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Home My WebLink About2756 VICTORIA AVE; ; CB972086; Permit07/29/97 11:11 Page 1 of 1 B U I L D I N G Job Address: 2756 VICTORIA AV Permit Type: PLUMBING Parcel No: 167-490-24-00 Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB972086 Project No: A9702641 Development No: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 07/29/97 07/29/97 JM Description: WATER HEATER REPLACEMENT Appl/Ownr : HETRICK KENNETH 2756 VICTORIA AVENUE CARLSBAD, CA 92008 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 27.00 .00 27.00 Enter "Y" for Plumbing Issue Fee Each Water Heater and/or Vent * PLUMBING TOTAL *** 760 Applied: Apr/Issue: Entered By: 434-5277 Fees Collected & Credits Total Credits: .00 .00 27.00 Total Payments: I. Balance Due: Units Fee/Unit 7.00 Ext fee Data 20.00 Y 7.00 27.00 A+l APPROV ~6 1 7 ~DAT [.f-17 ~._ ·~ .. ~ NCE ------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 li~IP.RoJEQ,f.l~a)JIIU,tW,( 2756 Vi ctoria Ave,. ., FOR OFFICE USE ONLY PLAN CHECK NO . tfz-ZO'f 0 EST. VAL.----------,--------- Plan Ck. Deposit Z].,U?J Validated By -~ Date ~ AddreH !Include Bldg/Suite I) BuslnHI Name Ill lhl■ llddr■n) Legal Oasctlptlon Lot No. SFR Subdlvl■lon N■m■/Nu'!'b■r Unit No. Tot■I I of units Ass111or'1 Parcel I Exl1tlng Ut■ PropoHd Ut■ lof Storl-■ I of Bedroom, I of Bethrooms Address City St■l■/Zlp Telephone I Fax I ,--~~',. --' •• r r.,• ''al c =a -rr= "r.TI' '=□ -~·-. ''lilBF'bTi'l,t'li11&\!ltlf~illllt'·••lil,Uli,I,.C-""l':rm-j.'."t'ff -~.:~~C~Jk1J ll.l:i:111Iltj 9~9.-~ CNW !lt.O~l\ll!U 9.rilU!.QlP~,Mi • ·g ~ •. • I ~li~l'kt;tl-ooON:-··c:,i;-;··-:iz~~-~1£4'1'tjl.r.is:w .. i~:i ::,.. SHEI JY ,JOHNSQNIKRISTY FOSTER 13706-B HWY • , • Nim■ Address City St1t1/Zlp Telephone I ~t~mP.WN~m~Glllf,W&PMP!W!F!'l"mnwi-_, ~ ,. Het:~i ok ~~h 2756 Victor ia Ave. CARLSBAD CA. ~LUUl:S - 1me I Addre11 City State/Zip T■lephone I • lliil'l:DNTBAQ.U>bE~OMtAN' ISec. 7031.6 Bu1lneH and Profe11lone Code: Any City or County which 11qulres I permit to construct, 1lter, Improve, demolish or repelr 1ny 1tructure, prior to Its Issuance, also requires the eppllc■nl for such permit to Ille 1 1lgned 1t1tement th■t he 11 llcen■ed pureu■nt to the provisions ol the Contractor's Ucen1■ Law ICh1pter 9, commending with s,ctlon 7000 ol Division 3 of the Business end Proletslons Codel or th1t he 1, exempt therefrom, and the basis for the elleged u■mptlon. Any violation of Section 7031.6 by eny appllc■nl for a per_'.!'lt aubjecta the 1ppllc1nt lo• clvll pena~of not9'2°Qe2'i'n flv~3'~'t}~,t.r,U,r■ lt600II. A & ;:ff; F06T~ 12LIJM6TNG 1 3706-B HWY 8 BU.::,. EL CAJON • _ me Address City Sl•'f'q "0 354 Telephone fl - X S1.1t1 LlcensfflQJ 20 Ucen11 f l&--3 6 City Buelnen Uc-■ l 011igner N1m1 Address City Stete/Zlp Telephone Stet■ Ucen11 -f-1 Ill, 11t:,·;;1:Y(oR~.,.~;e ... o ..... M_P_EN_s_4_'r1-o-,. .. -~--.-, -_ ·. 4·~iJ.M'lri -•&i!f t{Gt1 ·'ft~: ,. wu. . WOfk■r■' Compenntlon Oecl111tlon: I h■r■by affirm under penalty ol perjury one of the lollowlng,d11cl1retlon1: 0 I h■v• end wlll m■lnt■ln I cartlflc1111 ol con11nt to 11ll-ln1ur1 for worker•' compenutlon " provided by Section 3700 ol the Labor Code, for the perform1nce ol the WOfk IOf which thll permit I■ l■1u1d. 0 I hlv■ •nd will m■lnt1ln worke11' comp■na■tlon, 11 required by Sactlon 3700 of the Labor Code, for the p1rformenc1 ol the ~ork for which th11 permit I■ 111ued. My work1t'1 compenutlon ln111fanc1 c1rrl1t ■nd pollcy number ■re: CONTINUOUS tn1ur1nc11 Comp!_IIJiRMER INSUBANC!3 Policy ~007-56-5 l Expiration Oat, ______ _ ITHIS SECTION NEED NOT IE C(?MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IUOOI OR LEHI 0 CERTIFICATE OF EXE.MPTION: I certify that In the performance of the work for which thll permit 11 l11ued, I 1hall not employ ■ny person In any manner eo es · to bacom■ 1ubject to 1he Worker■' Compennllon Laws ol C1llfornl11. WARNING: Felluft to ■■cu,e•work■ra' compen-■tlon coveraga 11 unlawful, Ind 1h1II 1ubJ■ct an employ■, to crlmlnal p1n1ltlH ■nd clvll flnH up to one hundred lhou■and doffar■ lf100,000), In addition to th■ coil ol comp11n11Uon, d1mag■111 provided fOf In Section 3706 of the l.ab1lf coda, lntere■t end 1Uorney'1 fen. SIGNATURE ________________________ -=-------DATE _________ _ 7, 1:·';0WNER-BUILDER DECLARA:t10N!f..?'~~1;,n~11 %4M ·it~::~Jl:&.it»Jg~~~\f '.1~Ytm •. l:f.t~ ·;11tffr11 ~~~t, ~: .. ~;: J.1•·1 ; I hereby affirm that I am exempt lrom th• Contr■ctor'a License L■w !or the lollowlng r1111on: 0 I, ts owner ol the property or mv employe11 with wages II their sole compens■tlon, wlll do the work end the structure Is not Intended or offered for sale CSec. 7044, Bu1lnH1 ■nd ProlH1lon1 Code: The Contractot's Ucens■ L■w doet nol apply to en owner of property who bu41d• or Improves thereon, ■nd who do11 such work hlmHlf or th1ough hl1 own employees, provided that ,uch Improvement■ ire not Intended or offered for Hie. If, however, the bulldlng or Improvement 11 ■old within one y-■r of compl■tlon, th■ own■r-bullder wHI have the burd■n of proving that he did not build or Improve for the purpo111 of ula). 0 I, 11 own1t of 1h11 pro.,.rty, ■m 1xclu1lv1ly contracting with Hc1n11d contrectore to con1truct' the prol■c:t ISec. 7044, 8u1lneu ind Prof1111lon1 Code: Th, Contractor'• Ucen11 L1w doH not 1pply to 1n owner of prop■rtv who bulld1 or lmprov11 thereon, ■nd contrecta for ■uch project■ with cont11otorl1l llcen,ed punu1nl to the Contr■ctor'a Ucen11 Law). • 0 I ,m Htmpl under S1ctlon ______ Bu1ln111 ■nd Prole11lon1 Code for thl1 r111on: 1. I 11911onanv plan to provide the major lebor end m1t11l1lt for construction of the propoud proparty lmprovem1111t, 0 YES ONO 2. I Chiv■ I h1v1 not) 1lgn■d ■n 1ppllcatlon for I bulldlng permit for the propo11d work: 3. I hive contracted with the following person Uirm) t!) provide the proposed con1tructlon Unclude name I 1ddf111 / phone number I contr1ct011 llcen1■ number}: 4. I pl,n to p1ovlde portion• ol the work, but I have hired the lollowlng person to coordinate, supervise ind provide the major work !Include n■me I ■dd1111 I phone nurnbtr / contr1cto11 llctnte numbtrl: ___________________________________________ _ 6. I win provld1 ■om, of the work, but I hive contr11ct1d (hired) the lollowlng person• to provide the work Indicated !Include name I 1ddreH / phone number / typ1 ol WOfkl: ____________________________________________________ _ 11 the 1ppllcant or future bulldlng occupant re11ul11d to 1ubml1 ■ bu1ln1111 plan, acut■IV huardou1 materlal1 regl1t11tlon form or rl■k management and prevention program under Sealons 21i506, 26633 or 26634 of the Pre1l11y•T■nner H1urdou1 Subst1nc1 Account Act7 0 YES O NO Is the 1ppllc■nt or future building occupant ,■quired to obt■ln II permit from th1 1lr pollution control dlltrlct or air quality management di1trlct1 O YES O NO 11th■ l1dtltv 10 be constructed within 1,000 feet of the outer boundary ol • 1chool 11111 0 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 EMERCENCV SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •t ~1CONSTRUCTION lENDINO'AOENCV·'~i'~-i: ' _;~ru~1t;•1, ,. ; I hereby 1ffirm th■t lhe11 11 ■ con■uuctlon lending agency for the perlorm1nc1 of the work for which thl1 permit 11 l11v1d ISec. 3097111 Clvll Code>. I certify th•t I hav■ 1111d the 1ppllc1tlon ind state th■\ the 1bov1 lnlorm11lon 11 correct and that the lnlorm1tlon on the pl1ns Is 1ccu1ete. I 1gree to comply with all City ordln1nc11 ■nd S11111 l1w1 rtletlng to building conatructlon. I hereby authorlu rep191ent■tlv■■ of the Clly of Carl■bed to enter upon the ftbove m"ntlonec property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AG/\INST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit 11 required lor e11c1vatlons over 6'0" deep ind demolition or construction ol 1tructur11 over 3 1torl111 In height. EXPIRATION: Every permit ls■ued by the Bulldlng Olllclal undtlf the provisions of this Code 1hall expire by limitation ind become null i nd void ii the building c work 1uthori111d by 1uch permit 11 not commenced within 366 d■y1 from lha d■I• of 1uch permit or If the building or work ■uthorlzed by such permit 11 suspande Of abandoned It ■ny time., •• , the rk Is co ,need tor IP. rlod of 1 BO d•v• IICl n 108.4.4 Uniform BulldlnD11ACT0Ed1I. -;!~ 1111- APPLICANT'S SIGNATURE _--l,.,.l.1.4..!...l,~l!:l..a.__....L~=~:..:::....&.<.::::::-~£...-------~ ~~ ', WHITE: Ale YELLOW: Applicent PINK: Finance PERMIT# CB972086 DESCRIPTION: WATER HEATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 08/04/97 REPLACEMENT INSPECTOR AREA PLANCK# CB972086 OCC GRP JOB ADDRESS: 2756 APPLICANT: HETRICK CONTRACTOR: VICTORIA AV KENNETH STE: CONSTR. TYPE NEW LOT: PHONE: 760 434-5277 OWNER: REMARKS: C/KENNETH/434-5277 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION PHONE: /2 ~ PHONE: ~ INSPECT~------- ACT COMMENTS CD 24 PL _R_o_u_g_h_f_T_o_p_o_u_t ________ f_-+fi_...,../.. ..... / ...... ftL-= _________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS