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Home My WebLink About2072 TRUESDELL LN; ; CB931361; Permit12/21/93 11:22 Page 1 of 1 B U I L D I N G J ob Address: 2072 TRUESDELL LN Permit Type: PLUMBING Parcel No: 167-180-23-00 Valuation: 0 Construction Type: NEW P E R M I T Suite: Lot#: Permit No : CB93 1 361 Project No : A9 30195 1 Development No: Occupancy Group: Reference#: Status : ISSUED 12/21/93 12/21/93 DC Description: REPLACE WATER HEATER Appl/Ownr : FOSTER, A & J., INC. 2819 CENTRAL AVENUE SPRING VALLEY, CA 91977 *** Fees Required Fees: Adjustments: Total Fees: *** 27.00 .00 27.00 *** Applied: Apr/Issue: 619 Entered By: 697-4151 Fees Collected & Credits Total Credits : Total Payments : Balance Due: .00 .00 27.00 *** Fee descripti on Units Fee/Unit Ext fee Data Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL CITY OF CARLSBAD 1 7.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 20.00 Y 7.00 27 .00 --PERMIT APPLICATION PLAN CHECK NO. i City of Carlsbad Building Departllll!l'lt 207S Las Pal111as Dr., Carlsbad, CA 92009 (619) 438-1161 FST.VAL, __________ _ PLAN CK DEPOSIT. ________ _ VAIJD.BY ___________ _ 1. PlltMI I I-VP£ A -U Commercial D New Building LI Tenant Improvement B -LI Industrial LI New Building D Tenant Improvement C -~ Residential D Apartment D Condo txSingle Family Dwelling LI Addition/ Alteration LI Duplex U Demolition D Relocation D Mobile Home □ Electrical 181 Plumbing D Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other ____ _ DATE 2. PRQJECT INFORMATION Address FOR OFFICE USE ONLY 2072 True sde ll Ln. Nearest Cross Street LEGAL oESCRIPTION Lot No. cAECR 8£WW IF SOBMI 11 Eb: Building or Sulle No. Subd1V1s1on Name/Number □ 2 Energy Cales D 2 Structural Cales D 2 Soils Report □ I Addressed Envelope Umt No. Phase No. ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK WW HEATER REPLACEMENT # OF STORIES 3. WNIACI PERSON (u d1llerenl irom appltcan() NAME Ian McPartland ADDRESS 2072 Truesde ll Ln. C11Y Carlsbad, STATE CA. ZIP CODE 92008 DAY TELEPHONE 729-7645 f'l!AC£Nl FORcONIRACIOtl 1,.10WNER _µAG£NI FOROWNEll 4. APPUcAN I D cON I RAC I OR NAME Miche lle Medina ADDRESS L81~ Centra.L Ave . CI1Y S~rin~ Valley, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 s. Pllul1£.lll7JWW. 2072 True sdell Ln. NAME Ian McPartland ADDRESS ZIP CODE Cl1Y Carlsbad, STATE CA. 92008 QAY TELEPHONE 729-7645 6. mN"ntACiuit 2819 Central Ave . NAME A&J Foster, Inc. ADDRESS CI1Y Spring Valle y, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE LIC. # 630120 LICENSE CLASS C-36 Cl1Y BUSINESS UC. # 1200354 DESIGNER NAME ADDRESS N/A CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WOlt.RE.itS' mMP£NSA'i1oN Workers' Compensation Declarauon: I hereby alltrm that I have a cert1ltcate of consent to sell-insure issued by the Director ol lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Republic Dernnity POLICY NO. PC949585 EXPIRATION DATE 5/1/94 Cerullcate of Exempaon: I cerufy that m the perlormance of Lfie work for which this permit 1s issued, I shall not employ any person m any manner so as co become subject to the Workers' Compensation Laws of California. SIGNA~~~ DATE IR)t/18 8. OWNER-ER owner-Bu1Ider Declarauon: I hereby affirm that I am exempt from the Contracto?s License Law for the lollowmg reason: □ 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 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.). □ 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 co the Contractor's License Law). □ I am exempt under Section _______ Business and Professions Code for chis reason: (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, commencing 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)). SIGNATURE DATE COMPLETE THIS SEC! ioN FOR NON-RESIDEN l'IAL BUILDING PERMITS ONLY: Is the applicant or fu ture building occupant required co 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed wichin 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIEANSWERS ARE YES, A tt'NALCERTIFlCATE OFOCX:tJPANCY MAYNCIT BE IS.5UED AFfERJULY I , 1989 UNLESS TI-IEAPPUCANT HAS MET OR IS MEETING 1lIE RF.QUIREMENTS OP nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLUITION CDNTROL DISfRJCT. 9. mNS'iitoCIION ffiNDlNG AG£NcV I hereby all1rm that there 1s a constructton lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V1( code). LENDER'S NAME IDNE LENDER'S ADDRESS Io. APPUcAN't C£R'm1CA'i1oN I ceruly iliac I have read ilie appltcauon and state iliac the above mlormauon 1s correct. I agree Lo comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad co enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMLF.SS nm CTIY OF CARLSBAD AGAINSf AIL UABD.JTIES, JUDGMENTS, CDSTS AND EXPENSES WIDCII MAY IN ANY WAY ACX:RUE AGAINST SAID CTIY IN CDNSEQUENCE OP TIIE GRANTING OF TIIlS 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 365 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 303(d) Uniform Building Code). DATE: IIJ:/JJ-1 I 72) APPLICANT'S~ r • <... ~_lt..LLl--1 L/yu_c[L /Lil WHITE: File YEI.J..OW: Applicant PINK: Finance