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Home My WebLink About2711 TIBURON AVE; ; CB013474; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-08-2001 Plumbing Permit Permit No:CB013474 Job Address: Permit Type: Parcel No: Reference#: Project Title: Applicant: A&J FOSTER, INC. STE B Building Inspection Request Line (760) 602-2725 2711 TIBURON AV CBAD PLUM 1675124900 Lot#: 0 Construction Type: NEW MAPLES-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MAPLES GILBERT V&SARA M 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 2711 TIBURON AVE CARLSBAD CA 92008 ISSUED 11/08/2001 JM 11/08/2001 11/08/2001 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $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 TOT AL PERMIT FEES lnspector:Mefe_ .{hr-L 0 0 0 0 1 0 0 FINAL APPROVAL Date: /J /J1/ 17 I r I Clearance: $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 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/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 FURTH ER NOTI Fl ED that your right to protest the specified fees/exactions DO ES 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 oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJl;CT INFORMATION 27JJ Tibnran Ave FOR OFFICE USE ONLY PLAN CHECK NO. --------- EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total If of units SFR Assessor's Parcel If Existing Use Proposed Use 167-512-49-00 Description of Work SQ. FT. #of Stories II of Bedrooms If of Bathrooms WATER HEATER REPLACN\1:ENT 2. CONTACT PERSON (ii different from applicant) M:tples, Gilbert 2 711 Ti_b_u_r_o_n_A_v_e~~-CARL __ S_B_AD ____ CA_. __ 9_20_0_8~ __ 7_6_0-_7_2_0_-_9_4_6_2_ Name Address City Telephone II Fax II 3. APPLICANT []{Contractor O Agent for Contractor O Owner D Agent for Owner ARLEN FOSTER/CAROL FOSTER 13706-B HWY 8 BUS. EL CAJON, CA. 92021 (619)390-4477 Narr1e Address City State/Zip Telephone /I 4. PROPERTY OWNER ~~~ ___ ..._2_,._,7J.,_l.,____T.._.i..,.b=u .... r..,,,.o ...... n'-----A .... v.',f_e...___~--C-:A,.,_R,...L~S ..... B~AD""--~CA ......... L_,_~9-...2=0--"'0.,,,_8_~7'-'6,__,0,__----'7_,,,2=0_-,ee._9~4=6=2-~ Name Address City State/Zip Telephone /I Ei. CONTRACTOR-COMPANY NAME (Sec. 7031 .5 Business and Prnfessions Cod": Any Ci1y or Cuu11ty which rnquires a permit lo construct, alte!, 1mpro\le, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's license Ldw [Chaple! 9, comrnending with Section 7000 of Division 3 of the Business and P1ofessions Coda) or that he is exempt therefrom, and the basis for the alleged exemption. Any violatl□n of Section 7031.5 by any applicant for a perniit subiects the applicant to a civil penalty of not more than live hundred dollars !$5001). A & J FOSTER PLTJMBING Na,ntt D706 B HWY 8 BUS. Address EL CA.JON City CA. 92.D2l ( 619) 390-4477 State/Zip Telephone II State license II-~-630120 ___ ~-License Class City Business License # ~1~2_1_0_8_3_6_~ Designer Nan,e Addrnss City State/Zip Telephone State license II -------N/~~-.. -- 6. WORK;ERS' COMPENSATION Workers' Compensation Declaration: I hereuy affifrn u11dm penalty of pflrjury one of the following declarations: D I have and wdl maintain a certificate of consent to self-insure for workers' compensation as provided by Sectiori 3700 of the Labor Code, for the performance of the work for which this permit is issued. CJx I have and will maintain workers' con1pensat1011, as requ11e!.l by Section 3700 of the labor Cada, for the performance of the work for which this permit is issued. My workef's con1ptms.atjon u1suHmce carr·ier and policy numbtir anL Insurance Cotnpdny State_..CQJ:np__.___lns____._ ~--~----.~-~---Puli~y No.~_QD.5.Q_6395 ~~~ Expiration Date_.~_ 04-0J=_..0? (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) D CERTIFICATE OF EXEMPTION: I ceitify that 111 the ptirfornrnnce of !lie work tor wl1ich this permit is issued, I shall not employ any person in any manner so as to becon,e subject to the Workers· Compensation Laws of California. WARNING: Failure to secure workers· compen,atlon coverage is unlawful, und shall subj.,ct an employer to criminal penaltieo and civil fines up to one hundred thousand dollars ($100.~ toyie cos~f co~pensation, damages as provided for in Section 3706 of the labor code, in!erest and attorney's fees. SIGNATURE ~-~ --~---~~ DATE __LL~L2_L __ 7. OWNER0BUILDER DECLARATION I heruby affirm 1hat I arn exempt frorn the Contractor's License Law for the following reason; 0 I, as owner of the property or my ~mployees with wages as their sole compensation, will do the work and the structure is not imended 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, p,ovided that such improvements are not intended or offered for sale. II, however, the building or improvement is sold within one year of completion, the owner-builder wi!I have the burden of proving that he did not build or improve for the purpose al sale!. 0 I, as owner of the property, am e><clusjv.,ly contracting with lic.,nsed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of prop,.rty who builds or improves thereon, and contracts for such projects with contracto,!sl licensed pursuant to the Contractor's license Law). 0 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 I have not) signed an application for a building permit for the proposed work. 3. I have con!facted with the following person (tirm) to provide the proposed construction !include name / address I phone number / contractors license number): 4. I plan to providt1 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 licem;e number): ___ '" ___ _ 5. I will provide some of the work, but l have contracted (hired) the following persons to prnvide the work indicated (include name I address / phone number I type of work): PROPERTY OWNER SIGNATURE----------·--·---- COMPLETE.THIS SECTION FOR NON,RESIDENTIAL BUILDING PERMITS ONLY DATE _________ _ Is the applicant or future build'1ng occupant required 10 submit a business plan, acutely hazardous mate,ials registration form or risk management 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 hllure buildmg occuparn required to obtain a permit from the air pollution control dist,ict or air quality management district1 0 YES D NO Is thtl facility to ba constructed within 1,000 feet of the outer boundary al 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 JS 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 pem1it is issued (Sec. 3097(i) Civil Code). LENDER'S NAME OONE LENDER'S ADDRESS -----------------------------~. APP!-JCANT CERTIFICATION 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 to, inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WIUCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. WHITE; Fils YELLOW: Applicant PINK: Finance I I ot, r-~ 110'1 4-) City of Carlsbad Bldg Inspection Request For: 11/16/2001 Permit# CB013474 Title: MAPLES-REPLACE WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2711 TIBURON AV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: MAPLES GILBERT V&SARA M Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents /IP r1N1+1.-- Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: At_/!> Phone: 7607209462 Inspector: « C/!; Requested By: NA Entered By: KAREN