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Home My WebLink About1706 EVERGREEN CIR; MULTI-PERMIT FILE; CB033157; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 t 11-18-2003 Plumbing Permit Permit No: CB033157 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1706 EVERGREEN CR CBAD PLUM Status: Parcel No: 2050807000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: BLODGETI RES-NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: BLODGETI MARK J&CAROLE 1706 EVERGREEN CIR CARLSBAD CA 92008 ISSUED 11/18/2003 RMA 11/18/2003 11/18/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f I x · n f hi h hav r i u I Tl imil r hi i h h au f Ii i i n h s revi I h rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.0£0 _J J / S? a CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL.~~~~~~~~~~ Plan Ck. Deposit--------- Validated By __________ _ Date ______________ _ 1:~:1;JirfR)!J~Cff;~1NfQR.M~lJON~!/~1~ti~~J;f/:;:jjf:J;l~~ifilt~~·):~!~:i\1!ii~1[1~~T!t!1i:r~:f!~~il..,1iji]fifli~~~i~~'.[rr{~1!;fit,~truf;tJft 1706 Evergreen (ir. Business Name (at this address) Address (include Bldg/Suite II) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR Assessor's Parcel # Existing Use Proposed Use 205-080-70-00 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax # Arlen Fbster~(arol Foster 13706-B Hwy.8 Bus. El (ajon, (a. 92021 (6~9)390-4477 Name Address City State/Zip Telephone # Address 1706 Evergreen fir rarJshad r.a 92008 760 729-6867 Name · Blodgett. Carole City S.tate/Zip Telephone# rs't·~~tJ~CONOOifAtfttPR~tC.~J'1}1ANtf]~filE·~J~~~mfrJl~ft~;:i~ll~~r;~ffi~ffll~11;i~tml~·ri~~!~i~~m~~~-1lf.iffiD1-~:~~!~:illtl~it~~~~~jii'.il7ir~iijtJ~~t; (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, commending with Section 7000 of pivision 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 ( $ 5001). A & J Foster Plumbing Name El C:.ajon ity <:A I St~a,2i~ l ( 61 ~ l1~ft;~ne 14 77 State License # __.16.J.....13.uOu] .... 2'-'QLL-----License Class ....1..C..=...,'3c1..6,__ ____ _ City Business License # ] 21 0 8 '36 Designer Name Address City State/Zip Telephone i:~~~i~~ji~;;s;~aoie;~lli~A:t1Q'w~~l;~:.~r~~t!llimfil11:~~:]:.i:~~1;~:;~:m,~~~1~~~~~1;~~Ffl'~lr~s~~1'r~41WJ]wf;m~~i.~W~lf~f:m~ffi;~m~~~i1~,~i1j:;;;/~~~:',1~:'~;,~:i~t~)rn~}i~;,,,,,1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 . .Q I have and will maintain workers' compensation, as-required by Section 3700 of the Labor Code, for the performance of the work for which this permit is 11:sued. My worker's compensation insurance carrier and policy number are: Insurance Company ~ta:te (.omp, Ins, Polley No. 467 Ol 00007J 3 Expiration Date 04 OJ 04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O CERTIFICATE OF EXEMPTION: 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 Workers' Compensation Laws of California. WARNING: Failure to se unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 , 0 ), i damages as provided for in Section 3706 of the abor ode nterest and attorney's fees. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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). 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name I address I phone number I contractors license number):------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _ DATE _________ _ PROPERTY OWNER SIGNATURE-----------------------!CO~P.!'