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Home My WebLink About2822 CAZADERO DR; ; CB044251; Permit11-23-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit NO CB044251 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2822 CAZADERO DR CBAD PLUM 2153203801 Lot# Construction Type SCHLIEP RES NEW H20 HEATER 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/23/2004 SB 11/23/2004 11/23/2004 Applicant A&J FOSTER, INC STEB 13706HWY8BUS ELCAJONCA 92021 619-390-4477 Owner SCHLIEP DENNIS L&LINDA L TRS 2822 CAZADERO DR CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer < Roof Drain Install/Repair Water Line Wafer 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 f 1 ! , ' < / ' ^ ' $2000 $000 - - ' $000 " , - SO 00 $000 ( " " $7 00 . ' $000 $000 ,-, $000 ' - $0'00 $000 r ' \' ' , $000 TOTAL PERMIT FEES $2700 Total Fees $2700 Total Payments To Date >$0 00 Balance Due '$2700 6231 11/24/04 0002 01 02 27, Inspector JLA FINAL APPROVAL Date fr^-Clearance _ NOTICE Please take NOTICE thai approval of your project includes trie "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 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 fees/exactions of whichj/ou 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 _1 ^/PROUEC'TilNFORMATrON^ , 7,5ft 2:2 " FOR OFFICE USE ONL PLAN CHECK NO f EST VAL Plan Ck Deposit Validated EJy Date Address (include Bids/Suite //}Business Name (at this address) Description I ot No Subdivision Name/Number Unit No Phase No Total S of units Assessor s Parcel it . > , Existing Use, LOCVe,r V\fo.Ver"Proposed Use Description of Work SQ FT #of Stones of Bedrooms of Bathrooms Name Address City j J City Name Telephone ffCity State/Zip CONTRACTOR COMPANY,I\IAME\r7m5<:;:;^ (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 Codel or that he is exempt therefrom, and the basis for the alleged Any violation of Section 7031 5 by any applicant for.a permit subiectsJhe applicant to a civil penalty of not moieihan five hundced dollars" f fy*4. £\ ' Name > ^- , ,,_ i _^ />. Address x1 tfrt i I / 1 J I —State License # Li-V_A— •* 1 C--v_x License Class V — / £7 / City J ' State/Zip " Telephone # tvLL? City Business License ff \ Z.\C3C>*jLo Designer Name Address State License It City i State/Zip Telephone iB't __ WORKER^COMPENSA;nON^_iJii£J^£,~I f JJJU^,dj *> Js/I3» Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [3 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 ^F^ 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 earner and policy number are , , „, ^,_,._,, „__. i^-Vv/o •V^*' O *-"\r^ I / "S^-Ji i{s*~( 3OInsurance Company t. _J 1LJL \ >--— T\-^4 )V^J Policy No J / vJX-7^-/ / VfcX \_/ 1 Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 14100] 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 woflf^'/s^pensiittof^overagT^s unla*ful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SI00 OOOJfln aifclitio&tp.thX cpStVf cornpaiwattorrlSaTrraaes as provided for in Section 3706 of the Labor codij interest and attorney's feesf ^CX*'*'****^ *\1 / *" S +Tt*<<s<~r SIGNATURE --^TE^/—j\iQV 24-^004, I hereby affirm that 1 am exempt from the Contractor 5 License Law for the following reason O 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the stiucture 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) rjj 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} ( [3 1 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 Q YES 2 1 (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 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) _ j _ | _ 5 I will provide some of the work but 1 have (.ontracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) _ I _ . _ _ _ PROPERTY OWNER SIGNATURE BISECTION DATE 'BUILtHNG^pERMITSWLY^S iIs 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 25G05, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q 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 C] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school Site? O YES C] 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 _ i.-,,,,. r-,, f nnm rii. « n i.f -1 ml 1 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 . LENDER'S ADDRESS , 9". i'i'H APPLICANT CERTIFICATION; \ "ftr "A" id'i, 33? TX P^ iJ^riiT^j^^r?l*r4?^/Ki^^O**'3*1h.T1K ^[CK'^fl1.1.'^.^^^^1 f,"» I cert/fy 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 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 stones in height EXPIRATfON Every permil issued by the building Official under the provisions of this Coda shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced-wtTTlhi 180 days (com the datao|4uch permit or If the building or work aulhon/ed by such permit is suspended or abandoned at any time after the work is commen^ed^or^a p^pSti ofiSOrfffiys (Sectiof/IQgA^UQlIorm Building 'Code) APPLICANT S SIGNATURE "^ 1 " S """ ' DATE NOV 242004 WHlTE-Ie YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/08/2004 Permits CB044251 Title SCHLIEP RES NEW H20 HEATER Description Inspector Assignment 2822 CAZADERO DR Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER SCHLIEP DENNIS L&LINDA L TRS Owner SCHLIEP DENNIS L&LINDA L TRS Remarks Phone 7608049111 Inspector Total Time CD Description 25 Water Heater/Vents Act Comment Requested By SCHLIEP Entered By JANEAN Associated PCRs/CVs Inspection History Date Description Act Insp Comments COMPENSATION INSURANCE POrBOX 420807, SAN FRANCISCOrCA 94142-0807 CERTIFICATE QFS WORKERS';COMPENSATION"INSURANCE j ; "'• / POLICY NUMBER '^''j/1- *"' * •"* ' CERTIFICATE EXPIRES "- » '$"* .11 - C-'i This is to certify,that we have issued a valid^Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the"policy period indicated~ This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer ' ' ' " V D' ?< . We will also give you T]'EN days' advance notice should this policy be cancelled prior to its'norrnal'expiration '*: 4 • * ' ' - !• \ \' - - ' - «i-1 -, * - .T: > ', , ' *;JThis certificate of-msurance is not an insurance policy and does not amend, extend arbiter the coverage afforded, by the policies-listed herein Notwithstanding a'ny requirement^Jerm, or condition ^of any contract "or othei document with - respect to\wriich fhis certificate *of jnsurance"'may-be»issued or may pertain^the~insurance afforded by the policies described herein is subject to all the terms^exclusionssand conditions of such policies < ' .Pt^M^uTfCF ^r^fcf-"' il«f " n>c, i'i(f. a •*