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Home My WebLink About2696 WATERBURY WAY; ; CB950501; Permit. " B U I L D I N G P E R M I T Permit No: CB950S01 Project No: A9500734 Development No: 04 12/95 11: 3(J Page 1 of 1 Job Address: 2696 WATERBURY WY Permit Type: PLUMBING Parcel No: 167-441-25-00 Valuation: O Construction Type: NEW Suite : 1468 04/12/95 0001 01 02 Lot#: C-PRHT 27-00 Occupancy Group: Reference#: Status: ISSUED Applied: 04/12/95 Apr/Issue: 04/12/95 Entereii By: RMA 619-b97-4151 Description: WATER HEATER REPLACEMENT Appl/Ownr : A & J FOSTER 2819 CENTRAL AV SPRING VALLEY, CA 9 7 7 Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plum np_ Each Water Heater nil * PLUMBING TOTAL cted & Credits **'I< ----------------------- .00 ,00 27.00 Ext fee Data ------------------------> 20.00 Y > } 7.00 27 .00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMf.f APPLICATION PLAN CHECK NO.c 1 s-o-S,;, • City of Carlsbad Building Depart-,t 2075 Las Palaas Dr .• tarlsbad, CA 92009 (619) 438-1161 FST.VAL. __________ _ 1. PERM1 I 'l'YPE PLANCKD~ VAIID.BY-c--+-=---t-,,.,........,,--.,.----- DATE 4'1-(q E From List 1 (see back) give code of Pennit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _______ __.,.u.;....,,__ ___________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJF.CT INFORMATION FOR OFFICE USE ONLY Address 2696 Waterbury Way Building or Suite No. Nearest Cross Streeta.rlsbad Villa2ia Dr. LEGAL DESCRIPTION Lot No. Su 1vts1on Name/Number Omt No. Phase No. CHECK BEWW IF SUBMI 11 Eb: □ 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF woRI< Water Heater Ra placement 4 O Gallon SQ. FT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PERSON (if dtfterent from applicant) NAME (last name firstBahrhorst,Jaqualyn ADDRESS2696 Waterbury Way c1TY ~,:1s~ sTATE~ z1PcooMaR DAYTELEPHoNE~~ ~~93 4. APP□~IRACIOR PAC I FOR CON IRA L.)0WN£R DAGEN I FO N NAME Oast name firsC:~<risty Foster ADDRESS2819 Cantral Ava. CITY t&rin~Valla y STATE CA ZIP CODE91977 DAY TELEPHON~97 4151 s. PROP • 1Y o NER NAME (last name firsc)Jaque lyn Bahrhorst ADDRESS 2696 Waterbury Way ZIP CODf:)2QQ8 DAY TELEPHONR34 8Q93 CITYCarlsFd, STATECA , 6. OON'l'RACIO ADDRESS2819 Central Ave . NAME (lase name firstj\ & J Foster, Inc. CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE697-4151 STATE UC. # 630] ?Q DESIGNER NAME (last name hrst) LlCENSE CLASS C Mj DRESS CITY BUSINESS UC. #J 200354 CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WoRKE!ts' OOMPENSA11oN Workers' Compensauon Declarauon: I hereby affirm that I have a ceruhcate of consent to self-insure issued by the Director of lndusrnal 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). ny person in any manner so as to become subject to r.he Workers' Compensation Laws of california. 8_s~;~fu'i~u00~{;tN DATE L.j -1'2.--05 □ □ □ Owner-Builder Declaration: I hereby atbnn 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 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). SIGNATIJRE DATE COMPLETE 1'Als sEclioN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a pennit 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 11-lE ANSWERS ARE YFS, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE eyiUED AFfER JULY 1, 1989 UNLE.5S TI-IE APPUCANT HAS MET OR IS MEETING THE RF.QUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICFS AND TI-IE Am POLL\J110N OONTI\OL DISl1UCT. 9. WNSIR0Cl1ON 1.£.NDING AGENCY I hereby alhnn that there 1s a construcuon lending agency for the perlonnance of the work tor which this penn1t 1s issued (Sec 3097(1) C.vtl Code). LENDER'S NAME None LENDER'S ADDRESS 10. Al'P□CAN I CEtmlCAl1ON I ceruiy that I have read the apphcauon and state that the above inlormauon 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 Al.50 AGREE ro SAVE INDEMNIFY AND KEEP HARMLESS TI-IE Cl1Y OF CARLSBAD AGAINST AIL UABilJTIES, JUDGMENTS, CDSTS AND EXPENSES WI·llCH MAY IN ANY WAY ACXJUJE AGAINST SAID Cl1Y IN OONSF.QUENCE OF TI-IE GRANTING OF TIIlS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. TE: File YELl.OW: App icant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950501 FOR 04/25/95 DESCRIPTION: WATER HEATER REPIACEMENT TYPE: PLUM JOB ADDRESS: STE: INSPECTOR AREA PIANCK# CB950501 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: A CONTRACTOR: 2696 WATERBURY WY & J FOSTER PHONE: 619-697-4151 OWNER: REMARKS : MW/JACQUELINE/434-8093 SPECIAL INSTRUCT: TOTAL TIME: --REIATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB941468 MISC PHONE: ?£► PHONE: ~fl_~ INSPECTO~~- STATUS ISSUED ACT COMMENTS =2=5== =P=L ==W=a=t=e=r==H=e=a=t=e=r=/=V=e=n=t=s=========== f _._6 __ JJ_lrV __________ _ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS