HomeMy WebLinkAbout2031 ESCENICO TER; MULTI-PERMIT FILE; CB133102; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 .
Plumbing/Mechanical/Electrical (PME) Permit
12-16-2013 ' •,. 'Perrnit NO: CB133102,..•
Building Inspection' Request Line (760) 602-2725
,.
Job Address: 2031 ESCENICO TERRACE CBAD t .
Permit Type:PME Status ISSUED
Parcel No: 2164821000 .' Lot #: 0 - Applied:- 12/13/2013
,''. - • . Entered By-
Reference #: . . , Plan Approved: ' 12/16/2013
PC #: ' , -' :. . , - .lssued: 12/16/2013
lnsectrea:
Project Title: FULLER: REPLACE FURNACE
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Applicant: • " Owner: ASI HASTINGS - - FULLER LARRY N&KNDZIOR-FULLER ALEXANDRA.E
STE 200
4870 VIEWRIDGE AV - 2031 ESCENICO.TER '. '-.•
SAN DIEGO CA 92123 : CARLSBAD CA 92009
619-590-9300
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Plumbing Fees
, $0.00
Electrical.Fees -• 10.00.
Mechanical Fees ' - - $158.00
Other PME Fees
C .
TOTAL PERMIT FEES - " $158.00
Total Fees: • $158.00 Total Payments To Date:
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$158.00 Balance bue:
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• I •
.
• -
/ 1
Inspector
FI NAL
V Clearance
NOTICE: Please take NOT EE tha pproval of your project includes the Iriipo itionofcees, dedications, reservations, or other exactiOns hereafter collectively
referred to as'fees/exactions." Yo have 90 days from the date this permit was issued to protest imposition of these fees/exactions. . If you protest them, you must
follow the prptest procedures set forth in Government Code Section 66020(a), and file the protest and any other, required inforrriation with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequelit legal action to attack, '
review, set aside, vOid, or annul their imposition. - -.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity '
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any. - - -
fees/exactions of which you have previously been given a NOTICE similar to this, or as to.which the statute of limitations has previously Otherwise expired.
L6
To: rIbd I of 2 2013-12-13 18:00:57 (Qr'rr) ro,n: Jnnifr 0=oIm
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: U PLANNING U ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH HAZMAT/APCD I:
4 Building Permit Application Plan Check No. CII?7 I ! OLJ
Est. Value 1635 Faraday Ave., Carlsbad, CA 92008
C ITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. De sit P0 C A D LSB A D email: building@carlsbadca.gov
www.carlsbadca.gov Date it -I 13( 3 Iswppp I
JOB ADDRESS ... . . ...,.. .
2031 Escenico Terrace
SUITEB/SPACEC,'UNIT#
- -
.1/PROJECT e LOT U PHASE U P OF UNITS U BEDROOMS . Ii BATHROOMS 104ANT BUSINESS NAME . . CONSTR. TYPE OC. GROUP ]
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . . .
Replace Furnace
£XISTING USE USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
.
TPROPOSED
.. :.* .:. VES# NOD YES DNOD YES[::] NOD
APPLICANT NAME (Primary Contact) . Jennifer & Randy Cole APPLICANT NAME (Secondary Contest). . .. . ... ... ......
,.. .. .. ........ .. ............ ..
. . ADDRESS . . . . . .. . ADDRESS ..,, . .... . . ... . 9880 Magnolia Ave #119
. ........
CITY . STATE ZIP .
Santee CA 92071
CITY . .......STATE- . . _.ZIP ZIP . .
PHONE . ... FAX . . . . . .. . FAX . . . 619-405-2648
EMAIL . ... ..... . . . . ... EMAIL .............. ...... ..
PROPERTY OWNER NAME .............Alex Kendzior-Fuller ___... ....... ..
CONTRACTOR BUS. NAME.
.ASIHastings __. ....
..................PHONE
ADDRESS . .. . . . ADDRESS ..
2031Escenico Terrace ____ ....4870 VIEWRIDGE AVENUE.#200
CITY .., STATE .. . ZIP CITY STATE . ... ZIP
Carlsbad 92009 ..SAN DIEGO __-CA ...:'-.....92123........
PHONE . .. : FAX ... ... . , PHONE FAX . . .
760-634-0534 _.- (619)59079300
EMAIL .. ... . ... . . S...., . . . EMAIL . . . . .
ARCH/DESIGNER NAME&ADDRESS STATE IJC Ii STATE LIC# CLS CITY BUS UCII
513115 C20 1200804
loec. I UAJ.. lousiness one InOreSSiOnS looe: Any cIty or county wrvcn 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 Contractors License Law (Chapter 9, commending with Section 7000 of Division 3 f the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7033.5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fotowtng decla,etlanx:
I have and will maintain a certificate of consent to eelt.Insure for werkers' conrpensatos as provided by Section 3700 at the Labor Code, for the performance of the work for which this permit is issued.
/ I have and will maintain workers' compensation, as reoidred by Section 370001 the Labor Code, for the performance of the work for which this permit is issued. My wrallors' compensation insurance center and policy
minter are: Insurance Co OAK RIVERINSURANCE COMPANY Policy No. 3300065233131 Expiration Dale 09/01/2014
This section need not be completed if the pernst is for one hwxWd do,vs ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this is issued, I shag not employ any person in any mannerso as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' c peneatian coverage' I,ind shall subject an employer to criminal penalties and civil fines up to one hundred thou sand dollars (&l00,000 in -
addition to the cost of compensation, damages as pr for in Section 06 the boode, interest and attorney's fees.
£ CONTRACTOR SIGNATURE ..J2.d- . ,,,. 0 AGENT DATE 12/13/13
I hereby affiim thati am exempt from Conlrp,&enne Law f the ftP ii.ng reason:
I, as owner of the properly or my errqlsyees rude wages ox tole ensupennetion, viii do the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The Contractor's
License law does not apply loan owner of properly 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
sate. 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 sate)
I, as corner of the property, am exclusively contracting with licensed Contractors ID construct the project (Sec. 704.4, Business and Profess ions Cede: The ContracWu 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).
U I am asenrpl under Section _Business and Professions Code for this reason: '
1.1 personally plan to provide the major labor and materials for construction of the proposed properly improvement. LIves [—]No . . .. . . - 2.1 (have I have not) signed as application for a building permit for the proposed work. -
3.1 have contracted with the following person (fern) 10 provide the proposed construction (include name address I phone! Conbactors' license number):
4.1 plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name /address I phone I contractor,' license number.
5.1 will provide some of the work, bull have contracted QdrefI the following persons to provide the work indicated (include name I address I phone) type of work):
£PROPERTY OWNER SIGNATURE []AGENT DATE .-
T rlBd F-.9- 2 .1 2 2013-12-13 1800S7 (Mr) - Frrn .Jnnifr .I-
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration torn, or risk management and prevention program under Sections 25505. 25533 or 25534 of the *
Preslsy-TannerHazardous Substance Account Act? DYes 0 No - -
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? 0 Yes 0 No -
lsthefadbtytobeconstructedwithlal,0501ee1o11beouterboundaryo1asthoo1site? Dyes ONO '.
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
thereby affirm that there in a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code).
Lender's Name Lenders Address,
I cuntilljthatt have read the application andslatethettheabove information isomedandthattheinformatiDnon the plans isaccurate. I agree tocomplyveth all Citjotdinancos and State law relating te buitiingrenstnicfio,t
I heseby authorize representative of the City of Caitsbadtoentes upon die above mentioned property for insion purposes. I ALSO AGREE TO SALVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILffIES, JUDGMENTS. COSTSAM)E lSESlditllC41MAYINANY WAYACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennitis required for exonso'à5Oep and dermttion or coneAlion1 structures maer3 stories inheight. -
EXPIRATION: Every Knit issiiedby tie BritldingOflY undertheisiss ebyimitalion and bmenul and nddil the buirngoctk authorized bystt permit lsectcnmermedwjthis
180days from the date 0fsridipemi1oni1thebu11din ramicaudiesicedby di. it's dad or abandoned at any titne after the rnork commenced brapurndofidsys(Sedion105.4.4Unfonn&Jioingcode).
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Inspection List
Permit#: CB133102 Type: PME ' FULLER: REPLACE FURNACE 0
Date Inspection Item Inspector Act Comments
01/07/2014 25 Water HeaterNents -. RI - FULLER RES
01/07/2014 25 0 Water HeaterNents PY WC" . . - .4
01/07/201429 Final Plumbing - RI. .FULLER RES 0• -.
- •' - %_ .0 -
01/07/2014 43 AirCond/Furnace Set PY AP
01/071201449 Final Mechanical PY AP -i
01/06/2014 25 Water HeaterNents - -' 14R1 FULLER RES 0 0
01/06/2014 25 Water HeaterNents PY - : NR no one home -.. - •. . 0' - *
01/06/2014 25 Water HeaterNents PY NR • No one home
01/06/2014 25 Water HeaterNents PY NR No one home
01/06/2014 250 Water HeaterNents .• PY NR NO ONE HOME
01/06/2014 25 'Water HeaterNents Py : NR -. - NO ONE HOME- 4 0 - •*.
01/06/2014 29 Final Plumbing RI
0
FULLER RES
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City of Carlsbad :
1635 Faraday Av Carlsbad, CA 92008
01-03-2011 Plumbing Permit Permit No: CB110010
Building Inspection Request Line (760) 602-2725
Job Address: 2031 ESCENICO TERRACE CBAD . •'
Permit Type: •PLUM + ' . Status: ISSUED.
Parcel No: 2164821000 Lot #: 0 Applied: 01/03/2011
Construction Type: NEW Entered By: KG
Reference #: Plan Approved: 01/03/2011
PC #: . Issued: 01/03/2011
Project Title: FULLER RES REPLACE WTR HTR Inspect Area:
Applicant: owner:.—_
FAST WATER HEATER CO '...- FULLER LARRY N&KENDZIOR-FULLER ALEXANDRA E
12601 132ND AV NE 2031 ESCENICOiTERI
KIRKLAND WA 98034 CARLiSBAD C1 92009
425 636 7084
Plumbing Issue Fee $20.00
Fixture or Trap / / .-0 ' . J \ $000.
Building Sewer / / . .0 ./ \ 'Q $0.00
Roof Drain / / , 0 \ $0.00
Install/Repair Water Line 0 $0.00
Water Heater and/or Vent -1 - - V7$7.'00
Gas Piping System 0
Vacuum Breaker 1". $0.00
Other Plumbing Fees CIA, bo
Master Drainage Fee $0.00
SewerFee $0.00
Additional Fees so-.00
TOTALPERMIT FEES $27.00 00
Total Fees:. $2700 Total Payments To Dat.95 $27.00 ( . V ince Due:!
I.
FINAL APPROVAL . .
Inspector: Date: (• Clearance: ..
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, ieservations, or other exactions hereafter collectively -
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, .
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
- : - - - • 521821 1 *
'.,City of Carlsbad Plan CheckNo.L43110O 1 (
1635 Faraday Ave., Carlsbad, CA 92008 -
760-602-2717/ 2718/ 2719 Est. Value: -
Fax 760-6028558 • Plan Ck.Depo.slt 2 ,Building Permit Application at
JOB ADDRESS 2031 ESCENICO TER
.3UITEUISPAcEA/UNITU APN
,r/PROJECV U LOT U PHASE U U Of UNITS Is BEDROOMS a BAThROOMS WMNTa1.iwss HAM 7R.IYPE 11ACrIGRID11
DESCRIPTION OF WORK* include square F et Cl' Affected Area(s)
. 1 p.
Remove/Replace Gas Water Heater
H
EXJSTINGUSE PROPOSED USE GARAGE(SF) PATIOS (SF) OECKS(SF) FIREPLACE JAIRCONDITIONING FIRESPRINKLERS
- YES. NO01 VESONOD YESD NOD
COA qfyFemAPPUcans APPUCANTNAST WATER HEATER COMPANY
ADDRE601 132ND AVE NE .
