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HomeMy WebLinkAbout1758 COTTONWOOD AVE; ; CB023457; Permit11-15-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB023457 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1758 COTTONWOOD AV CBAD PLUM 2155033724 Lot# Construction Type BOLTON RESIDENCE WATER SOFTNER INSTALLATION 0 NEW Status Applied Entered By ISSUED 11/15/2002 MDP Plan Approved 11/15/2002 Issued 11/15/2002 Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner BOLTON KATHLEEN A 1758 COTTONWOOD AVE CARLSBAD CA 92009 139? 11/15/02 0002 01 02 CGP 27.00 Total Fees 327 00 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 1 0 0 0 $2000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 DATE -^\VM.\n-x 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 o'iher 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 previouslv 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 i. ; PROJECT INFORMATION 1758 COTTONWOOD AVE FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date M, ~~ I Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No ,,,-,,-. Subdivision Name/NumberorR Unit No Phase No Total # of units Assessor's Parcel tt215-503-37-24 Existing Use Proposed Use Description of Work WATER SOFTENER REPLACEMENT SQ FT #of Stones # of Bedrooms # of Bathrooms > *•'4-2009 ;- f60-7&0-471-9471 Name 3. " APPLICANT XQ, Contractor.Arlen Foster/Carol Name 4 PROPERTY OWNER BOLTON, KATHLEEN Name Address Fcif^r"fpr:il»&1ivf;f Bft Address ' ''l75' 8 COTTONWObD AVE : Address City City Carlsbact City State/Zip iiy;ViL Ca'/ 92021- State/Zip State/Zip Telephone 9 Fax tt (-'619)390-4477 Telephone tt 76b:-47i-9473. Telephone tt 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 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 more than five hundred dollars [$500]) A & J Foster Plumbing 13706-B Hwy.8 Bus. El Caion CA. 92021 (63.9)390-4477 Name State License tt 630120 Address License Class C-36 City City Business License # State/Zip Telephone # Address City N/A State/Zip TelephoneDesigner Name State License # 6 WORKERS' COMPENSATION , ',.;..-'* ..'.. i'v'••. Jl •.". ." ": :J\'i.....? -^... -.-• T '.' 1 {.. >?". "••""•,' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 | 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 •J~] | 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 issued My worker's compensation insurance carrier and policy number are Insurance Company State Comp.InS,. Policy No 467-01 000073.3 Expiration Date 04-03.-03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~1 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secuu|flTOfflbj4r companion coTC^Ige Is4inlawful, and shall subject an employer to criminal penalties and cnfil fines up to one hundred thousand dollars ($tOOSJ^-Jfi d&p\9P& dnjoj^^fiaroeBSS^K damages as provided for in Section 3706 of the L^or/oddyrftereFsbaadfejUGrney's fees SIGNATURE f^mlf***** i ~^ J"»**^ DATE ^ j }J-j j ftf 7 -• OWNER-BUILDER DECLARATION ^^ " , ,~ •-;., -^..:4*P.,,.-/'.,. ; ~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason f~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 employee:,, 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) Q 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~1 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 dNO 2 I (have / have not) signed an application foi 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 ,.'•:•• V"COMPLETE THIS SECTION/FOR NON-RESIDENTIAL BUILDING PERMITS < 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 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 CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? £] YES £] 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«, CONSTRUCTION LENDING AGENCY ."„ "•" J >c :-C iii-f>..[,"^p'.-, ••;;•:"•.? r'.:\ , '"„';,,.„ S -^ ..•,-'" -Z% I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME NONE LENDER'S ADDRESS (9 '• APPLICANT CERTIFICATION J >: , "' ...., , ;:' '„ " ..,.. ,,." '".- ^'^i\^L'','"" ,!'-„-,: ** i",, '-'K^^'-.'^jli^i^'"''^'-: T, *'.: ',' "•-... 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction o1 structures over 3 stones in height t EXPIRATION Every permit issued by the^jiddirig Officialupder thattj^fsion^ of this Code shall expire by limitation and become null i authorized by such permit is not^rnrMrtBgrLdjffln 1JO daffrom th»)lfflt°-^^*'Tmrmlt or if the building or work authorized by such perr/it is i at any time after the work is ccimn^edBcc2%aifl/oi/8i <fc»6*raS«d46'»4JDnifQrrn Buildmq Code) ft / I , j APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance A & J FOSTER, INC PLUMBING CONTRACTORS C36 LIC.#630120 November 14,2002 City of Carlsbad 1635 Faraday Ave Carlsbad, Ca. 92008 760-602-2719 Re PERMITS To whom it may concern, I have been trying to pull water softener permits through the City of Carlsbad for a few weeks now and have gotten no where If I do not need a permit for a water softener in the City of Carlsbad I need a letter stating so I need a letter on a city letterhead. You can fax the letter or I will come in tojnck up the letter. Please call me if you have any questions. Sincere, Christina Karl1 619-390-4477 BUSINESS EL CAJON, CA 9202' mmvw /cio.iOA./i/i77 p> v <io -uON SNiawnid u'Jisoj r ? v wdti.t mi t AUG-21-2002 HED;'04&8 PM A & J FOSTER^PLUflBING FAX NO. 619 390 4448 P. 02/07 COMRfcNSATION -.r-. I N * II It ANC • i 'V/-r '- '" ' POLICYHOLOER COPY P O BOX 420807, SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAY J.4, 2002 STATE LICENSE BOARD < WORKERS' COMPENSATION UNIT SACRAMENTO CA 95826 GROUP. 000467 POLICY NUMBER' 713-2002 CERTIFICATE ID: 6 CERTIFICATE EXPIRES: 04-01-?,0l» 04-01-200?/04-01-300J CONTR LIC tt 630120 INCEPTIONi 4-1-02 LOS ANGEUBS 00 . -:• .^ - , .At- ' 'This la to certify thai we have issued a valid Worker's Compensation Insurance policy In a form approved by the California.^, Insurance Commissioner to the employ»r named below for Ihfi policy period Indicatad sThis policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer ' We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance Is not an Insurance policy and does not amend, extend or alter the coverage afforded by (he " policies'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 may pertain, the Insurance afforded by the policiesdescribed herein is subject to all the terms, exclusions, and conditions, of such policies "•-{i^<lf(Z.S_ AUTHORIZ6O REPRESENTATIVE WSIBBNT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- $1,000,000 PER OCCURRENCE A & J POSTER. INC 13706 HWY 8 BUSINESS ST SL CAJON CA 92021 SCff 10265 I6PF-UI CQI