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Home My WebLink About1707 CANNAS CT; ; CB032380; Permit08-27-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB032380 Building Inspection Request Line (760) 602-2725 Job Address: 1707 CANNAS CT CBAD Permit Type: PLUM Parcel No: 2155010900 Reference #: Project Title: HYLTON RES NEW Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 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 Lot #: 0 Construction Type: NEW H20 HEATER Owner: • HYLTOfiftpB • *, ' 'V** 17070ANNAS CARLSfiADp 0 0 0 01 0 0 Status: ISSUED Applied: 08/27/2003 Entered By: SB Plan Approved: 08/27/2003 Issued: 08/27/2003 Inspect Area: 8^e. •• / • i 3 • " - " ' ~ 1, $%'',/, - -'/ ',• *;$2Q09 • ' f ."' , -~ •• WO>QO S6 00$iS-- . ' .-50J0P''.• '.-too:-'-., $7.00 $0^)0 ^ $0.00 $0.00 Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees:$27.00 Toiar Payments To Date:$0.00 Balance Due:$27.00 2831 08/27/03 0002 01 CGP 27.1 FINAL APPROVAL DATE. CLEARANCE. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1707 Cannas Ct. 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 * of units Assessor's Parcel # 215-501-09-00 Existing Use Proposed Use Description of Work SQ.FT.tot Stories 9 of Bedrooms # of Bathrooms Hylton, Robert Name Address State/Zip Arien Foster^Carol Foster 13706-B Hwy.8 Bus. El Cajon, Ca. 92021 Telephone f Fax / JO—44/i Name Address State/Zip Telephone # (See. 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 stetemant that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7OOO of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basts 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 1$500]}. t?T r>=™* nz. Q907T ( fil Q1100-4477& J Footor Plumbing S706 B Hwv.8 Bus.NfSe1 State License # Jdress License Class f?- y State/Zip Telephone # 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. Q 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 •fssued. My worker's compensation insurance carrier and policy number are: Insurance Company ^-,4.^. Crxnrt .Tnr.- '. Pottcy No.4g7_QTu QQQQ71? Expiration Date Q4-01-04State (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] 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 eny 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 shaH subject an employer to criminal penalties and civfl fines up to one hundred thousand dollars (^lOUWOTTjMddhion totbe coste^ftmpensatlon, damages as provided for In Section 3706 of the Jjber code. JAJftfo^t and attorney's fees. SIGNATURE S^S, X.. /^ aT T* DATE 1 hereby affirm that I am exempt from the Contractor's License Lew for the following reason; O I. ss 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 en owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvement* ere 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}. O '< aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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). d 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. O YES QNO 2. 1 (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 t have contracted (hired) tta following persons to provide the work indicated (Include name / address / phone number / type of work): i_____ „ „ „ „ 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? O YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or afr quality management district? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D NO IF ANY OF THE ANSWERS ARE YES. A HNAL 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(1) Civil Code). I certify thet I have read the application i 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 end 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 AQREE 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 end 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 commencedwjjbln 180 days from the date qteuch permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is corrirnencedj^rt URtfiJ ofJ80^afb {SecA^w.4^ Uniform Bunding Code). joy //-\*_, /x/z^ APPLICANT'S SIGNATURE DATE WHITEafile YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/03/2003 Permit* CB032380 Inspector Assignment: ^ *^\ Title: HYLTON RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 1707 CANNASCT Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: HYLTON ROBERT E Remarks: Total Time: CD Description 25 Water Heater/Vents Act Comment Phone: 7604312627 inspector: Requested By: ROBERT Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments PQLICYHQLDER COPY P.O.COMPENSATION N S U« A HC E SAN FRANCISCCXCA g4|42-<?8p7 CERTIFICATE OF WORKERS' COMPENSATI \ •/ tJ \ I \ I ISSUE DATE; 04-01-2003 $ I % * JURANCE GROUP: POLICY NUMBR: 000467 00007 13-2OO3 - 4 : 04-91 -2004 04-01^2003/04-01 -2004 ' ••'••-"• STAT LICENSE BOARD Sp\ WORK|ftS td^EMSATION UNIT ' P d BOX" ZoQQQ I i "" ' " * •». SACRAMENTO CA $5026 i * - SE NlJIWER; LICENSE ^630120 I NCEPTION- DATE : 04-01*2003 This is to certify that we have issued * valid Workers' Compensation insurance policy In 9 form approved by the California Insurance Commissioner to the employer named b«ldw for the policy period indicted. , J 'This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer *4 *j* *t*fc^ ^ * ^ """ A We will also give' you t6 days' -advance nottce should tHis policy be cancelled prior to Its normal expiration, * a..This certif^ate &f ^isi^artee is nqjf an' insurance policy and does not ama.nd. exi«nd/or alter ihe Average Afforded by the ppt«a« 4attd hewfrfc' -Notwithstanding any requirement terEn, or concftioir oi any 'Contract ttr^flthep documentwith respect, to w^ilch this certificate of .insurance1 may be issued or may pertain, -the insuPsnce afforded 'by the policies described herein is subject to at? the tertns, exclusions and conditions'' of such policies, I SD INCLUDINS DEFENSE PRESIDENT" * EMPLOYER LEGAL NAME FOST|R| $ THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND P0409