. ADDRESS 12601 132ND -AVE NE
CITY STATE ZIP KIRKLAND WA 980.34 ciiv . STATE -ZIP KIRKLAND • WA 98034
PHONE
' °-'u"
FAX -425-636-7055 . PHONE . -
425636L7054 FAX
425-636-7.055
EL
.
EMAIcarolrfastwaterhéater.com 1jUIie@fastwaterbeater.cbm
PROPEYJWANDRA Xt CONTRACTOR VATER HEATER COMPANY
ADDRS031 ESCENICO TER ADDRESS 12601 132ND AVE NE
CITY STATE . ZIP cARLSBAD' CA . CA 92009
CITY . STATE ZIP KIRKLAND- . WA 98034
PHONE
(760)634-0534 FAX PHON25367054
.
FAX 425-636-7055
EMAIL - * EMAIL carolr@fastwaterheater.com
ARCKIDESIELNER NAME& ADDRESS STATE IJC U STATE LICJI CULSS crry ous. UC.0
- ....
.
931237 -- C36 1222302
apploantforsuchpormIttofIloosi ..pru., uulilousn UT repair wisuucu1re, prior oo us Issuance. eisa requIres tile - LIcense Lew(Cnaoter commenuirW wIth Section 7000 of DMsion3 of the Business and Professions de) or at he Is exempt emlrom, and the basis for alleged exemption. Anyv101atlon of Section 703i5 by any appllcantfor a permIt subjects the appileantto a civil penally of not more than live hundred do llam 1 50011.
MR
Wodiere Compensation Declantion: I hemk;afftmrndrpw'9lycIpe4usyono ofthelrgwsm,ns
uI haw and will maintain acertifioste of consent. toeelf4nsure lorwsrkernpenseUon 88pruvk1ed bySee1 37OOofthe Labor Code, lorthe peYemsnof the work 6wtilth this pemiIsissijd.
lhanandwUlmaInWnwarkamlc~bmpeh3ormn.asre Labor Code. for the perfam-a= of the work for which this pearlit Is issued. MY wurkEnt CIDIrPenmildn Mumce carrier and policy nurwsrInsuranceo_IflJpk Insurance Exchange POIC7Ns. A09304455 eoutionDate_12/1110
lbk
sacfsn need
notbe completed If (he pema'l is tar one hundred dollars (S1100) or tans.
Certificate of Exemption. I centitythat In the pertemance o the work for which this pamdtb tssiuid Itha0 not mrrplay any person ln any manner soaslobecomesioct tothe Workers! Compensebon Laws of California. WARNING Failure to secure workers compensallort coverage Is unlawful and strati subject an employer to criminal penalties and civIl tines up to one hundred thousand dallars (&hho,000) In
addition to the coat of compensation. demises se nmvI,In4 mt In Rer*fr,n Sian IF the Labor code, Interest end ettorne/5 fees. - - - -
£ CONTRACTOR SIGNATURE DATE 12/27/10
fhsrebyaffkrnthatlemexenrØñvnr C nhauIo4Lkènse Law for the WinAVthen -
0 I as owner attire property or my employees with wages as their sole esnpen58b05 will do the work and the structure Is not Intended or altered for sale (Sr- 1044 Business and Professions Code The Contractws License Lawdoes not apply to an owner of properly who builds or Improves thereon, and who does such work hhnsslforthrough his own employees; provided that such InipiovernanLs are not lnlohdsdor offered for usIa It. howavar, the buDding orinipruvementlo sold within one year of completion, theownw•bdidsr-wuII have the burden of proving that hadid not bold orhnprcvoinrthe purpose of sale).
0 I as owner olthe property, am exclusively cord,altJng with limmedconttactost is drslsljuct the project (Soc. 7044, Business and Profesatera Coda The Contthctoie Upeno Law does not apply loon owner of property who build crbupmves thereon, and contracts for such projects with ccnlretior(e) licensed pursuant to the Co radtor'stkanso Lay).
U I ion exempt under Section Business and ProfessIons Code for this reason: - - - 1.1 personally plan to provide the mu)or Igor and materials far construction of the proposed property Improvement []Yes DNa
2. 1 (hm I have not) slilined an applicallieri for a building pernit for the prosiosed work. - - -
3.1 have contracted with the followIng person (Dart) is provide the proposed onnstndon (Include name addressl phone/ conliectors' license number):
4,1 plan to provide portions at the wain, bull have hired the following person to coordinate, aupewiod and provide the major work (Include Came I address! phone /cor rectors' license number):
-
LI will provide some of the work bull have contracted (hired) the fallowing persCss toprovida the work lrrdicaled (include name! address I phone I type of work):
-
-
.PROPERTY DIVINER, SIGNATURE C. DATE - -
4 -
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521821
lB the eppcant oiTedbig occupant requhod In submit abuslness , acutely materials rvLuhatkin fnnn risk nna monte bai program undeSections 255,2553325534 otlha PreTenesrHazsSubstancuAcjntAct1 DYes .LJIo - Is the app&rd orrubjre bulldbig ocoipant requited Is obtain apenn)trmmtha uhpoffthon curtml dintiIctor aallty management dIsfrId? DYes QNo Is the tecilily Is ddthit 1,000 feet ol the outer undáryol'abdiool rite? Dyes UNo IF ANY OF THE MS WERS ARE YES, A FINN. CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT ItAS METOR IS MEETING THE REQUIRERENTSOF THE OFFICE OF EMERGENCY SERVICES AND THE NRPOLLU11DN CONTROLDISIHICT. -
-
I hereby affirm that there Is a ounstruollon lending agency for the performance of the work this permit Is Issued (Sec. 3097 (i) CMI Code).
Lender's Name Lender's Address
IemIithatI have ad the applicetlanandstatethettheobcoe Information Is conectand tMftlfftmmftn bathe plans Is axurala. Iagmetocompithet CltyomdInanandSlateImOngwbuIldIngouMwan.
t hereby ae cepasenb&e of the My ofCarbbadin on fta e marArtedp spaWon purpase& I ALSO AGREE SAVE. EY AND KEEP HARM1.ES THE CITY OFCAR1.SBAD AGAINST AILLU BIUIIES, JUDGMBTS, COSTS AND DCPENSESWHICH MAY INANY WAY ACCRUE AGNNSTSftJD CITY IN CONSEQUENCE OF1HEGIWT1NG OF THIS PERMIT. OSHA: An OSHA pad Is mqAad Ibr excavatow over 69 deep widd 3lnkx of stnAm over3etIesIs hehL PtRAflON: Everypairãl haued by the Buying Offidal under the pro0ons ofM Code tw,dtthi
..APPUCANVS SIGNATURE DATE 12/27/10
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City of Carlsbad Bldg Inspection Request 1
For 01/20/2011 -
Permit# CBIIOOIO Inspector Assignment
Title FULLER RES REPLACE WTR HTR
Description: .• . LV,. LL";
V, V
- 1- •''.
Type PLUM Sub Type: I
Phone: 7606340534 V
Job Address: 2031 ESCENICO TERRACE
Suite Lot 0 - I
Location Inspector -
OWNER FULLER LARRY N&KENDZIOR FULLER ALEXANDRA E 1 -
P- -
Owner: FULLER LARRY N&KENDZIOR-FULLER ALEXANDRA E : V
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Remarks:pflpleaseTY
- 44 f' 4 (4 •
A - V - I VVV • t, •I.
Total Time Requested By ALEX FULLER
Entered By: CHRISTINE - - •
( V
V CD Description V Act Comments
V ( •
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-
V •5I
V
V
25 Water Heater/Vents
V '
- .. ,• .• . Comments/Notices/Holds
I
4
V Associated PCRs/CVs/SWPPPs Original PC# 4
-
Inspection History 1
Date Description Act Insp Comments
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City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-25-2005 Plumbing Permit Permit No C13052731
Building Inspection Request Line (760) 602-2725
- '-
-
..
