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Home My WebLink About2741 GLASGOW DR; MULTI-PERMIT FILE; CB162247; PermitStatus: ISSUED 0 Applied: 06/09/2016 Entered By: JMA Plan Approved: 06/09/2016 Issued: 06/09/2016 Inspect Area: Owner: JOHNSON CLIFFORD W JR&WENDY F 2741 GLASGOW DR CARLSBAD CA 92010 $38.00 .$0,00 $0.00 $60.00 $98.00 4 I City of Carlsbad t.i• . Lr, .. 1635 FaradayAv Carlsbad, CA 92008 ' Plumthng/Mechanical/Electrical (PME) Permit 06-092016 Permit No: 0B162247 Building Inspection Request Line (760) 602-2725 ; Job Address: 2741 GLASGOW DR CBAD Pérmit Type: PME Parcel No: 2081111100 . Lot# i ,j I' ' ".'Referen'ce #:: PC #: Project Title:, - JOHNSON: REPLACE WTR. HTR. Applicant: ' ALL STAR WATER HEATERS & PLUMBING .. -• 30300 PUERTO VALLARTA WY , MENiFEE CA 92584 i-80077270977 ij Plumbing Fees -: : Electrical Fees MechanicaiFees Other PME Fees t TOtALPERMiTFEES - , * • •, ç "-Total Fees $98.00 Total Payments To Date -.-.-- .._•-•t- N. ,.-•. -,. -- -r. \ .•, "S . , - ' - •,") :,- ' -' '-*. • Id •t 5,, I4 . '7 • • '-. - 4. r :'- • . -. •'I/ •,, - . 4 $98.00 Balance Due 4 - I, C' 4 .4/ FINAL APPROy L : d Inspector: i71..' ' Date: Clearance: NGT10E Please take F'O110E that aççro'aJ of your ptat irducs the 'Inti d fees, d&katicr, ralioris, or other exacns hereafter collectively referred to as "fee crs' You have 9D days from the date this 'mt mr. issued to protest in-çxeiticn of these fees/eon. If you protest thern, you n'ust fdlcw the protest pmoadures set forth in Grn-B1t Core Section 020(a), and file the protest and any other re-prod infanatim with the city Manager for process ng in aocordanoe wth Carlsbad Uncipal Code Section 332 030. Fkueto tirraty follow that procedure will bar any subsequent legal action to attack review, set aside, void, or arriul their irrition. You are he-etig RRfl-ER NO11RED that your right to protest tie specified feestexactions CXES NOT APPLY toete' and seAer cmcti fees and capacity doxjes, nor ptarvir, mining, grading or other sinilar application processing or se-vice fees in connection with this pn. NCR DOES ITPJ1Y to any fees'ea'e ci tidi xj havenrevicuW been cjve-i a N0110E sinilar to this, or asto\&hch the statute of Imitations has orenajv cbansise eqiri '-"S. •; e•, • Check No. Building Permit Application " Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 \/ CITY 0 F 760-602-2717/2718/2719 A fl A Fax 760-602-8558 Plait Ck. Deposit DatI &(q(, , Iswp Sn .Ii'S L D/" www.carlsbadca.gov JOB ADDRESS iSulltrt/Si'ACE#/uNilv 4q53 Neblina Dr. ABA - - CT/PROiECfk LOT 1 BAASE C 'iSJNS N'1#IFffR—di5M—S' k BATHROOMS.- TENANT BUSINESS NAME -' i3'IR.1'YPE tiP DESCRIPTION OF WORK; trnclude Square F/idt ofAffectedArua(sj Replace existing water heater. Same size and locati.ion EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPI4CE AIR CONDITIONING FIRE SPRINKLERS YES J#, NO[—] I YES ENO YES[] NOEJ CONTACT NAME (If Different Fom Applicant) - APPLICANT NAME Sierra Sprague ADDRESS . ADDRESS 30300 Puerto Vallarta - CITY - f4 STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE , . I FAX PHONE FAX 951-301-0067 EMAIL EMAIL PROPERTY OWNER NAME :1 .. --- Alan Heritage CONTRACTOR BUS. NAME _________________ lliar Water Heaters ADDRESS - 1) ADDRESS - Same as iob 0300 Puerto Vallarta CITY -ZIP TAT CITY STATE ZIP Carlsbpd- 1 -C-A 92008 Menifee CA 92584- PHONE FAX PHONE FAX 760622L0775 . , 951-301-0067 EMAIL EMAIL ARQI/OESIGNER NAME &AOORESS - STATE UC.-# TATEUCe CLaSS Ff8US.UC.# 812894 C -36 ((Xil.b Business ano protessions cooeTny city or county winch requires a permit to construct, alter, improve, demolish or repair çystructure, prior to ns issuance, also requires the cant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractors License Law (ChaPtGI 9, commending with Section 7000 of Division 3 of the ness and Professions Code) or that he Is eemo1 therefrom, and the basis for the alleged exemptIon. Any vIolatIon of Section 70315 fry any applicant for a permit subjects the applicant to a penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hérebyi' under penalty of peijwy one of the following decara lions: El I have and will maintain a certificate otcon'Lntto self-Insure forworkars' compensation as provided by Section 370001 the Labor Code, for the peiànniance of the wsthfor wttich this permit Is issued. I have and will maintain workers' compenson, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permills Issued. My workers' compensation Insurance canter and policy number are: Insurance Co jinerican Insurance Company Policy No. C4809630A Expiration Dale 6/01)16 This section need not be completed it the permit Is:: one hundred dollars ($100) or less. Certificate of Exemption: I certify that In therformance of the work for which this permit is issued, I shall not employ any person in any manner so at to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workdrs' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and chiil addition to the coat of compensation, damagesEas provided for in Section 3706 of the Labor code, Interest and attorney's tees. fines up to one7hund, thousflnd dollars (&100,000), In CONTRACTOR SIGNATURE DAGENT - ~1-1 11-1~ ~w DATE I I hereby affirm that I am exempt from Con 44ense Law for the 'Moss4ng'mason: [J 1, as owner of the property or my employees 3lh wages as their sole compensation, will do the work and the structure Is not intended or offered for s" (Sec 1044, Business and Professions Code: The Conhraclor's License Law does not apply to an owner of pdperty who builds or improves thereon, and who does such work himself or through his own employees, pjodded sale. If, however, the building or lrnproverner Its sold within one year of completion, the owner-builder will have the burden of proving that he did not bu that such improvements are not intended or offered for - dor improve for the purpose of sale). [] I, as owner of the property, ann exclusively ;w, -ng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: 11-e Conlractor's License Law dose not apply loan owner of properly who builds or improves thereon, and onlracl's for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [] I am exempt under Section 4J1sirness end Professions Code for this reason: 1.1 personally plan to provide the major l6or and materials for construction of the proposed property improvement. DYes DNo - 2. I (have I have not) signed an appltualifor a building permit for the proposed wont. I have contracted with the following pen (firm) to provide the proposed construction (include name address! phone / contractors' license nuinitfr): I plan to provide portions of the wstln, tu I have hired the following person to coordinate, supervise and provide the major work (include name! a- We dress! phone / contractors' license number): 5.1 will provide some of the work, but I contracted (hired) the following persons to provide the work indicated (include name! address! phone ,An of work): ..PROPERTY OWNER SIGNATURE - - - flAGENT DATE - (Sec appi BUS l CMI I 13 - 4 -; _; •'4 . __ L Is the applicant or future building occupant requtred(i submit a business !an, acutely hazardous materials registration form or risk management and preventlrn program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acti- Yes No Is the applicant or futUre building occupant required fu obtain a permit from the air pollution control distriol or air uality management dlotrict'? Qves E]No Is the facility to be constructed within 1,000 feet of die outer boundary of a school site? [JYes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS ME TING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTON CONTROL DISTRICT ilm I hereby affirm that there is a construction le agency agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name - Lenders Address I certifythati trove read theapptcaflon and statethà the above Information Iscorrectand that the information on the plans Is accurate. I aaeto comply with a City ordInsnoan and State laws relattngto buIldIngzansthjon 1 hereby authorize representative of the City of CarisIito enter upon the above mentioned propoctybrinson purposes. I ALSO AGREE TO SAVE, INDE41NIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS "ND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CI1Y IN CONSEQUENCE OF 1HE GRANTING OF THIS PERMIT. OSHA- An OSHA permit is n or construdon of structures am 3 stories in height. required for excavations 6., r 5V deep and demolitio - I EXPIRATION: Every permit Issued by the Bufldiog 0 fidal under the pmvtsionsof this Ccde shag expire bylhrdtaiton and become nut and void ifthebthlding oricukauthorized by such permit is riot cononencedwilhin 180 days from the date of such parmit or If the builcfl~ ~jor work authorized by such permit is suspenWed or abandoned at any Offs after the work is octrnmenoed ape' ~f 180 days (Section 106.4.4 Uniform Building Code. [APPLICANTS SIGNATURE ' DATE . -. -'-I 0 * -- 1 - .0 Inspection List Permit#: CB162247 Type: JOHNSON: REPLACE WTR. HTR. PME Date Inspection Item Inspector Act Comments 06/24/201625 Water HeaterNents - RI AM PLEASE 06/24/2016 25 Water HeaterNents AEK AP - 06/24/2016 29 Final Plumbing - RI AM PLEASE )'06/24/2016,29 Final Plumbing AEK Fl • 4 - C - .E -'-- 4 q - ip 't - - .