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Home My WebLink About2856 RANCHO GANADERO; ; CB053809; Permit11-02-2005 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB053809 Building Inspection Request Line (760) 602-2725 2856 RANCHO GANADERO CBAD PLUM 2225910400 Lot#: 0 Construction Type: NEW DAWSON RES REPLACE H2O HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/31/2005 KG 10/31/2005 10/31/2005 Applicant: A&J FOSTER, INC. STE B DAWSON GEORGE R&VIRGINIA B FAMILY TRUST 12-12-03 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 TOTAL PERMIT FEES Total Fees: $27.00 Inspector: ~ 0 0 0 0 1 0 0 2856 RANCHO GANADERO CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27.00 Balance Due: AL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the •1m ltio of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions.ff Yoo 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 amt capacity changes, nor planning, zoning, grading or other similar application processing or service fees in coonection with this project. NOR DOES IT APPLY to any . . . "r FOR OFFICE USE ONLY l?IERMIT APPLICA T!ON PLAN CHECK NO. QB O 5 3/509 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By Dat e--,--~------~-!_ -,~-If-'--~--;-+ -~o=~===== Address (include Bldg/Suite I/) Business N~me (at this address) Legal Description a 0\ l ,-..,( l Lot No. Q\ .54: -\/""\~ Subdivision Name/Number Unit No. Phase No. Total # of units Assessor"s Parcel # r\ W Existing Use Ltr.,\e..---6':\:W ~~ ..... , Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms t.?~~t,11tJ'.i\1i-··········-..... , ... ,.·, ·•·•."·•·"•· .,, .• fo, ... ••· •• ,.... ••••• -•· •. •·. , •. ,,,,;. -"· ..... ·• •••• · •· .• , . ~.,., ••. _. , .... :~! ,~~;~--·· .. ,.,,.,~F~J~]lffl~9't1illilli Name ress I y tate 1p Telephone # Fax# i3\•:li'i,;l'!l~~l!(ic'ii:rJif;''i!\f•)ll'fi111if~frtril'8t'1\'P,:t!11,Tit'r[1'1fA'g'"if~l.\1'f'.i;'t)ta,tw~mai-::1~'i;"lj;[!).'l'i'wiieiJ~f>'~~i 'giiint,;l8f;:&wJ~l~~mf\i>:s:;fi!!;i,;~~,'"1[;1'11il!'r~~i11~~~1:\1~r)C:Jiii:/il;ii;;'fll'ic'r~;1i!:l::i;;!!]tfi;i:;n:;,1. '.k[ 'S:(' -;::1:, ..... ,.~ •''-' . , ' , , .. '''" "'~'i ,. ·.:;'(;'"" •• t " ~•••'"'~·•s••¢•-·'-"r cl.,• "'yt'L?/ c~"';!•~~nctitl.•,l•jr~~t••-·••z-;7~/S:i;;~:.•tr~"•I ,,, Name · Address City State/Zip Telephone # ii( !f.ni~l:ii1Ht?.~tlJiiir.i~_~ij!iill'."f~itlll~ii*f;1!'1!~~,~J1IT!mli~~:1 !\l;'lil~;/a1~m!t~~~filrIJ:llil~m~l:1~1i'l~iI~~~i!~J~!t~Jl~~i:~Bm~t~i.liiii;)!~:'~~i!1iffl§f~~ Name Address City S.tate/ ip Telephone# i~·~;:~t:i(C,QN[R'~~ttl1iBi~i[Qt:i'M:R~l\iMl1ili~MJ;itl;{lJi/i1JlUf,,;iJ1~~1ii~~~~.m~nWJ11J~.1i~~iU~/Si?il!fflit-lar-~-:lll'ii~~l-mi!Jiz'f'~i1~.!fili!kll;'l-l~li1'.~'iW~l;l (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 I 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 ex ption. An?olation of Section 7031.5 by any applic1apt for a permit ubjects the applicant to a civil penalty of not more than flve}lundred dollaqrs $5001). f J \-:>S ,X:,.,,,c., clo 11 , ID. 9'2.0""l-( &l'f-3iu-')) Name State License # _l;__,~._v_l_'l_..) ____ _ License Class __,,,{:;:c.~-=b _____ _ City State/Zip Telephone # City Business License # { '2. / Di3, b Designer Name Address City State/Zip Telephone State License # __________ _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to seff-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work -tor which this permit is issued. ~ 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: . 1 , {;;. Insurance Company 6\;;4-~ k,>vt.1. Policy No.@£::'>{ ~z,o<,1 Expiration Date Y -0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT lS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D CERTIFICATE OF E>CEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to rage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred t housand dollars ($ ,_,"ll!:~.-C;4,H-' · , damages as provided for In Section 3701i of the Labor code, Interest and attorney's fees. s1GNATURE=~~~====~~E~~~~~========= DATE [0 -3)~ I hereby affirm that I am exempt from the Contractor'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 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). 0 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(sl licensed pursuant to the Contractor's License Law). D 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. 0 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 tha 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--:----------- t/:Oiy!P,(~[j;j)\i;jl$ti~g~[f@i'/Jf,Q':BJ]~'9J/Jfjg$/P..f,Nfff4~~J:f!~@J~~~ijffi~]~Q.fi~Mii/ilYtftW,~~~t,il!il:l~f~£~~j~~1",~JJ'i~~il~iil\~~~jTu'~l~I\J~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25534. of the Presley-Tanner Hazardous Substance Account Act7 D YES O NO Is the applicant or future building occupant reouired to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES D 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 hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code), LENDER"S NAME ------------------== LENDER'S ADDRESS. __________________________ _ 1~'.J!Ut~~ifctciNJn~~EBttrotccAt1ij:N1m:m:i~,:~t~\~&1~~1~1t1~iiim~1ith~1t:~w1J~1~1~~ID1~1~~,11-ri~~1.ti1:t~~~~~t!ffl;m11laiiiilJmbJi~!i~JlilBJ:J.f~1~~~t 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 Cit~ 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 ANO 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. EXPIRATfON: Every permit issued by lhe building Official under lhe provlsi s of this Code shall expire by limitation and become null and void if Iha building or work authorized by such permit Is not co~n~~~ 80 d!~ the d permit or if the building or work authorized by such permit is suspended or abandoned al any time alter the work is comm~~~ 1v_s, S · ,1t,,<-e;;,._. rm Building Code). APPLICANT"S SIGNATURE -------------,~------------DATE (u-~ )-uJ YELLOW: Applicant PINK: Finance . m. City of Carlsbad Bldg Inspection Request For 11/10/2005 . Permit# CB053809 Title: DAWSON RES REPLACE H2O HEATER Description: Type: PLUM Sub Type: Job Address: 2856 RANCHO GANADERO Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: DAWSON GAIL R TRUST 12-12-03 Remarks: Total Time: CD Description 25 Water HeaterNents ~ Comment Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: :JVV\ Phone: Inspector: ---- Requested By: GEORGE Entered By: JANEAN