.~1:1,i::rcfi1sf~e¢1fi(i$N.J:~l!!WiQ}ffJlkft1p/ivifiift~iPillbffi"G}REiiMl!T:ij(QH'Y"i~fi~1~~gwtri!~~~i~t~~fi;;Ji~~::t1!!J[~Jl:l~J~,1ti:ri'/ili'il:l(WrJl~~i~(J,??tiK:~i~(l;('::t 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 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME N NE LENDER'S ADDRESS ________________________ _ 1~1~1,~;1ffAijtfLtCANii:(Qi;siflfiCi1fl&ll!W~i~~fl'.~1m~t~~t~;~ml;~1~~:~~~i~:tJ]ltf;,[tt!i[~ti';;~rJ~~it~~~,t}~~rJti®rl!i!r,wzai~~~mili~~~~t;ili~t!il~J~~:5~~ii~~[1!ifu~;iJl]!~t~ I certify that I have read the application and state that the above information is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Clt\t of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THlS PERMIT. OSHA: An OSHA permit is required for 1 excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATfON: 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 commericed w· · 180 days from the date of ch permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced pe of 80 • (Sectio 6.4.4 nlform Building Code). JI I I q lo?--. APPLICANT'S SIGNATURE DATE --'-''-l,-'-..:....,,1-...::.....::J::;:_ ______ _ PINK: Finance s u T L r, .-:: r.: c, P E ~, M r :-f t• rrr, • t ~ : c.., t. 4 l.,0/l.1/91:. 17:27 PacrP l c f Tob At<lre-J: 17U6 EVERGREEN CR Pezm1t ~y~e: PLUMB:NG Paree~ No: 2 )~-UA0-70-GO Valuut1on: ,) Suite: F .. oJect I\.<>: AH,,.-;·~ Dcvelopt"lent l\'>. OC("'Ut>nncy GI oup: Reference#: Cc,nJtr.1ct1on Type: NLw Status: .• ,l'Er> Api:, ~ 1 ed : l o / _ .:l , 1, Apz/Issue: Cl:I/ ,/1• E::ntcreo By: r MA f-)1C/-·12.9-b8b7 r>ec e_ r ipt i m: REPLACE WATER HEATER A~~:;uwnr : BLODGE7T, MARK FeE. .; : AdJustmcnts: rotr1l fE"es: 1/0u EVE~GREEN Ck CAR:.SBAD CA 9~uoe 9077 JS/14,96 'JOv_ J1 • II 0 • (1 () I I . ll ' , - Ext t eE:.' :>Cl. .. c1 En~er · Y' for Plu Eacn Wdtez Heater * PLUMBING '!'u'"AL 2J.OO Y I. JO 27. l 0 Fl I\I A f AP PRO f NSP. --0 _ DAT t ·-y() ,fu CLEARAt\-... _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Pl!RMIT APPLICATION City al C.rlobod luildlng Deport-,t PLAN CHECK NO. q (i, 14 7 9 ZD~ l• Pol-Dr., C.rlobod, CA 92009 (619) 431·1161 EST. VI\J,',,c--,-------- PIAN CK DEl'(J5rf ____ -r,c.,..,,..--1. PFJlMtl I VPk V AJ.JU. ov_..,,,...,-77-:.m,...,--'-"''----l>Alll rrom ljs1 I (,ee hack) aive axle-or Permit-Type: _______ .._ ___ _ ··················--------------------··-··-····-···· For Hcsidcntlal rrojet.:lJ Only: From Ust 2 (see back) give Code uf S1ructure-Typc; -------4...:.i'------------- Net IOSS/Gain or Dwelling UnilJ 2. PIIWFCT INtullMl\"llON FOil OFFICE usis ONI.Y Address 17-6 Evergreen Circle Uu1ld1ng ur Suue No. Nrarr.sl Cros.s Sir r • nu o. Cl If.CR OJ.JDW IF SOOMI I I ED: D 2 F.nergy C".ala D 2 Structural Cales D 2 Salls lkport D I Addres.,ed tnvelope ASSESSOR'S PAHCEL EXJSJJNG USE rnorosrn us,~ DESCRIPTION OF wmU<water Heater Replacement 40 Gallon SQ. FT. # OF S1URIES # OF BEDROOMS II OF llATllltOOMS 3. WN i,U:i J>IWJN (U ddlerenl iroh1 appilcanl) NMIE (last name fintBlodgett, Mark ADDIIESS1706 Evergreen Cir. CITY STATE CA DAY TEI.F.PIIOi1129-6867 ADDIIESS13706 Highway 8 Business, Suite B ZIP CODE92021 DAY TEI.EPIION~90-44 77 CITYEl Ca~on S. JillOP£Jt 11 0 Nrut ADDRES5706 Evergreen Cir. NMIE (last name r,rs!Jlodgett, Mark crrvcarlsbad STATE CA ZIP CODf'2008. IJAY TEI.F.PIIONi9-6867 6. WKIIOl!io« NAME (last name r.11,f,. & J Foster, Inc. ADDRESS13706 Highway 8 Business, Suite B CITYEl Cajon STATE CA STATE IJC. 11 630120 ZIPCODE 91977 DAYTELEPIIONE390-4477 LICENSE Cl.ASS C-3 6 . CITY DUSINF.SS LIC. 11200354 0£SIGN£1l NAM£ (last name hnO ADDltESS • STATE ZIP CODE IJAY TEI.F.PHONE STATE I.IC.# 7. WOIIKfJL'i WMl't1tSA I ilJN Workers' U>mpensauon ueclarauon: I hereby alt1rm tha1 ( have a cerulicate oi consent toseti-1nsure issued by 1hc Otrector ol lntlus1nal Relations, or a ccrtificale or Workcn' Compensallon Insurance by an admitted Insurer. or an exacl copy or duplicate thcrror ccrdfieJ by the Director o( the Insurer thereof filed whh the Building Inspection Dcp&l"f/!lent (Section 3800, Lab. C). ~ INSUMNCE·COMPANYFarmers POLICY No~2007-56-51EXPIRATION DATE 5-1-97 Cen1hca1e ol £xempuon: I ccn1iy that 1n 1he peHonnance oi 1he work lor which this pcnnil 11 1ssu@, I shall not employ any pc1su11 111 any manner so as 10 become subjetl to the Worken' Compensation Laws or California. SIGNATIJRE DATE 8. OWNtll-BOIIDEll 0~1L\itA'llON Owner-Dudder OcciaraGon: I heieby aihrm Dial I am exemPl irom du: Cohiiaclof1 Ucense LaW tor U1e lollow1111 reason: D I, as owner or the propeny or my employees with wages as 1helr sole compensallon, will do the work and the' structure I~ not l111ended or offered ror sale (Sec. 7044, Business and Proresslons Code: The Contractor's Ucense Law does not apply to an owner or properly who builds or Improves thereon, and who does such work hlmsel( or through his own employees1 provided that such lmprovement1 are nol intended or orcered (or sale. I(, however, the buildina or Improvement fs sold within one year of complelion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale.). 0 I, as owner of tli~ property, am exclusively contracting with licensed contracton to construct the project (Sec. 7044, Business anJ l'rofes..~ioru1 Code: The C.Ontractor's Ucense Law·does not apply to an owner of property who builds or Improves thereon, and contraclJ for such projecu with contractor(s) licensed pursuant to the C.Ontractor'a Ucense Law). D I am exempt under Section -------Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to iu Issuance, also requires the applicant for such pennlt to file a slfned statement that he Is licensed pursuant to 1he provisions of the Contractor's Ucense Law (Chapter 9, commencina: with Section 7000 o Division l o( the Business and Profcs.,ions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any vlolatlon of Section 7031.S by any applicant for a pennlt subjeclJ the applicanl to a civil penally of not more than five hundred dollar, [$5001). SIGNATIJIIE DATE COMPL£ I£ I HIS S£C i ION FOR NON -j(ESID[N 111\L DOIWING PEHMI IS ON LV: Is 1he applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk n1anagc1nc11t and prevenllon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act1 0 YES ONO Is the applicant or ruture building occupant required to obtain a pennh (rorn the air pollution control district or air quality managenu:~nt di!'llrict1 OYES ONO Is the facility 10 be consUllcted whhin 1,000 feet of the outer boundary of a school slte7 0 YES D NO IF ANY OP 111£ ANSWFJlS AIIE YES, A FINAL CER11FICATE OP OOCIIPAHCY MAY NITT Bl! IS.WED AYrn11 JULY I, 1989 UNI.I'.<;.