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Home My WebLink About1027 DAISY AVE; ; CB940396; PermitBUILDING PERMIT 04/13/94 09-54 Uftae 1 of 1 „ Suite £b Address 1027 DAISY AV Permit Type- PLUMBING Lot#. Parcel No: 214-401-19-00 Valuation Construction Type: NEW , Reference* HEATER REPLACEMENT Permit No CB940396 Project No A9400559 Development No Status ISSUED Applied 04/13/94 Apr/issue 04/13/94 Entered By MDP 619 697^4151 SPRING VALLEY, CA. 91977 ***Fees Required ***.-• . FeW'collected & Credits *** Fees: Adjustments• Total Fees 27-00 / -99/ 2 7.. 6 6";- /"'- Total Credits A Ppta-1 Paymeritsy'- ^; Balance Due. 00 00 27.00 Fee description J^J^-^ji^-S^--- "Entir:Y:"for"plumbihgfissue Fee 'X Each Water Heater and/brT.Vent Y^. * PLUMBING TOTAL \ \ -..-.•/•. Dat'a \ \ ; . 20.00 Y 7 00 27 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of CaHsbad Building Department 2075 Las Patinas Dr., Carlsbad. CA 92009 (619) 438-1161 A - Q Commercial D New Building D Tenanl Improvement B - D Industnal D New Building D Tenant Improvement C - D Residential D Apartment D Condo [^Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical g Plumbing D Mechanical D Pool G Spa D Retaining Wall D Solar D Other 2 PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN CK DF.POSIT_ VALID BY DATE FOR OFFICE USE ONLY Address Building or suite No Wisteri lot No a Wav LEGAL DESCRIPTION Subdivision Name/Numner Phase No CHECK BELOW IF SUBMI11LD n 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK HEATER REPLACEMENT # OF STORIES 3 IAJNTAl.i HKKiilJN (.if dillerent Irom applicant;NAME James Kocontes ADDRESS 1Q27 Daisy Ave> CITY Par-l ctorl _ STATE CA. ZIP CODE 92QQ9 DAYTELEPHONE 438-1476&hoN74 APPLICANT LK.ON IRACIOR NAME Michelle Medina CITY 3 1 1 £3^ 7 _STATE JR CON 1 KA(_ 1 OK LJOWNLIl LJ AtjhN 1 hOHCJWNt.il ADDRESS 2819 Central Ave. ZIP CODE QT Q77 DAYTELEPHONE fiQ7_41 b 6 pjioi'i..Kr¥ OWN NAMK James CITY H^rJ si F.K -t Kocontes •V5d. STATE CA. UUNTIlACTOR NAME A<-T wnst.er. Inc. ADDRESS ZIP CODE ADDRESS 1027 92009 2819 Daisy Ave. DAY TELEPHONE Centreil Ave. 438-1476 CITY Spring Valley, STATE CA. ZIPCODE 91977 DAY TELEPHONE 697_4151 STATE LIC # fi-sni 9(1 LICENSE CIASS C-^f. CITY BUSINESS LIC # IJI:.t>l(jNhK NAME N/A STATE JUKLba ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKHKS* UUMPliNSATION Workers Compensation Declaration I hereby atlirm that 1 have acertilicate ol consent to sell-insure issued by the Director ol Industrial 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) INSURANCE COMPANY i n pr typerron POLICY NO PC9wnic !949585 EXPIRATION DATE 5/1/94 Certilicate ot Exemption ircrtiry that in the perrormance ol tne work lor so as to become subject to the Workers' Compensation Laws of California iicn this permit is issued, I shall not employ any person in any manner ^C- ,//T^DXTE ,.y-- noN Owner-Builder Declaration I hereby affirm that I am exempt from the Contractors License Law tor 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 ) D 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) D 1 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]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RI'.SIDF.NTIAI, 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 Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 5 IJUNSTKUUTION iJI'INDiNG AGENCY 1 hereby atlirm that there is a construction lending agency lor the perlormance ot the work lor which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT CERTlr ICA11ON I cenily thai 1 have read the application and state that the above mlormation is correct lagree 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stones 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 any time after the work is commenced for a period of 180 days (Section 303 (d) Uniform Building Code) LT-APPLICANT'S SIGNATURE DATE WHITE- File YELLOW. Applicant PINK. Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB940396 FOR 04/18/94 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 1027 DAISY AV APPLICANT: A&J FOSTER INC. CONTRACTOR: OWNER: REMARKS: BJN/KOCONTES/438-1476 SPECIAL INSTRUCT: INSPECTOR AREA PLANCKtf CB940396 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 697-4151 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS