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Home My WebLink About2705 OLYMPIA DR; ; CB020206; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-17-2002 Plumbing Permit Permit No:CB020206 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2705 OLYMPIA DR CBAD PLUM Status: ISSUED 01/17/2002 JM 01/17/2002 01/17/2002 Parcel No: 167 4330800 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: CHRIS -REPLACE WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-44 77 Owner: CHRISTOFFELSZ MAUREEN H TRUST 09-20-99 2705 OLYMPIA DR CARLSBAD CA 92008 9080 01/17/02 0002 01 CGP Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $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 Additional Fees TOTAL PERMIT FEES Inspector: ------ 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 EXPIRED PERffltr PERMIT HAS EXPIRED IN ACCORDAN SF CTION 06. .4 DATE t"\ 0 'J-, SIGNATURE ~----- 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 "fee&'exactions.u 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 capactiy changes, nor planning, zoning, grading or other similar application processing or seivice 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 e ired. 02 .27 .oo FOR OFFICE USE ONLY P~ERMIT APPLICATION PLAN CHECK Nct::./>C>kZ-6 6 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposi.t.f:::: t Validated By -JvV\ ti / Date O ~ 7? O]/ •1. PROJECT.11Nf'.0.RMATION;, "· "-' 2705 Ol ympia Dr . Address (include Bldg/Suite #) Business Nome {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 1 67-433-08-00 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Water Heat er R epl acement 2. ~~T~~A~tott~f1gfitit from IIRJo/~~l'o 1;n;;:ci1tD~. ;. ··c~ii~a ·· · ', ·· CA. 9 2008 '' '7,60-729-6296 Name Address City 13. '"~Apjj{fcANT O c onuiiotclr ' r□"Agent for'CQritract~r:1O.wrlei' / l [J':fgent foi e'Wcj;J;.:'' Arlen Foster/C a r ol F oster 13706-B71wy.8 B us. El ajon, Name 4. , PR6i>ERTY{O,Wti(EIJ ' M. Christofel sz Namo s. co'N:rJ'fAc,tmJIRc:.oMMNV, }{Af.f Address • • . !'I:,,~• , 2705 Olympia Dr. Address City .. ,.,, r .. Carlsbad City '•!fl \ Ca. State/Zip Telephone# ~" I ~j < ' Ca . 92021 (6 1 9)390-4477 State/Zii> Telephone # .,, ' ' , r 92008 760-729-2223 State/Zip Fax# (Sec. 7031.6 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 P l umbing 13706-B Hwy.8 Bus. El Cajon CA. 92021 (61 9)390-4477 Name Stato License # _6_3_0_1_2_0 ____ _ Address C-36 City . . . Stateif~l 0 836 Telephone# License Class __________ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # --~------- 6. · WffilRERS1J:_OMPENSAli"IOr-f . •;, ,_ · "!'"' . '" 'F'' ~·' ... v· '·. , f Workers' Compensation Declaration: I hereby affirm under penolty 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. 24:) 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. Ins. Policy No~67-0l 0000 713 04-01-02 Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 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' compensotlon covorago ls unlnwful, and shall subject an employer to criminal penalties and civil fines up to one hundred thous11nd dollars ($100,000), In addition to the cost of compensation, damages•• provided for In Section 3706 ot the Labor code, Interest and attorney's fees. SIGNATURE _______ -,-______________________ DATE:-::::::::=:::~===:::-::=:::. 117 owf-lER7e.rn1:QefiolfcLARATroN"~~;1~· -:-·•'"".'f'"".'W;r·..: ,:,~~,~~~~,pn ;, ·rr:lll" I hereby affirm that I am exempt from the Contractor's License La':" for the following reason: 0 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). 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 contract&<! _with the following person (firm) to provide tho proposed construction (include name / address / phone number / contractors license number): 4. I plan lo 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 -::::-==-:-::--=:-=-:::---:-=--::-==::-:==::--:::=:::::-=::-::-:-:-:-=-:--::::::-_ ICOMP,LETJ;Ji'H1SlseciTIOl'lFiOR~NOIV,RESfQENT/AY.s1J.11:1:>1rl<fip~ifM'(:fs.'.'o'Ntl¥-... . 1, ,.. ·J"":,...,"'•v·, ~ ';!r.!)' , ('.;.. ~ ~ · .. :. m ,. · 1 r~, •. Is the applicant or future building occupant required to submit a business pion, acutely hazardous materials registro/ion form or risk management and prevention program under Sections 26605, 25533 or 26634 of the Presley-Tanner Hanrdolls Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manngoment district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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. ra~-'c9J·s'rBllefilfrl;i,'.'eNPl'ritfi:,e::<3'i!t-{lfW.\_.,.,ii~-::,1•r,,.rr~~-:;¥1)~~. ~~..-,-·:r'.t:1,W~ .. ~-'O ''{i.; 1 I hereby affirm that there Is a construction lending agency for the performance of the work tor which this permit Is issued (Sec. 3097{1) Civil Code). LENDER'S NAME OONE LENDER'S ADDRESS r9. •,AP.tiT1cArfT cesJ1F1OAn:t:1N~,~ .. ,.,i:.ll ·~ -ti~f!ilf~1~r.r1 ~-;;";;_;:_;;~;;;r,i;;;.~.;;,;; .• ;;;;;,:-;;;;;;;:;;~-:-;:;;;:;;;;;;:::;;:;;;;.,..,;:;;-r;:. ~.:;:, ::--:-~;--;;=-:;:::-:-- ' certify that I have read the application and state that the above Information is correct and that the Information on th~ plans is accurate. I agree to comply with all City ordinances and State laws relating to lluildlng cohstrllctlon, I hereby authorize representa\lves of the Citt ol 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 WHlCH 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 6'0" def!p and demolition or construction of structures over 3 stories in holg~t. EXPIRATION: Every permit issued by the building Olficlal under the provisions of this Code shall expire by llmllallon and become null and void if the building or work aulhorlzed by such permit Is not cotnme wilhln 180 days from the date of such permll or If the building or work aulhorlzed by such permit Is suspended or abandoned at any lime after Iha work Is com e period of 1 ays (S n 106.4. · ulldlng Code). DATE /-/Z-~ 2.-,. YELLOW: Applir~nt PINK: Finance