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Home My WebLink About1377 SPARROW RD; ; CB013472; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-08-2001 Plumbing Permit Permit No:CB013472 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1377 SPARROW RD CBAD PLUM Status: ISSUED 11/08/2001 JM 11/08/2001 11/08/2001 Parcel No: 2156402400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GUMNER -REPLACE WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Total Fees: $27.00 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 Inspector: Owner: GUMNER DAVID R&MOLL Y L 1377 SPARROW RD CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: $27.00 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 ;:;{PIRED PiRMIT f-~ ! ,:', ~ JXPIRED IN t,CCORDANCE WIT!I U,B.C. • ! ,I ,Jo.4.4 $27 .00 !Vt':E S -, -P? < SIGNAME._.,C.""'UAl'"""---- FINAL APPROVAL Date: _____ _ Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this perm~ 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 Ca~sbad 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 capactiy 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 vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise emired. PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. --------- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date _______________ _ 1, PR9,1.l;CT INFORMATION 1377 Sparrow Rd Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total # of units Assessor's Parcel # 215-640-24-00 Existing Use Proposed Use Description of Work WATER HEATER REPLACEMENT SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PEFISQN liidlflerent from,appll,cll.ll1)7 Gumner , Ho .Ly U/ Sparrow Rd CARLSBAD CA. 92009 760-603-9288 Name Address City State/Zip Telephone # Fax# ~-ARIBtfA~sT'ifloooL £~1'rn'0r Cof~"7m,-fliim' 8 ™~~nt '9Eiw'a\.JON , CA . 92021 (6J.9)390-4477 Name Address City State/Zip Telephone # 4. PROPERTY OWNER Gumner, Molly 1377 Sparrow.Rd CARLSBAD CA . 92009 760-603-9288 Name Address City State/Zip Telephone# 5. CONTRACTOR• COJ'VIP.ANY NAME (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 dollarsj$500)). A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4417 Name Address City . . . State/Zip121083giIephone # State License# 630120 License Class C-36 City Business License# -------- Designer Name Addrass State License# __ ---"'N,,_/..,,A~---- City State/Zip Telephone 6. WORKERS' COMPEf,ISATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a cenificate of consent to self-insure for workers' compensatio" as provided by Section 3700 of the Labor Code, for the performance of the work for 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 ara: Insurance Company State Comp. Ins . Policy No. __ 0_0_5_0_6_3_9_5 ____ _ 04-01-02 Expiration Date _______ _ )THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0 0), in addition to t cost of com ensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE __ __j~~~~:.....,,X,~~~~----------DATE //-%-Of 7 ., OWN._~,BUILDER OECLARATIQN I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the propmty 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 1hat such improvements are not intended or offered for sale. If, however, the building or improvement is sold wi1hln 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 for this reason: l. 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 / addrass / 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 tho 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 _______________________ _ cor,,piETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL y DATE ----------- Is the uµµlicont or future l>uildino occupant roquiracJ to submit a businu~s pion, acutely hazardous motoriuls reoistration form or risk management and prevention program under Sections 26505, 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? O YES O NO Is the facility to ba constructed within 1,000 feet of the outer boundary ol a school site7 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. 8. CONSTRUCTION Ll;NDING AGENCY 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 ______ NJ __ NE ______ _ 9. Af1Pi!C~tJT CERTIFICATION , LENDER'S ADDRESS __________________________ _ 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES W HICH 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 Otficial under the pr isions of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is noln<;::~~in 18~~from ti ate of uch ermit or if the building or work authorized by such permil is suspended or abandoned at any time allflr Ille work Is co~& ~·r·da niform Building Code). NOV 8 2000 APPLICANT'S 51GNATURE -------------.---~------------DATE _____________ _ YELLOW: Applicant PINK: Finance