~ 11 IE Al'l'IJCANT HAS MET on IS MEIITING TIIE RF.QUIIIEMEIITS OP 11m OPFICR OP l!MEIIGllNCY SERVICE.~ ANIJ 1111! I\JII POIJ.IT110N Ulll'lllOI, lllS1111CT. 9. WNS I ROCllON 0'4DING ACF.NCI I hereby aihrm U1al ffierc 15 a consirucGon lending agency lor Ute perlormance of U1e work for wluch Uns penn1t 1s lSSucJ (Si.'C 3097(1) C1v1i Coile). None · I.ENDER'S NMIE LENDER'S ADDRESS 10. KPPUCANI tm\\FitAilON I cert1iy lhal I have read U1e apphcaGon and stale ihai ihe above 1nlonnallon ts correct. I agree lo annply wuh ail Cny orJ1nanccs and Slate laws relating 10 building construction. l hereby authorize represenlatives or 1he Cltyo( Carlsbad to enter upon 1he above mentioned proJ,crty ror ins~1ion """"""'· I {IJ.';() AGREE TO SAVE INDEMNIPY AND KEEP HARMLESS 11m ClTY OP CAIIISBAI) AGAINST {IJJ. IJAIJIIJ"mi.<;, JUIX,Ml'1lTS, U)STS AND EXPENSES WIUOI MAY IN ANY WAY ll(X]\QE AGAIN~ SAID OTY IN WNSl!QUENCI! OP um GRANTING OP 11US PEIIMrr. OSIIA: An OSIIA permit is required for excavations over S'O" deep Ind demolillon or construction 0£ struc1urcs over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this r.ode shall expire by llmita1iun and bccon1c null and void if the building or work authorized by such permit Is not commenced witlun 365 days from the date o( such permit or 1£ the building or work authori1.ed hy such permit is suspended or abandoned al any time afier lhe work b commenced for a period of 180 days (Section JOJ(d) Uni[om lluil!llng Mcl, APPLICANTS SIGNATIJIIµ ~() I'\ IJA rt: ~-/LJ ::Ju CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961474 FOR 08/20/96 DESCRIPTION: REPLACE WATER HEATER TYPE: PLUM JOB ADDRESS: 1706 EVERGREEN CR APPLICANT: BLODGETT, MARK CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB961474 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-729-6867 REMARKS: MW/MARK/729-6867 SPECIAL INSTRUCT: INSPECTOR--,.\'----------~ TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ---------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS "' z 0 " " a: ~ u ~ a: ![ 0 u I a:l "' 0 .., 3 ,e a: "' z ~ 01 i O I hereby affirm thal I am licensed under provisions of Chapter 9 (commencing with Section 7()(X)) of Division 3 ol the Business and Prolesslons Code, and my license 1s 1n :~n~~r:_~n4~':f3148=1d,,' -~36 _ I hereby afiirm t~al I am e<8r11~t 'rJn 10' s clcense law !GI lhe IGl,ow,rg 'edso· B'Js,ness and Protessi•J1S Code A'y c,tv er c ,,nr, ;,·>-,,c:· ·e u":res a pe,~,r :a ;cnslruc: c.;-e· rmJ·~,·e ~emo'rsr or •e;id r a~y str·Jclu·e pr,O' to ,ts ,ssu;;o:.~ 1.1,c 'fJ,rrfs lhe a, o',canl !ar sucn oermll To fr'e a srare<l ,,,.,~,,.e-· ·na1 ,e o , censed ourouan: 10 :r,e µ,o·,.s,ons ol :~e v-,:ra;.1~r s . ,cense 1_011 ·Cha~te· g com,,.,enuno .,,,n S,, ,,.,, i'JGJ :,: Jrv.s,oc, 3 o• '",e B,s,ness dnd Prcte,s,~ns Cwe U' ",d' "e,: e-r:1 •re,elro~ a,d tre ~a,·s tor \he al'.eged ex,;mp·10n ~rv /IO at,on 8! s~ct,ce 7831 5 ~y an aop;1ca",' lor ; .b c<Js ·1e ap;il,ca~· ·co C"''I oenalt1· ot no! 1,,J 0 d'e'C ~O'l,;rs iSSC~, JS :w 0H ~f 'he c,, my 8''C~l·J',",0e; "1•1 ;.nee; t"e1· sc.'e co---ipecsdT:o·, do 1re wo·, ,, .. ,1 'ho ;-•rue s co1 ,n1endec ,:,r olte-ed lor sa e 1sec -·11.~ 8,01··.ess ar'C 'rofess,on, Cude The Conrrau0, o LM,w,e Ld" dGes nol d;J;Jly to an owner ol i;roperTi who bu IQo w irr1proves r~ereoc, ard ;iho does such w0<k c,mself or rr,oug" '"5 owr ernp.~)ees. e·o,ided trat S•Jch "'P:··,·erren!s 0 re 10· ,,•end ed or vfle,eC tor sa,e I' ",owe·,er ·~e tu la11g or ,morose mer,t ,s sold w,rn,n one year ol como1e1,o~. ;ne o;iner-hudaer w I, save tre ~,.,rcen Jf orov11q thai he rt,a not built o' ,rn -:;ro·,e fo, tre JU'pos~ 81 5c<:e1 dS o;i1er ot t~e prope'1\f am r.xcl_sl'oe1 1 cor,'c;ic:,n~ w1lh .,censed cortractors to construct The oro1ecl 1sec 70,,4 Business and Proless,o~s C8de The Contr;ictor s L•l.ensr. Law does not aOC·!y to ownw of voperTy whc· Ju,'ds c,• ,m- oroves the·eor ana co,1trac:s lor each orrJJec·s w,tn a con1racturfsl ire%e pursua~I •.o tt-,e Contractm s L,cense La,,, As a homeowner I am 1r1prov,-q r:-y M·~e ;;nd the lo:1cw 1ng cond1t1ons e"s: I · The wor'< ,s oe1r,g pert"rrned pr,m 10 sa1.e I haof 11ved 1n ce.y ho.11e tor :weve rnonThs pr·.nr lo coriolehon of this work z 0 " " "' z w .. :,; 0 u "' ic "' ,,_ "' 0 3 l 1 'lave net cla,rr'ed th,s ese~1pt,on during lhe l;,;l !hree years 'ort'h~:,~:~;,;'1unde:Sec -----~ B&PC X 'hereby afFirm \hat I hase a certil1ca1e of consent to sell r,su,e or a ce•!1i1ca:e of Workers C~r<1pensat,on In :~:~: ~~a ce-tric6o:2~t698Y)48· Lato, Code, COMPANY _ X,o, sf eu ,. th the cits Cer\ I ed ~opy s i'ereby furnoshed 1Th1s sect,on need no\ be como1eted ,1 the perm,t 1s tor one hundred dollars ,.S1001 or less) _ I ce•t1fy that 1n the perlcrrnance of the work tor which •his pe•m1t ,s ,ssued I shall not employ any ;,ersan ,n any maaner so as to become sub1ect to the Workers· Corn pen sat,on Laws ol Cal1fam1a NOTICE TO APPLICANT If. after making thts Cert1!1cale of E,empt1on. you should become sub1ect to the Workers Compensation provisions or the Labor Code. you must lorthw1th comply with such prov1s1ons or th,s perm,t sMII be Cleemed revoked 1[ C I he,eby aff,rm that there ,s a construc\1on lend1'1Q agency for the pe,tormance of the ;iork lor wh•ch this per m,t ,s issued (Sec 3097 ~ LenCler s Name_ Lender's Address USE BALL POINT PEN ONLY & PRESS HARO Mee ••-M", , -, ·--....... -' ,=..c.c.c~.c.c...c.-C~CC....;.cc.~.c.c~~~-"-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-,~~~~~~-,--~~~~~~~~~~~~~ , CARLSBAD BUILDING DEPARTMENT ntj &•-ri;E I \j ,\ ,, , Ca,lsbad. California 92008-1989 (619) 4385525 APPLICAT~""\ y• RM T I 1 \'V '~~~::-:,:::-~~~-.~~~~~~~~::-~~::::::=-:::::::::~,-.~~~~~~~~~~~""."::~~~r---::~'.':±~r'-':~~t---ce7:"cc:-~c-f-'---,--:,;-;,c:;,;c,;;-c;;;-;,-:,-----j : 1-, 0 _ 0 _;~::; 0 ..'.;-'~"~"s-s=E'li'::..:.ce:::,:rc;:,:g:r,.een,::::!,:;·_· C::c,i,::r,:_c::::,l::e:.· ___ ·_v_._·_T_._"_o_. -~N-EA--'~"·==~=c=;,,,:e.Vsr_s_s,,:"·=· ~~--------_JILO_A_T~:!,:,J./.· le.,.,i;. "2Pt.L'..s'DC2;A ";lT_•_O...JN :~~~ 6E NSE • VACUA T<O~ ' "; ~;" : tcccocTCC~BCCCOC-:CCK:-C---~ l'_u_s_o_,_v_"_'o_"----~ 1_•_s_s_,_s_s_o_R_P_._"_c_EcLc-N-o_. __ C'." _______ , CONTRACTOR CONTRAC jRS PHONE" ZONE / bb I> OWNER'S NAME OWNER'S PHONE LJ I l-_-8J~·en...J3JS.t:ei:....:el.!.mllbin'-:g_-~-k,~r~n-~4.1.5:"r'L-.J...-~~~--+-~--,-~---1 l CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0-;; BUILDING SQ FOOTAGE Mark Blodgett \ 729-1001 't-::-::::-:c:c::--:-:-:-:-:-::-cC"""C:C::::::-:C:::C-----------'----'-.