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Home My WebLink About288 CHINQUAPIN AVE; C; CB050702; Permit03 08 2005 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Plumbing Permit Permit NO CB050702 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 288 CHINQUAPIN AV CBAD St C PLUM 2060203504 Lot # 0 Construction Type NEW BURTON RES REPLACE H2O HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/08/2005 KG 03/08/2005 03/08/2005 Applicant A&J FOSTER INC STEB 13706HWY8BUS EL CAJON CA 92021 619 390 4477 Owner BURTON ANDREW W 1046 STATION LOOP RD PARK CITY UT 84098 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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due $2700 0002 01 02 CBF PERMIT HAS EXPIRED IN ACCOROANCb WITH C B C SECTION 106 4 4 AS AMENDED BY C M C18 04 030 27 00 DATE Inspector FINAL APPROVAL Date 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 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 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 PROJECT INFORMATION 788 CHINQUAPIN AVE #C FOR OFFICE USE ONLY PLAN CHECK NO M O S~O EST VAL Plan Ck Depo Validated By Date Address (include Bldg/Suite //)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units 206 020 35 04 Assessor s Parcel # Existing Use WATER HEATER REPLACEMENT Proposed Use Description of Work SQ FT #of Stories tt of Bedrooms tt of Bathrooms CONTACT PERSON (if different from applicant) , ' " A & J Foster Inc 13706 Highway 8 Bus # B El Cajon, Ca 92021 (619)3904477 Name Address City 3 APPLICANT D Contractor Q Agent for Contractor Q Ownar O Agent for Ownet A & J Foster Inc 137Q6 Highway 8 Bus # B El Cajon. Ca 92021 State/Zip Telephone tt Paxtt (619)390-4477 Address CityName 4 PROPERTY OWNER BURTON, ANDREW 288 CHINQUAPIN AVE#C. CARLSBAD CA 92008 State/Zip Telephone tt (760) 805 2766 Name Address City State/Z p Telephone # 5 CONTRACTOR COMPANY NAME ™ „ " - *m*"""^V&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 [$5001) A & ..I Foster Inc. 139706 Highway 8 Bus # B El Caion Ca 92021 - . (619) 390^4477Cajon C^9202fName State License tt 630120 Addn License ClasC_3S_ ity State/Zip '~~' Telephone # City Business License # 1910R3fi Designer Name Address City State/Zip Telephone State License tt _ 6 WORKERS COMPENSATION - * ~ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~| 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 Q 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 _ State Fund _ Policy No 1732576 04 _ Expiration (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~| 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 dollars ($100 000) in additipjT«foTfejJost of cfflp^ensation~^arnages as provided for in Section 3706 of the Labor code Interest and attorney s fees SIGNATURE _ /^St^Li-J /) *~y?^S^&^> _ DATE _ 3/9/2005 7 OWNER BUILDER DECLARATION f ~~ ~~ + I hereby affirm that I am exempt from the Contractor s Licence Law for the following reason |~1 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) f~l 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) [~] 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 / add ess / 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 COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS OWtY ^ „, 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? O 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? D YES d NO Is the fa il ty to be constructed within 1 000 feet of the outer boundary of a school site? l~1 YES l~l 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 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 30970) Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION L J"~ „ rf , I certify that I have read the apphcationjand 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 mention d 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 forlexcavations 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 is suspended or abandoned at any time after the work is commenced for apefted of 180 days^gection dO&^4 Uniform Building Code) * MAR 0 Q APPLICANT S SIGNATURE ^x, '/?.. J S] ^-ry*~5"?fcS DATE PINK Finance "Mar 8 200512 35PM"""-A & J FOSTER PLUMBING-•NO 8885-j i/i. 'S 3/eqx 42080? SAN FRANCISCO * *' \ ' ' * \ V *' CERTIFICATE fefj WO^ERS^pMPENSATIQNflNSURANCE A'/R I 7 2634 J L „ * * POLICY NUMBER 72^3 f& * -1 CEfrriFiCATE SPIRES -1 J 3£ r \ \ \ Vsx L /s c> A$»>.— This i$ to certify that we have issued a valid Workers Compensation insurance policy m a form approve^ by the California Insurance Commissioner to the employer named below for the policy period indicatedia This policy is not subject to cancellation by the Fund, except upon pj. days advance written notice to the employer *-;«,. W« will also give you "p^N/o^ygr sfdvarTce notice should this policy be cancelled pnor to its * * * I , > iV" > f -- * ? ^ < ? i," /"^-{^ t >This cermicate ow^ra^c^ a not an tftsu^nce policy and does hotam^nU ^ontfoyi&iW we coverage- afrorded by the policies ll$tt^ herafn Nbftvftnsjatiptng a|y requirementjterm or conditiSmV /ny/ contract^ tTWer dc«cu*tent with respect tdWrtiCT AIS certificaVbf insurlnde mayiie^is^Gfed or may pertlin ,/ne*jnsurance aftorded by^the po8ol^& described hWelnjis subject to all the terms *exfelU3lo>is»and conditions of such policies f, -J | f j | V. ( 4 ; i ! - 'V sw~ " *i x\ \i t# tf?&ItlT» til* IS &TT&CMED DEFENCE 1$Sr;1 SJIOERB'NQ PflfiT OF TfcIS POL'C .PRESIDENT ' j^ * r 7 L ' 1c^ MlX ^ i i! \\ // ' + «C N \ ^ / \ \ \ '*.J * 1 f"T '/ <\