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Home My WebLink About1745 MALLOW CT; ; CB010364; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/29/2001 Plumbing Permit Permit No:CB010364 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1745 MALLOW CT CBAD PLUM Status: Parcel No: 2155162100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B FOWLER RES/ NEW WATER HEA 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-44 77 Plan Approved: Issued: Inspect Area: Owner: GIBSON PETER W 17 45 MALLOW CT CARLSBAD CA 92009 ISSUED 01/29/2001 CB 01/29/2001 01/29/2001 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 TOTAL PERMIT FEES Inspector: 0 0 0 0 1 0 0 FINAL APPROVAL Date: d /J;b /0 I Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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 lees/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 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 aiven a NOTICE similar to this, or as to which the statute of \imitations has oreviousi" otherwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION ~ \V PLAN CHECK N,u.,~II.LJlU..:;;;,,J. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ Plan Ck. Deposit,._.,,.,,,.,.,_ ___ _ Validated A--,,1,_(~f5,.,,.,'------ Date / -;J, CJ--r Y ~~ FMdl!rffllllli!Mr~•• ffllllllllllll arls a < u1 e> < ame> Business Name (at this address) Address (include Bldg/Suite#) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total> Legal Description <Assessor No> Lot No Subdivision Name/Number Unit No. Phase No. Total # of units <Existing Use> Assesso(a Parcel # Existing use water heater replacement <SQ FT> <Stories> <Proposed Use> Proposed Use <Bedrooms> <Bathroom> Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms <Name> <Address> Address D➔ ,16 Jlil,+M rr:t: Name Address <City> ST <Zip> <Phone> City State/Zip Telephone# 'iwfflffi gg" nm, J§JJJ"tiiMJ\ ;;; City State/Zip Telephone# <Fax> Fax# 2$17 lllt,.iLI TF?'llFPiill--■rr:llllllll &£ Li 1111111111 •111111111 fowler .collen 17 45 mallow court earls bad ca 92008 760-931-8418 Namt1 AddrEJSS City State/Zip Telt1phont1# lllllllllll!lll"tl'l'fPIPIIIPIIIHHllll!l'-■nrlFPiT'.tllllllllffi • (Sec. 7031.5 Business and Proft1sslons Codt1: Any City or County which requires a permit to construct. alter, Improve, dt1mollsh or repair any structure, prior to Its inuanCEJ, also requirH the applicant for such permit to filt1 a signed stalt1ment thal he is licensed pursuant to the provisions of tht1 Contractor's LiCEJnse Law [Chaptt1r 9, commendin9 with Section 7000 of Division 3 of the Business and Proft1Ssions Code) or that he is exempt therefrom, and the basis for tht1 allt1gt1d ext1mption. Any Violation of Sl!Ctlon 7031.5 by any applicant for a pennit subjects the applicant to a cMI penalty of not more than five hundred dollars [$5001) A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477 """' Address City State/Zip Tt1lephone# State Lk:ense # ~6~3~0~1.e2~0c..... ___ _ <Name> Ucenst1Class ,c,3a6c_______ Ci BusinesslicenSEJ# 1210836 <Address> <Ci > ST <Zi > <Phone> Dt1signer Name Address City State/Zip Telephone State LiCEJnce # ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration· I hereby affirm under penalty of perjury ont1 of the following declarations: D I have and will maintain a certificate of consent to sell-insure for workers' compensation as prov!ded by Section 3700 of the labor Codt1, for the Pt1rformance of the work for which this permit la Issued. 0 I have and will maintain workt1rs' compensation, as required by Section 3700 of the Labor Code, for the performanCEJ of thtl wonl for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Mid-Century Ins. Polley No. A20075651 Expiration Date 05/01/2001 !!t'IS 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 the work for which this permit Is Issued, I shall not employ any person in any manner ao as to becomt1 subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an emplo'ftlr to criminal penalties and civil fines up to one hundred thousand do11,·.)J.:i.~.:~1), In addition to the coat of compensation, damages as provided for In Section 3708 of the Labor code, lntert1st and attorney's fees. SIGNATURE-,,,,.