-:C--~1 , OWN!: R'S 'r.AA I u NG ADDA ESS 1-....,..e2c,B<cl._9"-_,c,,en='t==r-"al'=-..,Acav-'!.Sec,.,_ _____ -+ __ .,.., AA,,,.,.,,,. .,,.4e2...R __ -l------~--.....l _________ _, 1 1706 Evergreen Circle DESIGNER DESIGNER'S PHONE IJ---~-~-~~~-~~~~~~~~-~-~--~~~~-~~ t DESCRIPTION OF WORK 1 water Heater Reolacement ,>----~-~~~~-~~~~~~~~~----------------• I 1- I DESIGNER'S ADDRESS FLA ELEV NO STORIES LICENSE NO. OCC GP EDU I 'l: r-0 1,-~~~~~ .... ~~~~~ .... ~~~~~~ .... ~~~~ ... ~~~~~~L...~~~=:...--=c_~~~+-~~~4-~--~-+~~~--,f--~~~ I AREA CONST 1 YO~o ,c,o Yo-..c: 12/23/B5656b Not Valid Unless Machine Certi/1ed CE:'-.JSL,STRAc1 I c,f'LAND1..,SE IPAR,c;1N(.,SPAC[ RESuN TS I GRADINGPERMIT1sSuED 1"1EOE:VELOP'v1ENT TYPE OCCLOAD FIRE:SPP 't--~-,-~~~~~~~~~~~~~~~~~ ..... ~~~~~~lr-i~-,~~-~~~~~-~-~~~~~~-r-~~~~~-,~~~~~~~~~~~~~~~~~~~~~~~~~~--,~-; : QTY i PLUMBING PERMIT ISSUE , $7 .50 JI QTY MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER I r AC H FIX T u R t r RAP ----------~-------,1/f---i-l-N_S_T_A_L_l_F_U_R_N_D_U_C_T_S_J_P_T_O_I_O_O_D_D_O_B_T_U __ __, ______ ..... f-BU IL.DI NG PE.RM IT 00 1 -810 00-00 -8220 ' 1---1----------------------------+-----~---1---f-.----'-'--'---CC.----..C-~~-----+----~--+--=~-=~ ------- ---- --- 1 !E.ACHBUlllJINCSEWE.R +-------·--J ___ \__ ___ _ OVER_l~OOOOBTU _______ S_IG_NP_E_R_MI_T ________ ~?1_~0-00-00-8221_ • -1j-EAcHWA-TERHEAT-fRA1-.o-uRv~NT ---$2.50 t-: ----t-so1LER.coMPRESSORUPT03HP _P_LA~~EC.'.'._ ____ 00_1_s10·90-oo-~~ $10.00 : ~ tACH l,AS SYSH_" 11_1)_1 uu_T I EIS --. . i.· _ -~ so1_~E_R c~-M~~E~so;~3 15_ ~P _ _ __ ·-_:__ __ TOTAL P~MBl"IG_ 001-s10-oo-oo-s222 l EACH GAS SYS 1 EM~ 0 R MO RE: --+ I fit 1.A.L t'"\[P'. A.CC ELECTRICA.L 001 ·810-00-00·8223 1 E:ACH INST Al ALTE.r.i HEPAIR 1'.AT E.R PIPE --: --. -! ----+ vMEENCiH-,EAXNH--As,uN:-.G 1 _l_E Ho uCT DU-CTS ---~ =---~-_ _M_ECH_A_N_ICA_L_-_---==--oo-1 s_1_0_0_0-_o~-8_2_2_4_ -------------=--=~----_-_-: _ I EACH vAcuuM sREAKE.R [: ::-MOBILEHOME 001-810-oo·OO-s225 : -~~~1-/-::,s_r:,~-',-,.~l~-'.-R_\_'-,_' ;1-1 -·-· ----+--~--._----+-.-/l ___ r-R_E_LO_C_ATI~~ a_n"A~~N_AC_E_·H_E_A_TE_~_ ---.----11--_~:o~D,~8A~l~~EH~O~M~E~PA~R~K~l~r·;~sp~~o-0_1_8_1_D_00·00--8-226-r------------ 1/c._-~-_----__ _j n-1 TOThl MECHANICAL STRONG MOTION 880-519·92-33 -------- : l I) l Al p I UM!:! I~ L i $10 • oo-,1 c~~~~-~-~~~~--~-~------1t __ FIR~_S_PRINK_L_ERS__ --001·810-00-00·c8~22~7__,_~----~-~--, I ~ I; -1-_ ____!:_UBJ:.!.g_ FACILITIES FEE 33]-810-00·00-89~0 1 QTY ELECTRICAL PERMIT. ISSUE 'I QTY. SOLAR· ISSUE - : MW CONS[ EA AMP SWI DKR ., =t·OLITT;~--- : l PH -:1' PH -=-_J_ ~----4---=31uRAGE Tt1~KS I : I ,1 1-4: A .K r~ J } I --~.:;1srBtDGEAAMPSWT8~----, -~~--J----fl(:[KSTCRt,'jL -- 1 PH 1 PH / I =t PL;f}P " ••• I)(\""~ : _____ REMOO~l~~CIRCUll / __ ~--__ _ P~_ .. ,_\_C_;~~CK F~E ---Jv•·• ... -.., ' TCMP P[]Lf /OU AMPS /-'I ·---.. CARLSB~D-- 1 OVER 200 AMPS / I' ~· ••• ---••• LICENSE TAX 001-810·00-00·8162 1 1 1 i TEMP(JCCUPANC_Y_,_JD_D_A~Y~S~,--===-~~~====~~----~==-~~~-+j.--~~,--~-~~~~~~~~~~~~ll~,~~~~~~~~~~--~~~~-M~FF~F=-~~~~~~~~~~B~M-~_19_-_~_~_7 ----1----------- ---1f-~S~C~H~O~O~L0FE_E_·_D'_ST_R_'_CT ___ ·-~---- - - Carlsbad --~·----------1 ------j-----· _ r--__ San D1egu.!.!2__ ____ _ San Marcos ·-~----------·· ------------t-----------1 -~----------· 1 r CREDIT DEPOSIT ' II I --ti: ··-j---.[ j ----j,1----------~----------, Ti]IAI tlli:TRl[:AL 1 'G"AL Sill AR TOTAL FEES PAYABLE I $10.00 I HAVE CAREFULLY EXAMINED THE COMPLETEQ "APPLICATION AND PERMIT' AND 00 HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT \S ISSUED: TO COMPLY WITH All ClTY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON· STRUCflON, WHETHER SPECIFIED HERE!N OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY'lN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Expiration. Every per.mil issued by the Butldlng Oflic1at under the provisions of this Code shalt expire by llm1tat1on and become null and void If the bu1ldmg or work authorized by such permit 1s not commenced w1th1n 180days from the date vt such permit, or 1t the building or work au1hor1zed by such permit ,s suspended or abandoned at anv lime after the work 1s commenced for a =nod of 180 "'l"S APPLICANT'S SIGNATURE JI. OWNER O CONTRACTOR~ • t1 ;J.,. BY PHONE 0 ') * AN OSHA-PEParllT IS RE<lUtAED FOR EXCAVATIONS OVER 5· O'" DEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER J STORIES IN HEtGHT / 0 0 ru 0. " C TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL ' I MASONRY I GUNITE OR GROUT I SUB FRAME D FLOOR D CEll;.ING SHEATHING D·ROOF D Sf-1EAR FRAME I EXTERIOR LATH ' I INSULATION I ' INTERIOR LATH & DRYWALL I ' I PLUMBING I :::J SEWER AND BUCO :::J PL/CO UNDERGROUND D WASTE o;wATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST I I D WATER HEATER D SOLAR W"TER I ELECTRICAL ' ' D ELECTRIC UNDERGROUND D'UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPQRARY D BONDING D POOL I I MECHANICAL I ' D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I ' I CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED FINAL I PLUMBING I - ELECTRICAL I II MECHANICAL I I I i GAS I d'f,V' I I BUILDING I J • 1"i ;7Y' ,~ SPECIAL CONDITIONS ' -I I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTORS CHECKED APPROVAL DATE SOILS COMPL,ANCE P810R TO t)f;~Jf(_;.: ... :,•t;t oa:_·~;_, ... ,_· '} -';.\ J.f?.lft;.• FOUl\iOAT!ON INSP -("CO ._ ,._ ____ -------+---------C!Jl ---n~ -~_:+fi. ;.,1>1rl ,~lt.-.,.,.r:,..--0 ---------------------------, STRUCTURAL CONCRETE: · ·· - • ,.,.... OVER 2000 PSi t---PR~E~S-T~RE_S_S~ED-------+---+-------.,~-f-----~ •. CONCRETE POST TEN5,10r--..E~ CONCRETE -1-------+-------C-·..,.,., r ..,_, -,~· r,_,_. ___ , __________________________ ______, 1------------, • ~ # u ~ I_J FIE'...O 'NELDlr-./G ,._ ___________ -------------------- dlGri STRENGTH BOl Ts :'>f-'ECIAl MASONRY ,._ ___ ----------+-------+----~ ----------+-----+-----+---~ f-'l~_Es CAISSor-...:.· --------·--f------------1----- f----------f-------~-----+----- f------·--------~-----+----------a-,, t----------------;----------~-~ r~----~------------~-----------; ----------------"---------------- !------------+--------· ------- f---------------------1------------------ ~--+-----+==-------+-------1------------1 ' l ' ~------~--~------L--~---__ __J A LICENSED CONTRACTOR'S DECLARATION · I hereby affirm that I am hcensed under provi- sions of Chapter 9 (commencing with Section 70CX)) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect OWNER-BUILDER DECLARATION ~I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law {Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L. 