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HomeMy WebLinkAbout1754 COTTONWOOD AVE; ; CB021345; Permit05-02-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB021345 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1754 COTTONWOOD AV CBAD PLUM 2155033725 Lot# Construction Type 0 NEW Status ISSUED Applied 05/02/2002 MDP 05/02/2002 05/02/2002 ROGERS RESIDENCE WATER HEATER REPLACEMENT Entered By Plan Approved Issued Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner SARAZEN FAMILY LIVING TRUST 11-26-92 3603 W FOX RIDGE LN PALOS VERDES PENINSULA CA 90274 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 3.C. 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 proceduie 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 1 PROJECT INFORMATION 1754 Cottonwood Ave. Address (include Bldg/Suite #1 FOR OFFICE USE ONLY PLAN CHECK NO ( EST VAI. Plan Ck Deposit Validated By Date Business Namo (at this address) Legal Description Lot No Subdivision Name/NumberSFR Unit No Phase No Total ft of units Assessor s Parcel tt 215-503-37-25 Existing Use Proposed Use SQ FT tfof StoriesDescription of Work Water Heater Replacement 2 CONTACT PERSON (if different from applicnnt)Rogers, Gabrielle 1754 Cottonwood Ave. Carlsbad tt of Bedrooms ft of Bnthmoms CA. 92009 760-431-5098 Name Statfl/Zip Telephone ttAddress City 3 APPLICANT jjp Contractor O Agent for Contractor O Owner O Agent for Owner Arlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon, Ca. 92021 (619)390-4477 Fix tt Name 4 PROPERTY OWNER Address City State/Zip Telephone tt 1754 Cottonwood Ave.Carlsbad Ca. 92009 760-431-5098 Address City State/Zip Telephone ttName~ 5 CONTRACTOR - COMPANY NAME (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 Codel 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 more than five hundred dollars IS5001) F.I Canon CA. 92021 (619)390-4477A .1 T Pnr'.'i'pr Pli11 OIo 1. \j\*j ^*>—j. ^. -*- •Name State License tt 630120 Address License Class C—36 y State/Zip Telephone tt City Business License tt 1210836 Address City State/Zip Telephone ISTA Designer Name State License tt 6 WORKERS' COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations r~l 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 f of the work for which this permit is issued H 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 1 issued My worker s compensation insurance carrier and policy number are poi.cyNo 467-01 0000713 c_ „„„,.„ 04-01-02Insurance Company e COmp.InS.Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI O 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 ($100 000) in addition to the cost of compensation damages as provided for In Section 3706 of thA[AH&rW>dAiir5Jre^tmm)Qtorney s fees p ^nf> I v w u.uut.SIGNATURE 7 OWNER-BUILi DATE I hereby affirm Ih ftiUi!fTi*iniriiT|i1 li inn the (fontracJOr SM_rcense Law for the following reason f~l I, as owner of the property or my employes 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 olfered for sale If however the building or improvement is sold within one year of completion the owner buttder will have the burden of proving that he did not build or improve for the purpose of sale) O 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) 0 I arn 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 CDf\IO 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) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY" " ; s ' - 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 MO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES PI NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? fj 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 8 "CONSTRUCTION LENDING AGENCY 'J :' r"• ' ' ' ' • > I hereby affirm that there is a construction lending agency for the performance of the woik for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME NONE LENDER S ADDRESS 9 APPLICANT CERtlFiCATiON • I certify that I have read the application 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 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 CONSFQUENCE 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 OHicial under the provisions o( this Cods shall expire by limitation and becomp null and void if the binlriing or woik authorized by such permit is not commenpefffttyM 180 day»,X>m the g^of syt\ permit or if the building or work authorized by surh permit is suspended or abandoned al any time after the work is commej^dJpr aggnod^ Ijaysfl^faijyuiform Building Code) Ai A vAPPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance License Detail Page 1 of 2 California Home Thursday, May 02 2002 License Detail Contractor License # 630120 CALIFORNIA CONTRACTORS STATE LICENSE BOARD DISCLAIMER A license status check provides information taken from the CSLB license data base Before relying on this information, you should be aware of the following limitations . CSLB is prohibited by law from disclosing complaints until they are referred for legal action • Per B&P7071 17. only construction related civil judgments known to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base * * * Extract Date 05/02/2002 Business Information * * * A & J FOSTER INC P O BOX 2758 EL CAJON, CA 92021 Business Phone Number (619)390-4477 Entity Corporation Issue Date 10/07/1991 Expire Date 10/31/2003 * * *License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class C36 | Description [PLUMBING | * * * Certifications * Cert Description HICJlHOME IMPROVEMENT CERTIFICATION * * *Bonding Information * * * http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 05/02/2002 License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number 1002375 in the amount of $7,500 with the bonding company SURETY COMPANY OF THE PACIFIC. Effective Date 07/01/1994 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) ARLEN KEITH FOSTER certified that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 10/07/1991 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number. 467-0000713 Effective Date 05/01/2001 Expire Date: 04/01/2003 Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses License .Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2001 State of California Gray Davis, Governor ConditionspHJse Pnyacy_Policy http //www2 cslb ca gov/CSLBJLIBRARY/License+Detail asp 05/02/2002