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2022 CUMBRE CT; ; CB950825; Permit
BUILDING PERMIT 06/21/95 11.28 Page 1 of 1 Job Address- 2022 CUMBRE CT Suite- Permit Type PLUMBING Parcel No. 216-491-19-00 Lot#. Valuation 0 Construction Type- NEW Occupancy Group: Reference*. Description- REPLACE WATER HEATER Permit No Project No Development No CB950825 A9501183 Status Applied- Apr/Issue Entered By • ISSUED 06/21/95 06/21/95 RMA Appl/Ownr : A & J FOSTER INC 2819 CENTRAL AV SPRING VALLEY, CA .91-977' *** Fees Required ***,***• 619-697-4151 /.Fees Collected & Credits *** Fees : Adjustments: Total Fees Fee description / ,27.00! \ '••'••.} . 00 >'.. 2 '7. 00 ,-''' -'"' Total- Credits: Total ^Payments :" Units Fee/Unrt Enter "Y" for Plumbing Issue Fee > '*•-•'" .''" , Each Water Heater land/qr Vent ' vs > i::.J /: 1 :'J\\ * PLUMBING TOTAL . 00 00 27. 00 Ext fee Data 20 00 Y 7. 00 27 00 2415 06/21/95 0001 01 02 C-PRMT 27-00 X^S?*•*>' CITY 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad. CA 92009 (619) 438-1161 I FtKMJI JTPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type SFR Net Loss/Gam of Dwelling Units © 2. PROJECT INFORMATION PLAN CHECK NO EST VAL PLANCK VALID BY DATE . £?C Q A- fet'Mfor- FOR OFFICE USE ONLY Address 2022 CumbrS CT Nearest Cross Street Building or Suite No LEGAL DESCRIPTION Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBM11 1ED D 2 Energy Calcs Q 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USELXISTIN rf;T! PROPOSED USEDESCRIPTION OF WORK Water Heater Replacemen SQ FT # OF STORIES 0 Gallon # OF BEDROOMS # OF BATHROOMS(JUNIAL.1 FbJti>UN (\i uilterent rrom applicant.) NAME (last name first)Gindorf f , JOhn CITY Carlsbad STATE CA>wfmA f 4 APPLICANT U CUM KAUTOR ,n AGENT FOR NAME (last name firstjKriSty Foster CITY Spring Valley STATE CA ADDRESS2022 Cumbre Ct. ZIPCODE92009 DAY TELEPHONE 942-0506 CONTRACTOR u OWNERQ AGENT FOR OWNER ADDRESS 2819 Central Ave. ZIPCODE91977 DAY TELEPHON697-4151 5 PROPERTY OWNER NAME (last name first) GindOrf f, John CITY Carlsbad STATE CA. ADDRESS 2022 Cumbre Ct. ZIPCODE92009 DAYTELEPHONg42-0506 6 CONTRACTOR .,._.,NAME (last name first)& & J Foster, Inc. CITY Spring Valley STATE CA STATE LIC # 630120 ADDRESs2819 Central Ave. ZIP CODE 91977 DAY TELEPHONE 697-4151 LICENSE CLASS C-36 CITY BUSINESS LIC #1200354 UESIGNtK NAME (.last name tirstj CITY STATE ZIP CODE DAY TELEPHONE STATE UC #1 COMPENSATION Workers Compensation Declaration Thereby allirm that I have a ccrtilicate ol consent to self-insure issued by the Director or Industnal 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 Indemnity POLICY NO pc949585 EXPIRATION DATE 5-1-96 Certificate of Exemption I certity that in the performance ot 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 SIGNATURE JLfeATE StJWNER-BU Owner-Builder Declaration 1 hereby attirm that 1 am exempt trom the Contractors License Law tor the lollowing reason D 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 suc.h 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 ) D 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) Q I am exempt under Section Business and Professions Code for this reason (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 [$500]) SIGNATURE DATE IHIb SECTION I-OR NON-RhSIPEN 11AL BUILDING PERMITS ONLY 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HASi METOR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE ATR POLLUTION CONTROL DISTRICT 9 CUNSTUUC'nCJN LENDING AGENCY 1 hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME None LENDER'S ADDRESS TO AFFLKJANT UiKTIhlCATlUN 1 certify that 1 have read the application and state tnat the above intormation is correct Higree 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA. An OSIIA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stones 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 Bui)dmg-,Code). APPLICANTS SIGNATURE ^J(f\/\ J\A . S\l , _, „ DATE'' y time after the w -j\\ f QJj WHITE. File YELLOW: Applicant PINK: Finance DEVELOPMENTAL flL--JA 1200 ELM AVENUE , SERVICES fil^S^^H CARLSBAD, CALIFORNIA 92008-1989 BUILDING DEPARTMENT WW-^M (619) 438-5525 ^^^^^^^•^ Citp of Carlstoato Deceniber 24, 1985 John Gindorsf 2022 Curobre Ct. Carlsbad, CA 92008 Dear Sir : Recently you have had a permit pulled in your name to change your water heater. It is important that you have the work done checked out by one of our inspectors for your protection. There is no charge for this service. Please contact the Building Department at 438-5525 to arrange a time when it would be convenient for you to have this inspection made. Thank you. BUILDING INSPECTION DEPARTMENT CITY OF CARLSBAD