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Home My WebLink About2656 CAZADERO DR; ; CB021935; Permit06-27-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB021935 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2656 CAZADERO DR CBAD PLUM 2153003201 Lot# Construction Type ROLLINS RESIDENCE WATER HEATER REPLACEMENT 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/27/2002 MDP 06/27/2002 06/27/2002 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJONCA 92021 619-390-4477 TOTAL PERMIT FEES , - Owner ROLLINS FAMILY TRUST 10-07-94 334 LOMA LARGA DR SOLANA BEACH CA 92075 Total Fees $27 00 Plumbing Issue Fee Fixture or Trap / Building Sewer , ; Roof Drain / Install/Repair Water Line i ' Water Heater and/or Vent Gas Piping System ' /"f Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees Total Payments To Date \ , - "" „ •• - - / o ' ; ' / , / t 0 "„••.•- -.0 - -. - ~-.-Q < : ~ - --' I ^ 1 --.. /--> \">. > V r 0 / ,; "o - - ,* /•»'"-/ N- , ^ / ^( \ -"' ,.' }! ' ! ;<;"• .' 1 ~ \ "- •--„ '• 1"* - ,~" ' ' ? $0 00 ^ Balance Due $27 00 • ^ ' \ , *" ' - ;$20 00 1 ~ "^$000 , ,- $000 ' *.- " "^ " " J^O 00-- -^ *>/-• ' "$000 / ' v , $7 00, , / $0 00 , / - ' $0 00 ~^ ^'/ ; $000 / -x l%; • ./ / $000 V "-•;'' ' $0 00 , " •/ , $0 00 7 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 '' DATE azici^. SIGNATURE 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 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 previously been givena NOTICE similar to this, or as to which the statute_QfJimitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION , 2656 CAZADKRfL FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldq/Suite It]Business Name (at this address) Legal Description Lot No.,Subdivision Name/Number Unit No Phase No Total ti of units SFR Assessor's Parcel ft Existing Use Proposed Use Description of Work SQ FT Water Heater Replacement ;2 ~'CONTACT PERSON (If different frtJrtvapplicrmt) ' > ,' V ROLLINS, EVELYN 2656 CAZADERQ ffof Stories Carlsbad # of Bedrooms tt of Bathrooms CA. ' '92009* ' "'858-481-2373' Name 3 1 APPLICANT^ vQ Contractor Arlpn Foster /Carol Name 4 PROPERTY OWNER ' ROT.T.INS. EVELYN-— Address Q Agent'for Contractor * Q Owner Foster 13706-B Hwy.8 Address * J J ! 9fi5fi CAZADERO City O Agent for Owner Bus. El Capon City i Carlsbad State/Hip ',' "Ca. ' 92021 State/Zip Ca. '92009 Telephone ft Fax ' (619)390-4477 Telephone ft 858-481-2373 tt Address City State/Zip Telephone # G " CONTRACTOR-'COMPANY NAME ~ ' r ', %< - •» J ,"< ., , ,' ,, '-•, '>''; , , ,'•" " ;^' ' {„ <« "„, _ ,,„ 'i, ' „ < (Sec 7031 5 Business and Professions Code Any City or County which requires a permit lo construct alter, Improve, demolish or repair any structure, pnoi to Us issuance, also requires the applicant for such permit to file a signed statement thai he is licensed pursuant to Uio provisions of the Contractors 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 ihe 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 |S500li State License tt 6^0120 License Class C— 36 Designer Name Address State License tt M /n F.1 Capon fJA. y/U/-L ^ro-Lyjjyu-44/ / City State/Zip Telephone # City Business License # 1210836 City State/Zip Telephone 6 ^WORKERSVCOMPENSATlON1 " >! " , ' , * " '" '" ', V '"' r ' >v »• J •;- ' / " ^ * \\\. "" -", »h " Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 1 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 tins 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 My worker S compensation insurance carnw and pokey number am _____________ Pohcy NO 467-01 0000713 c „»,„„ n*-. 04-01-02Insurance Company _C4--Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [S100J OR LESS! D CERTIFICATE OF EXEMPTION I reitify that ID 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 secu^warkers' compensation covej^ge is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars IS10JJ^WTO) irjAffditioti toj^^cost of rampensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE £**~&C^4+1~' Sf ' <'*"V"'l*rfJ£^ ~ 7! !,OWNER-BUIL(DER,DECLARATION• ~~ ^f - -. , - f I hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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) 0 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} Cl 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 Q 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 (tncludp 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 StGNATURE DATE COMPLETE .THIS[SECTION FOR/VO/V-/ffS/D£/vr«tsBLHLDING,PERMITS;ONLYi-1| %<r >^7 ~<> , V; ^ s %*-' *" - ^" ! , « s , „ , ' s * , tC 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 255OG 25533 01 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES (3 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES [~j 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, * - >'"^ ~, -rf '/, J '•'Wv' * ' ' - "^ /'• " " . " ' 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 NONE LENDER S ADDRESS •9 >PPUCAN'T;'CERTIFICATION/! T"11"., i '* '•*"•>>>: TV,'..'"'"* n< - ;j , * * V', ,'"/"'• ^ •' ''.'^w< , . 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 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 Ihis Code shall expire by limitation and become null and void if Ihe building or work authorized by such permit is not commencecLyiirtttiji 180 days from the daift*^uch permit or if the building or work authorized by such pprmit is suspended or abandoned at any time alter the work is comrnencejJXoTa RBjijW of/80^«jjys fSectioj/IQS^&Jnilorm Building Code) Am ICANT S SIGNATURE WRIT E DATE PINK Finance 1HO 1L, Heb 2i 14 Ui CERTIFICATE OF LIABILITY INSURANC P. 03 02/37/03 • ROoyOER tubin In*uranc« Agency Inc. 5363 Greenwlon Pr, #120 3l#0«45355 San 01*90 CA 92132 , Phone* 9SB-457-573Q y»Xi858-4S7-5729 THIS CERTIFICATE IS I58UE ONLY AND CONFERS NbvRJ HOLDER. THIS CERTOT ?#• ALTER THE COVERAW BY THE POLICIES BELOW, 1N9URER6 AFFORDING COVERAGES N9URED INSURER* Hftrtford Pir« Insurance .Co MWRfiftB INWRERC Admiral Co. S?!?6"INSURER D INSURER E: COVCRAOE9 THB poiwea of isaurwice USTCT BSLOW HAVB BEEN IWUFD TO the INSURED MAMKO ABOVB FOR THE POLicy rerooo MMCATED *W REQUIREMENT, TERM ORCONDTTION OF ANY OOMTRACT OR OTHER DOCUMSMT WFTH RESPECT TO WHICH THIS CSWFIWT? MAY BBJ99UED OR MAY PERTAtN THE IN8MRAMCH AFFORDED BY THE POUClCB OEStwafiO HERB"M IS SUBJECT TO ALL THETSRM9, KCLUSIOfi* AMD CONDTTIOH8 OF SUCH PQUC1ES. AG5REOATB UMtTS AHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I 3 TYPB Of INSURANCE OENBRAL LIABILITY X COMMERCIAL GENERAL LWHlLITr CLAIM8 MADE OCCUR QENl AQOWSQATE UMfT A^LIBB PER.s n^oc i1 '•) : AUTOMOIILBUA6IUTY AWVAUTO ALL OWNED AUTO? SCHEDULED AUTOS HIRED AUT08 NOtWWNED AUTOS 72UECII-8385 01/11/03 01/11/03 OOVBJNEPBINQLi LIMIT 4500000 aenLV INJURY BOWIY INJURY5s PWTY DAMAGE OARAOeUABIUTY ANY AUTO AU|QOHLY-fiAACCIQ6HT EAACO AOO EXCSMUAPLITr OCCUR t* iHOCCUWENCe CtAlKS HAOB AOtSREOATC DEDUCTIBLE RETENTION I ' UAWUTY 467-0000713-01 04/01/01 04/01/02 I1000000 f J -PBEASfi.11000000 POLICY UHJT 11000000 OTHER ObSCRlFTION Of OPenATlONVLOCATIONt/VEHICLearBXCLUKOHtt ABDEO BY RNOO*BEMENT« *in th« 'avant o£ non of named inaurad - 1leans* number notion - r*r ongoing 630130 op*r»tieaa CERTIFICATE HOLPER ADOfftOHAL IHaUftgOt WflVRCH LETTER;CANCELLATION CONTRACTORS STATS I.IC3NSH BOARD P.O. BOX 26000 SACKAMSNTO GX 95836 CONTFAC WOULD ANY OF THi ABOVE DATB THBHBOP, TMB U1UII HOTlCSTOTl(aCi«TlFC, IMPO8B NO OBLIOAT10N Ok DESCRlfiG^ POLJCUI DB CAHCILLCD BEFOU THB EXPIRATION UklL 3Q* D*Y* WRfTTCN B HOLOIR r wweo TO Trie left, BUT FAILUAC TO DO co UULL THE ITUURm, IT» A4CWr* DMUABILJTY C l» ANT WN st MM |7 fi ACORD CORPORATION 1969