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Home My WebLink About2804 JACARANDA AVE; ; CB012128; Permit06/20/2001 City of Carlsbad > 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB012128 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2804 JACARANDA AV CBAD PLUM Lot# Construction Type BRIA REPLACE WTR HEATER 0 NEW Status ISSUED Applied 06/20/2001 Entered By JM Plan Approved 06/20/2001 Issued 06/20/2001 Inspect Area Applicant A & J FOSTER 2819 CENTRAL AVE SPRING VALLEY 6196974151 Owner Total Fees $2700 Total Payments To Date $000 Balance Due $2700 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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Inspector FINAL APPROVAL Date S0-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 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 you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 ROJECT INFORMATION T "-T™ ...,_. .-.j,,,. _,_,.,,,«--. ^. ... ,.^__....„ ^ , AVE CARLSBAD CA 920'09~~ <Suite> c:i<Name> FOR OFFICE USE ONLY PLAN CHECK H EST VAL PlanCk Deposit Validated By Date .fefti i, Address (include Bldg/Suite #) <Legal Descr><Lot> Business Name (at this address) <Subdivision Name/No> <Unit><Phase> <Total> Legal Description <Assessor No> Assessors Parcel # WATERHEATER INSTALL Lot No Subdivision Name/Number <Existmg Use> Existing Use <SQ FT> <Stones> Unit No Phase No <Proposed Use> Proposed Use <Bedrooms> Total # of units <Bathroom> Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms 2 JS£NJACT PiRSfON (if different from applicant) •<£* <Name> <Address> _ <Phone><Fax> Name 3~ 4.APPLICANT D Contractor NetCierk Inc Name 4 PROPERTY OWNER "KEN BRIA Address \i/\ Agent for ColFactor O Owner 720 DWuque Ave~ n Address 2804JACARANDAAVE City State/Zip ™Agerit for OwnSr"•- SoUth Sarf Fr CA 94080 City State/Zip CARLSBAD CA 92009 Telephone # ~ 888330*7 Telephone* 7609447434 " Fax # fe^I:: : Name Address City State/Zip Telephone* CONTRACTOR fU! "**" (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 Contractors 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 Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name State License # 630120. <Name> Address License Class C36 <Address> City State/Zip Telephone* City Business License # 1210836 <City> ST <Zip> <Phone> Designer Name Address City State/Zip Telephone State Licence # ^___ 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations I 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 £7\ | 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 workers compensation insurance carrier and policy number are Insurance Company State Comp Ins Fund Policy No 00506395 Expiration Date 05/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) I I 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 thousand doll //, 1) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorneys fees SIGNATURE *^%" DATE 06/13/2001 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason I I 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 Contractors 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) I I I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors 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 Contractors License Law) I I 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 I I YES I I NO I (have / have not) signed an applicant for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)<Name> <Addfress^ _ <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 major work (include name / address / phone number / contractors license number) <Name> <AddreSS> <Work Phone> <State LlCenS6> 5 I will provide some of the work but I have contracted (bired) 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 COMPLETE THUS SECTION FORNON^gSTDENTIAL BUilDTNlSlFERTi1TiS'ONlYifS^":~ "r''*fl~ ~^ .:?" .,."""s ^----"v'-'S;-. .- 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? C3 YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES CD NO Is the facility to be constructed within 1 000 feet of the outer boundary of school site' l~l YES l~l 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 3087(i) Civil Code) LENDERS NAME LENDERS ADDRESS ' "^:X£f WA^'---: ' "''"' '':'-''' - i 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 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 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 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE 06/13/2001 City of Carlsbad Bldg Inspection Request For 10/23/2001 Permit# CB012128 Title BRIA REPLACE WTR HEATER Description 2804 JACARANDAAV Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT A&J FOSTER Owner BRIA KENNETH S&KRIS Remarks Inspector Assignment GG Phone 7609447434 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments AP Requested By KEN Entered By KAREN Associated PCRs Inspection History Date Description Act Insp Comments 10/16/2001 25 Water Heater/Vents NR GG NO ONE HOME 12 15PM 720 Dubuque Ave South San Francisco Ca 94080 Government Services 888330-1777 Fax 877-846-5888 Permit Application ID# 89602 Mail To Carlsbad Building 1635 Faraday Ave Carlsbad CA 92008 Phone 7606022718 Fax 7606028558 Email Contra Company A & J Foster Incorporated Address PO Box 2758 City El Cajon State /ZIP CA 92021 Phone 6193904477 Fax 6193904448 Email Credi Credit Card Number Expiration Date Card Holder Name P r o j e ctor Information Worker s Comp Carrier State Comp Ins Fund Worker s Comp No 00506395 State Contractor s License 630120 License Class / Type c36 Business License # 1210836 t Card Information visa rn Mastercard | | Other [•] Check ct Information Exp 05/01/2002 Exp 10/31/2001 Exp Exp Exp 08/31/2001 Homeowner Name KEN BRIA Homeowner Phone Number 7609447434 Project Address 2804 JACARANDA AVE CARLSBAD CA 92009 Valuation 155 Residential | | Commercial | | Job Description WATERHEATER INSTALL Notes Payment Check Permit Type Paper Attachments WC£3 SCL 0CBLQ CCAlZ Agent Authorization ORG Q] NOT Q AAType ]AA0SASE[Z] In«a3ea*i?» Afwey toe 8163 Gre«®**^t Or ffeoti* Siflf® £* SJL2J2 5720 *7*6 .Rmyr / Owvitt Ci «it««, fM«Ci»t*«A11WWSNe*A»(S IKTf NO OR ALTER THS CQ«J|«i .HflFOK^Bi gy Trt WStJOKS BEifiW j>i_daiir«l_lt»ntjrjBnia _K§jftftagdi..fJjTO IB guarMig@_ »10 MY WTECT W CJ«eiMA«GW FOR W» fAUIUIT OP mm jgggT»iCAf 1 MOL&TO f II,Jj^M'^^BjMB'.,j«4Si^iunrt^i '_" CJWCELLA'TMMT WK^iffllJ W*St W G«Mi*Ti«|4im M**WT» 0* *W «HBil»eM TW •tWM.^^.HCRtSS -J7^*« . 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