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Home My WebLink About2803 JACARANDA AVE; ; CB991003; PermitCity of Carlsbad 03/15/1999 Plumbing Permit Permit No:CB991003 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2803 JACARANDA AV CBAD PLUM Parcel No: 2551033000 Lot#: 0 Construction Type: NEW Reference #: Project Title: WATER HEATER REPLACEMENT Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $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 Inspector: SQ .0#¾0-GG J;it✓·•#+•:W -* xiii¾,~-47i)k:rJ1f1\? ' >4wffi+!¾'P¼v ¥ 0 Q 0 0 1 0 1 0 :Q FINAL APPROVAL Date: 2/2/Cf1 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/15/1999 DT 03/15/1999 03/15/1999 $27.00 a~o.oo , • , "$0.00 ¥ '. y '$0.00 Clearance: ·$0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. QB 99/00 3 CITY OF CARLSBAD BUILDING DE~.N~ 2075 Las Palmas Dr., Carlsbad CA~2009 , (760) 438-1161 MAR 1 5 199 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ 1. PROJECT INFORMATION 2803 Jacaranda Ave Addr111 {include Bldg/Suite #) u ass Name lat this addrepJ Legal Oucrtption Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Aaeasor's Parcel# Existing Use Proposed Use Ducription of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms WATER HEATER REPIACEMENT Z ,COirt~rfu.,_~~Ncfr~~r:-~gom•~03 Jacaranda Ave CARLSBAD CA. 92009 (760)944-8486 Name Address City State/Zip Telephone# Fax# ,:, •. ,: APPLICANT O C.,_ctor O Agent for Contractor · 0 Owner [J{Ag,nt for Owner . SHELLY JOHNSON/KRISTY FOSTER 13706-B HWY 8 BUS. EL CAJON, CA. 92021 (619)390-4477 Name Address City 4. · ·' PROPERTY OWNER Kimura, Gretchen Name &:0 ''"CONTRACTOR, COMPANY NAME 2803 Jacaranda Ave Address City CARLSBAD State/Zip Telephone# CA. 92009 (760)944-8486 State/Zip Telephone# (Sec. 7031 . 5 Business and Professions Code: Any City or County which requires a permit_ to ~onstruct, alter, improve, de~o_lish or repair any struC1;ure,_ prior to Its issuance, also reQuires the applicant for such permit to file a signed statement that he ,s hcensed pursuant _to the prov1s1ons of the Contract~r s License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professio':" Code] o~ :hat he 1s exempt therefro~, and the basts for the elleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred doUats [$500l). A & J FOSTER PUJMBING 13706 B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4477 Name Address City State/Zip Telephone # State License II 630120 License Class C-36 City Business License# 1200354 Designer Name Stat• License# --~N=/~A~---- 8; .WOI\KERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone D l 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. OX l 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 iuued. My worker's compensation insurance carrier and policy number are: Insurance Company FARMER INSURANCE Pol;cy No. N2007-56-51 Expiration Oate. __ C_O_NT_I_NU __ o_u_s_ (THIS SECTION NEED NOT BE COMPlETEO IF THE PERMIT IS FOR ONE HUNDRED OOLLARS ($100) OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ia issued, l shall not employ any person in any manner so as to become sub}ect to the Workers' Compensation Laws of Califomia. WARNING: FaHure to Hcure workers' compenaation coverage la unlawful, and shall subject an employer to criminal penaltiu and clvfl fine■ up to one hlU\dred thousand doHara (t100,000J, In addition to the coat of compensation, damages u provkllld for In Section 3708 of tha Labor code, Interest and attorney'■, .... SIGNATURE,____________________________ DATE ________ _ 7:".''"0WNER-BUII.DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages H 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 doea not apply to an ownar of propeftY who builds or imi:iroves thereon, and who does auch work himHlf or through his own employees, provided that auch Improvement• are not intended or offered for sale. If, however, the building or improvement is sold within one y .. r of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profesaions Code: The Contrector's License Law does not ai:iply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licenHd pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this ,eason: i. I personally plan to l)rovide 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 i:iroposed wo,k. 3. I have contracted with the following person (firm) to provide the proposad construction {include name / address / phone number / contrectors license number): 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ____________________________________________ _ 5. I wm provide some of the work, but I have contract ad (hired) the following persons to provide the work indicated (include name / address / i:,hone number / type of work).,_------------------------------------------------------- PROPERTY OWNER SIGNATURE _____________________ _ COMPLETE'THIS ·SECTION FOR NON-RESIDEN11AL BUILDING PERMITS ONLY. DATE ________ _ 11 the applicant or future building occupant required to submit a busineu plan, acutely hazardous materials regist11ti0n form or risk management and prevention program under Sections 25505, 26533 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 eir Quality management district? O YES O NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 POUUTION CONTROL DISTRICT. a,. CONSTRUCTION I.ENDING 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 _____________ _ 9.,. APPLICANT CERTIFICATION LENDER"S ADDRESS, _______________________ _ 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 ordinancu and State lawa relating to building construction. I hereby authorize representativu of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. 1 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 permrt issued by the Building Official under the provisions of thia Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the data of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after he work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance DATE _....._,3.,_-.......,ll...,p,:__-9....L...9~· _ City of Carlsbad Inspection Request For: 7 /30/99 Permit# CB991003 Title: WATER HEATER REPLACEMENT Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2803 JACARANDA AV Lot APPLICANT A&J FOSTER, INC. 0 Owner: KIMURA LARRY K&GRETCHEN A Remarks: Total Time: Description Act Comments Inspector Assignment: SR__ Phone: 7609448486 Inspector: sR Requested By: GRETCHEN Entered By: CHRISTINE CD 25 Water HeaterNents ~? F~ Inspection History Date Description Act lnsp Comments