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Home My WebLink About1303 CASSINS ST; ; CB023785; Permit12-17-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB023785 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1303CASSINSSTCBAD PLUM 2156901500 Lot#: Construction Type: 0 NEW NORTHRIDGE RES REPLACE H20 HEATER Status: ISSUED Applied: 12/17/2002 Entered By: SB Plan Approved: 12/17/2002 Issued: 12/17/2002 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner NORTHRIDGE LIVING TRUST 05-10-88 1303CASSINSST CARLSBAD CA 92009 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 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 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Totalotal^PaymentsToTJate:Balance Due:$27.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WTO UAC, SECTION 106A4 ^ ^ 3777 12/18/02" 0002 01 02 CGP 27-00 Inspector: 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 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 FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1303 Cassins St 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 SFR Unit No.Phase No.Total tt of units Assessor's Parcel # 215-690-15-00 Existing Use Proposed Use Description of Work SO. FT.#of Stories # of Bedrooms tt of Bathrooms icement Northridge 1303 Cassins Carlsbad Name Address City State/Zip Telephone tt Fax* Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon,' Name Address City State/Zip (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 dollars [$500]). Q Pno T?1 Pa nor. PA Q?0?1 (619)390-4477 Narfie State License # J Foster Plumbing ^3706 B Hwy.8 BusAdo-fess License Class C-36 City State/Zip Telephone tt City Business License # 1210836 Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 which this permit is issued. ; n 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 isKied. My worker's compensation insurance carrier and policy number are: Insurance Company gtatO Comp InZ . _ Policy No. 457-111 0000713 Expiration Date 04-01-03 (THIS SECTION NEED NOT B? COMPLETED "iFTHE PERMIT IS FOR ONE HUNDRED DOLLARS IS 1001 OR LESS) Q 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 secufanVSTcet*' comp|Qj»tion c^Bytfge Is^ unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100, SIGNATURE ostof ..-damages as provided for In Section 3706 of the Labor.coda, Interest and attorney's fees. DATE fZ/77/07. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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). CI 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. Q YES QNO 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 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 Is 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 the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES CD 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 lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME • >-™.-ITT. 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 City 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 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. EXPIRATION: Every permit Issued by the building Official under the pcayjsjfris of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is not commencojiMlRrjn^ BO days£i4h the dajPWjyjjft^annit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is cornnn APPLICANT'S SIGNATURE DATE WHITI YELLOW: Applicant PINK: Finance AUG-21-2002 WED 04:58 PH A & J FOSTER PLUMBING FAX NO, 619 390 4448 P, 02/07 POLICYHOLDER COPY P.O. BOX 420807. SAN FRANCISCO, CA 94142-0807 PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATIONI N•VRANC a MAY 14, 2002 COMWACTORS STATE LICKNSB BOARD WORKERS' COMPENSATION UNIT9 Q BOX asooo SACRAMENTO CA 95825 GROUP: 0004*7PC4JCY NUMBER: 713-3002CERTIFICATE ID: 6CERTIFICATE EXPIRES: 04-01-800) 04-01.-2002/04-01-2003 CONTR LIC ff: 630120INCHPTIOHi 4-1-02LOS AHORLRS 00 Thia to to certify that w» mwe icstied a valid Worker's Compensation Insurance policy In a form approved by the CaliforniaInsurance Commissioner to (he employer named below for lh« policy period Indicated. This policy is not subject to cancellation by the Fund except upon 10 daya advance written notice to the employer. We will also give you 10 days advance notice should this pofloy be cancelled prior to Its normal expiration. This certificate of Insurance la not an Insurance policy and does not amend, extend or alter the coverage afforded by thepolicies listed herein. Notwithstanding any requirement, term or condition of any contract or other document withreepect to which this certificate of insurance may be issued or may pertain, the Insurance afforded by tne policiesdescribed herein Is subject to all the terms, exclusions, and conditions, of such policies. NTATIVC BMPLOVttR'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE A 6 J FOSTER, INC 13706 HOT 9 BUSINESS 8T 3b CAJON CA 92021 SCIM02W