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Home My WebLink About2779 VISTA DEL ORO; ; CB950496; Permit4/J." ➔S 11: 19 f' ::1 fP 1 (It >t Alfrir •r: .. 77CJ Vl5'1'A [JEL <>R Pf•r ml t Tyt..ie: PL IME, ING f re:•' N: 21C:.-) ') l3-9 Va ..... 1t10n: O 1....~n· tru tHn 'Yre: NEW ,lc'11_.1c.11.i.:y Gr> 1p: Rct rr->uce#· Des r1pt.r n: WATER HEATER RFPLACE~EN- A1.,r 1/ wnr A J FO~TER 2el9 CENTRAL AV SPRI:C. VALLEY , A Fee!J R quire l Fees: Ac1 ju ... tmen ts : <'ta f,~es: F e iesc.r 1ot1on Ente1 Y" for Plu Each Wc.it~r Heater * PLUMBING TOTAL 97 7 M Pi ~er t I\ : A Dt>V( l pmen 1-N , : En ... e.r H h97-4151 [ V: r 1A Cr~ h ts . (, ) 27. A ,. • Ext f•?• ::.nt.a t.eO. ll Y 7 .0 2 7, Ill I FINAL APPROVAL !!;•JSP. ____ DATE----• 'C LEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .. PERMIT APPUCATION PLAN CHECK NO. C{J 1 so--4 qt City of Carlsbad Building Department 2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 F.Sf.VAL. __________ _ t. PEltMn IYPE PLANCKD VAUD.BY..,...,'""t'':-:---t"-:r-::::::o----- DATE From Llst I (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type:--------'""".....,_ ___________ _ Net Loss/Gain of Dwelling Units 2. PRClJF.Cf INFORMATION FOR OFFICE USE ONLY Address 2779 Vista Del Oro Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Cot No. Sutxhvis1on Name/Number Unit No. Phase No. CHECK BEWW IF sOBMII IEb: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK Water Heater Re placement 40 Gallon PROPQSEP USE SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PERSON (1f duierenf from applicant) NAME (last name firsc)Ve rne y , Richar d ADDRESS27_79 Vista Del Oro NAME (last name first!<risty CITY Spr ing Valley STATE CA s. PROPER'IY oWNER ZIP CODE91977 DAY TELEPHONf;97 41 5] NAME (last name first) Richar d Ve rney ADDRESS 2779 Vista Del Oro CITYcarlsbad STATE CA, 6. ammAcmn z1P coDF.q 2009 DAY TELEPHoNlh,3 eesi NAME (last name first-;\ & J Foster, Inc. ADDRESS2819 Ce n tral Ave . CITY Spring Valle y STATECA ZIP CODE 91977 DAY TELEPHONE697-4151 STATE UC.# 63QJ ?Q DESIGNER NAME (last name hrst) LICENSE ClASS C ~ DRESS CITY BUSINESS LIC. #]:Q Q Q J§ t CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WORKERS' c0MPENsA110N Workers' Compensation beclarauon: I hereby affirm that I have a ceruhcate of consent to sell-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 the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). ru 1cate o xempuon: cert1 at in t e pe ance o e wor or w ny person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATUREvtv\ .1n..uu YlATE Y-1'l,-Vi5 8. OWNER-BUUDER bECLARA'i10N Owner-Builder Declaration: I hereby alhrm that I am exempt from the Contractor's License Law ior 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 (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]). ~GNATURE DATE COMPLE'i E TIiis sEc'iloN FOR NON-RESIDEN I IAL BUIWING PERMl'i's ONLY: Is the applicant or future 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? D YES □ NO Is the facility to be constructed within I ,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CER.ID1CATE OF OCCUPANCY MAY Nor BE IS.SUED AFTER JULY 1, 1989 UNLF.SS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POU.UTION OONl"ROL DISTIUCT. 9. cONS'i R0Cl1ON I..ENblNG AGENCY I hereby atllrm iliac ihere 1s a construction lending agency for ihe performance of ihe work for which this permit 1s JSSued (Sec 3097(1) CIVIi Code). LENDER'S NAME None LENDER'S ADDRESS 10. APPllCAN I CERIIFICAIION I certify that I have read ihe apphcauon and state that the above information 1s correct. I agree to comply with 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 A1SO AGREE TO SAVE INDEMNIFY AND KEEP HARMllSS TIIE CITY OF CAR1SBAD AGAINST All. UABillTIES, JUDGMENTS, CDSTS AND EXPENSES WHJOI MAY IN ANY WAY Acx:RUE AGAINST SAID CITY IN OONSF.QUENCE 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at ~~m~ ;fter the work is commenced for a period of 180 days (Section 303(d) Uniform Bu~ng~l:" APPLICANTS SIGNATURE ':::tn . -, YU!W..M DATE: '::f.-c..;-1--..... J_~ __ :0_ Wl-IlTE: File YELLOW: Applicant PINK: Finance 0