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HomeMy WebLinkAbout2029 CORDOBA PL; ; CB982383; PermitU//76/98 11=40 " U I L D I W G PERMIT :-<i>-'e 1 of 1 -"Jb ftddresr,: 2029 CORDONS PL. Suit,-*'! i' r in ! I, I" y pe s p |_ (j|»|g j N (; ^ u 'te^ Sorrel No: 207-240-38-00 ' Lot^, '''-' Pern,it NQS CB982?fl > .; Project No'- R9803154 Deoelopment- No« 0uat i on s J.rcupancv Groups Reference«! Description. UfiTER' HEflTER REPLACE • : ft &' 3 FOSTER 1370<5-B HUY 8 BUS EL CftJON Cft 92021 *** Fees Required Fees: •i'-i i ustments : Tntal Fees: y Construction Type: MEW Status' ISSUED :ftpplied: 07/28/98 ftpr/Is&ues 07/28/9R Entered Bus 619-390-4477 2?^,00 Ex| fe«?\ Dat-a Enter "Y" for P1 Water Heater •I INCORPORATED > 1952 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDI_NG_pJEPAJRIfyiENT-.;- 2075 Las Palmas Dr., CarlsBad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL Plan Ck Deposit ^ Validated By TlVV Date -7/Z ?il2_9 fnrrlnha Pi Address (Includt Bldg/Sulte l\Buslneea Nama Itt tnia addre**) Legal Description Lot No.Subdivision Nama/Numbar Unit No Ph«n No Total / of unlli SFR Assessor's Percel *Existing Uf •Proposed Use Description of Work Mi 11ian. Mark SO. FT. 2029 Cordoba Pi. lot Storlea CARLSBAD f of Bedroom*I of Batrvooms 76(5-^0-1778 Nam*Addrsss ritfr* 13706-B HWY 8 BUS. Slate/Zip .TOHM.qnN/KRTSTY FOSTER Telephone * Fax I ,'. •' • EL mMSja^timta^fi^yMnt''^^^^^^^^ 'I/CAJON, CA. 92021 390-4477 Nama Address City Slate/Zip Telephone / -i " ?n?Q rnrdnha PI.CARLSBAD CA. 92009 760-720-1778 ---'» Nam* Addreea City State/Zip Telephone * ftm^TcpErp^rfrpflS^r^PAfiY^AAlF^^ (See 7031 5 Buainesa and Profession* Cod*i Any City or County which require* a parmlt to construct, altar. Improve, demolish or repair any structure prior to Iti Issuance, elao requires the applicant lor auch permit to III* a algnad alatemant that ht to licensed purauant to tha provisions ol the Contractor i License Lew (Chapter 9. commending with Sactlon 7000 of Division 3 of the Business and ProfMiloni Coda] or thai ha to axampt therefrom, and tha basis 'or the sliegad exemption Any violation of Section 7031 5 by any applicant for a parmlt aubjaeta tha applicant to a civil penalty of not more than five hundred dollc • 115001) & j FOSTER PTJTMRTNT; 1 ^?nfi-R HWY R RUR. EL CAJON CA. 92021 390-4477 Name State Ucense 1630120 Add/aaa Ucanaa Class C-36 City State/Zip Talaphona I City Bualnaaa Ucanaa * 120J354 Designer Name Stete Ucense I N/A Addiass City State/Zip Telephone x .. Wockera' Compenaatlon Declaration. I hereby affUm under penalty of perjury on* of tha following declarations! D I have and will maintain a certlflcete of consent to sell-Insure for workara* companaallon aa provided by Sactlon 3700 of the Labor Coda lor the performance of tha work for which thla permit la Issued. O I have and will maintain workers' compensation, aa raqul/ad by Sactlon 3700 of tha Labor Coda, for tha performance of the work lor which thi» permit is Issued My worker's compensation Insurance carrier and policy number Wai Insurance ComoanyFARMER INSURANCE Policy No.N2007-56-51 Expiration D£.ONTINUOUS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In tha performance of tha work (or which thlf permit la laauad, I shall not employ any person In any mmner so as to become subject to tha Workers' Compensation Laws of California. WARNING Failure to secure wofkara* compensation coverage la unlawful, and aha!) subject an employer to criminal penalties and cIvU fines up to one hundred thousand dollars 1*100,000), In addition to the coat of compensation, damagea M provided for In Sactlon 3700 of tha Labo/ coda. Interest end attorney i fees SIGNATURE , DATE 7.' 'OWNER BUILDER DECUUUVTIOr^CT^^^ ' 1 hereby efflrm that I am exempt from the Contractor's License Law lor tha following reason! Q I, as owner of the property or my employees with wages aa their aola companuUon, will do tha work and tha atructura ta not intended or olf«i«d for silt (Sec 7044 Business end Professions Code. Tha Contractor's Ucanaa Law doaa not apply to an owner of property who builda or Improves thereon end who does such work himself or through his own employees, provided that auch Improvamanta wa not Intended or offered for aala If, however, ihe building or improvement Is sold within one yesr of completion, the owner-builder will have tha burden of proving that he did not build or Improve for the purpoee of aale) Q I, ea owner of the property, em exclusively contracting with licensed contractora to construct tha project (Sac. 7044, Business and Professions Coda Tha Contractor's License Lew does not apply to en owner of property who build* or Improves thereon, and contracts for auch projects with contractor!!) licanted pursuant to the Contractor's License Law). D I am exempt under Section Business and Prolaaalona Coda for thla raaaont 1 I peraonally plen to provide the major labor and materials for eonatfuetton of tha proposed property Improvement. Q YES QNO 2 I (have / have not) signed en application for a building permit for tha proposed work; 3 I have contrscted with the following person (firm) to provide tha proposed conaUucllon (Include nama / address / phone number / contractors license number) 4 I plen to provide portions of the work, but I have hired the following person to coordinate, supervise and provide tha major work (Include neme / sddren / phone number / contrectors license number) _^______^—_—___—_—^_— 5 I will provide some ol the work, but I have contracted (hired) tha following persona to provide tha work Indicated (Include name / address / phone number / \yp« ol work) _^__________________^________^____ PROPERTY OWNER SIGNATURE DATE. ^kiR^V,'^ , Is the applicant or future building occupant required to submit a bualMM plan, aculaly haUrdoua malarUta registration form or risk management tnd prevention program under Sections 25506, 25533 or 2B634 of the Presley-Tanner Heurdoua 8ubalanca Account AotT Q YES O NO Is the applicant or future building occupant required to obtain a permit from tha air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 ,000 feet ol tha outer boundary of • aehool allaf O YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETINO THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 1 hereby alllrm that there la a conatructlon landing agency lor the performance ol tho work tor which thla parmlt la leeued (See 3097(1) Civil Coda) LENDER'S ADDRESSLENDER'S NAME a.. I certify that I have reed tha application and state that tha abova Information to correct and that tha Information on tha plena I* accurate I agree to comply with ail City ordinances and State law* relating to building construction. I hereby authorlM representative* of tha City of Cerlabad 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 ACCRUB AOAINST SAID CITY IN CON8EOUENC8 OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit (a icqulied lor ancavatlona over CO* deep and demolition or construction of auucturaa over 3 atorlaa In height EXPIRATION. Every permit Issued by tha Building Official under tha provision! pi thto Coda ahatt axplra by limitation and become null and void if tha building or work authorized by auch parmlt la not commancad within 366 day* from tha data el Mich pwmlt or If tha building or work authorized by such p«rmit is suspended or abandoned at any tlm« altar tht work If commtncad (or I parlod ol 180 diyi ISaCtton 106.4.4 Uniform BuUdlng Coda). " ~ P" . -JQ. .—»fti-r^c p"**' • *•*' '•*•• ^—-"Ai */' it u // * A i—***" ix-~w r irv / ~w iix^\ ujiic f s~^- *-» • ™ CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB982383 FOR 08/04/98 DESCRIPTION: WATER HEATER REPLACE TYPE: PLUM JOB ADDRESS: 2029 CORDOBA PL APPLICANT: A & J FOSTER CONTRACTOR: OWNER: REMARKS: C/720-1778 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB982383 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-390-4477 INSPECTOR /UL TOTAL TIME: CD .LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS /f/ COMMERCIAL CERTIFICATE OF INSURANCE issue Dale (MM/DD/YY) AGENCY Name & Address ALLAN MENDOZA 8880 RIO SAN DIEGO OR. #700 SAN DIEGO, CA 92108 This certificate is issued as a matter of information only and confers no rights upon the certificate holder This certificate does not amend, extend or alter the coverage afforded by the policies shown below. ST.DIST.. AGENT_32fi_ INSURED Name & Address A&I FOSTER INC. 13706 B HWY 8 BUSINESS EL CAJON, CA 92021 COMPANYunw COMPANTunw COMPANYunw COMPANYunw COMPANIES PROVIDING COVERAGE: A TRUCK INSURANCE EXCHANGE B FARMERS INSURANCE EXCHANGE C MID CENTURY INSURANCE COMPANY 0 OVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDINGANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE KIEMLUUIUTT COMMERCIAL GENERAL UABUTY - OCCURRENCE VERSION CONTRACTUAL MCDENTAL ONLY OWNERS & CONTRACTORS PHOT MITOMMIflf UUUTT ALL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS WED AUTOS NON4WNEO AUTOS GARAGE UABUTY UMBRELLA UABUTY arouttiir GOMPUUTHM MO EMPLOYERS' UASIUTT POLICY NUMBER - N2007-56-51 POLICY EFFECTIVE DATE (MM/DO/YY) 5-1-97 POLICY EXPIRATION DATE (MWDO/YY) CONTINUOUS UNTIL CANCELLED POLICY UMITS GENERAL AGGREGATE FflOOUCTSCOMP/OPS AGGREGATE PERSONALS ADVERTISING MJURY EACH OCCURRENCE FRE DAMAGE (Any m Fire) MEOCAL EXPENSE (Anympmon) OOMBWEO SMGLELMT BODLY INJURY (PER PERSON) BODLY MJURY (PERACCDENT) PROPERTY DAMAGE GARAGE AGGREGATE (JUT STAIHTMV EACHACCDENT DISEASE-EACH EMPLOYEE DISEASE-POLICY LMT $ s $ss $ $ $ $ $$ $ J 1 ,000,000 $1 ,000,000 $1 ,000,000 nrnw OF OKumiisrvEMicusfflESTiucTioiisfipECUL ITEMS: RE: ALL OPERATIONS lame & address HOLDER CITY OF -SftN B!E@0- BUILDING DEPT 9601 RIDGEHAVEN CT 2ND FLOOR SAN DIEGO, CA 92123 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY Wli ENDEAVOR TO MAI 30 DAYS WWTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAI SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABUTY OF ANY KM) UPON THE COMPANY. US AGENTS OR REPRESENTATIVES. AUlHOniED BBVESBITAflVE 4-M 1291 13S1