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2011 ESCENCIO TR; ; CB013756; Permit
12-06-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB013756 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2011 ESCENICO TERRACE CBAD PLUM 2164820800 Lot #: 0 Construction Type: NEW BARGE - REPLACE WATER HEATER Status: ISSUED Applied: 12/06/2001 Entered By: JM Plan Approved: 12/06/2001 Issued: 12/06/2001 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: 6000 12/06/01 0002 01 BARGE FAMILY TRUST 05-24-99 CGp 2011 ESCENICO TER CARLSBAD CA 92009 02 27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due: $27.00 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 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 Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES {RED PE $0.00 $27.00 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 lees/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, 01 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 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 previously been qiven a NOTICE similar to this, or as to which the statute of limitations has.previouslv otherwise expired. PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 920081. PROJECT INFORMATION2011 Escenico Terr.Address (include Bldg/Suite ft]FOR OFFICE USE ONLYPLAN CHECKEST. VAL.Plan Ck. Deposit;Validated By . /[A/IA./ ^ r ^DateN/A Business Name (at this address)Legal Description Lot N Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel # ^216-482-08-00 Existing Use Proposed UseDescription of Workwater Heater Replacement SQ. FT,(fof Stories£-ft CONTACT^PW&QIM™ Carlsbad Uft. yzuuy /QU^-OJ^-OV^U Name 13. ApPLidANrf ;J3;Cortiraiapr : CArlen Foster/Carol FostS Name 4. PROPERTY 0 WNErt Braqe, Patricia Address ^gentg^g^r^ Address 2011 Escenico City p^KPA&fye^nV City Terr.1 Carlsbad Ca State/Zip Telephone # Fax # Ca. ] 92021 (619)390-4477 State/Zip Telephone H . 92009 760-632-8690 Address City State/Zip TelephoneName s. CONTRACTOR > COMPANY-NAME " v ? -i • s {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 7O31.5 by any applicant for a permit subjects the applicant to a civ^£enalty^ppt,jnorp£bep,tjv9,^find!£d,^otlars 15500]). A & J Foster Plumbing 13706-B Hwy.8 Bus. El Capon Name State License^0120 Address _ ,- License Class City Telephone If City Business License It Designer Name State License # N/A 6. Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 1 have and will maintain a certificate of consent to sell-insuie for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. y Q 1 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: nnnn7T "3 04—01—02 Insurance CompanyStatS COfflp. 1HS . policy No. Expiration Date (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 on employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages i»* provided fo» In Section 3706 of thn Labor code. Interest and attorney's fees. SIGNATURE DATE I hereby affirm thet I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work end 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). 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). Q 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. CD YES 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, supetvise and provide the major woilt (include name / address I phone number / contractors license number); _____ 5. I will provide some of the wotk, but I have contracted (hited) the following persons to provide the work indicated (include name / address I phone number / type of work): _ __ _. ___ __ _ _. _ ___ _ PROPERTY OWNER SIGNATURE DATE !eoMp;LlTiN»sW0^ .;. •-.'.: '.-•:.•, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention piagtem under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES O 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? 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. to£--^ft8:|jfiUB^ :-v • *•••'•'*•••' ".•'•-?: •; v'.-;Vy.-:V . '•• .••• '•",-.- , •" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). NONELENDER'S NAME 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 data 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 DATE WHITE: File YELLOW: Applicant PINK-. Finance City of Carlsbad Bldg Inspection Request For: 12/20/2001 PerrniW CB013756 Title: BARGE - REPLACE WATER HEATER Description: Inspector Assignment: 2011 ESCENICO TERRACE Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT A&J FOSTER, INC. Owner: BARGE FAMILY TRUST 05-24-99 Remarks: AM PLEASE !! Phone: Inspector: Total Time: CD Description 25 Water Heater/Vents Requested By: PATRICIA BARGE Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments License Detail Page 1 of2 C?fll IFDRNIA CONTRACTORS STATf I KTMSf License Detail Contractor License # 630120 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&P 7071.17, only construction related civil judgments known to the CSLB are disclosed. • Arbitrations ate 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: 11/08/2001 * * * Business Information * * * A & J FOSTER INC P O BOX 2758 ELCAJON, CA92021 Business Phone Number: (619) 390-4477 Entity: Corporation Issue Date: 10/07/1991 Expire Date: 10/31/2003 sfe A -ft License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class C36 Description PLUMBING st * *Certifications * * * Cert HIC Description HOME IMPROVEMENT CERTIFICATION * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 1002375 in the amount of $7,500 with the bonding company SURETY COMPANY QF.TflEJ'ACIFJC. Effective Date: 07/01/1994 http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 11/8/2001 License Detail Page 2 of 2 Contractor's BondingHistory BOND OF QUALIFYING INDIVIDUAL(l): This license filed an exemption certificate for the Responsible Managing Officer (RMO) ARLEN KEITH FOSTER certifying 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: 04/01/2002 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 Reguest Q, *& C"'Ji*Cl Uii A public service of t!IB Contractors Stale License Board. Copyright © 2001. All rights reserved, ast Updated HM)8/2u01 http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 11/8/2001