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HomeMy WebLinkAbout1746 CATALPA RD; ; CB023136; Permit10-17-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB023136 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1746 CATALPA RD CBAD PLUM 2155160500 Lot# Construction Type FRODSHAM RES-REPLACE H2O HEATE 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/17/2002 RMA 10/17/2002 10/17/2002 Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJONCA 92021 619-390-4477 Owner FRODSHAM LEE&JO L H LIVING TRUST 1746 CATALPA RD CARLSBAD CA 92009 8977 W17/02 0002 01 CGP 27-00 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 SO 00 £5000 $000 $000 $700 $000 $000 $000 $0 00 $000 $000 TOTAL PERMIT FEES $27 00 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C, SECTION 106.4.4 DATE SIGNATURE 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 whictLVou 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 FOR OFFICE USE ONLY PLAN CHECK NO. C' (!*>& 3-3/3b EST VAL Plan Ck Deposit Validated By Date 1746 Catalpa Rd Address (include Bldg/Suite #) Legal Description Assessor's Parcel # 215-516-05-00 Description of Work Business Name (at this address) Lot No Subdivision Name/Number SFR Existing Use SQ FT ttof Stories Unit No Phase No Proposed Use ff of Bedrooms Total ff of units tt of Bathrooms Water Heater Replacement^ _ ^ 2, CONTACT PERSON (if different from, applicant), VV^ITVl, J^r?Lee Prodsham 1746 Catalpa Rd ( Carlsbad Name Address City 3^ ( APPLICANT xQlContractOL ™ "P Agenj^fWOantractox^ Q Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Capon, State'Zip Telephone # Fax # ". 'I920"2r'' (6l9)3!9b-4477 "'" '''' Name 4 ^ROPERTY.OWNER ' Tj=ei Fnrrlchairi Name Address r "! ". t *T L-H,'*. 1746 CP Address City1 A ' -^i^i ',„... u^Vj5" , *1 s^s !-s 4JW il-^lp^ RH Carlsbad Ca. City State/Zip j j ^S t i(! , 92009 State/Zip Telephone # iu < 1 Zv * s « * *' ' *~ * ~ (760-438-5306 Telephone # * ^ S ,'CONTRACTOR i (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 moie than five hundred dollars t$5001) J Foctrr Plumbing 13706-B Hwy.8 Bus. El Canon Cfi 920?,! (619)390-447~~T*—^"Name State License # 63H12Q Address License Class C—36 ^ity State/Zip Telephone # City Business License # 123 0836 Designer Name Address City State/Zip Telephone State License ff f^/A e. WORKERS;COMPENSATION"" *"\^\tf»,' 7 VJv ^VC.'". &.,* JS-^J^IfKF^f^r,, -tv ,* V-1-»?">« '-"- , f,v E ( . >. Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 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 ,TJ 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 vssued My worker's compensation insurance carrier and policy number are Insurance Company State COIftp. XnS . ._.,_._ Policy No 4fi7-fl1 0000713 Expiration Date 04—03-03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($-100 OOOI/ih addition to tho^cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE (^ASZ/vfa ftLflrfJhsMAAg/1 ,- DATE \Q I /^ ff) 2- 7.* OWNER-BUlLDERiBECLARATluN " J^" "* J, " * -1J -r^-s^d"1 ^'j/.?*"^!.. %f«j$ _ *""•*'>"„' ;s *'$**" **$ \ ^ is"f["^a'}a t^^-f^" *& *' <*- *** ™ ~ ™ 1 hereby affirm that t am exempt from the Contractor's License Law for the following reason [~l 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) 0 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) l~l 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 CJNO 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 / phcne number / contractors license number) 4 1 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) ri __ 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 ^ORXoytf-fffSM/VT^ ;. £#$%*?%^$ ?"?."£££. ^14^" V ,,' " 'tfH~«' */_ ^ " 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 26534 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 (Sac 3097(i) Civil Codet LENDER'S NAME Mn\Tt? LENDER'S ADDRESS la ,NONE I certify that I have read the application and state that the above information is correct and that the information on the plan1! 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 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for,^ period^of 180 d^ys (Section 106 4 4 Uniform Building Code) _ /oX/7/^-2 WHITE File YELLOW Applicant PINK Finance APPLICANT'S SIGNATURE AUG-21-2002 HED 04:58 PH A & J FOSTER PLUMBING FAX NO, 619 390 4448 P. 02/07 POLICYHOLDER COPY STATE p ° B°x 420807, SAN FRANCISCO, CA 94142-0807 INCLfMANC* FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAY 14, 2002 GROUP. 000*67 POLICY NUMBER. 713-2002 CERTIFICATE ID' 6 CERTIFICATE EXPIRES: 01-01-200) CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT p O BOX 36000 SACRAMENTO CA 95926 CONTR LIC tf S30120 INCEPTION] 4-1-02 LOS AW<3E[J>3 tJf) This Is to certify that wo have issued a valid Worker's Compensation Insurance policy in a form approved by trie California Insurant:* Commissioner to Ihe Bmptoyar named below (or Iho policy period Indicated This policy is not subject to cancellation by the Fund except upon 10 days advance written nolice to the employer We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration Thfe certificate of insurance la not an Insurance policy and does not amend extend or alter the coverage afforded by policies listed herein. Notwithstanding any requirement, term or condition of any contract or olher document with respect to which this certificate of insurance may be Issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions, of such policies (he AUTHORIZED REPRESENTATIVE EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- $1,000,000 PER OCCURRENCE A 6 J FOSTER, INC 13706 HWY B BUSINESS ST SL CAJON CA 92021 SCtF 10265 fEPF-UI- CO 1