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Home My WebLink About2378 TERRAZA RIBERA; ; CB012614; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-07-2001 Plumbing Permit Permit No:CB012614 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2378 TERRAZA RIBERA CBAD PLUM Status: ISSUED 08/07/2001 CB 08/07/2001 08/07/2001 Parcel No: 2155822400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: CRISPEN RES/ NEW WATER HEATER Inspect Area: Applicant A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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: 6725 08/07/01 0002 01 02 CRISPEN RICHARD R&LILA A CGP 27. 00 2378 TERRAZA RIBERA 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 $0.00 EXPIRED PERMIT ,.c, SIGNATURE-1.~ __ 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 lo as "fees/exactions.' You have 90 days from the date this permij 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 wijh Car1sbad 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 lo 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 oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN cHEcK NoC 06 I 'l lo'4 E8.V~---------- Plan Ck. Deposit --,..------- Validated By __,.?:a::.. .... G=------ 1. PROJ£:C!lNF0RMATION _ _ _• 2378 TERRAZA RIBERA CARLSBAD CA 92009 <Suite> Date e-1~0,1 <Name> Business Name (at this address) Address (include Bldg/Suite#) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> legal Description <Assessor No> Assessor's Parcel # WATERHEATER INSTALL Description of Work Lot No Subdivision Name/Number <Existing Use> Existing Use <SO FT> SQ FT <Stories> # of Stories 2, CONTACTF'ERSON (If different from3pplleant} Unit No. Phase No. <Proposed Use> Proposed Use <Bedrooms> # of Bedrooms <Total> Total # of units <Bathroom> # of Bathrooms <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name 3. APPLICAN'l' NetClerk Inc Name Address C Contractor li2:I · Aijent for Contracto.r _C owner 720 Dubuque Ave Address 4. PROPERTY OWNER City State/Zip C AgentforOWner •• ·. •·•-• _ : r •• South San Fr, CA -94080 City State/Zip LILA CRISPEN 2378 TERRAZA RIBERA CARLSBAD CA 92009 Name Address City State/Zip 5. CONTRACTOA.-COMPANYNAME Telephone # Fax # '8883301717 Telephone# 7604318484 Telephone# (Sec. 7031.5 Business and Professions Code· Any City or County which requires a permit to construct. alter, improve, demolish or repair :c,ny structure, prior to ,ts issuance, :c,lso requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License L:c,w [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 mare than five hundred dollars [$5001). A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name Address City State/Zip Telephone# City Business License# 1210836 State License # _6::..3::...=c.0...:.1:;;c2c..::0'------- <Name> Ucense Class _c_3_6 _______ _ <Address> <City> ST <Zio> <Phone> Des1g ner Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION 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 for workers' compensation as provided by Section 3700 of the Labor Code, for the Performance of the work for wnich this permit is issued. liZI 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 Comp Ins. Fund Policy No. 00506395 Expiration Date 05/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of tne work for whicn 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 doll-~· ,M ""1), in addition to the cost of compensation. damages as provided for in Section 3706 of the labor code, interest and attorney's lees. SIGNATURE 2l5it:Yf-~ ______________________ DATE_0_8_/_06_/_2_0_0_1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner al 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 threreon, 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: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES D NO I (have / have not) signed an applicant for a building permit for the proposed work. I h;zy' contracted with the following person (firm) to 11rcivide the proposed construction (include name l eod~sV phone number/ contractors license number): <Name> <Aodress> <worK 1-'hone> <State License> 4. I plan to provide portions of the ~qrk, but I have hired the following person t.P <;o,ordinate, supervise and provide the m,ajqr work (include name I address I P.hpne number I contractors license number):<Name> <Aaaress> <Work Phone> <State License> 5. I will P!QVide some of the work, but I have contracted (l)irEjd) the following person to provide the work indicated (include name / address I iwi.ne number/ type of work): <Name> <Aadress> <Work Phone> <work I ype> PROPERTY OWNER SIGNATURE ____________________ _ .cql\,'iPll'T~i!ti1;1tt;,sej;m_8~-F,~_~"ijPNt~l5~,,1:~~~IiA.,~:filqMrp1~-~ P~t~ . .,~1,f't1r4t,;1,. ls 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 (he Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0No Is the facility to be constructed within 1,000 feet or the outer boundary of school site? 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. a .. ;,; • CON$,fROct1pN ~END'N~··,-G~NC'f I hereby affirm that there is a construction \ending agency for the performance of the work for which this permit is issued (Sec. 308 7(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ • •~PP~C~:fq~~~FIC1TIQ~ _ l 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 City of Carlsbad to enter upon the above mentioned property for inspection purposes. 1 ALSO AGREE TO SA.VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 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 a period of 1 BO days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~--------------------DATE _0_8_/_0_6_/2_0_0_1 ______ _