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Home My WebLink About1875 BIENVENIDA CIR; ; CB021175; PermitL City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 04- 1 7-2002 Plumbing Permit Permit No: CB021175 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2072504500 Lot #: 0 Applied: 0411 7/2002 Reference #: Plan Approved: 04/17/2002 Issued: 0411 712002 Project Title: GEORGI - REPLACE WATER HEATER Inspect Area: 1875 BIENVENIDA CR CBAD Construction Type: NEW Entered By: JM Applicant: A & J FOSTER 281 9 CENTRAL AVE SPRING VALLEY 61 9 697-41 51 Owner: GEORGI FAMILY TRUST 01-21w w/1@/02 #02 01 02 CGP 27.00 1875 BIENVENIDA CIR CARLSBAD CA 92008 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 F 1 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 &*L/ “YPIRED PER processing in accordance with Carlsbad Municipal Code Section 332.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date PROJECT INFURMATI 1875 B1E"IDA CIRCLE Address (include BldglSuite #) Business Name (at this address) Lot No. S$Jdivision NarnelNumber Unit No. Phase No. Total # of units Legal Description Assessor's Parcel # Existing Use Proposed Use 207-250-45-00 ! Description of Work SQ. FT #of Stories # of Bedrooms # of Bathrooms Water Heater Replacement GEORGI. d0M . Carls \ 2. CONTACT PERSON if diffe Name Address City StatelZip Telephone # Fax # APPLICANT Name Address City Statelzip Telephone # J (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, cornmending with Section 7000 of Division 3 of the Business and Professions Code1 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 1$5001) Name Address City Statelzip 12108jpphone # State License # 630120 License Class C-36 City Business License # Designer Name Address City State/Zip Telephone A E, J Foster Plumbins 13706-B Hwy.8 Bus. El Cajon CA. 92021 (619)390-4477 State License # N/A 9' I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance o the work for which this permit is issued. c$: 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 is ued. My worker's compensation insurance carrier and policy number are: 04-01-02 Insurance Company State COT. Ins - Policy No. 467-01 0000713 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1OOJ OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to s thousand dollars ($10 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as unlawful. and shan subject an employer to criminal penalties and civil fines up to one hundred n. damages as provided for in Section 3706 of ftPB c$"&tmd attorney's fees. 0 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). 0 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) ltcensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm1 to provide the proposed construction (include name / address I phone number / contractors license number): Business and Professions Code for this reason: ~~ 4. number I contractors license number): 5. of work): 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 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address l phone number / type PROPERTY OWNER SIGNATURE DATE HIS SECTiON FOR NON-RESIDENTIAL BUILDING PERMI 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 Preslev-Tanner Hazardous Substance Account Act7 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 0 YES 0 NO 0 YES CONSTRUCTION LENDlNG AGEN I hereby affirm that there is a con LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and stat 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 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 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 co ork authorized by such permil is suspended or abandoned at any time after the work is comm APPLICANT'S SIGNATURE DATE