-- •-,•.-. :• ••• -- :_ •• . I + - 4 • - • - 4 5-.- - - , - C - 1 ,, ( * Monday, June 27,2016 • Page 1 of 1 • $ 1_t I. I 01/24/2001 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Plumbing Permit Permit No:CB010307 Building Inspection Request Line (760) 602-2725 2741 GLASGOW DR CBAD PLUM ' Status: ISSUED 2081111100 Lot #: 0 Applied: 01/24/2001 Construction Type: NEW Entered By: CB Plan Approved: 01/24/2001 Issued: .01/24/2001 JOHNSON RES/ NEW WATER HEATER Inspect Area: Applicalit: .., . . A&J FOSTER, INC. JOHNSON CLIFFORD WJR&WENDY F -. / / \ N11 . - 13706 HWY 8 BUS EL CAJONCA 92021 619-390-447.7, Total Fees: $27.( / ,, I I / • / '•-'.. 7OO) 01/24/01 0002 012741 GLASGOWDR /7 .1'. CARLSBAD CA 92008 '\ - z7OO Total Pa'metsT6.Date: c$OOo '\ 'BalnãeDue\ $27.00 Plumbing Issue Fee Fixture or Trap Building Sevier Roof- Drain Install/Repair Water Line Water Heater and/br Vent Gas Piping System\ Vaôüurn Breaker. Other Plumbing Fees Master Drainage Fee\. Sewer Fee INCORPORATED 1952 $20 :00 $0.00 1$0.09 0.00) $0:0o $7.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES , FINAL APPROVAL Inspector Date Q I2O10 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 "feês/exàctions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you most 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 Casbad 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 righttd 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 lees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. '-'.'" wi•',a " '•, PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ii PROJECT INFORMATION . Address (include Bldg/Suite 8) Business Name (at this address) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total> Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total B of units <Assessor No> <Existing Use> - <Proposed Use> Assessor's Parcel B Existing Use Proposed Use watre heater replacement <SQ FT> <Stories> <Bedrooms> <Bathroom> 27— , CONTACT PERSON (If different from applicant) <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City State/Zip Telephone# Fax B 5.coNrRAcToR:coMpANyNAME •.. • . ,•,. (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 Is tile 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 civil penally of not more than five hundred dollars [$5001). A & J Foster Incorporated P0 Box 2758 El Cajon CA 92021 6193904477 - Name Address City State/Zip Telephone# State LicenseS 630120 License Class c36 Cify Business License # 1210836 -• <Name> <Address> <City> ST <ZiD> <Phone> Designer Name Address City State/Zip Telephone . . Slate Licenc B 6. WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally 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 - . - of the work for which this 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 - - issued. My worker's compensation insurance carrier and policy number are: Insurance Company Mid-Century Ins. Policy No. A20075651 Expiration Date 05/01/2001 ______________________________•'•'''''•'''''-'' - 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 is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand doll.---1), in addition to the cost of compensation, damages as provided for in Section 3709 of the Labor code, interest and attorney's fees. SIGNATURE DATE 01/17/2001 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Li 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 safe. 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). '- I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO 1 (have / have not) signed an applicant for a building permit for the proposed work. 3. I have contracted with the following person (firm) to prvjdu the oroposed construction (include name / uddressl phone number / contractors license number): <Name> </-aaress> <Work Phone> -State License> 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maior work (include name / address / phone number / contractors license number). <Name> <Address> <Work Phone> <State License> 5. I will provide some of the work, butt have contracted (hired) the following person to provide the work indicated (include name / address / phone number! type of work): Name> <Address> <Work Phone> Work Type> -. . PROPERTY OWNER SIGNATURE DATE OMPLETETHtSSEcTIONFORNoN.RESIDENTIAL'BUILDINGPERMlTSONLYU - • - . . . 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 2553401 the Presley-Tanner Hazardous Substance AccounlAct? 0 YES O NO .—..., r,. district? Is me applicant or future Palming occupant required to obtain a permit from the air pollution control omsurct or air quality management emsrncrr 1.1 1'5 L N i U Is the facility lobe constructed within 1,000 feet of the Outer boundary of school site? LivEs 0 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 9.TAPPLICANT CERTIFICATION ,.. - .