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Home My WebLink About2692 SAUSALITO AVE; ; CB043410; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-31-2004 Plumbing Permit Permit No: CB043410 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2692 SAUSALITO AV CBAD PLUM Status: ISSUED 08/31/2004 KMT 08/31/2004 08/31/2004 Parcel No: 1675613000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 ZAPP RES-REPLACE WATER HEATER 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 0 0 0 0 1 0 0 Plan Approved: Issued: Inspect Area: Owner: ZAPP GARY&KAREN A 2692 SAUSALITO AVE CARLSBAD CA 92008 $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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 0221 09/01/04 0002 01 02 CGP 27,00 r:-~r·~~~"':--"'":···-, .,,, . .__: . ..,, ........ ,,,,,., -..... ..,, ,· -' : '" i~U r i.:K,~Ji •· PER:\/ IT, f: i1ED IN ACCORDANCE WITH U.B.C SECfl01~ luu',.'i Cli\TE _LI 'l-J,> Io c SIGNATURE ~-dq/ ------- 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 ______________ _ Address (include Bldg/Suite 11) Business Name lat this address) Legal Description l<.o,--:XO,\-"Q(,·CC I.ct No. Subdivision Nama/Number Unit No. Phase No. Total # of units Asp;sor's Parcel# ~)cce, Proposed Use ptioof Work #of Stories # of Bedrooms # of Bathrooms ress Ity .tate ,p rs~:~~~~1~c..o:NtrLR~C1t<li.R1~~g~rMRAN:Y~.~ME·~~~tu~ittf.~fu;~~[;~~~m1n~~11W~~~rr~~~m~~~~~~~~~~,~~~mm~,1a•m~Y~~,~~~ill~~~~m,;i~a:~~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 ls exempt -therefrom, and the basis tor the alleged e empti~ An viola ·on of Section 7031.5 by any apptica tor per~it subj ct the a plicant to a c)vil pen~lty of n] more an five hund ed dol,ars 5 0 ).-( TJ Designer Name Address City State/Zip Telephone State License # __________ _ 1a;1,!:0Vt~Jii{e)3'S%{¢.OMJ1t.N~Affr1PiJ.t~L~i~r,~w:~t~tlm:iit~e:Ji;iJi~~jUGltfiiilfJm!~~~~~~i1llflJ]f~~~~i~l~1i/1:~~~%~~iitJ~iitij~ftlli~1~~j~~iJi~~Jje,'.ii,j1l;j 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 self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, tor the performance ~~e work tor which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My worker's o £ens_ tlon insura e carrier a policy number are: . · -1 '2. ~7/ --~· . . 4·//'-t:=-.. Insurance Company ~.£...0~"-''--"""'==--'L->-<L......:!'-"'<=c.J--------Pohcy No. l ./ ~o J ~ Exp,rat,on Date--l. V ....J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) -, 0 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' e unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). 1t atlon a a es as provided for in Section 3706 of the Lror codt, interest and attorney's fees. ~;-~i~~;;ijrli'.rr@!5:$ T•~, ~~!!~,-:i~·fif:~:~r~~~illr~~~FeJJJ~r~;~~E~~~TtIE,1fJ:t'il~'J1ffi'I:~~~~~~~~~~~~.r!iitJ~1IL~~~4~~1~ili"i:;,~;,11.~!~~~1~;~!~ii1i.~ I hereby affirm that I am exempt from the Contractor' License Law tor the following reason: 0 I, as owner of the property or my employees with wages as their sole compensatloi;i, 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 tor sale. II.' 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(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _______ Business and Professions Code tor 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 I 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 __________ _ iCOMP.l;EiTJ:lfci:l(~r~~.cifii;i~jfQ/j,J/){~Miiifi'QEN,tj~'i.,~iiYili.li>lfiijrRiiiiM~li~~jfj~aijl!~.1~iilrit~~~~l~IL\ll:ll'Jlii~i.t1?1!l\J:'i:~\ii)~'.Jl[~!:{[t!,~~a~ 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 Act? 0 YES O NO Is the applicant or future building occupant required 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 site? 0 YES O 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. te·t?i;~1~~~q~~Jt6~~1ti~N~~~NP,.~i~u·~&.~):~r~~~~gj~~~ifu~r~j~~~~~~lm~~~~~~~~im~~~Lti.:fJ~~~fmi~1~iJl~,~~-7~!fr;Etz11j:~iM::~t-t,si~~fir~t~~,a~~lt.1:~~r:!:~: I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ ·9~~b~tf~tRt1~JiN.tittCi;8itlfilij~QNj~!!\if.l'.t~:ai:iu~~m~~~~,~~~!2[1~Q!!~8~Rl!~m~£~~~~~i~itG'.tl!!f~ffl•l:,J;\,5JJW~lti~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 tor 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. EXPIRATrON: Every permit issued by the building Official under lhe provisions of this Code shall expire by limitation and become null and void If lhe building or work authorized by such permit is not commenced within 18 ays from lhe dale of su P. It or If lhe building or work authorized by such permit Is suspended or abandoned al any time afler the work is commenced for a p · of da (S n 106. nlfor Building Code). q)J / ' APPLICANT'S SIGNATURE ____ ___.(_~~~~~~...!._....J.~!::,:;t~~~~~::_______ DATE ~ qL/ PINK: Finance