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Home My WebLink About2762 INVERNESS DR; ; CB032385; Permit(\'tc\i \\:) ' \, 08-27-2~03 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB032385 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2762 INVERNESS DR CBAD PLUM Status: ISSUED 08/27/2003 SB 08/27/2003 08/27/2003 Parcel No: 2081021900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: HARMON RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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 Total Fees: $27.00 Inspector: Owner: HARMON LIVING TRUST 03-08-95 0 0 0 0 1 0 0 2762 INVERNESS DR CARLSBAD CA 92008 Total Payments To Date: $0.00 Date: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Balance Due: $27.00 2931 OB/27/0J 0002 n C:Gp 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. 1f 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 . . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ht:!~~-f~1rRQ.JJ.ijCfri1NEPRMAt1.o Niil~11~~P.M~J:.~T:,~r~;jif~~!tf:!iillMm~~:rillr;!;:~~jj~~l~(~tii~;:~!f.kTii~?:1~e™~~~;jfil~1li;l~J~fr.fJfil;~~µJfi~~rn 2762 Inverne ss Dr . FOR OFFICE USE ONLY PLAN CHECK NO. ____ _ EST.VAL. _________ _ Plan Ck. Deposit---------- Validated By __________ _ Date ~~~~~~~~~~~~~~~~~~ Address !include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. SFJ:tubdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # 208-102-19-00 Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Water Heater Replacement !·2:::i~J:cm~~s~~~~~ii!or;)~o.m1iPi~,g~1~·,ti~~l i 11'1~ta;~Nl~1~~1f~&"'fi'~!li!i;~i,l{,~cfil,l:a~1~~~,5b:di,J~.i•~i;:,"' Name Address City State/Zip Telephone # Fax # ,a:~f~fci~;f~~q~~~rf!iJ~fJ~fl>lt¢f,ffl'ff~J0!s,~1§1W~~iii1fflij~~!,]~~r~r~)~~~~~~:5!:r'l~l~tt~f~:tj,~~1f~tjl!i,;11\J~1f,, Name Address City State/Zip Telephone# '14'~'~('.'.ii?RR'd~fIRP:t :ciw~1-~·Rv~1ifli'.iiJl;1·;\~~JJ,J,i!!iiM;J~~:*~!fi,:;¥.i~iml~1~{~i~~f~);f},fkf~~i;~]1~:(~~~:/'~;:;~;::!t:~\t8fJ;J1111~~\1i~illt~1:f='~]~;~~F~~t~rTilli!1~3:L~illm'i1.!~f~'.ll~frhii(~ilf.~~r:fJ:!*:;-t1~~!f~~1~t1t~~[]~l~~[~1fmlillil~!!fi~j~~:;~~f~l~~!l~~~l4~p~i!;:1:~jil1ji]\~f!,i~i~:1i.,•.'k. '.· · .. lbiwn ," H~·:ara" "'"'··· ,fo,.,, ... ,' "''"'"'·21°62 "'·;~:;e"{'.i'.ie"~s"' 5~·:·""caristZa··-'"""'ca:~ .... 92 o'cHf'""'"~"76"0~7·2'9'~cfs o·o· .•... " . Name Address City S.tate/Zip Telephone # l~;~:~r:1;1~C.ONllfi~Cl[OR[ellC10MFtA~f iNA'M.~:r~i!~2flJiffiitdiW.!mitJlm~il~~fJ~~~~~~~il!'i[~~~@1f~N~~~~~-~~,~~~,,~~£~~1t~~[~Jj~ill1~[~J~'.~]i~~Uf&:i~~ (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 Codel 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 ($5001). A & .J Eas+-er PJ nmbi ng J 3706-B Hwy S R)]S El ca2on CA , 92021 { 619 ) 390-44 77 Name Address ity State/Zip Telephone # State License # 630120 License Class C-36 City Business License # 1210836 Designer Name Address City State/Zip Telephone State License # __ ..,N-~.c:A>------ l~~~(i!:~~~W.OJfK~'S.:~¢JiMPu1fil~:Aif(QftjJ~lk~;i~~i~~~~t\1~~ifil~~~;~;~~iliVN~~~J1~fill~~L~i~JJ~j;1~,ili~~l~~;!~~Ll~i!~~t~fi~fJ~~;~f1,~~t~~~[~Y~~~B~~~~t~:¥]r.~1~~mf~~t~~;!~~~~~~il~;f~1flill]illit~~iJ:/~~~~~i,:J;r~~:~t~Ji!;;~, Workers' Compensation Declaration: I hereby affirm under penalty 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, tor the performance of the work for which this permit is issued. jf] 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 Sta+e Camp Tns Policy No. 467-01 0000713 Expiration Date 04-01-04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars ($100,000) n to th c t of c ation, damages as provided for In Section 3706 of the ode, I terest and attorney's fees. ;;~~~~;;:ijj~~~lBJijuij.1uiI>i· .. ,::,~Ml~,,~~i,iii~iiiiiiiii~fillii~iii~r;t~D~~A~T;;Eiii~ii:"")~iiii I hereby affirm that I am exempt from the Contrac s License Law 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. It, 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 I have not) signed an application for a building permit tor the proposed work: 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 numbm/contractmslicensenumbe~:~~~~~~~~~~~~~~-~~~~~~~~~~~~~~~~~~~~~~-~~~~~~~~~~- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number / type of work):_~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~~~~~~~-~-~-~-~- PROPERTY OWNER SIGNATURE -----------------------DATE _________ ~ tcoMeli;e;r";;tfi1s::s~¢rr,ipN1fcQ'RJ~QM8'#.$IDif!;fiA!.gB..WUillNGlP~iiM(f.§!.oJ91kY~ffllilllrli/i./i.'mfi~~~~~~If~~li.~1~~~~t!l~'.~~f'jftjJ~~:i·~k~f1'\rJ,ii:.:lt;[~~~~:~;JffJ!~~j~~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25605, 25533 or 25534 of the Presley-Tanner Hazardous 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 management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME N NE LENDER'S ADDRESS ________________________ _ 15':,t::t:fA~p.1,;1.tifNilt{(ij}l]iuci ·1trori~¥.1J.11:~r,Iu~t'tlj~rr.m11~1A~fo~.;:1:~~iii,:11!Wta!ffi~J1!'.t'l~~~,rJ,Wi'ti~~~i:~fr,.~irn:JID;'ll:'!~~-'iil!J::iJritrnfr:t~::.1:i~~~:J/,j;;l!It:·~1!t1,~ 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 Cit\r 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 6'0" 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 · 180 days from the date of ch permit or if the building or work authorized by sue permit Is uspended or abandoned at any time after the work Is commence a P. of 80 (Saeli 6.4. nlform Building Code). DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/11/2003 Permit# CB032385 Title: HARMON RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2762 INVERNESS DR Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: HARMON LIVING TRUST 03-08-95 Remarks: WILL BE HOME TILL NOON ONLY Total Time: CD Description F:£. Comment 25 Water HeaterNents Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607290500 Inspector: ---- Requested By: HOWARD Entered By: CHRISTINE