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Home My WebLink About1742 CEREUS CT; ; CB060210; Permit01-26-200a City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB060210 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1742CEREUSCTCBAD PLUM 2155170500 Lot#: 0 Construction Type: NEW RIKER RES REPLACE H20 HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/25/2006 KG 01/26/2006 01/26/2006 Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: RIKER CRAIG H&JULIA J 1742CEREUSCT CARLSBAD CA 92011 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 Total Payments To Date:$27.00 Balance Due:$0.00 FINAL APPRO Inspector: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 CT FOR OFFICE USE ONLY PLAN CHECK NO._ EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suita It)Business Name (at this address) -Jfc.Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total it of units Assessor's Parcel ft US3 Proposed Use (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 n. Aoy violation of Section 7031.5 by any applicant for a permit subjects the onplipant to»a, civil penalty of not more than five hundredl Name State License it Address License Class City State/Zip City Business License # elephone # Designer Name State License if Address , Ci.ty State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [__ 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. •> QJ 1 have and will maintain workers' compensation, as-required by Section 3700 of tha 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 S\^-\^~- fr-vJ/X A Policy.No. QlMj Z^Vo "f*-^=' Expiration Date A f ft > ^O-^*3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) [3 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 ($100,00,0)rin>dcli4ion toitfjp'cost oPoornpensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE //, %,+. J /K '^^-^KJ=^ DATE / -Z~3-Qo I hereby affirm that I am exempt from the Conductor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sola 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). n 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). n 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 tha 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 tha 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? D 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? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 8HMIB ISffli51W'iSg,,«!l!i' 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 : _________ LENDER'S ADDRESS, I certify that I have read the application jand 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 CitV of Carlsbad to enter upon tho 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 f or jexcavations 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 1 80 days from the date ol such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commeneecfjDraTtecipd of 18Q/days. (SeCBon'T06.4.4 Uniform Building Code). APPLICANT'S SIGNATURE E/Rl DATE WHITE/Rle YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/14/2006 Permit* CBQ60210 Title: RIKER RES REPLACE H20 HEATER Description: Type: PLUM Sub Type: Job Address: 1742 CEREUS CT Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: RIKER CRAIG H&JULIA J Remarks: Total Time: CD Description 25 Water Heater/Vents Act Comment Inspector Assignment: Phone: 7604380914 Inspector: Requested By: JOYCE Entered By: CW Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Jan.24- 2006 3U4PM A & J FOSTER PLUMBING Mo4]0° P' CERTHOLDERCOPY P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COMPENSATION I N S U R A N CB JFUND CERTIFICATE OP WORKERS1 COMPENSATION INSURANCE ISSUE DATE: 08-27-2008 GROUP: 0000*8 POLICY NUMBER 0015268-2009 CERTIFICATE ID: 10 CERTIFICATE EXPIRES: 04*01-2006 04-01-2006/04-01-2008 CITY OF SAN DIEQO 1222 FIRST AVE MS 301 SAN DIEOO CA 92101 This is to certify thai we have issued i valid Workers' Competition insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also flive you 10 days advance notice should this policy be cancelled prior to its normal expiration, This certificate of insurance Is not «n insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the Insurance afforded by the policy, described herein is subject to all the terms, exclusions, and conditions, of such policy. AUTHORIZED REPRESENTATIVE ' PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. EMPLOYER A & U FOSTER, INC SO PO BOX 375* EL CAOON CA 92021 RBv.4-os> PRINTED : OS[816,80]-27-2005