• -' •- , '.____ -•.- 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 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, JUDGEMENTS, 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 this code shalt expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 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 for a period of 180 days (Section 10e.4.4 Uniform Building Code). APPLICANTS SIGNATURE 44~ DATE 01/17/2001 Lzi : City Carlsbad Bldg of Inspection Request - For: 02/16/2001 Permit# CB010307 Inspector Assignment Title: JOHNSON RESI NEW.WATER HEATER pescription: - - Type PLUM Sub Type : Phone: 7607201136 Job Address: 2741 GLASGOW DR. Suite Lot 0 Location: - Inspector: APPLICANT A&J FOSTER, INC Owner JOHNSON CLIFFORD W JR&WENDY F - Remarks: PM PLEASE AFTER 12 NOON Total Time: , Requested By: CLIFF Entered By: ROBIN CD Description Act Comments V\ 25 Water HeaterNents -'0" : Associated PCRs • - - • Inspection History Date Description Act insp Comments - ,ci . •, - • . p - - -, •,-••. - - . ; •.----- 1•. - - - -.- •) City of Carlsbad -'02/23"A Plumbing Permit Permit No:0B990713 Building Inspection Request Line (760) 438-3101 Applicant: A&J FOSTER, INC. 2819 CENTRAL AV SPRING VALLEY CA 91977 619-697-4151 - . Total Fees: $27.00 .Plumbing Issue Fee - Fixture or Trap Building Sewer Roof Drain NT41 Install/Repair Wate? Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee •- -TOTAL PERMIT FEES Status: ISSUED Applied: 02/23/1999 Entered By: DT Plan Approved: 02/23/1999 Issued: 02/23/1999 Inspect Area: 6756 02/24/99 0001 01 02 DRD W JR&WENDY F C-PRMT 2700 JRN $27.00 Job Address: 2741 GLASGOW DR CBAD Permit Type: , PLUM Parcel No: 2081111100 Lot #: 0 Construction Type: NEW Reference #: - Project Title: REPLACE WATER HEATER JOHNSON CLIFF, 2741 GLASGOW @5 RLS?B\AD L ' 8 A $000\\Plae Due: $27.00 6W o.00 $0.00 0.00 0 INCORPORATED $0.00 0 1952 10 $0.00 FINAL APPRO AL 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 rocessing 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 re 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. . •;•. - - CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLITT N , PLAN CHECK No. 9O7/3 CITOFCARLAD ROCRINbIWAR' VAL. 2075 Las Palmas Dr., Carlsbad CA 92009 74_ Plan Ckepostt (619) 438-1161 Validat d - Date 1 2741 Glasgow Dr . Address include Bldç/SuIt. 'I : . BUsiftIU Name (St this address) \. Legal 03ciiplion Lot No. Subdivision Name/Number Unit No. Phseuo iTTT. SFR Assessors Parcel I LxJstlng Use . Proposed Use - - - Description of Work SQ. F1'. - lot Stw(.. I of Bedroom, . .. - . WATER HEATER REPLACEMENT 720-1136 Name Address ' City State/Zip Teirrhone P APISucr Rai 1 •(619')390-4477 Name Address a . City State/Zip Telephone - 4F.80j'ERlYi II Johnson,Cliff _2741 Glasgow Dr CARLSBAD CA. 92008 _760 20-1136 Name Address City State/Zip Teieoirone I - CTdRC WEAR '(Sec. 7031.5 Business and Profession. Code: Any City or County which requires a permit to construct, sitar. Improve, demolish or repair ery structure, prior ... issuance, also requires the applicant for such permit to file a signed statement that he Is Licensed pursuant to thi provisions of the Cc.rruacior's Ucen se (Chapter 9, commending with Section 7000 of Division 3 of the Business and Pofeasions Code) or that h. Is exerrlpt theref rom, and l's bar's for t he ' exemplio . Any violati V Section 7031.5 b any applic nib a ermit subi cts the applicant toe civil pensit of not more lien live I, ''e rill I A & J FdER PLUMBINá 170g_ HWY BUS. EL CA53ON CA. q 01 C139o-4477 Name , 630120 Address C-36 City StatelZip hI2iY054 State License I License Class City Business License I . .-.. .. . . I' Designer Name N/A Address - - City Stste/Zip Telephone — State Ucsnae I . . . . . . , ri W0RKEP. c0MPENSATl0a t f' .1. Workers' Compensation Declaration: i hereby affirm under penalty of perjury one of the foliowlng.decieretions: D have and will maintain • certificate of consent to sell-Insure for workers' compensation as provided by Section 3700 ol tlre\Labor Code, br tire perbcrrri - - of the work for which this permit is issued. 