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HomeMy WebLinkAbout1520 SANDALWOOD LN; ; CB950991; PermitBUILDING PERMIT 07/26/95 10 38 Page 1 of 1 Job Address 1520 SANDALWOOD LN Suite Permit Type PLUMBING" Parcel No 205-130-45-00 Lot# Valuation 0 Construction Type VN Occupancy Group Description WATER HEATER Permit No CB950991 Project No A9501432 Development No Reference* Appl/Ownr HEATON, MARK 1520 SANDALWOOD LANE CARLSBAD, CA 92008 .*£" / -tf CONTRACTOR A & J FOSTER *>"" ' , > / ^ 2819 CENTRAL AVE l ^ \ SPRING VALLEY,,, ,V„ ~ -, i fl ^ •* j, J n *** Fees Required ,***» '***> Status ISSUED Applied 07/26/95 Apr/Issue 07/26/95 Entered By MDP 619 729-7351 C*1200354 619 697-4151 Fees Collect,ed4 & Credits * * *v Fees Adjustments Total Fees Fee description , 2J7~ao %^ -GO r J 27 00; ,:ff i • ^ O * >'^ v ,^ ;, ' - Total Credits" - ^ Total ^P^ymep.ts* * , *, * ""Balance.Due ' f* / Units Ree/Uni,tT j* *"s^ii^ii.t'f / r I ' » 00 00 27 00 Ext fee Data Enter "Y" for Plumbing Issue ^Fee / «,> »»,, Each Water Heater and/orient, '* ->- ' ' ' '1'>*//" 7 00r * > -f ^ -"• *, f>' t "" J f 1ft f <"> '* PLUMBING TOTAL ^ , , ^ ,, ' i ' - ' * * ' i 20 00 Y 7 00 27 00 2873 07/26/95 0001 01 0? C-PRMT __ 21 00 FINAL APPROVAL ^INSP CLEARANCE 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 1 PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Projects Only From List 2 (see back) give Code of Structure Type SFR Net Loss/Gam of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO EST VAL PLAN CK DEPOSIT, VALID BY DATE FOR OFFICE USE ONLY Address 1520 Sandalwood Lane Nearest Cross Street Building or Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BtlJUW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF woRKWater Heater Replacement 40 Gallon SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 UUN1AL.1 PtKbUN (.11 aitterenl from applicant; NAME (last name firstjfeaton, Mark CITY Carlsbad,STATECA ADDRESS1520 Sanalwood Lane ZIP CODBJ2Q08 DAY TELEPHONE729-7^51E.7.29-JROWf^APPLICANTtJ CONTRACTOR -XT AGENT FOR CONTRACT OR U OWNER D AGENT FOR OWNER NAME (last name firstKristy Foster ADDRESS2819 Central Ave cnvSpring Valley STATECA ziPCOD©1977 DAY TELEPHONE7-4151ig Valley OWNER5 PROPERTY OWNER NAME (last name first)HeatOn, Mark ciTYCarlsbad,STATECA ADDRESS 1520 Sandalwood Lane ZIP CODE)2008 DAY TELEPHON|!2Q_7^-| 6CONTRACTOKNAME (last name first^ & J Foster, Inc ciTYSpring Valley STATECA STATE LIC ADDREss2819 Central Ave ZIP CODE 91977 DAY TELEPHONES97-4151 LICENSE CLASS r_^£ CITY BUSINESS LIC #] DESIGNER NAME (last name hrstj CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS^ COMPENSATION Workers' Compensation Declaration I hereby affirm that I have a certificate ot consent to self insure issued by the Director ot 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 CQMPANYRepublic Indemnity POLICY NOpfQ4Qc;c.c; EXPIRATION DATE R_-| __ LIC _~Certiticate ot Exemption I certify that in the performance ot the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Mrwn SIGNATURE DATE BCJWNER BUILDER DECLARATION Owner Builoer Declaration 1 hereby affirm that 1 am exempt trom 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 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]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk 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 district? 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTRUCTION LENDING AGENCY 1 hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097 (i) Civil Code) LENDERS NAME None LENDER S ADDRESS 10 APPLICANI GERTlFICAnON I certify that I have read the application and state that the above information is correct I agree to comply with all City ordinances and State laws relaong 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 CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OS1IA. An OSHA permit is required for excavations over 5'0" 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 Buikkng Code APPLICANTS SIGNATURE / , J* > ~^ DATE 4JL—'— ^-J-^rs-y-^ >-^—^-^ WHITE Pile YELLOW Applicant PINK. Finance CAT1 efK / 7^ INSPICTO* 5"-~?_f / ^ PtAMCX I J01 AOORXSS TIXI AJWIVT: TIKI LXAVI: CO LVL OCSOIIPTION „ ACT COMMEHTS City of Carlsbad Building- Department: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation, as required by section 3700 B of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT B DOLLARS ($100) OR LESS) COMPLETED IF THE PERMIT IS FOR ONE HUNDRED I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the C workers compensation laws of California Signature Date Warning Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees March 3, 1995 Pi 43R-11R1 - FAY