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Home My WebLink About2611 VIA VERA; ; CB940947; Permit08/03/94 12:06 Page 1 of 1 B U I L D I N G Job Address: 2611 VIA VERA Permit Type: PLUMBING Parcel No: 167-412-18-00 Valuation: 0 Construction Type: NEW P E R M I T Suite: Lot#: Permit No: CB940947 Project No: A9401337 Development No: 8034 08/03/94 0001 01 C-PRHT 02 21.c Occupancy Group: Reference#: Status: Applied: ISSUED 08/03/94 08/03/94 MOP Description: WATER HEATER REPLACEMENT Appl/Ownr : A&J FOSTER INC. 2819 CENTRAL AVE SPRING VALLEY, CA. 91977 Fees Required Fees: Adjustments: Total Fees : Fee description *** 27 .00 .00 27 .00 Apr/Issue : 619 Entered By: 697-4151 Fees Collected & Credits Total Credits: Total Payments: Balance Due : Units Fee/Unit .00 .00 27.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL 7.00 20 .00 Y 7.00 27.00 FINAL APPROVAL !N0P. ---DATE _____ , CLEARANCE _____ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. 94 -9 Y1 City of Carlsbad Building DepartEnt 2075 Las Pal-s Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. ___________ _ 1. pmtMff 'lYPE PLAN CK DEPOSIT ________ _ VAllD.BY ___________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ ------------------------------------------------·-------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ___ S_FR _________________ _ Net Loss/Gain of Dwelling Units 2. PRQJECT INFORMATION Address 2611 V.1.a Vera Building or Suite No. FOR OFFICE USE ONLY Nearest Cross Street LEGAL DESCRIPTION Cot No. SulxhV1s1on Name/Number Unit No. Phase No. CHECK BEWW IF sUBMII IE:O: D 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Water Hea ter Re placement 40 gallons SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WNJACI PERSON (1f duferent from awJ.lcanf) NAME (last name first) Mar garet Ed.Wards ADDRESS 2611 Via Vera CITY Carlsbad STATE CA. ZIP CODE 92008 DAY TELEPHONE 434-9960 4. APPUCANI □CONIRACIOR l!AG£NI FORCONIRACIOR □OWNER OAG£NI FOR OWNER NAME (last name first) Shelly Andrews ADDRESS 28] 9 Central Ave . CITY Spring VAlley STATE CA ZIP CODE 91977 DAY TELEPHONE 619-697-4151 s. PilOPIDt1Y OWNER NAME (last name first) Margaret Edwar ds ADDRESS 2611 Via Vera CITY Carlsbad STATE Ca ZIPCODE 92008 DAYTELEPHONE 434-9960 6. rnN"rRAcmlt ADDRESS NAME (last name first) A&J Foster Inc. 2819 Central Ave . CITY Spring Valley STATE CA. ZIP CODE 91977 630120 LICENSE CLASS C-36 DAY TELEPHONE 619-697-415] STATE UC.# CITY BUSINESS UC.# 1200354 DEsIGN£R NAME (last name ttrst) N"A CITY STATE ZIP CODE ADDREsS DAY TELEPHONE STATE UC.# 1. WoiUcERS' CbMPENsAlioN Workers' Compensation Declaration: I hereby athrm that I have a ceruhcate of consent to sell-insure issued by ihe Director of 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 the insurer thereof filed with the Building Inspection Department (Section 3800, uib. C). INSURANCE COMPANY Republic Indemnity POLICY NO. PC949585 EXPIRATION DATE 5-1-95 Cemhcate of Exemption: I certify iliac in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner D D D so as to beco sGt~~ w!: uiws of Galifomia. I hereby aihrm that I am exempt from the Contractor's License Law for the iollowing 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 uiw 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 uiw 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 uiw). 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 uiw (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 n,. a DATE COMPLETE THIS sECI ION FOR NoN-RESIDEN'MAL SUlwlNC PERMI l's 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? DYES 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? 0 YES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TI-IE ANSWERS ARE YF.S, A FINAL CEllTIFICATE OF OCCUPANCY MAY NOf BE ISSUED AFTER JULY 1, 1989 UNLF.SS nm APPUCANT HAS MET OR 1S MEE'llNG TI-IE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POlLUTION OONTilOL DISl1UCT. 9. CbNSiR0CJION ffiNDING AGENCY I hereby affirm ihat ihere 1s a construction lending agency for ihe performance of ihe work for which ih1s permit 1s issued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN I CERnFICAJJON I certify ihat I have read ihe apphcat1on and state that the above mlormauon ts correct. I agree to comply w1ih all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS nm CflY OF CAIUSBAD AGAINSf AIL UABIUTIF.S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACXJUJE AGAINSf SAID CflY IN OONSEQUENCE OF nm GRANTING OF nns 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 rmit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permi I uspen e or aband ne at y • e after the work i commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPU ·Ar•.r..,.._I E DATE: ___ _ PINK: Finance