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 of- fered for sale {Sec. 7044, Business and Profes- sions 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 of- fered for sale. If, however, the building or improve- ment 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 con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec. ____ , B. & P.C. for this reason__ ...._ Date WORKERS" COMPENSATION DECL/1: 1~- 1 hereby af_lirm that I have a certifica\e · ::'c~- sent to self-msure, or a certilica. "f-'wor rs' Compensation Insurance, or a c I ed copy thereof (Sec. 3800, Labor Code}. POLICY NO 4'tft. t 2 v CO_J,tPANY i,,,J 74 'T ~- iifcopy 1s filed with the crt~ ::J Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). 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 Workers· Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption. you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for ..... ,_ ..... ,_ --·-" ,_ ·-----~ ,,... __ '>/lQ7 "'"" "~"-' CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS 1 l 1 7 I O 16 I ,l> IV ,1" ,D "'-I> ~· 1i' U I ' ' AV,ST."foATE OF APPLICATION , , I',' r 2-~ OWNER PRIME CONTRACTOR CAROL BLODGETT BOBS ,.,,. "MU OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 170h -,.. __ , _, __ __., LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. ' , ' ' • • ' I I I I DESIGNER DESCRIPTION OF WORK Inst-,, ' · -~~ . .. . DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING UNITS APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. L 1CENSE PERMIT NUMBER 13 STATE LICENSE 24~?/"I? CONTRACTOR'S PHONE ----- -. STA.Ti[ LICEI\ISE DESIGNER'S PHONE I "'· 1 PARKING SPACE I NUMBER OF STORIES Not Va#d Unless M4chine Certifi«J BLDG SQ. FT, BLOG USE occ. GP I STANDARD PLAN# I PLAN ID ;t l TYPE CONST I occ. LOAD .I ~ ~Q-T-Y0.~~~-P-LU-M~BilN-G~PE_R_M~IT~~~--/~-A-M_jT __ ~,,-Q-TY-_~~~~MLE_C_H_A_N_I_CA~L-P_E_R_M-ITc___~~~~A-M_T __ __L~~~~~-~.,~-iJ ~., '\..~ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU r{ 1' ~ EACH BUILDING SEWER OVER 100,000 BTU ~ l EACH WATER HEATER AND/DR VENT 2 00 BOILER/COMPRESSOR UP TD 3 HP \\ ~~. ~·. EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~)GLE DUCT n / EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS :f/a..L~ Ed~ .. , WATER SOFTNER RELOCATION OF EA FURNACE/HEATER / --,i • II TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR 5 00 AMT. TOTAL MECHANICAL CONTRACTOR QTY_ MOBILE HOME PERMIT AMT. AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5"-0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3STORIES IN HEIGHT BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR -;.,, . ./, er MICO -fl LM TOTAL FEES PAYABLE - . I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM. LESS 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 OWNER0 AGENT D CONTRACTOR~TAPPROVED BY BY PHONED / / I - I I I I I I I I I I • .... f-<( C ~ > I I I z 0 I I I >= u I I I .... a. V, I I I ~ I IL V -I I I I I I I I I I I I I I I I I I I I I I I I I I I • I I I I~ / SITE </"I 00,3 I ADDRESS: OV'i'NER: PERMIT NO: I FIELD INSPECTION RECORD .. . INSPECTION I -DATE INSPECTOR JNSPECTOR'S NO"TES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET C ' UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR . SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING .· ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO Fl REPLACE DAMPER & STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME . PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP ·JAS METER-PERM-TEMP I I -1 _J f CERT OF OCCUP~NCY ISS~~D