HomeMy WebLinkAbout2029 CORDOBA PL; ; CB982383; PermitU//76/98 11=40 " U I L D I W G PERMIT
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-"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