <Legal Descr><Lot> Business Name (at this address) Subdivision Name/No> <Unit><Phase> <Total> Legal Description <Assessor No> Assessor's Parcel #WATERHEATER INSTALL Lot No Subdivision Name/Number <Existmg Use> Existing Use <SQ FT> <Stones> Unit No Phase No Total # of units <Proposed Use> Proposed Use <Bedrooms> <Bathroom> Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms <City>ST <Zip> <Phone><Fax> Name Slfffi . , 'NetClerklhc" Address City State/Zip ^^^^^Sm^frrr^mso Telephone* 8883301777 Fax# Name Address Telephone* 2645 CAZADERO DR CARLSBAD CA 92009 7604808183 Address •111! City State/Zip Telephone #Name Bl'lltONTRACTORlCOMPANYNAMEfllSMUiMMrslilSttiMSSttUU llrt'HISUIUHIMSJSSSSMhHUWl UWUHUimUi N {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 [$500]) A&J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name State License # 630J20_ <Name> " Address License Class<Address> C36 C i ty Cit State/Zip Business License # 1210836 /> ST Telephone # <Zip><Phone> Designer Name Address City State/Zip Telephone State Licence # 6 WORKERS COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations C] 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 0 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 Comp IflS Fund Po|ICy NO 00506395 Expiration Date 05/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 1 I CERTIFICATE OF EXEMPTION I certify that in the performance of ttie work for which this permit is issued, I shall not employ any person in any manner so as 1o become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll" ,_7Y" ~"n) m addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney's fees SIGNATURE **«%f- DATE 08/03/2001 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason f~1 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) CH I as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) I I 1 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 l~i YES I I NO 2 I (have / have not) signed an applicant 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)<Name> _ < Ad dress > _ <Work Phone> _ <State License> 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 r / contractors license number) <Name> <Address> <Work Phone> <State License> / phone number / ty<Work Type> number / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following person to provide the work indicated (ir\clude name / address / phone number / typeof work)<Name><Address><Work Phone> PROPERTY OWNER SIGNATURE __,.,,_. COllfl PLETE |Tlj! |J||6|10N||0 R |£NlR^ DATE ^'^iiili^ 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? Q YES I I 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 LJ NO Is the facility to be constructed within 1 000 feet of the outer boundary of school site"? [J YES d N0 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 SERVICESAND 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 3087(i) Civil Code) LENDERSNAME LENDERS ADDRESS a^lllAHPOCANtCERTIFICATION 1 certify that I have read the application and state that the above information is correct and that the information on the plans is accurate 1 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, 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 within 1 80 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 fora period of 180 days (Section 10644 Uniform Building Code) APPLICANT'S SIGNATURE DATE 08/03/2001 720 Dubuque Ave , South San Francisco, Ca 94080 Government Services 888-330-1777 Fax 877-846-5888 Permit Application ID# 94697 Mail To: Carlsbad Building 1635 Faraday Ave Carlsbad CA 92008 Phone 76Q6022718 Fax 7606028558 Email : «- ! _,;/. - ' /, Co 'n t r a Company A & J Foster Incorporated Address PO Box 2758 City El Cajon State /ZIP CA 92021 Phone 6193904477 Fax 6193904448 Email I.'1 ' '' "' "' "' 'CrediLi i ', i i, > > _ i Credit Card Number Expiration Date Card Holder Name „. ,' ' E r o j e H II 1 l! 1 , ' 1 *» C T f% ¥* ! 1' iWil! TT rt 'l*! Tiri« ' ti " JT ' i f\> ! n , ^ ^ ! • '-, * ' ' ' . ' *• f ' <L V Jl JL JUT1 1 JL V Ji , . JJU1 d. > L 1. i \J$ , J-l | % | J ^ ::• , :: , ' :: Worker's Comp Carrier State Comp Ins Fund Worker's Comp No • 00506395 Exp 05/01/2002 State Contractor's License 630120 Exp 10/31/2001 License Class / Type c36 Exp Exp Business License # 1210836 Exp 08/31/2001 t Card Inf orma'ti(on «., in 'I..,' /fi; !;• -r ,S Visa r~| Mastercard Fn Other [•] Check i i . l , ' iji l| !| , ' ,!t« ,1 ,li< „"' s ,! s'i c t Info r'm a tujoi'l-nt.^11^ ', <i^';| ., '"; '.,'." Homeowner Name BONNIE STONE Homeowner Phone Number 7604808183 Project Address: 2645 CAZADERO DR CARLSBAD CA 92009 Valuation 155 Residential | | Commercial I I Job Description WATERHEATER INSTALL .' ' :,\t \ • .' '• f N o t e s ,;" ''r "^^^{'IVj'Vv11;1;1"'" '^''^v^' /' . • < Payment -Check Permit Type Paper Agent Authorization ORG Q NOT Q AAType TMW'C jpcrncaTt it jasueo AS A MUTTO 63 Gr@Hiowa.Kb. Or, * 1,000,006 BOM f&Tf«Ein: OP FRZMTTft! Kfts*XO AKt HOXICB 0? e»«r*ti-Dnis of A & J FOSTER IIC