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Home My WebLink About1100 LAS FLORES DR; ; CB981693; Permit/ i BUILDINCPERMIT 06/02/98 13 22 Page 1 of 1 Job Address 1100 LAS FLORES DR Suite Permit Type PLUMBING Parcel No 1S5-180-31-00 Lot# Valuation 0 Occupancy Group Reference* Description WATER HEATER REPLACE Permit No CB981693 Project No A9802247 Development No Appl/Ownr StalrfP1 ISSUED?7 oc Applied 06/02/98 Apr/Issue 06/02/98 Entered By BT A A •* MILLER, DICK 1100 LAS FLORES DR CARLSBAD CA 92008 Fees Required 720-0312 ** *Fe&s-Xollected & Credits ** * Fees Adjustments Total Fees Fee description Enter Y for Plumb „, Each Water Heater ajkd/og^Vfnt 00 00 27 00 Ext fee Data FINAL APPROVAL 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 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL . Plan Ck Deposit Validated By Date oroo DAdi Business Nam* lit thl* address) legal Description Lot No Subdivision Name/Number Unit No Phut No Told I ol urvlti Assessor i Parcel *Exit ting UM Proposed Use Difcripllon of Wofk SO FT for SloiiM f of Bedroom*I of Bathrooms Mil r''lf-1100 Las Flores Dr Nima ft p Address City State/Zip Telephone * Fix I,wntoW&^mjamtim^**nmMSisn$xi8tM 13706-B HWY 8 BUS EL CAJON,CA ' ^UZl' 390- Address Oly Stiti/Zlp Telephone i HraU^'r Dlck 1100 LiAddress nr.CARLSBAD CA 920( Hffil760- City State/Zip Telephone (Sec 7031 5 Business and Profession* Cod* Any City or County which require* o permit to conatruct alter Improve demolish or repair any atructura prior to Its Issuance also requires the applicant for auch permit to file e algned (tatement that n* I* llo*n**d purauant to th* provlaiona of th* Contrector s License Law (Chapter 9 commending with Section 7000 of Division 3 of the Business end Professions Code! or that he I* exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by eny applicant for a permit eubject* th* tppllcant to * civil penalty of not more than five hundred dollc sltfiOOl) T>-,Ar o tmv Q TJHC ™T ™ THM CA 92021 390-4477A. ft J FOOTER PIJUMBING 1 ^iinfi-R HWY 8 BUS. State License*D Address license Class C-36 City State/Zip , 2 rvQ 3 Jj Citv Business License 1 Designer Nsma Stite License I 4> Address City StSte/ZIp Telephone M /n itfSRifffflllitMffii'fftWV MeWiffi^^rc^^rcSHTOflWl iKJtti A Workers Compensation Decleretion I hereby affirm under penalty of perjury on* ol th* following daclarationai D I have end will maintain a certificate of consent to self-injure for workera compensation •* provided by Section 3700 ol the Labor Code for the performance of the work for which thl* permit I* Issued O I have end will maintain workera compensation aa required by Section 3700 ol th* Labor Cod* for th* performance of the work (or which this permit Is •" Issued My worker's compensation Insurance carrier and policy number era! Insursnc* Compsnv FARMER INSURANCE Policy No N20Q7-56-51 CONTINUOUS Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) O CERTIFICATE OF EXEMPTION I certify thst In th* performance of th* work lor which thl* permit I* Issued I chill not employ eny person In eny manner so es to become subject to the Workers Compensetlon Laws of California WARNING Failure to secure workera compensation coverage la unlawful end shall subject en employer to criminal penalties end civH (Ines up to one hundred thousand dollar* U100 000) In addition to the cost of compensation damages ** provided for In Section 3706 of the Labo/ cod* Interest end attorney s fees SIGNATURE . DATE OWNEH BU.LDFJ, nBajUJAiTOM^t^ft^ tfSPrf V. I hereby ifllim that I am exempt from the Contractor s License Law lor the following reason! Q I at owner of the property or my employees with wages as their tola Compensation. will do the work and the structure Is not intended or offered for sile (Sec 7044 Business snd Profession* Code The Contractor's License Law does not apply to an owner of property who builds or Improves thereon end who does such work himself or through his own employees provided thst such Improvements are net Intended or offered for ssle If however the building or Improvement Is told within one yeir ol completion the owner builder will have the burden of proving that he did not build or Improve for the purpose of sale) Q I as owner of the property em exclusively contracting with licensed contractors to construct UM project (See 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who build*, or Improves thereon, and contract* for auch projects with contractor(i) licensed pursuant to the Contractor * Deans* Law) n I am exempt under Section _ Business and Prolusion* Cod* lor thl* reason) 1 I personally plsn to provide the major libor and material* lor construction of the proposed property Improvement Q YES QNO 2 I (have / heve not) signed an application for a building permit for the proposed work 3 I have contracted with the following person Illrm) to provide the proposed construction (Include mm* / address / phone number / contractors license number) 4 I plan to provide portions of the work but I hsve hired the following person to coordinate supervise and provld* the msjor work (Include nime / iddress / phone number / contrectors license number! __^ ^ _________ _^_____^^__^—_— 5 I will provld* some of the work but I hive contracted (hired) the following person* to provld* the work Indicated (Include name / iddress / phone number / type ol work) _^_^__^_^^___^_^__^_^_____^___^______^__^^_____^___^_^____^^___^______^_^__^___^____ PROPERTY OWNER SIGNATURE DATE ^ffTOkWWff^rc^fri^ rUM-ft" "11 < I* the applicant or future building occupant required to aubmlt • business plan, ecuUly heurdou* materlala registration form or risk management snd prevention program under Sections 26606 26633 or 26634 of the Presley Tanner Haxardoua Subsunc* Account Act? O YES Q NO Is the applicant or future building occupant required to obUln * permit from th* air pollution control district or air quality management district? Q YES Q NO I* th* facility to be constructed within 1 000 (eel o( the outer boundary of * school sltef O YES QNO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT 88 ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT 8 1 CONSTRUCTION LENDING AQENCYJ!^^^^^ f , , I hereby sflirm that there Is a construction lending egency lor the performance of th* work for which thla permit la laaued (Sec 3097(1) Civil Code) LENDER S NAME _ LENDER S ADDRESS 9 ' APPLICANT CERTIFICATION.'W-jftW'i. wiW3®5$'£ lMi«?|>^4^^Wit^ * < I certify that I have reed the application and stall that th* above Information I* correct end that the Information on th* plans Is accurate I egree to comply w th ell City ordinances and State lawa (elating to building construction I hereby euthoriu rapreaentative* of th* City of Carlabed 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 lor excavations over o 0 deep end demolition or construction of structures over 3 stories In height EXPIRATION Every permit Issued by the Building Official under the provision* of this Code shall expire by limitation end become null and void if the buildmg or work authorized by such permit I* not commenced within 366 day* (com th* det* el such permit or II the building or work authorized by such permit Is suspended or abandoned at eny time altar the work I* commenced lor * period ol 180 days (Section 106 4 4 Uniform Building Cod*) /at-Z-ff/"'APPLICANT S SIGNATU * slier tb* R£Xi C- DATE ULfUITC Ell. VEI I ftVi*. A CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981693 FOR 06/15/98 DESCRIPTION WATER HEATER REPLACE TYPE PLUM JOB ADDRESS 1100 LAS FLORES DR APPLICANT MILLER, DICK CONTRACTOR OWNER REMARKS C/DICK MILLER/720-0312 SPECIAL INSTRUCT PHONE PHONE PHONE STE 720-0312 INSPECTOR AREA PLANCK# CB981693 OCC GRP CONSTR TYPE NEW LOT INSPECTOR TOTAL TIME CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS GENCY ame & jdress SUREO une & Jdress COMMERCIAL CERTIFICATE OF 1HSURAHCE Issue Dale (MMIDQ/YY) ALLAN MENDOZA 8880 RIO SAN DIEGO DR. #700 SAN DIEGO, CA 92108 DIST.AGFMT 17fi A&7 FOSTER INC. 13706 B HWY 8 BUSINESS EL CAJON, CA 92021 This certificate is issued as a matter of information only and confers no nghls upon the certificate holder This certificate does not amend extend or alter the coverage afforded by the policies shown below COMPANIES PROVIDING COVERAGE. A TRUCK INSURANCE EXCHANGE B FARMERS INSURANCE EXCHANGE C MID CENTURY INSURANCE COMPANY COMFAWurn* COMWff UTTCK COMPAWuna fERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE GEIEHAL LUUUTY COMMERCIAL GENERAL UABWTY -OCCURRENCE VERSION CONTRACTUAL MCDENTALONLY OWNERS & CONTRACTORS PROT AUTOMOBILE LU8UTY ALL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HREO AUTOS NOTHWNEO AUTOS GARAGE UABUTY UMBRELLA LUIUTY WORKERS' COMKISMHM MO EMPLOYERS LIABILITY POLICY NUMBER N2007-56-51 POLICY EFFECTIVE DATE (MM/OO/YY) 5-1-97 POLICY EXPIRATION DATE (MM/DO/YY) OuvriciUOUS UNTIL CANCELLED POLICY UMTS GENERAL AGGREGATE PRODUCT&COMPJOPS AGGREGATE PERSONALS ADVERTISING HJURY EACH OCCURRENCE FHE DAMAGE (AnrotwFn) MEDICAL EXPENSE (Aiymperson) COMBWEO SMGLELMT BODILY INJURY (PER PERSON) BODLYNJURY (PERACODENT) PROPERTY DAMAGE GARAGE AGGREGATE LMT ITATVTMY EACHACQOENT DISEASE-EACH EMPLOYEE DISEASE-POLICY LIMIT $ $ $s$ $ $ $ $ s s $ $ 1 ,000,000 $1 ,000,000 $1 ,000,000 RE: ALL OPERATIONS TmCATEHOUKH ime CITY OF -SAN KEES0- & BUILDING DEPT Idress 9601 RIDGEHAVEN CT 2ND FLOOR SAN DIEGO, CA 92123 CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED POLICIES K CANCELLED BEFORE THE EXPIRATION DATE TKEKOF THE ISSUING COMPANY WU. ENDEAVOR TO MAI X DAYS WHITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUTFAlURETOMAlSUMNOIXISHAUIMF<)SENO()fiUGAIK)NOBUABaJTYOf ANT KM) UPON THE COMPANY nS AGENTS OR REPRESENTATIVES. last