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Home My WebLink About2001 BASSWOOD AVE; ; CB931259; Permit,* Fc * BIJILDING PERMIT ll,/ltiS!33 10: 08 Page 1 of 1 Job Address: ZOO1 BASSWOOD AV Suite: Permit Type : PLUMBING Parcel NO: 2<15-f f:,~J-34-0(! mt# : Valuation: 0 CWIL:: t I: ur't ion Type : NEW (kcupancy Group : Reference# : Description: WATER HEATER REPLACEMENT Pzr-rnit No: C8931259 Project No. A9301776 Development No : Appl/Ownr : A&J FOSTER, INC. 619 697-4151 2819 CENTRAL AV SPRING VALLEY A** Fees Required Fees: Adjustments : Total Fees: __-------_-------I-- Fee description Enter "Y" for Plu Each Water Heater * PLUMBING TOTAL - -- ----- - .---- -- --- INS CLEARANCE CrryopmmmAO 2075 Las pplmos Dr., clllsbed, CA 92009 (619) 438-1161 PERMlT APPLICATION &ty of -karlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 1. A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C -Ip Residential 0 Apartment 0 Condo aSingle Family Dwelling 0 AdditioWAlteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical KI Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other 2. PRQJECTINFORMATION PLAN CHECK NO. 73- I 1 FOR OFFICE USE ONLY Address Buildinn or Suite No. 1 2001 Basswood Ave. Nearest Cross Street Monroe LEGAL DEmON Lot No. Subdimion NamdNumber Unit No. Phase No. 0 2 Energy Calcs DESCRIFTON OF WORK @p #OFSTORIES NAME Ida Burcham ADDRESS 2001 Basswood Ave. 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope S PARCEL E SED USE (it airrerent trom applicantj CITY Carlsbad, STATE CA. ZIPCODE 92008 DAYTELEPHONE 729-3313 NAME Michelle Medina Sly OC! Iley, STATE a. ZIPCODE 91977 DAYTELEPHONE 697-4151 NAME Ida Burcham ADDRESS 2001 Basswood Ave. CITY Carlsbad, STATE CA. ZIP CODE 92008 DAY TELEPHONE 729-3313 NAME A&J Foster, InC. CITY Spring Valley, STATE CA. ZIPCODE 91977 DAYTELEPHONE 697-4151 * R STATE LIC. # 630120 LICENSE CLASS C-36 CITY BUSINESS LIC. # 1200354 NAMC N/A CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby attirm that I have a certihcate ot consent to selt-insure issued by the Director ot Industrial 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 Republic &&ty wucy NO. PC949585 EXPIRATION DATE 5/1/94 Ceruticate 01 Exemption: 1 certity that in the pertormance 01 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. -M DATE lLi/b/% Owner-Builder Declaration: I hereby attirm that I 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 exclusivelycontracting 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 [SSOO]). 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 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 ANYOF THE ANSWERS ARE YES, A FlNALCERTElCATE OF OccUpANCY MAY NOT BE ISSUED AFlERJULY 1,1989 UNLESS THE APFUCANT HAS MIX OR IS MEITING THE REQ- OF TIE OFFICE OF EMERGENCY SERVICES AND THE AIR POluITION OONTROL DKlMCT. I hereby attirm that there is a construction lending agency tor the pertormance ot the work for which this permit is issued (Sec 30m i Ciml Code). 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME "E LENDER'S ADDRESS 10. 1 certity that 1 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 AIS0 AGREE To SAVE INDEMNIFY AND KEEP I1ARMLEss THE CITYOF CARLSBAD AGAINSTALLIIABILITIES, JUDGMENTS, OOSIS AND EXPENSES WIU(3I MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONWUENCE OF THE GRANTING OF TEm PERMIT. OSHA: An OSHA permit is required for excavations over SO" 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 DATE: I\/\o/hg ,l@_kC& +xL6!/L,a. I WHITE: File YELLOW Applicant PINK: Fhance CITY OF CARLSBAD INSPECTION REQUEST s PERMIT# CB931259 FOR 11/19/93 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 2001 BASSWOOD AV APPLICANT: A&J FOSTER, INC. CONTRACTOR : OWNER: REMARKS: RS/BURCHAM/729-3313 SPECIAL INSTRUCT: INSPECTOR AREA PL?WCK# CB931259 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 697-4151 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents -- -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS