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Home My WebLink About2824 CHATSWORTH WAY; ; CB030538; Permit02-25-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB030538 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2824 CHATSWORTH WY CBAD PLUM 1674801944 Lot #: Construction Type: NEWTON RES NEW H20 HEATER 0 NEW Status: ISSUED Applied: 02/25/2003 Entered By: SB Plan Approved: 02/25/2003 Issued: 02/25/2003 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: NEWTON KAREN M 2824 CHATSWORTH WAY CARLSBAD CA 92008 9022 Q2/2A/03 0002 OJ CGP 02 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that Mrp*aTof your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You has 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 /ruGovernment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbac/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 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 1. PROJECT INFORMATION 2824 Chatsworth Way FOR OFFICE USE ONLY PLAN CHECK NO.j EST. VAL. Plan Ck. Deposit. Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number SFR Unit No.Phase No.Total # of units Assessor's Parcel tt Existing Use 167-480-19-44 Description of Work SQ. FT. #of Stories Water Heater Replacement 2. CONTACT PERSON (if different from applicant) . " ,Newton Karen 2824 Chatsworth Way Carlsbad Proposed Use tt of Bedrooms # of Bathrooms CA. 92008 760-720-2892 Name Address City 3, APPLICANT QjContractor E3 Agent for Contractor • Q Owner , Q Agent for Owner Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon, State/Zip Telephone tt Fax* Ca. 92021 (619)390-4477 Name Address City State/Zip Telephone # PROPERTY OWNER Newton Karen 2824 Chatsworth Way Carlsbad Ca. ' 92008 760-720-2892 Address City State/Zip Telephone #Name 5. CONTRACTOR - COMPANY NAME '. ' . (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 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 K, .T PriQ-f-^r Pi nm> Name State License tt 630120 Designer Name ling 1 3706-R ~" Address License Class Address Hwv.8 Bus. C-36 El Cajon CA. 92C City State/Zip City Business License # City State/Zip )21 (619)39C Telephone1210836 Telephone )-4477 tt State License tt N/A 6. WORKERS', COMPENSATION , . , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] 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. fUr 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 Rtat<^ r.Omp.Tna. Policy No. 467-01 0000713 Expiration Date_ 04-01-03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workgjs/ compensation coverage is.unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1o6;000)^|lffldft3«o tbe cojyfr compw^Btion,Jamages as provided for in Section 3706 of the Labor code.^inteiast and attorney's fees. SIGNATURE /^l|^f --|fWlr rj »f^]jTjf^Zji^S DATE &~-~~ ^-^> 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractorj^License Law for the following reason: O 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). O 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). l~l 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. l~l YES I~|NO 2. I (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 I 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 l^ , - , -' 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? L"D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CH YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d YES C] NO IF ANY OF THE ANSWERS ARE YES, A F\NAL 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. 8, CONSTRUCTION LENDING 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(0 Civil Code). LENDER'S NAME _ NONE _ LENDER'S ADDRESS _ 9. APPLICANT CERTIFICATION , , - \ " 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, 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 permit issued by thejjuildina Official unjjer the an\a<bns of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not cornmpfirjed wjWn 1 80 daj^from ths riafe nLs**h narmit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comntoedfe^%gBCd«6f jBayjaJlpj^^lOiform Building Code). APPLICANT'S SIGNATURE DATE _ <^- WHITE: File YELLOW: Applicant PINK: Finance ^City of Carlsbad Bldg Inspection Request For: 07/18/2003 Permits CB030538 Title: NEWTON RES NEW H20 HEATER Description: Inspector Assignment: JE 2824 CHATSWORTH WY Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT A&J FOSTER, INC. Owner: NEWTON KAREN M Remarks: Phone: 7607309799 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comment Requested By: KAREN Entered By: CHRISTIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 07/17/2003 25 Water Heater/Vents NS JE ROLL TO 7/18 03/03/2003 25 Water Heater/Vents CA JE BY KAREN 7:45 AUG-21-2002 WED 04:58 PM A & J FOSTER PLUMBING FAX NO. 619 390 4448 P. 02/07 POLICYHOLDER COPY P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATION INSURANCE MAY 14, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P O BOX 26000 SACRAMENTO CA GROUP: 000467 POLICY NUMBER: 713-2002 CERTIFICATE ID: 6CERTIFICATE EXPIRES: oi-o COKTR LIC #: 630120 INCEPTIONi 4-1-02 LOS ANGELES 00 This Is to certify that we have issued a valid Worker's Compensation Insurance policy in a form approved by trie California Insurance Commissioner to the employer named below (or Iho policy period Indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance la not an Insurance policy and does not amend, extend or alter the coverage afforded by (lie I policies listed herein. Notwithstanding any requirement, term or condition of any contract or plher document with respect to which this certificate of insurance may be Issued or may pertain, ihe insurance afforded by the policiesdescribed herein is subject to all the terms, exclusions, and conditions, of such policies. AUTHORIZED REPRESENTATIVE MWSICT5NT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS; $1,000,000 PER OCCURRENCE A & J POSTER. INC 13706 HWY 8 BX'SINKSS ST SL CAJON CA 92021 SCIF10265 : CQ i