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Home My WebLink About2354 CARINGA WAY; C; CB032895; Permit10-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB032895 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2354 CARINGA WY CBAD PLUM 2152402934 Lot #: Construction Type: PUGH RES-NEW WATER HEATER 0 NEW Status: ISSUED Applied: 10/21/2003 Entered By: RMA Plan Approved: 10/21/2003 Issued: 10/21/2003 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: RENTSCHLER SYLVIA L 21955 TIDEWATER TER #203 BOCA RATON FL 33433 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 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 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 'WHiGJ, INFORMATION" V If 2354 Caringa Way #C FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #}Business Name (at this address) Legal Description Lot No.Subdivision Name/Number SFR Unit No.Phase No.Total # of units Assessor's Parcel # 215-240-29-35 Existing Use Proposed Use SQ.FT.#of Stories # of Bedrooms tt of Bathrooms Name Address City Arlen Foster/Carol Foster ' 13706-B Hwy.8 Bus. El Cajon, State/Zip Telephone 9 Top-' H)fHjip~Kl' ~*^ ^S^ arf!T?;-<'i5: i ^-#~< ait SB- i rt' 3 B '"" lit a ' " » - -'!Ca. 92021 (619)390-44 Fax* Name , ;F'p Piiah. Address City 2354 Carinaa Wav tfC Carlsbad State/Zip Ca. 92009 Telephone it 760-602-0138 Name"Address City State/Zip Telephone tt (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 [$5001). Hr.TtT Q PI-IP -pi r^-^n _ r*a Q?n?1 f £1 en ~A & J Foster PlumbingName State License # •ess License Class C!— flty State/Zip Telephone tt City Business License * 1210836 Designer Name Address City State/Zip Telephone State License # •6. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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 fssued. My worker's compensation insurance carrier and policy number are: Insurance Company Stata COIup.InS. Policv N°- 467-01 00007^ 3 Expiration Date 04-01 -04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS 100] 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 secucMMeajcejs' compensation cgyejpfle Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred .damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees.thousand dollars SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: d 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 ere 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). n 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). O 1 . 2. 3. exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. l~l YES I (have / have not) signed an application for a building permit for the proposed work. 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 COMPLETE!"THIS DATE u/>"'X^oSJ" «V 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? 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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. v»tf,t$N$t8fflar^^ :. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME M MT7 LENDER'S ADDRESS^ 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 CitV 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 a period of 180 days (Section 106.4.4 Uniform Building Code). ^^^^APPLICANT'S SIGNATURE mt PINK: Finance DATE so POLICYHCtbER COPY _ _ ____ „ COMPENSATION INSURANCE: :>: I \ P.O. B^XfSOTl SAIM FRAWCISCaCA 94142-0807 t: K . f i" I ' 3" s • CERTIFICATE OF kOR'KERS' CON1PENSAT1ON INSURANCE.'.*.-•# • • -/ i 1 t 1 ' *. h. ISSUE DATE: 04-01-2003 - ,' •' CONTRACTORS STATE LICENSE BOARD WORKERS -COMPENSATION UNIT •' P 0 BOX:26QOQ SACRAMENTO CA $5826 > SD GROUP: OO0467 POLICY NUMBER: 0000713-2003 CERTIFICATE «?; * 4 CERTIFICATE E^RES: '04-Q1-2004 , 04-Of--2003/04-01-2004 : ' LICENSE NUMBER: LICENSE #630120 INCEPTXOM DATE: 04-01-2003 this is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to ..the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days* advance written hotee to the ernpfoyer. We will also'gfve you j0 days' advance notice should tnis/pp(|ey be cancelled prior toLjts policies described herein is subject to at) trje tertns," ex.cftisi(ins and conditions of. such policies. AUTHORISED REPRESei^TATIVE,/, , -" - ',* , ^ PRESIDfiNf •/•'""'-' ', \ "< • •,„"'"'_''" * '' '} ~ • ' T EMPLOYEES,LIABILITY LIMIT INCLUDING DEFENSE COSTS^ Sf.OOpiQOp.Oo" PER OCCURRENCE. ' f > EMPLOYER LEGAL NAME A £ J FOSTER, tNC 13706 HWY 8 BUSINESS ST #B EL CAJON CA 92021 A & U FOSTER, INC THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND PRINTED: °3-17-2003 PQ409 SCIF 10265 (REV. 2-01)