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Home My WebLink About2684 SAUSALITO AVE; ; CB020279; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-28-2002 Plumbing Permit Permit No:CB020279 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2684 SAUSALITO AV CBAD PLUM Status: ISSUED 01/28/2002 AMA Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB 1675612800 Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: MADISON AES-REPLACE H2O HEATER Inspect Area: Owner: MADISON ROBERT F 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 2684 SAUSALITO AVE CARLSBAD CA 92008 9828 01/28/02 0002 01 02 Total Fees: $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 Master Drainage Fee Sewer Fee Additional Fees TOT AL PERMIT FEES Total Payments To Date: 0 0 0 0 1 0 0 $0.00 Inspector-Af!&.u FINAL APPROVAL Date: "J../,~ Jo l-• ' Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 CGP 27-00 $27.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "feealexactions.n 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 specttied fees/exactions DOES NOT APPLY to water and sewer connection tees 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exi: ired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION 2684 Sausalito Ave. FOR OFFICE USE ONLY PLAN CHECK No. Cl)olo 7-7'1 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By~,.C'"'~""--------- Date (-? fj'-Q).. Address {include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. SFR Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # 167-561-28-00 Existing Use Proposed Use Description of Work SQ, FT. #of Stories # of Bedrooms # of Batnrooms water Heater Replacement 2. CON,T ACT PfijSON ltt different from.•aROlic""ll g· · 1 • t · ··Av·. Rob MactJ.son «oti4 ausa i o e. Carlsbad CA. 92008 760-434-6662 Name Address City State/Zip Telephone# Fax# k t::;uri~t~;~}~r' Fo~ti~trorl°!Jo/ai:.i ~~°B tPut?'"' ff°t:113oh, ca. 92021 (619)390-4477 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Rob Madison 2684 Sausalito Ave. carlsbad ca. 92008 760-434-6662 Name Address City State/Zip Telephone# 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 Cajon CA. 92021 (619)390-4477 Name Address City . . . State/Zf21oa3lelephone # State License# 630120 License Class C-36 City Business License II _______ _ Designer Name Address City State/Zip Telephone State License # _ __cNs,/u_A;_ ____ _ 6. WORKERS' COMPENSA TIQN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. xJ I have and will maintain workers' compensation, as required by Section issued. My worker's compensation insurance carrier and policy number are: 3700 of the Labor Code, for the performance of the work for which this permit is Insurance Company State Comp. Ins. Polioy No. 467-01 0000713 04-01-02 Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 1 OJtOOOI. In addition to the cost of compensation, damages es provided for In Section 3706 of the labor code, Interest and attorney's fees. SIGNATURE L-<,f4b€, ~ DATE /-:2_ ,f-lJ .1 7. OWNER-BUILDER·DECLARATION . -. -.•. I hereby affirm that l 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 I 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 tha purpose of sale). D 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. J (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):. __________________________________________________________ _ 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 Act7 D YES D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 , ,,. ' ,,, /f 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). LENDER'S NAME N:)NE 9. AePLICANT CERTIFICATION 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 Cit\,' 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, JUOGMENTS, 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 !he work is commenced for a eriod ol 180 days Section 106.4.4 Uniform Buildlng Code). APPLICANT'S SIGNATURE DATE -L/_-_._d-"--'-'t:.,___-_,/)c.__-:Z-__ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/15/2002 Permit# CB020279 Title: MADISON RES-REPLACE H2O HEATER Description: Type:PLUM Sub Type: Job Address: 2684 SAUSALITO AV Suite: Lot Location: APPLICANT A&J FOSTER, INC. Owner: MADISON ROBERT F Remarks: Total Time: CD Description 25 Water HeaterNents Associated PCRs 0 Act Comments !J.L_ p-,,.;A,_ Inspection History Date Description Act lnsp Comments Inspector Assignment: ft cl!, Phone: 76043476662 Inspector: /{ l/J Requested By: ROB Entered By: CHRISTINE