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Home My WebLink About2806 JACARANDA AVE; ; CB041597; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB041597 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2806 JACARANDA AV CBAD PLUM 2551031600 Lot#: 0 Construction Type: NEW APPEL RESIDENCE WATER HEATER REPLACEMENT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/11/2004 MDP 05/11/2004 05/11/2004 A&J FOSTER, INC. STE B APPEL BERYL H&EDITH R INTERVIVOS TRUST 08-19-98 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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: 0 0 0 0 1 0 0 2806 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 $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: PF.M\!_1-, ll H' \' ,-, 'I,. ' . i1ED IN ACCORDANCEWffHU.!U!t SECTIOtJ i J-.1.•:.4 [!'Tt= -1\l:-:tl OU ""~ FINAL APPROVAL Date: ~!GN.ATli~F ~- Clearance: $27.00 ·,r-_;·---:, .--v-,_._,:. C.'·-·:;!::: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ~,ees/exactlons." 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 1imely 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 . n r i j'~·: !PERMIT APPLICATION FOR OFFICE USE ONL V C. PLAN CHECK No.C/J [):L/ L2q 7 CITY'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite 1/) Business Name (at this address} Legal Description d'55---ID3-l lo·CX) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Defb~)S~ ~ LAX'tex: Proposed Use #of Stories # of Bedrooms # of Bathrooms (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 ls exempt -therefrom, and the basis for the alleged e emption. An viola on of Section 7031.5 by any applican for permit subject the applicant to a c)vil penalty of n t more an five hundre,d dollars I 5QO }. -;-i ..L-~-3-....:.i·· ~...Ll..!,,a.__,~e.,,L~. -'-,,L~t:'......J..,.l:....J..l.ll~-·..lot..-1,;' UU-..,,1:....:....Jo,~~P"·:Y· ~,a...±-....J..=~_..1..JLL....J_' .....1,.-~· L.._jc..J , 1 Name /Irv-I•"-. \-tQ City State/ZiP. T~e}'hone # State License # ~~=-~=~~--l,.____ License Class --==-_,,.,.c....,._..,,____ City Business License # \ ']_ \()~ Designer Name Address City State/Zip Telephone State License # __________ _ !.6;1::v;i~~WO:Rif~R'S.J!::GQ M~~N.~A;tl~fi~iliiJ:h~~~~It:i[t~tfu1C~~.~~~~Jltt~'.!~f ~t~·,zi!ill;!:ii~i~!tl~~1~L~~i~t~i~¼~t~-~~ir-~m:1mrar.~rtfil~m);;t~1lHZ1lli~~~~i~ij~~;~:~;~~!'.Pj·f~tii~'.W~~fj~~~:Ji'.i[~~~:~l:!;_;;/] 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, for the performance ~~e 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 !lR pens, tion insura e carrier a policy number are: . · -1 ·2_ ~7/ --(-"JU . . 4/ ('~ Insurance Company _,,.,.£....._,,...c::..._...:::,,,.,:;_...:,c..;,._.,._-==::.&--------Pohcy No. l t ~OJ ~ v" _7 Exp1ratIon Date--L V ...J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS} -' 0 CERTIFICATE OF E)CEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure tg secure e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($,JPO,O • n _<>!,,;.i~~~~:~~~=~~.amages as provided for in Section 3706 of the Lepor co7, Interest and attorney's fees. ,7 5 ~:~,~~o·~:~~~E: Ji(ei!Jit· 'Dl;CU\<\RA¥10111~: ·,~·;Ill :''i';~".,'fl: ,' H:I;!'l:i""t,J;'l;'z~1:-].r;~',4"'·'l'E'."~"¥ "•!\-;•:•·''!SC"~, '•'lf<\iil" ,,,,,,:Ji"''~-,~:~~;;~,-.t.<,l 'c'(:•Z,: ,) } r!i ~~.' ~. ,i"' ;J; ,'; •:,c:',i:' 1-'lt'' '. ,,,. , •• ' ~? '.N,r., .J.~l.\!1 , •.•. ,: ~ -·... " , -~ ',,...,,~•.E;nn; ., ,i!,if•l' ,-i:!!iti<'~J ,l'l!,il ~J;,!i,l,~~,,\l,:[~',;.11, ~l;:.!.i:.;!ii.i,i!'.'1' .. 11 ..... -;,u,lli ,,x .. i,.:'l'dlii ~~it ..... ~..ii;~.,.-, ... ,.~~1.r.cil!~i2!illi'd&/d !.'~•),!!>< r_'ljl.:~•~;i• l ;r~Ai"b!hJ.Jll''t .. !~~,ifl.,1 ::;u,, .~ii!.• .. 11 11~, r4.-1 !_,Q.., t.t ,.j L" "1 l'-1 <: ~dij~• j .. r. I he;eby affirm that I am exempt from the Contr 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 ottered 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 tor a building permit tor 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 l 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 / address / phone number/ type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE-----------------------'--DATE _________ _ 1CbM~(ETE~;t1i:iiS·~$-~Ptrl'Q.Nt6QR~rli]/Jfif/j'li,$/Qir(jf{J,;t1~:Qi~~ijJN'GJ!P~iiMlff;S!~Nt~~l~~i~IJ!li~i!~ll~~1a1i~illJ1TJ;~J~l;u1riijli~:i[~ml,~ml!r~i=t1~~~\}fi~l~~m~1:~itJ!i~t~;~ 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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? O 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. I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit is Issued (Sec. 3097(i} Civil Code}. 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 ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 within 180 days from the date of s h permit or if the building or work authorized by such permit Is suspended or abandoned al any time after the work is comm1~1je0 ed f er f 1 BO d Sectlo .4.4 nlform Building Code). O /J / ' ( 1 APPLICANT'S SIGNATURE • --~~~--=::::: DATE ~ 2 ,o'-1 PINK: Finance