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Home My WebLink About2762 OLYMPIA DR; ; CB000999; PermitCity of Carlsbad 03·12012000 Plumbing Permit Permit No:CB000999 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2762 OLYMPIA DR CBAD PLUM Parcel No: 1674315100 Lot#: 0 Construction Type: NEW Reference #: Project Title: REPLACE WATERHEATER Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $27.00 Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: Date: Status: Applied: Entered By: Plan Approved: Issued: ISSUED 03/20/2000 GMF 03/20/2000 03/20/2000 Inspect Area: '"", . ' J "'· , . ,«10.00 •, ·· -:'.• -'·"'o oo ' ' ,,, •' l, Jjp • ,.·.-.-·; . • *$0.00 • 0$0.00 $0.00 $7.00 ': · -$0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition• o 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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PE;RMIT· APPLICATION PLAN CHECK NO .. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date. _______________ _ 1. PROJECT INFORMATION 2762 Olympia Dr Address (include Bldg/Suite #) Business Name (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 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPLACEMENT 2. COtiTA.C.1 PERSON_(!f different from applk:IQ\~2 Collins, Karen ~tb Olympia Dr CARLSBAD CA. 92008 760-729-4791 Name Address City State/Zip Telephone# Fax# 3. APPLICANT 12!1 Contractor O Agent for Contractor O Owner ARLEN FOSTER/KRISTY FOSTER 13706-B HWY 8 0 Agent for Owner BUS. EL CAJON, CA. 92021 (619)390-4477 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Collins, Karen 2762 Olympia Dr CARLSBAD CA. 92008 760-729-4791 Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (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 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 PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390 4477 Name Address City State/Zip Telephone # State License # __ 6_3_0_1_2_0 ___ _ License Class C-36 City Business License# 1200354 Designer Name Address City State/Zip Telephone State License # ___ N'-'/'-"'A:;__ ___ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. [X 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 FARMERS INSURANCE Policy No. N2007-56-51 Expiration Date CONI'INUOUS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 civil fines up to one hundred ~~~~=;~::liars ($100,0 .. ,addition to he cos O mpensation, damages as provided for in Section 3~:6T:~~r 2 d1 in~nnnd attorney's fees. 7. OWNER-B actor'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. 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 contracted with the following person (firm) to provide the proposed construction (include 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 I address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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? 0 YES O 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. 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 _____ ID_NE _______ _ LENDER'S ADDRESS, _________________________ _ 9. APPLICANT 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 Citt 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 prov· ions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is.~ with!~ d_ays • the te of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after thec;;;ti:1::/'}::/d l"} ~eno ~-r ""CL."'--t,on 106.4.4 Uniform Building Code). MAR 2 1 2000 APPLICANT'S SIGNATURE --------------..~--------------DATE _____________ _ WHI YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 4/12/2000 Permit# CB000999 Title: REPLACE WATERHEATER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2762 OLYMPIA DR Loi APPLICANT A&J FOSTER, INC. 0 Owner: COLLINS FAMILY TRUST 01-26-93 Remarks: PM Pl:EAS!: Total Time: CD Description 25 Water HeaterNents .-~ Comments Associated PCRs Inspection History Date Description Act lnsp Comments ~ Inspector Assignment: I L-- Phone: 7607294791 Inspector: Requested By: KAREN Entered By: ROBIN