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Home My WebLink About1571 BASSWOOD AVE; ; CB950990; PermitBUILD 07/26/95 10:35 Page 1 of 1 Permit Type: PLUMBING Parcel No: 205-130-42-00 Valuation: 0 Construction Type: VN Occupancy Group: Description: WATER HEATER I Job Address: 1571 BASSWOOD AV Appl/Ownr : NOUGIER, DAN 1571 BASSWOOD AVE ING PERMIT Permit No: CB950990 Project No: A9501431 Development No: Suite : Lot#: Reference#: Status: ISSUED Applied: 07/26/95 Apr/Issue: 07/26/95 Entered By: MDP 619 434-4619 CARLSBAD, CA. 92008 CONTRACTOR : A & J FOSTE 2819 CENTRA *** Fees Required Fees : Adjustments: Total Fees: _____------_--------- Fee description Enter "Y" for Plumb Each Water Heater a PLUMBING TOTAL __-__--------------- 97-4151 CITY OF CARLSBAD 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 s. PERMIT APPLICATION City of Carisbad Building Departmt 2075 Las Pallas Dr., Carisbad, U 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: cml? PLAN CHECK NO. 79 " I 1 Net WGain of Dwelling Units 2. PRQJECTINFoRMAnoN I FOR OFFICE USE ONLY Building or Suite NO. 1571 Basswood Ave. Address Nearest Cross Street LEGAL DESCmON Lot No. Subdimion NameJNumber Unit No. Phase No. 0 2 Enerw Calcs 0 2 Structural Calcs 0 2 Soils Rewrt 0 1 Addressed Envelow ~ I_ ~ ~ ASSESSOR'S Pm TING USE PROPOSED USE DEscRImoN OF Water Heater Replacement 4 0 Gallon NAME (last name first&ougien, &el SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS (ir airrerent from applicant) ADDREss1571 Basswood Ave. NAME (last name first&isty EI&+~~ - ADDRESS2819 Central Ave. f?V - STATE a ZIP CODEq 1 9 7 7 DAY TELEPHONRq7-4151 a STATEPA ZIP COD% 3 QQ Q DAY TELEPHONR &a 1Q ADDRESS 1571 Basswood Ave. ADDRfiSS2 8 1 9 Cen+%ral Ave . NAME (last name first) Nougien NAME (last name firsth & J Foster, Inc. clTYSpring Valley sTATECA 91977 TELEPH0NE697-4151 STATE LIC. #aA- qn LICENSE CLASS ,- CITY BUSINESS LIC. # DESIGNWNAME [last name first) - - CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # ~ Workers' Compensation Declaration: I hereby attirm that I have a certificate of consent to selt-insure issued by the Director ot lndustnal 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). POLICY NO, EXPIRATION DATE , ~,- ance ot the work toy permit is issued, 1 shall noMnfpI@V ny person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE Uwner-Builder Wclarahon: 1 hereby atrirm that 1 am exempt from the Contractors Ucense Law tor the tollowing 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.). 1, 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 (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]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE 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 Act? Is the applicant or future building occupant required to obtain a permit from the air pollution conaol district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANY OF THE ANSWERS ARE YES, AFINALCERTIFICXTE OF OCCWANCYMAY NOT BE Issvn, =JULY 1,1989 UNLESS THE APPUCA" HAS I) Civll Code). 1 hereby atfirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued [Sec 3097( YES 0 NO 0 YES 0 NO YES 0 NO OR IS MEEXDIG THE REQ- OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLCUnON CONTROL DJSIRICT. LENDER'S ADDRESS 1 certity that I have read the application and state that the above intormation is correct. 1 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THECITYOFCARISBADAG~S ALLLIABJLWIES, JUDGMENTS, OOSIS AND EXPENSES WHICH MAY IN ANY WAY ACCRm AGAIN= SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERhQT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 aba for a phd of 180 days (Section 303(d) Uniform Buil ng Code)- APPLICANT'S SIGNATURE DATE: 9-26 . %-- WHITE: File YELLOW Applicant PINK: Finance _- Q