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Home My WebLink About2825 CAZADERO DR; ; CB023593; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-27-2002 Plumbing Permit Permit No CB023593 Building Inspection Request Line (760) 602-2725 Job Address 2626 CA2ADERO DR CBAD Permit Type PLUM Status ISSUED Parcel No 2153203900 Lot# 0 Applied 11/27/2002 Construction Type NEW Entered By MDP Reference # Plan Approved 11/27/2002 Issued 11/27/2002 Project Title FREYTAK RESIDENCE Inspect Area WATER HEATER REPLACEMENT Applicant Owner A&J FOSTER, INC KREYTAK JEFF W&MARGARET A STE B 13706 HWY 8 BUS 2826 CAZADERO DR ^ il/27/02 0002 01 02 EL CAJON CA 92021 CARLSBAD CA 92009 CGP 619-390-4477 Total Fees $27 00 Total Payments To Date SO 00 Balance Due $27 00 Plumbing Issue Fee $20 00 Fixture or Trap 0 SO 00 Building Sewer 0 SO 00 Roof Dram 0 BO 00 Install/Repair Water Line 0 SO 00 Water Heater and/or Vent 1 $7 00 Gas Piping System 0 $0 00 Vacuum Breaker 0 $0 00 Other Plumbing Fees !£0 00 Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $27 00 FINAL APPROVAL Inspector "~-J 1^\ Date (V| ^(f^ 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 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 We 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 lees and capacity changes, nor planning, *onmg, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions o! which vou have previously been given a NOTICE^imilar 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 2826 Cazadero Dr FOR OFFICE USE ONLY PLAN CHECK EST. VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite ff)Business Name (at this address) Legal Description Lot No SFR Subdivision Name/Number Unit No Phase No Total ff of units Assessor's Parcel ff 215-320-39-00 Existing Use Propossd Use Description of Work Water Heater Replacement SQ FT #of Stories ff of Bedrooms '(CONTACT PERSON >(If different .frpmiapplj^aml^L'^; "Jeff Kretak 2826 Caza eroDr . ,^^ u^to,iS!i"-^car TsDad !v,~¥iC& . ff of Bathrooms •si?* s "%• ''f.'Tr'Mf iff ,"t*Ert.i "i•"' -"• "iPfcliL * Name Address City O^^Arlen^Foster/Carol Foster 13T06-B Hwy.8 Bus. El Cajon, Telephone ff Fax 913^6-4477' Name Address 5 ^V^Kfflyff^KlT™ rf"^c, w15irJiWiS.rJ^•sai&El^jNiL. -^.J^W itaTsffii Krpytak City State/Zip Telephone # J Name Address LB^COOTRACTORSCOMPAr^NAWeKKS^ (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 mo.e than five hundred dollars ($SOOJJ .A & J Foster Pliunhanrj 1 37nfi-p Hwy ft Rns F.I Cfrinn C&- 92Q21 (619)390-447? Name State License # 630120 Address License Class C—36 ity State/Zip Telephone ff City Business License ff 121 Q836 Designer Name State License ff tfifTVKHSERS'i M''A COW1PENSJ Address HTIrtfcT* ^<"l? * TVH'&'A ^ 'a-"-"'-'*|j;'M» - •'•'l-tptW *-~F -.. « £tT1\TION ~s ?ia£: rvlT&WWif i yEEM*^^ City S"!s« ». *•« linsi?^ t~ -•rfrny\ii^:".Z'vfjv. State/Zip t^ft-sST^fev's^'^Beisi Telephone ^"^^.vv,t,^"Ji" "y"^,,^' ' I'LL'/ *=* V^IU^** ' ^Ji Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 ^U I have and will maintain workers' compensation, as isquued by Section 3700 of the Labor Code, for the performance of the work for which this permit is vssued My worker's compensation insurance carrier and policy number are Insurance Company _State CQftlp. Ing-. PollcV No 46.7-01 Q00Q713 Expiration Date 04-Q1-Q3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~) CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, ] shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to sepiMyvprkers' comoensatiqjbcpfferage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($U)j»fljOOLA^iddIjioryrffie cost oJ^omngflsfltion, damages as provided for in Section 3706 of the Laborcode, interest and attorney's fees SIGNATURE (^*>&*&**** * / ' *^/ >g^4A. > DATE \\fQ-b I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q I, as owner ol the property or my employees with wages as their sole compensation, will do the work end 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) Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7(K4, 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) d I am exempt under Section Business and Professions Code for this reason 1 I peisonally plan to provide tha major labor and materials for construction of the proposed property improvement Q YES ONO 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 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? 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q N° 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 |er^<^$TRtfCTItiN"^ ^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME MQNE LENDER'S ADDRESS ksi1t£**.i'Lw*$l&si-i" ^MS-jS 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 CitV 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 the building Official under the provlsipns of this Code shall expire by limitation and trecome null and void if the building or woik authorized by such permit is nol commencedjwUhin 180 days fjpm the *U^ff such permit or II the building or work authorized by such permit is suspended or abandoned at any time alter the work is commencgiHoraj^fad ojf KJflfJcJays (Se^&LlOOfr* Uniform Building Cods) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/03/2002 Permit# CB023593 Title FREYTAK RESIDENCE Description WATER HEATER REPLACEMENT Inspector Assignment 2826 CAZADERO DR Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT A&J FOSTER, INC Owner KREYTAK JEFF W&MARGARET A Remarks AM PLEASE Phone 7604384421 Inspector rsv Total Time CD Description 25 Water Heater/Vents Act Comments Requested By JEFF Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments AUG-21-2002 WED 04:58 PH A & J FOSTER PLUHBING FAX NO. 819 390 '448 P, 02/07 POUCYHOLOER COPY STATE p ° BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATIONIN»U>MANCB PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAY 14, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P O BOX 36000 SACRAMENTO CA 95826 GROUP. 00046 / POLICY NUMBER1 713-3002 CERTIFICATE ID: 6 CERTIFICATE EXPIRES; 04-01-300) 04-01-2002/01-01-2003 CONTR LIC # 630120 INCEPTION) 4-1-02 LOS AHOELR3 UO This Is to certify that wo have issued a valid Worker's Compensation Insurance policy in a form approved by trio Call Torn faInsurance CommisBloner to the Bmptoyer named bafow for tno policy period indicated This policy IK not subject to cancellation by the Fund except upon 10 daya advance written no4ioe to the employer We will also glva you 10 days advance notice should this policy bs cancelled pnor to its nomtil expiration Thfg certificate of insurance la not an Insurance policy and does not amend, extand or alter the coverage afforded by (lie policies listed herein. Notwithstanding any requirement, hjrm or condition of any contract or oilier document wrth respect to which this certificate of insurance may be Issued or may pertain, the Insurance affoided by the pofldes described herein Is subject to all the terms, exclusions, and conditions, of such policies AUTHORIZED REntESENTATIVC EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- §1,000,000 JPER OCCURRENCE EMPLOYER A fc J FOSTER, IWC 13706 HWY B BUSINESS ST «l* CAJON CA 92021 SCfF 1026S FEPF-UI. CO 1