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Home My WebLink About2459 TUTTLE ST; ; CB950123; Permit01/19/95 10:17 Paqe 1 of 1 B U I L D I N G P E R M I T Job A3dress: 2459 TUTTLE ST Suite: Permit Type : PLUMBING Parcel No : 155-16fJ-19-0IJ Lot#: Valuation: o Construction vpe : VN uccupancy Group: Reference#: Descript on : WATER HEATER REPLACEMENT P1~rm1t No: (~8951l12J Project No: A95l>0 l :.,4 Development No : 0360 01/19/~t~eb.J>t 1 g~,Uz?, AppCi"°fi~: l 1/19/QQ, Apr/Issue: 01/1~/~~ Entered By: MDP Appl/Ownr : WADDELL, L.J. t.:>19 728-2911 1931 RECHE ROAD FALLBROOK, CA . 92 ''* * Fees Required ected & Credi ts Jc* ir ----------------------------------------------- Fees: Adjustments: ts: . uo Total Fees: l P ~nts: . 00 al a Due : 2 7 . o n Fee description '-::;:.--:..-::..-::.--::.-::._ ts Fee/ !11 t Ext fee Data Enter "Y" for Plurrt sue Each Water Heater Vent j. PLUMBING TOTAL 20.00 Y 7.0ll 27.00 ~~--=~~ATE ___ , '~':'f"----t-T.,.-;--------------1 ~~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q S--I u City of Carlsbad Building DepartlEnt 2075 Las Pal11as Dr .• carlsbad, CA 92009 (619) 438·1161 EST.VAL. __________ _ t. PERMI'I IYPE PIAN CK DEPOSIT _______ _ VAUD.BY __________ _ DATE From List l (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJECf INFORMATION FOR OFFICE USE ONLY J~s c:r -rv7l'c.c s7 Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. subchvJS1on Name/Number Unit No. Phase No. CHECK BW5W IF sOSMl 11 ill: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTIJJ OF WORK SQ. IT. /1i:PU C£:' { U EXISTING USE PRQPQSED USE # OF BEDROOMS # OF BATIIROOMS I NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. Al'PllCAN I LI CUN I RACIOR 0 AG£N I FOR cON I RACIOR ADDRESS a OWNER a AGEN I FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE ZIP CODE l , Y: 1 '? .31A°~}l-a /2-«✓-Mcv&/L0<:!?:K~ {;)~<- STATE ZIP CODE DAY TELEPHONE Cf iC.-G,:,, ,,.;:;;-<.:. STATE UC. # 33<! 1 /LICENSE ClASS (!_-3" CITY BUSINESS UC. # 0 ;l. / 7~ ast name ·1rst CllY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WORKERS rnMP£NSA'i1ON Workers' Compensauon beclarauon: I hereby affirm that I have a ceruhcate of consent to self-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of th insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANYi7 POLICY No.£Y':::>-S :):i._ ~ p □ □ □ Owner-Builder Declaration: I hereby alhrm that I am exempt from the Confracfoi"s Llcense Law for the following 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 to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this 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]). SJGNATIJRE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ 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 within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 ~ nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UTION OONTilOL DISIRICT. 9. WNS"l1t0Ci1ON LENDING XG£NcY I hereby alhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN I CERnFICAIION I cerufy that I have read the apphcauon and state that the above inlormauon 1s correct. I agree to comply w1Lh 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 AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm crIY OF CARlSBAD AGAINST AIL UABIUI1ES, JUDGMENTS, CDSTS AND EXPENSES WlilCH MAY IN ANY WAY ACXJUJE AGAINST SAID crIY IN OONSF.QUENCE OF nm GRANTING OF nos 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 Q ficial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such rmit i not mmenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aba1jM!lt>Jle<t'l>t y tim after the work is commenced t riod of 180 days (Section 303(d) Uniform Building Code). APPUCAN1"S SIGNATUn.,....._.:;....-,~.Lil DATE: PINK: Finance 0