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Home My WebLink About1875 BIENVENIDA CIR; ; CB931260; Permit'I , i j I 1 1 j I ! I i t j I i I 1 1 I i BIJILDING PERMIT Permit No: CB931260 13/16/93 10:17 Project No: A9301777 Page 1 of 1 Development No : Job Address: 1875 BIENVENIDA CK Suite: Permit Type: PLUMBING Parcel NO: 20'7-S5(1-4"l-O(l Lot# : Valuation: '0 Construction Type: NEW Uccupancy Group: Description: WATER HEATER REPLACEMENT Applied : 1% /I b / 3 3 Apr/Issue: 11/16/93 4738 U!16/93 0001 01 02 C-mT 27.w Reference#: Status : ISSUED Entered By: MDP Appl/Ownr : A&J FOSTER, INC. 619 697-4151 ** -I- Ad T --- En Ea * * Fees --------- Fees I justments 'otal Fees Fee descr .ter "Y" f ch Water PLUMB 1 NG .--------- 281 SPR Requ ---- ,ipti or P Heat TOTA ---- mwcAJ&B6AD 2075 Lap Palmas Dr., CAW, CA 92009 (619) 438-1161 PERMlT hPPLICATION zty of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, U 92009 (619) 438-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 9 Residential 0 Apartment 0 Condo wngle Family Dwelling 0 AdditiorUAlteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 9 Plumbing OMechanical OPool 0 Spa ORetaining Wall OSolar OOther 2. PRCUECXINIORMATION PIAN CK DEKXlT FOR OFFICE USE ONLY JgWzt g?kyc&la Circle av LEGAL DEZKFTION AI Subdiwsion NamdNumber Unit No. Phase No. 0 2 Energy Calcs DESCRIF'TION OF WORK @%?' HEATER #OFSTORIES 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope P- USE N (it aitterent from applicant] NAME Susanne Georgi 1875 Bienvenida Circle NAME Michelle Medina ADDRESS 2819 Central Ave. acITycaylsbad. STATE a. ZIP CODE 92008 DAY TELEPHONE 729-2318 AG- UO- UA- STATE ZIP CODE 9 1 9 77 DAY TELEPHONE 6147-41 51 NAME Susanne Georgi ADDRESS 1875 Bienvenida Circle NAME A&J Fosterl Inc. ADDRESS 2819 Central Ave. 'In spring valley, ZIP CODE 92008 DAY TELEPHONE 729-2318 STATE a. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE ZIP CODE DAY TELEPHONE STATE LIC. # CITY WA Workers' Compensation Declaration: I hereby attirm that 1 have a certilicate ot 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). INSURANCE COMPANY R POLICY NO. Kg49585 EXPIRATION DATE 5/1/94 Certiticate ot Exemption: so as to become subiect to the Workers' Comwnsation Laws of California. rmance ot the work tor which this permit is issued, I shall not employ any person in any manner SIGNATURE "h/7, Lh-&daAm I;,/ /b 195 Owner-Builder Declaration: 1 hereby attirm that 1 am exempt trom the Contractor's License 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busings 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 [SSOO]). 0 0 Business and Professions Code for this reason: SIGNATURE DATE COM- NON-RESI-ING -: 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 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? IF ANY OF TIE ANSWERS ARE YES, A FINALCERTIFICATEOFOCCUPANCYMAY NOT BE ISSUED UrlERJULY 1,1989 UNLESS THEAPPIXANT HAS hQT OR IS MEITBIG TIIE REQUIREMENTS OF THE OFF'ICE OF EMERGENCY SEXVICES AND THE AIR POLLUTION CONTROL DISIRICT. I hereby attirm that there is a construction lending agency lor the performance of the work tor which this permit IS issued (Sec 3097( iJ Ciwl We]. 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME "E LENDER'S ADDRESS 1 certity that 1 have read the application and state that the above information 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 AIS0 AGREE To SAVEINDJWNIFYANDKEEPEWRAQESSTHE CUYOFCARISBADAGAINSTAU.~ JUDGMPFIS, OOSIS AND EXPENSES WIUQI MAY IN ANY WAY ACCRUE AGAINST SAID CUY IN CONSEQUENCE OF THE GRANTING OF THIS PERMlT. OSIIA: 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE I !W -w& WHITE: File YELLOW Applicant PINK: Finance