0 I vo and will maintain workers' compensation, as required by Section 3700 of'th. Labor Cod,, for the performance of the 'work l'r which this pet'' issued. My worker's compen3 number a:: N2007-56-51 . . '-, CONTINUOUS insurance Compirry .'' Policy No. Expiratiorri Data (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 111001 OR L E S S ) 4 - D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is Issu e d , I s h e l l n o t e m p l o y a n y P e r s o n i n a n y m a n n e r s , a : to become subject to the Workers' Compensation Laws of California. -. - WARNING: Failure to secura'woqksrs compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvii 1lirres p to one irurrdre thousand dollars if 100.000). In addition to the cost of compensation. damages as provided for In Section 3708 of the Lebq, code, interest end atlotney's fees. SIGNATURE .-.' DATE . 'I 7 OWNER BUILDER DECLARATION ihl't ; U1?J'A0.0 I hereby affirm that I am exempt from the Contractor's License Law forthe following reason: , I, as owner of the property or my employees with wages as their sole compensation, will do the workand the structure is not intended or offered lot se. (Sec. 7044. Business and Profession, Code: The Contractor's License Law does not apply to an owne of property who bulidaor imp:oves thereon, and who doer such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, tIre building or improvement -r sold within one y.ar of completion, the owner.buildar will have the burden of proving that he did not build or improve for the purpose of. asl.t. i. as owner of the property, am exclusively contracting with licensed contractors to conetruct'th project (Sec. 7044, Business and l'roleasbona Cotta: Ti'. Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such orolecte with corrtractorisl I,:ensa-pursuant to the Contractor's License Law). C3 I am exempt under Section Business and Professions Code for this rsaion; ' t. 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 e building permit for the proposed work: J. I have contracted with the following person (film) to provide the proposed construction (Include name / a d d r e s s / p h o n e r r u m b e / c o r t r e c l o r s ilicrin,, nu -e- I plan to provide portions of the work, but I have hired the following person to coordinate, supervIs, and provi d e t h e m a j o r w o r k ( i n c l u d e n a m e I address ' -....., . number / contractors license number): •'r -- I will provide some of the work, but I have contracted (hired) the following persons to provide the #ork indicate d i n c l u d e n a m e / a d e i o 3 s / p h o n e n u r r r D r , . . . . . . . - of work): ' PROPERTY OWNER SIGNATURE • . DATE '. • Li the applicant of future building occupant required to submit a business plan, acutely hazardous mate I registration form or risk manaZernerrt and prr'.',r.: ' program under Sections 25505. 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or alt quality management distrIct? 0 YES 0 Is the facility to be constructed within 1,000 feet of the outer boundary of. school alt.? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY HOT BE ISSUED UNLESS THE APPUCANT HAS MET On IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIS T R I C T . . 8 CONSTRUCTiON LENDING AGENCY r5 ç4j(ji 4 -I hereby affirm that there is e construction lending agency, for thu performance of the work for which this permit Is Issued (Sec. 3097111 CIvil C,de1, - LENDER'S NAME LENDER'S ADDRESS________________________________________ 9 APPLICANT CERT(F(CA.110N I certify that I have read the application and slate that the ebove information is correct and that the Information on the plans i, accurate. I aç:ee to conrpl- City ordinances and State laws relating to building construction. I hereby authorize representatives of tha City of Carlsbad 10 enter upon the above men:'--'-: property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY'AND KEEP .HARMLES S I T H E C I T Y O F C A R L S B A D r G A I 1 i S T A L L L t A B l L t i 5 i . JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C O N S E Q U E N C E O F T H E O F t A N T i H O O F T H I S P E R M I T . 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 nuR and void if tIre burlow; : work authorized by such permit is not commenced within 385 days from the date of such permit or if thi building or work authorized by such t,ornit is s'isOe or abandoned at any time aWtarthwork is commenced for. period of 180 days (Section 100.4.4 UnIform BuildinO Coda). AoOt it- A MT' O - -DATE P - 3-?7 I - City of Carlsbad Inspection Request For: 3/3/99 Permit# CB990713 Inspector Assignment Title: REPLACE WATER HEATER D5CflptiOi1 Type: PLUM Sub Type: 1 Phone: 7607201136 ; Job Address 2741 GLASGOW DR Suite: Lot 0 Location Inspector APPLICANT A&J FOSTER, INC Owner JOHNSON CLIFFORD W JR&WENDY F Remarks: .2 -- Total Time:' Requested By CLIFF Entered By CHRISTINE CD Description Act Commento , () 25 Water Heater/Vents o Inspection History - Date Description Act insp Comments - 1• - -