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Home My WebLink About175 JUNIPER AVE; ; CB020017; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-03-2002 Plumbing Permit Permit No:CB020017 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 175 JUNIPER AV CBAD PLUM Status: ISSUED 01/03/2002 AMA Parcel No: 2042512004 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: CAMPBELL RES-NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vant Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Inspector: Owner: CAMPBELL JONATHAN W&mt-illfi!mA021"196tl2 01 02 CGP 27.00 175 JUNIPER AVE CARLSBAD CA 92008 Total Payments To Data: $0.00 Balance Due: $27.00 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 EXPIRED ~!RMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH u.ac, SECTION 106.4.4 $27.oo DATE 3d ,q\ Q) SIGNATURE owJ --------- 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 specffied 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 nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No .C"/l() ;}..OJ; CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit -------,----- Validated By 1£1= Date I J;/o j 1. PROJECT INFORMATION Address (include Bldg/Suite II) 175 Juniper Ave. Business Name (at this address) legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II Proposed Use Description of Work SQ. FT. //of Stories II of Bedrooms II of Bathrooms 204-251-20-04 2. CONTACT.PERSON (if different fro1\1 applicant) Water Heater Replacement ' ., 1 7 c:; AcljJress. Ave. _car lsbad city CA . Fax II 0 Agent Tor 'c~~ D Ow nor D Agenl for Owner Name X Address ~~P~t~~arol Foster 13706-B Hwy.8 Bus. 1 City. E CaJon, Name campiheil.dc;.toif000MPANY NAME Address 175 Juniper Ave. City ·Carl sbad Ca. Stat~~l') 21 ca. State/Zip 92008 (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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars )$5001). Name :Aat&Uc:JinB<1ster Plumbing Address 1 3GW,~1aclwy. 8 Bus. City State/Zie Tel~honq I/ El Cajo~ity BusirQ'hice~.;2,P2.l ( 6 1 9) 3~0-44 77 Designer Name 630120 Address C 36 City State/f.~lQ S 3fe1ephone State license II _________ _ 6. WORkEilS' COMPENSATION Workers' Compensattil;'Aecloration: I hereby affirm under penalty of perjury one of tho following declarations: 0 I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of tho work for which this permit is issued. 0 I have and will maintain workers' compens&tion, as required by Section 3700 of the l abor Code, for the performance of tho work for which this permit is issued. My worker's compensation insurance carrier and policy number are: xnsurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED )F THE PERMIT IS FOR ONE HUNDRED DOL~~~$df016B601:i3 04-01-02 0 CERTIFICATE OF~~tctN9ffiriJ.f\Ral in the performance of tho work for which t~is permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. age ls unlawful, and shall subject an employer to criminal penalties ond civil fines up to one hundred 7, ---f.~.-.l~~~~~~JL~~~!:.!~=-=, -:,-:,.1:-:n_._d_a_m_a_g_~-:~-,o-~-~--r-ov_i_d_ed-fo_r_l-=n=S=e=c:-ti-:o~ 3~~T:~. tl~AoNode, i~e:?ttff t tornoy' s fees. I hereby affirm that I am exempt from the Con ctor's license law for the f~llowing reason: 0 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 hove the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, em 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). 0 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. 0 YES ONO 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): ________________________________________________________ _ 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 25506, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from tho air pollution control district or air quality management district? 0 YES O NO Is tha facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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. [8. CQt-lSTRUCTIOJf,[~,NDING AGENCY \ l .... .. • • -• ,. "N ' ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) Civil Code). LENDER'S NAME _______________ LENDER'S ADDRESS __________________________ _ [9, \, -Al1.P.LICANT CERTIFICATl<j/~&E •. , . , 1' ~ •r "." . . . , ) • ' I certify that I have read the ap~°'fic'at,on 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 Cit\t of Carlsbad to enter upon the above mentioned property for Inspection purposes. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH '!'AV 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 Ofllclal under the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit Is not commenced within 180 clays from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time alter the work is commenc rlod of ays ( 1106.4.4 Uniform Building Code). JAN 3 2002 APPLICANT'S SIGNATURE -J.~....C;&-tliol!~:._,L,µ.Jl!!:=:;,.'--,-C:/4G.t!.____________ DATE '.:J PINK: Finance