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Home My WebLink About1876 OUTRIGGER LN; ; CB042823; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-21-2004 Plumbing Permit Permit No: CB042823 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1876 OUTRIGGER LN CBAD PLUM Status: ISSUED 07/21/2004 KMT 07/21/2004 07/21/2004 Parcel No: 2074012800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: DELMENTE RES-REPLACE WATER HEATER Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 Plan Approved: Issued: Inspect Area: Owner: DELMONTE ELEANOR M TRUS064 07 /21/04 0002 01 1876 OUTRIGGER LN CARLSBAD CA 92008 $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 CGP Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 FINAL APPROVAL DATE--¢CLEARANCE / SIGNATURE f?~-+---- 02 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description C) Z{J7 -L\ \-1'6 ~0D l.ot No. Subdivision Name/Number Asp;sor's Parcel # ~ ~)cxe, LAX ex: ptloofWork #of Stories FOR OFFICE USE ONLY PLAN CHECK No.(!8aCJ;;;f~ EST. VAL. __________ _ Plan Ck. Deposit -?00--:-+---=---===='--- Validated By ___ ~p,,:.:::..._ _ __,L. ____ _ Date _______________ _ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms i.S~~:~n~CQNff:R'11;tlt~QRf~UCitMff~ft~'.ij~M.Er!~tC11IJ!W:m~rJli~~~~~j~~~~rrl:i~~~;W~D~l~·~ir:!-:il~~OOi~JSf·~~~~t1ill~iY~~&it~ (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 th~t he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt -therefrom, and the basis tor the alleged -1....J..=:,,,1.:.__A.in~v-ioe!.l-a.£·1.o~n,,.o«:tLS_e_c,.t~lo~n'---"7~0=3"-1!.._5..JbL-y,..aLn-l,y:i,.....a,1.pp-"l'-ic_a.,.'-f-o.Jr =p~e'-rm~it_s_u_b..lljL-c_t..1,.£t~h~e-a.L.p..1.li_ca_jn!'t:::tio_a~cJ.i.·v ... il"-p--Jef"n=a::1_1t_y,_o_t~no_Ja.m,:ioi,.r-e-1-ae:n::,.fi 0 v"'e=:-h:1-u-n.l,d,:l,.J,.dlLJd_o..JI L.;a'-rs..i....L5-,q~o._,):_. _1-..J T] City State/ZiP. T~epn~ne # City Business License # \ "L \68:w Designer Name Address City State/Zip Telephone State License # __________ _ ~6;1;:J;~~~ijjjRE8'S,j;~~QMllEN~ftilf.rAf:t1~~1f.•~'g~t,r1i:~;I~~lnt.l[Il~li~~~iil~t~JrJ1~~im~~~~W~ta~~!~.i'~,r~1i,~i'~l~b~f~l;Ii~~Jl1i~J)~l~~~ffi;~t~Jijil'.J Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, tor the performance ~~e work tor which this permit is issued. ~ I have and will maintain workers' compensotion, as required by Section 3700 of the Labor Code, tor the performance of the work for which _this permit is issued. My worker's~ pens_ tion insura e carrier a policy number are: . -1 "2-~7/ --(--,U . . 4·/1'-t:=.. Insurance Company..,__.L.....U.-"',._,_,,_,::__,L--.... 2...-"c.::o.~--------Polley No. J ./ ~OJ 'Y._ '-"' _7 Expiration Date-1. V....J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) -' 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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 secure workers' compensation covera lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred l~~?.~~~-~~=-"-•1•·•r -c•·••• • · :~.,., ~~: .:~: ~;,rr:~p~'>"''"~o:~~~-~~~::::::~~ffn~=~:.~~~.:~;;~;:1~:r~cig:,l~tl~:=~:::~l~:::~~~-•l •1 ~11t,,:p r• l\ll;flill,l'JJf4D_l;Jll.P!: . · .'. R~1111P !'Li<.!li~,•i ~ • .,-,l;[i:.t1£1~,~ ,. ~ J!,:i:.t!1t.1~,:!f~.!Li~...:~..:.rn~lil/",-·,··'..l'i .;;,;~\¥.i.ili,,~•.ii,J,1..'.1~11?,ti,.:wa~l.i!i~;;:;~~.-~,tl,•1~,;,;a,: .,frr' .,;,~f ,,,~:u,r~ I hereby affirm that I am exempt from the Contractor's Ii cense La~ for the following reason: 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 ottered tor 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·oftered tor sale. It, 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 tor 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 tor such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _______ Business and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property Improvement. 0 YES ONO 2. I (have / 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 / address / phone number / 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 / address / phone number/ 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 / address / phone number/ type of work):. ________________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE-,-________ _ ,.coMe,i;:rJ:~tii1sts~.ctf1~6'jeQ'sr~"Q.Uf'iJt.$.,?Jtl,:tl4t1t~i~@'.iNG,i!~iiM!i'f:~:9m;fif,ffl.Wtira~1~iif~~Y:l~a~.r~mt11JB1illlr;~f-k}t;1~i1r~:11i~11~~;TurJ!:l~t,,,ri~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem'ent and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 ANO THE AIR POLLUTION CONTROL DISTRICT. t~~f;:fi{g'.Q.fJ~ftfl~:\?,ljJ:?J~i[ijeNP.t[~~~(;;'~ijC,~1i~tilliiUf~*fil?:i~~~,111~Ullill11~~1mi#:.19tl~~Ji1ftiti;lffl{11~~~J~~<lti;m~J~~~~~]l!~:f~~~l;~~j1~l;!~~iili~'.~U:~¥t~ii~~~t~l;~~;~: I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ 1!i'J,.M:PAi!el.'l,c:ANif;Lc~i3itmic11."ifcij&t1rn;•!i.l!:,;::iii1.r,~~•~mr~r•~iw~~t~f.i~mJ.t!JB.I~i:11W~~r.ru!l'Nf:~if~sm:mir~:~'NJilli1:Y:~]i;;~~'.~ 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 Citt 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 tor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. ElCPIRATfON: 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 comml¥1ced wit , 0 days !~om I date permit or If the building or work authorized byv;;ch pe/4lt is suspended or abandoned al any time alter the work Is commenoed I eri 18 d .action 1 .4. ulldlng Code). h 2 / Ill j APPLICANT'S SIGNATURE ----1!:::C--------=---Jl'--------------DATE ~ • IJ -/ ______ _ WHITE: Fi YELLOW: Applicant PINK: Finance . • fl City of Carlsbad Bldg Inspection Request For: 08/24/2004 . Permit# CB042823 Title: DELMENTE RES-REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: Suite: Location: 1876 OUTRIGGER LN Lot APPLICANT A&J FOSTER, INC. 0 Owner: DELMONTE ELEANOR M TRUST Remarks: Total Time: Inspector Assignment: Phone: 7607299308 Inspector: ---- Requested By: BONNIE Entered By: CHRISTINE CD Description Act Comm?rtt2 J 25 Water HeaterNents (\ /_--b/,-"-"',1/,~'-'~~~-------------~~~ q Associated PCRs/CVs Inspection History Date Description Act lnsp Comments