-____________________ OATE00~1~/2=2/=2~0~0~1 ___ _ 7. OWNER-BUILDER0ECLARATION I hert1by afflnn that I am exempt from the Contractor's license Law for the following reason: D I, as owner ot tht1 propt1rty or my employt1es with wagt11 as their sole compt1nsatlon, will do the work and the structure Is not Intended or offt1red for sate (Sec. 7044, Business and Prolessiona Code: Tht1 Contractor's llcenst1 Law does not apply to an ownt1r ol property who builds or Improves thert1on. and who does such work himself or through his own employees, provided that such Improvements arEJ not lrrtended or offered for sale. If, however, tht1 bulldlng or Improvement Is sold within one 'ftl8r of compltllion, the owner-builder will have the burden of proving that he did not build or improve tor the purpose of a.ale). D I, as ownt1r of the property, am exclusively contracting with licenst1d contractors to construct the projt1ct (Sec. 7044, Buslnt1ss and Professions Code: The Contractor's LICEJnae Law does not apply to an owner ol property who builds or Improves threreon, and contracts lor such projects with contractor(s) licensed pursuant to the Contracto~s license Law), D I am ext1mpl under Section ______ Business and Professions Code for this reaaon: I personally plan to provide the major labor and materials for constructi011 of the proposed propt1rty improvement. I (have/ have not) signed an applicant for a building permit tor the proposed work. □ YES D NO I h~p contracted with the following pers011 (firm) to prqvide lht1;:eroposed construction (includt1 namt1 l Po;ldri;iaj phont1 number/ contractors license number): <Name> <Aoaress <worK t-'lione> <State License> 4. I plan to providtl portions of the 'YQrk, but I have hired the following person U) ~rdinate, supervise and providt1 the m,ajqr work {include name / ad(!_ress I rpne number I contractors license number):<Name> <Aoaress> <vvork Pnone> <State Icense> 5. I will RrQvlde somt1 of the work, but I have contracted (1Jir11d} the following person to providt1 the work ir.dicated (include name/ address i Rttqne pu,mber I type of work): <Name> <Aadress> <Work Phone> <worK I ype> PROPERTY OWNER SIGNATURE OATE Is the applicant or future building occupant required to submit a buslnt1ss plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous SubstanceAccountAct? D YES D NO Is the appHcant or futurt1 building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES □No Is the facility to be construclt1d within 1,000 leet of the outer boundary of school site? DYES 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is I construction lt1nding agency for the performance of the work for which this permit is i51ued (Sec. 3087{1) Civil Code), LENDER'S NAME LENDER'S ADDRESS I certify ttlat I have read the application and elate that thtl above Information Is correct and that the Information on tht1 plans Is accurate. I agree to comply with all City ordinanCEJs and State l11W8 relating to building construction. I hereby authorize reprt1Sentatives of the City of Carlsbad to enter upon the above mentioned property for inapectlOr\ purpost1s. I ALSO AGREE TO SAVE, 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 ii 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 Codt1 shall expire by limitation and becomt1 null and void if the building or work authorized by such permit ia not commenCEJd within 180 days from the date of such permit or if the building or work authorized by such permit ia suspended or abandoned at any time after the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Buildirig Code). APPLICANT'S SIGNATURE ~-------------------MTE _0~1~/~2~2/~2~0~0~1~------ City of Carlsbad Bldg Inspection Request For: 02/16/2001 Permit# CB010364 Title: FOWLER RES/ NEW WATER HEA Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1745 MALLOW CT Lot APPLICANT A&J FOSTER, INC. Owner: GIBSON PETER W 0 Remarks: SIDE GRG DOOR WILL BE UNLOCKED Total Time: Act Comments Inspector Assignment: ~ Phone: Inspector: ~ Requested By: N/A Entered By: ROBIN CD Description 25 Water HeaterNents ~t~ Associated PCRs Inspection History Date Description Act lnsp Comments