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Home My WebLink About2726 FERNGLEN RD; ; CB003505; Permit09/26/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No;CB003505 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2726 FERNGLEN RD CBAD PLUM 1563312100 Lot#: 0 Construction Type: NEW WORKMAN RES NEW WATER HEATER REPLACE WATER HEATER Status: ISSUED Applied: 09/20/2000 Entered By: CB Plan Approved: 09/26/2000 Issued: 09/26/2000 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Owner: WORKMAN TOM&OLGA TRU^^J 0001 O: C-PkHT 2726 FERNGLEN RD CARLSBAD CA 92008 02 27.00 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 TOTAL PERMIT 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 EXPIRED S™0NW6^Sf'°' ^ MTF SKSNATURE.ckii Inspector: FINAL APPROVAL Date:Clearance: NOTICE Please take NOTICE that approval of your project includesthelmposlflon'of fees, dedications, reservations, or other exactions hereafter cdleeflvety referred to as fees/exactions." You have 90 da^ from the date this permit was Issued to protest Imposition of these feesfexactlons. If you protest teem, you must follow the protest procedures set forth hi Government Code Section 66020(a), and fie the protest and any other required Informatior wfth the City Manager for processing In accordance with Caristrad Municipal Code Section 3.32.030. FaSure to Omely follow that procedure wffl bar any subsequent legal action to attack, review, set aside, void, or annul their Imposition. You are hereby FURTHER NOTinED 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 feesyaxactions of which you have previously been given a NOTICE slmHar to this, or as to which the statute of limitations has previouslv othenMse expired. PERMIT APPUCATIOW CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 RiWATTDM _ . Cd- FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By ^ Date d By Address (Include Bldg/SuKe #)Business Name (at this addreasj Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units AssMsof'iS Parcel # , Existing I \10iAy9j Watgr Existing Use Proposed Use Description of Work SQ. FT.#of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if dttferent from applicant) {^)Oi/^Cvr)(A0^. CP''^ Name ^ Address ' City ' State/Zip Telephone # (B'Agent for Contractor ' Q Owner □ Agent for Owner luo- Fax S Q Contractor3. APPUcytMT u com Name 17h PiUtiAddress City Stite/ap Telephone f 4. PHOPEFTTY OWl^ Name E. CXJMThACTOR - COMPANY NAME Address City State/Zip Telephone t (Sec. 7031.6 Business and Professions Coda: Any City or County which requlros a permit to construct, alter, Improve, demoHsh 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 allBgedOMmptlon. Any viojetlpn of Section 703V^b^nY applicant forj Mrmit subjects the applicant to a civil penalty of not mora than five hundred dollars I»5001),_TsymW inc- Vbmt rayiV) Name I Address city State/Zip Telephone # State License #pWU)Licerwe Clasa Chy Business License ff Designer Name Address City State/Zip Telephone State License # e. WORKERS' COMPfeiMSATlOM Workers' Compensation Declaration: I hereby affirm under penahy of perjury one of the following declarations: □ 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 I work for wfrlch this permit Is Issued.of tty 1 uy II 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 cjwtpensation Insuranca carrier and policy number are:1/tyrL Policy No.jiZMinffl^ Expiration oat. S - Ol'OjInsurance Company (THIS SECT10W NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (♦100) OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit la Isauod, I ahall not employ any person in any manner so as to become subject to tfre Workers' Compensation Lews of California. unlawful, and afial subject an employar to criminal penalties and civil finas up to one hundreddamagea at provided for In Section 3706 of the Labor code, fntarsat and attorney's fees. date I ^ • DO WARNING: Failure to secure workers' compensation coverage thousand dolars ($100,000), in adifitlon to the cost of comp SIGNATURE 7. OWNER-BUILDER DECLARATIONI hereby affirm that I am exempt from the Contractor's Licanae Lawfor 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 tfiereon, and who doessuch work Wmself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement Issold within one year of completion, tfie owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as owner of the property, am exclusively conuacting with licensed contractors to construct the project (Sec. 7044, Business and Profeaslons Coda: TheContractor's Ucensa Law does not apply to an owner of property who builds or Improves thereon, and contracta for such projects with contractoria) licensed pursuant to tfre Contractor's License L^w). □ 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. C] YES L]N0 2. 1 (have / tiava not) signed an application for a building permit for the proposed work. 3. I have contracted with the fotlowlng person (flmi) to provide the proposed construction (Include name / address / phono number / contractors license number): 4. I plan to provide portions of the work, but I have Wred the following person to coordinate, supervise and provide the major work (Include name / address / phononumber / 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 COMPLfeTE THIS SECTION FOR ftfOflf-flESlOfiVTZAi BUILOiNQ PERMfrSbrtLY ; Is tha applicant or future building occupant required to aubmh a business plan, acutely hazardous metadata regletratlon form or risk management end prevention program under Sections 2BB0B, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q VES Q NO Is the applicant or future butltfing occupant required to obtain a pomilt from the air pollution conuol district or air quality management district? □ YES □ NO la the facltlty to bo constructed within 1,OCX) feat of the outer boundary of a school alta? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. . CONSTRUCTION LElVDiPlQ AQBUCY . , , I hereby affirm that there Is a construction landing agency tor the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9/ APPUCANT CBTftfTCATlOM . ^ I certify that I have read the application and state that the above Information is correct and that tha Information on tha plans Is accurate. I agree to comply with allCity ordinances and State laws relabng to budding construction. I hereby authorize raprasentatlvas of tha CItt of Carisbad to enter upon tha above mentionedproperty for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES,JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit la required for oxoevationa over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by Die building Official under the pro^lons of this Ckxle shall expire by llmttatfon and become null and void If the building or workauthodzed by such permll Is not commenced within 180 days from the dato oi auch permit or If the building or work authorized by such permit Is suspended or abandonedat any time after the work Is commenced for a period of ISO days (SeQtlni!yfe;j!4,4,Unlform Bulldinq Coda). j.n, C^-IS-00 APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance