The URL can be used to link to this page

Home My WebLink About1143 CAMINO DEL SOL CIR; ; CB980073; PermitBUILDING 01/12/98 17:21 Page 1 of 1 Job Address: 1143 CAMINO DEL SOL CR Permit Type: PLUMBING Parcel No: 206-261-15-00 Valuation: 0 Occupancy Group: PERMIT Suite Permit No: Project No; Development No: CB980073 A9800119 Lot#: Ref erencetf : Description: WATER HEATER REPLACEMENT Appl/Ownr : GASTON JOHN 1143 CAMINO DEL SOL CIRCLE CARLSBAD CA 92008 Construction Type: Status: Applied: Apr/Issue: Entered By: C-PRW * * * Fees Required * * ****Fees Collected & Credits NEW ISSUED 01/12/98 01/12/98 JM . 02 27-00 ** * Fees: 27.00 Adjustments: .00 Total Fees: 27.00 Fee description Total .Fee/0nit .00 . 00 27.00 Ext fee Data Enter "Y" for Pluming Issue Fee Each Water Heater aftd/or Vent 20.00 Y 7.00 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 ilw&£$i*iMdtiifamr.r<m,mn^1143 Camino Del Sol Cirr FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. _ Plan Ck. Deposit Validated Date Address (Include Bldg/Sulte *)Bualn«sa N*me <*t thi» *ddr*ss| Legal Description Lot No. Subdivision Nam*/NumberSFR Unit No.PhftMNo.Toiel * of unit* Assessor's Pare*! *Existing Use Description of Work HEATER REPLACEMENT SQ. FT,fof Storlts f of Btdtooms * of Bathrooms Gaston, John Name Address SifrAI^CANt^^ _ SRRT.T.Y JOHNSQN/KRISTY FOSTER 13706-B State/Zip Telephone * Fax t State/Zip Telephone * 1143 Camino DSel Sol Cirr CARL (S«. 7031.6 Buslnw and Professions Cod*: Any City or County which t*qukM • permit to construct, altar, hnptovt, demolish or t*palr tny structure, prior to its issuance, also requltti tK« applicant (or tuch permit to fHe • signed statement thtt h* ta licensed puriuant to th* ptovltiont of th* Conuactor'* Uc«nt* Law (Chspttr 9, commending with Station 7000 of Division 3 of the Business md Profession* Codtl or that he It exempt therefrom, and the bails for the alleged exemption. Any violation of Section 7031.5 by any applicant for • permit subjects the applicant to s dvH penalty of not more Jhao flv* hundud .dollars 4UOOI). * c .T T^grra PTITMRTM; 137Q6-B HWY 8 BUS. • EL CAJOl5 CA. SZtffl ' Nsms Slat* Uc*ns* *630120 Address Lte*ns* Clus 036 City State/Zip -19003 <JSl*Pnont * .City Buslrwtt Ucans* * Designer Nam* Stilt License t Address City State/Zip N/A T*l»phom Worker*' Compensation Declaration: I hereby affirm under penslty of perjury one of the following .declarations: Q I hsve snd will maintain e certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Cod*, for the performsnce of the work for which this permit Is Issued. Q I hsve and wM maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensation Insurance csrrier snd policy number set; msursnce Company FARMER INSURANCE _ _ Policy Ho. ^2007-56-51 Expiration Date (THIS SECTION NEED HOT BE COMPUTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work 1« which this permit It Issued, | shall not employ any person In any manner so as to b*com» subject to th* Workers' Compensation Lsws of California. WARNING: Failure to secure-workers* compensation coverage is unlawful, end shaD subject en employer to crlmtnal penalties and dvH lines up to one hundred thousand dollars t>100,000), hi addition to the cost of compsnsttton. damages as provided lor In Section 370V of 1h% Ubp/ code, tntwMt mid attorney's lot. SIGNATURE. _ _ _ _ ______ . _ _ DATE 7. 'r:':OWNER-BUILDEB DECLARATION I hsreby affirm that t am exempt from th* Contractor's License Lew tor the following reason: Q I, as owner of th* property or my employees with wagaa as thsir sols compensation, will do the work and the structure Is not intended or offered for ssle (Sec. 7044, Business snd Professions Code: Th* Contractor's License Law does not apply to an owner of property who builds or Improves thereon, end who does such work hlmtrtf or through his own *mploy**s, provided that such Improvements are not Intended or offered for sal*. If, however, the building or improvement Is sold within on* y*ar of completion, th* owner-builder wlH have th* burden of proving thet h* did not build or Improve for th* purpos* of eel*). Q I, si owner of th* property, am exclusively contracting with licensed contractors to construct' th* project (Sec. 7044. Business and Professions Code: Th* Contractor's License Law does not apply to an owner of property who builds or Improves th*r*on, and contracts lor such projects with eontrsctor(s) licensed pursusm to th* Contractor's Ucensc Law). I «m *x*mpt und*r Section Business and Professions Code for this reason: 1 . 1 personally plan to provide th* major tabor and matetlsls for construction of xh* proposed property Improvement. Q YES Q(40 2. I (have / h*v* not) signed an application lor s building permit for th* proposed work; 3. I hsve contrscud with the following parson (firm) to provide th* proposed construction (include nsm* / address / phon* number / contractors Keens* number!: 4. I pl*n to provide portions of tha work, but I hav* hirsd the following parson to coordinate, Supervl** and provide the major work {include name / address / phon* nurnbsr / contractors Hc*ns* number): _ —_._-.._- .._- ._— .— _.- -,_—_- .— — _- -- - _- _____ _^ __ _„ 5. I will provide soms of ths work, but I have contractsd (hired) the following parsons to provid* the work Indicated (include nsm* / iddress / phone number / typ* of work): ___ _____ __ , _ , _ - - _ PROPERTY OWNER SIGNATURE DATE !jMM|ilAtfjHl%*K^^^ , Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26605, 25 633 or 26534 of in* Pr*si*y-Tann*r Hazardous Substanc* Account Act? Q YES Q NO Is tha applicant or fututa building occupant requited to obtain a pwmlt from th* ah pollution control district « air quality manegwnant district? Q YES Q NO Is th* ftdllty to b* constructed within 1 ,000 test of tha outer boundary of a school Hts7 Q YES Q NO IF ANY OP THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. fl,' CONSTRUCTION L^DINQ-AQENCY 7: ? ^ W^^ '' I h*r«bv sf firm thit ihw* ts • construction lending agency for th* pvtfotmanc* of th* work for which this pwmlt (a issued (&*c. 3097(1) Civil Cod*). LENDER'S NAME _ LENDER'S ADDRESS i.^r:.5.-,(Sjftj%i!v.-^m^^fmi • (m«**iKK^^^^ •*&•*?: •'?••;.••. •>. I certify thai I hev* r«ad tha application and state that th* above Information is correct and that the Information on th* plans Is accurate. I agree to comply with ell City ordinances and Stste lewa 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 i*quit*d for •xcevatlons over 6*0* deep and demolition or construction of structures ov*r 3 stories in height. EXPIRATION; Every pwmit issued by dw Building Official under th* provisions of this Cod* ahsll expire by limitation and become null and void if th* building or work authorited by auch p*rmll I* mlMmmencAd within 366 days from tha date of aucb pwmlt or If the building or work •ulhorizad by such permit la suspended or abandoned at any time after thwvoYk to commtncad for • oarbd of 180 dayajSactlon #6.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: Fil* YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB980073 FOR 01/20/98 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 1143 CAMINO DEL SOL CR APPLICANT: GASTON JOHN CONTRACTOR: OWNER: REMARKS: C/JOHN/729-4693 AM PLEASE SPECIAL INSTRUCT: HOMEOWNER WILL BE HOME ALL DAY BUT WOULD LIKE AN A.M. INSPEC INSPECTOR AREA PLANCK* CB980073 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 729-4895 PHONE: ____ PHONE: s^*" INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS COMMERCIAL CERTIFICATE OF INSURANCE lame & tfdress ALLAH MEMDOZA 8880 RIO SAN DIEGO DR. #700 SAN DIBQO, CA 92108 Issue Dale (MM/OD/YY) 4**>-l.7 This certfficale is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not aniend. extend «after the coverage afforded by the policies shown below. OIST.AGEKTT ISURED 3 & * A&7 FOSTER INC. ' 13706 B HWK 8 BUSINESS * £1* CAJCN, CA 92021 comum» onmnrurn* awnwruntfl CMPMTinn* COMPANIES PROVrittNfi COVERAGE: A TRUCK INSURANCE EXCHANGE • FARMERS INSURANCE EXCHANGE C MIO-CENTURY INSURANCE COMPANY VESU6ES THS IS TO CEHWY THAT THE POUOES OF INSURANCE USTED BELOW HAVE MEN ISSUED TO THE MSURTOIIAMED ABOVE FOR THE POLOTANY REOU^K^T. HRM OR COHOmON Of ANY COWRACT OR OTHER DOCUMENT W^ AFFORDED BY THE POLICIES DESCRIBED HEREW IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. UMTS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. TYPEOFWSURANCE • rrm fiffflUUi UMVJTV COMHERCUL GCNDUL UABUTV -OttURRtNCE VERSION OJHTRACTlW.-WaOOaW.ONLY OWKRStCONnUCTORSPflOT. wmNBUuuun ALL OWNED COUUERCIAL AUTOS SCHEDULED AUTOS WCO AUTOS NOMOMMED AUTOS GARAGE UWUTY WMRfllll UAMJTT VORKEftr COMrUSATNM MB avuvuruwurr POLICY NUMBER • N2007-56-51 RE: ALL OPERATIONS POLICY EFFECTIVE OATEp*WOTTO . 5-1-97 POUCY EXPIRATION ' crmrNOoos UNTIL 2ANCELIH) POLICY UMTS GENERAL AGGK6A1E PnOUClSGOMPflPSAGGREGATE PERSONAL* AmERTfiMHJURY EACH OCCURRENCE FKDAWGCltarmFint HEDCIH EXPOSE .COMBMEO SNGLEIMT . BQOUHIURYfa PERSON) DODLYMJURY ffERACOOENT) PfBPERTYOAUWE mAGCAGGffGATE uurr snniBBt EKHMXDENT DBEASE-CACH EMPLOYEE DSEASE-POLCVLMT $ $ $ $ $ S $ s s i$ $ J 1 ,000,000 $1 ,000,000 $1,000,000 • HRCATE HOtOER me • crnf \ • BUHCING DEPT dress • 9601 RIDGEHAVEN CT 2ND FLOOR • SAN DIEGO, CA 92123 CJUKEUATMW THE BSUM6 COMPAJff WU ENDEAVOR TO MM. 30 DAYS WIHEN NOTtt TO M CEBTHKTE HOLDER NAMED TO THE 10T, BUT F AKJURE TO MAI SUCH NOTICE SHML WOSE NQaUGAnQNORUABUrYOF AW NW UPON THE COMP ANY, ITS AGEKTS OR REPffSENIATKES. WMHSDRffttSBtrAJIVE AM IWt