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Home My WebLink About2817 JACARANDA AVE; ; CB010896; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/05/2001 Plumbing Permit Permit No:CB010896 Job Address: Permit Type: Parcel No: Reference #: Project Tille: Applicant: Building Inspection Request Line (760) 602-2725 2817 JACARANDA AV CBAD PLUM 2551032300 Lot#: 0 Construction Type: NEW TREOFAN RES/ NEW WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/05/2001 CB 03/05/2001 03/05/2001 A&J FOSTER, INC. STEB AL-ABDAL Y FAHAD A& THEOFAN GEORGIA 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 2817 JACARANDA AVE CARLSBAD CA 92009 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: 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: /44{ t, · IJ./4;._ 0 0 0 0 1 0 0 FINAL APPROVAL Date <'f /4 '7 / O I ' Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 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 vou have oreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has previously otheM<ise exnired. t \ FOR OFFICE USE ONLY PERMIT APPLICATION' PLAN CHECK NC[b)/()72</µ(J CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ Plan Ck. Deposit ______ _ Validated By __,_C_.'P,;.,. 7'------- Date ·-:,,. ",. -·c) I Address (inClude Bldg/Suite #) <Legal Descr> Business Name (at this address) <Lot> <Subdivision Name/No> <Unit> <Phase> lot No. Subdivision Name/Number Unit No. Phase No. Legal Description <Assessor No> <Existing Use> <Proposed Use> Assessor's Parcel # WATER HEATER REPLACEMENT Description of Work Existing Use <SQ FT> SQ. FT. <Stories> # of Stories Proposed Use <Bedrooms> # of Bedrooms <Total> Total # of units <Bathroom> # of Bathrooms •H1-1n""""''''""'"'-"'!1a:1..i,···•-..1"""''!"!,11111i'IIIIM'Ulf'll't!11•1,1,4,;;11111T[1l1illel'lii!"•<1il:'ll:['li[il''i1,'.!"*"~"mll'llllllll"l-""'''111!111'""''"1i"l:11j1111["11""'-11111110!1"1mm1111,1 i!!~ITIT ~ffl';f,~~WJMli'H~l~m'!if.m:h~~/',!fcf,r,m,~!M'itrs1!Nl , i,,k, ,,,,. •r,, ,,·,.,· ,.,,1•11 :,l I i, •11•,.e,1!1,,1-,I,, l,, ,H: Slf¼S~Nlll ! !!IT il■Nii'iili! D!lli!ffl!iml Jtj 1~ Hi! hUm!M--■mrilll Bllllll■\nllllb <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City State/Zip Telephone# Fax# m91':llllll:llllllllll~■l~lllillllBll~~lll"'1f~i.'8liht1■: Name Address City State/Zip Telephone# 111m--111m■111illllllllilll1tlllll■l!~-lthlbT,~1li11iillllttiliili-liilli■l!l:li!n!lll■-llll!illllllllll■lll-■llllll■~-1111m1m1111,: TREOFAN,GEORGIA 2817 JACARANDA AVE CARLSBAD CA 92009 760-943-7310 Name Address City State/Zip Telephone# l!lll--~,,:,1:1::::iiit;,,·.~,~,J!::m;',:'.-:: .. i!l:i,:::·3,.:g;,1%;:,,.,::.:-i:il'i:b§llillil-~Utllll!-r1:lllll!l!llll!li (Sec. 7031.5 Bu1ineH and ProfH1ion1 Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its i11uance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisioiis 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 Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name Address City State/Zip Telephone# State License# 630120 License Class c36 City Business License# 1210836 <Name> <Address> <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: D 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. li2I 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 Mid-Century Ins. Polley No. A20075651 Expiration Date 05/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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:,,_-i;J;/;~"1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ____________________ DATE~0~3~/0~1~/2~0~0~1~--- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). D 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 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 (have/ have not) signed an applicant for a building permit for the proposed work. □ YES O NO 1. 2. 3. I hey~ contracted with the following person (firm) to i;,rqvi,de the oroposed construction (include name~ ~ddr~sU phone number/ contractors license number): <Name> <Aaaress> <Work Phone> <State License> 4. I plan to provide portions of the ytqrk, but I have hired the following person tp ,;:o,ordinate, supervise and provide the m_ajqr work {include name I address I P.h.one number/ contractors license number):<Name> <Aaaress> <Work Phone> <State License> 5. l will p.r9vide some of the work, but r have contracted (t:Jlr~d) the following person to provide the work indicated (include name I address/ Rh.Qne rumber I type of work): <Name> <Aadress> <Work Phone> <Work I ype> PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ ~------■11181111■-l■llllll.ll■--IIIIIIIDl!'fllrilll■--~'-ili~ti; 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 ONO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of 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. ■li!IHlBBl!l!.~ll!lll!if1.d!!itaiil:i!l:iil1til1ftl!!illlii!l!l!l!lillli&llll■-llll!lilll1lllllllll!!lll!lil!l!l'!'\l::1!':~:fiililli\li:Viilllilllll-ll- 1 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). LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ .....-aa1111111:11;:.11illliiil!!:i:,!::,i,:~.::,1.•:::i·i1:i!i![!/i•il~;!t~:•1•li!!!ll■-llllllllllllillilllll.llllS:1:!::,i,f\8i!1eltllll--llll■IIGsm:::;ii;~:,, 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 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 ls suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANTS SIGNATURE ~--~---------------DATE ~0~3c./0"--"1/.:2cc0.cc0.c1 ______ _ • City of Carlsbad Bldg Inspection Request For: 09/05/2001 Permit# CB010896 Title: TREOFAN RES/ NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2817 JACARANDAAV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: THEOFAN GEORGIA Remarks: PM PLEASE Total Time: ----- CD Description Act Comments Inspector Assignment: AR --- Phone: 7609437310 Inspector: 6 0~ Requested By: GEORGIA THEOSAN Entered By: ROBIN 25 Water HeaterNents J1j_ fJ r,14-t, Associated PCRs Inspection History Date Description 06/01/2001 25 Water HeaterNents Act lnsp Comments NR AR