The URL can be used to link to this page

Home My WebLink About2834 CAZADERO DR; ; CB040279; Permit01-27-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB040279 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2834 CAZADERO DR CBAD PLUM 2153401400 Lot# Construction Type JOHNSON RES-REPLACE WATER HEATER Applicant A&J FOSTER, INC STEB 13706 HWY 8 BUS EL CAJONCA 92021 619-390-4477 Status 0 Applied NEW Entered By Plan Approved Issued Inspect Area Owner JOHNSON ROLAND W&VIRGINIA C 2834 CAZADERO DR CARLSBAD CA 92009 ISSUED 01/27/2004 KMT Plumbing Issue Fee / Fixture or Trap / Building Sewer / Roof Dram >' Install/Repair Water Line Water Heater and/or Vent Gas Piping System ' Vacuum Breaker • Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees , - ' ^ f ' * ' 0 ,Vt, J 0 V ' ' ' ~rj »'0 J J - ° " "1 \ v , o' ^o - .' . ' ' / ' \ ' ' > , ' < $2000 $000 - ,/ $0 00 $0 00' $000 $700 ' $0 00 ' $0001 •* so oo , $0 00, . $0 oo $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $000 Balance Due $2700 01/28/04 0002 QJ 02 CGP- 27, Inspector FINAL A Date OVAL _£,Clearance NOTICE Please take NOTIE thai approval of your project includes the Imposition" of tees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you_h_ave previously been given a NOTICE similar tojhis. or as to which) the statute^of limitations has_previouslv otherwise expired PERMIT APPLICATION CITY Of CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date 2834 Cazadero Dr. Address (include Bldg/Suite ff)Business Name (at this address) Legal Description Lot No Subdivision Name/NumberSFR Unit No Phase No Total # of units Assessor's Parcel # 215-340-14-00 Existing Use Proposed Use SO FTDescription of Work Water Heater Replacement .2.Ji CONTACT PERSO_N'(if.different fromjapplican't); t$l-J^> I^'J^Johnson, Laura 2834 Cazadero Dr. #of Stones of Bedrooms ' ^^--OT^^f *"J|Uf!fi "T—••-_ H- Ji.Ml'*-''_=^iiu.-Jill1L*lt^_ "ijfiS^i.i,^ I _'-.>. JltarTsbaa CA. 92009 tf of Bathrooms t«f>* i *-S -f&t "*t<t$\ * JjjH v^ 760-438-^999^"' Name Address City State/Zip Telephone ff *-T H1" ' ft'ririT \f\ ft HIT i 1^1.1"—l*^** " \W'1 ~"1 '''I'1 \—lif f. •*Ufi*P' T?t" T P—Tiffs > "rfrlcisr-"!—— -i—)—jjin.hiK-rU.aTr—I?: ^TnTn-v ^ \MI ^TJIHUPH^n-y Pi-*rrt±i"^-m-ri(n •,., , . , *.*.*--; . n r- si i3 . APPLICANT ,H'XJ!,Cqntraotor,!iFii-l«LJ[A9ent1for|pontractoi; ^ Opwner. ^P.A.gent'fortOWneri^ VV*t «. KA^ i* V 1J,> ^ SJV, 'i> .jfi, .'i-l , i'!, Arlen Foster^meredith qalm 13706-B Hwy.8 Bus. El Cajon", "CaV 92021 * "(6^9)390-4477 Fax Name 4 Address City State/Zip 2834'Cazadero Dr. Carlsbad Ca. 92009 Telephone 760-438-3999 Name Address City State/Zip Telephone <5 ^CONTRACTOR:- T (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 15500]) A.-&-J FO'-trw TY1,-,mKir>,-r 1 ^DC-D WT.TW Q Rn CName State License tt _j Designer Name State License # Address ^ ^fll 90 License Class f,— 36 v.i r^nnn ra q?071 (619 390-4477 City State/Zip Telephone # City Business License # 1210836 Address M.7\ . ...- City State/Zip Telephone 6 £ WORKERS: COMPENSATION tf *^3£,lfdO .v-TX 5 Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 1 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 £1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is ued My worker's compensation insurance earner and policy number are Insurance Company gfcatC Comp.InE. Pollcy No ^£7-01 000071 "3 Expiration Date 04-01-04 ITH1S SECTION NEED NOT^E^COMPLEfED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100i OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secureworkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars- [$ 10O.U^O'fTiBjO(lition to th&cost oLcorppensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney s fees SIGNATURE .^^X. %£ J &\ / ^JL DATE J/^Q/OM 1 hereby affirm that I am exempt from the Contactor 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 strut ture 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) fj I as own^r 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 contractot(s) licensed pursuant to the Contractor's License Law) [~1 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 1~~1 YES CjNO 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 NO WJE.*^', 3? c$ t 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 L3 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 Is the facility to be constructed within T.OQO feet of the outer boundary of a school site? (~1 YES Q 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 •8V {.CONSTRUCTION &NDJNG-AGENCVj£^ ^"^ ^ =* I hereby affirm thai there is a construction lending agency for the performance of the work for which this permit is issued (Stic 3097(0 Civil Code) LENDER'S NAME M-- ME LENDER'S ADDRESS I certify that I have read the applicationfand 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 fortexcavations over 5'0" deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by Ihe 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 commencedjjmJiin 180 days from the date o^uch permit or if the building or work authorized by such permit is suspended or abandoned a! any lime alter the work is commencafMfiTTa&tfb o!.180jlafs (SectfKj^DS 4 4, Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/08/2004 Permit* CB040279 Inspector Assignment '*• Title JOHNSON RES-REPLACE WATER Description HEATER Type PLUM Sub Type Phone 7604383999 Job Address 2834 CAZADERO DR Suite Lot 0 Location Inspector APPLICANT A&J FOSTER, INC. Owner JOHNSON ROLAND W&VIRGINIAC Remarks Total Time Requested By NA Entered By CHRISTINE CD Description Ajf Comment 25 Water Heater/Vents 3s. Associated PCRs/CVs Inspection History Date Description Act Insp Comments 0 COMPENSATION I N S'LJR A NfCE , , ,, POLICYHQLDER COPY PO BOX 807} SAN FRAIMCISCCXCA 94142-0807 ; * CERTIFICATE OF WORKERS' COMPENSATION ^INSURANCE ' / iJ ^? : : ISSUE DATE 04-01-2003 f ; ' * ^CONTRACTORS STATE LICENSE BOARD SD /WORKERS-COMPENSATION UNIT .p o "toox" 26000 * *< 7 „.;,**% SACRAMENTO CA 95826 ; ,< ^ ' GROUP 000467 POLICY NUMBER OOOO713-20O3 CERTIFICATE ID 4 CERTIFICATE E^PtRES 04-01-2004 f » 04-0tr2£^03/04-01-2004 , ,r \ ^ " >/ * ^ LICENSE NUMBER LICENSE #630120/ "•- *• INCEPTION DATE 04-01-2003 -This is to certify that we have issued a valid Workers' Compensation insurance policy1- 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' to days' advance written notice to the employer We will also give you to'.days*' advance notice should this policy be cancelled prior to its .normal e'xpiratioaN- c L - j -Si ' • , '* *. * i if . ,• •*' * - - \ • \ -V. .- -\ * .„,„' /. '' i r t * - - •^ -v-t+fv ^ ^ ,^,,J'^* ~ e ; ^^ (, -?'**•-£* t ^ ^ f t iThis certificate of tfisurarfce is nq^ an insurance policy, and does not amendyextend/or» alter the coverage afforded •<>;/;,> s -.>•<- '.,-.1 EMPLOYER'SXLIABIUTY LIMIT 'INCLUDING DEFENSE, COSTSi $f,OOO\OOO GO ^REOCCURRENCE . ^ v. ' •.--;• *1 ,. '"-";' ' \-'" ,"' -- '' , '>" , ;'; '{i"^ri"'V: ' ?,V-''*'• ' ,- ' '? ' ;'iih "'-' "'">^' ' .^ ^^%Vl': 7;;;-" ^'J -'T '"'":A-.,!;•* v'" - •<<^>i'^ --V^ -•, ; ^;1 ^ ,^il-^ ^ V V-":t' f; ' • f \l, v/ rr ?,' u l'-;f ^ - . f i., ,«,, »'*- - 5 -> '**