Job Address:.2031 ESCENICO TERRACE CBAD
Permit Type:., . PLUM . Status: 'ISSUED.'
Parcel No: .. 2164821000 Lot #: - 0 Applied: '07/25/2005
Construction Type NEW Entered By KG
Reference #: - . Plan Approved: 07/25/2005..,
- Issued: 07/25/2005 .. . .' .
Project Title FULLER RES REPLACE H20 HEATER inspect Area
Applicant Owner
A&J FOSTER INC —"FULLER LARY N&KENDZIOR FULLER ALEXANDRA
13706 HWY 8 BUS 2031 ESCENICO TER
EL CAJON CA 92021 CARLSBAD CA 92009
6193904477
Plumbing Issue Fee / Fixture or Trap.
Building Sewer
Roof Drain -
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System I
Vacuum Breaker
C~~ rcl
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
-
$20.00 •. .i;
-' $000
$0.00 -
$0.ob ., . I..
$0.00\
$0.00 7 \ $7.00 •
$0.00 .
~$$_Oo
0.00 ;. •.
. . ... -
$0.00
.•' ': :
TOTAL PERMIT FEES
Total Fees: . $27.00
:
el_p~ '1
$27.00/
:. .
IC)RPOAAThD
Payments To Date: 9S2 $0.00 Balance Due: . $27.00-' ."-
V
.3455.0
-
7/27/05 0002 01 02
COP. 2700
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4 C
FINAL AP,OVIAL
Inspector: VV"- Date: (7 '1 Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" ohees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the gate this permit was issued to protest imposition of these fees/exactions, if you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for.
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside void or annul their imposition
'I
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer conne'ction fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given p NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
r '. I -.. ..-.. !•, - . .. . .. 4 ., . •.' -. - , '4.
4.
4
PEMTAPPUCATOON ' •
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 FaradayAve,, Carlsbad, CA 92008
FOR OFFICE USE 0 Y,.
PLAN CHECK NO. jI5 27j
EST. VAL.
Plan Ck. Deposit
Validated By___________________________
Date
Address (include Bldg/Suite 1/) - Business Nma (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No Phase No. Total # of units ;.2k/'2 /0 . .essor's Parcel it Existing Use Proposed Use 1pk tUriA—ø..r 44 eci (e,.- .
of Work
Name . Address ' - City State/Zip Telephone # Fax #
ANL Coiitraotor Agen o go.qj'3 we fwQ ner 3 PPLIC %Wa IL J- s je 4, 7Lgc IkL?L..UCe1. ) {. 1i ( I O 1J ' 1'14)lt (? (-(')) Name • Address . City - State/Zip Telephone #
Name ' Address City State/Zip Teleph&-ie #
(Sec. 7031.51 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, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
e) mption. Any violation of Section 7031'.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five h d e dollars ($500J).
FS+ev $v I37&'O /4tL1c.4..)•74 Pi 1;:Y! ?Cjôi'i c12o. I9 Name • Address City State/Zip Telephone # State License # 6090120 License Class C-36 City Business License # 12.! O%3,
Designer Name - Address City State/Zip Telephone
State License #
-6 WÔKR /.PO[QENSATIöM P REM 1-Ma -WNR - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following 'declarations:
LI I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labàr Code, for the performance
of he work for which this permit is issued.
S S '
S
have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
,
S
Insurance Company 51T4T' FL)I1A. Policy No.00s- 251 - ZOLS' - Expiration Date 21.X.x, 1,4-e (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
' LI CERTIFICATE OF EXEMPTION: I certify- that in the performaice of the work for which this permit is issued, I shall not employ
'eny person in any manner so as to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure work ensation coverage is uriWwful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dàllars ($100,000). i di (0 e St mpens . da ges as provided for in Section 3706 of the j.epr coAe, Interest anattorney's fees.
SIGNATURE DATE 7—Z-7 —o$
I hereby affirm that I am exempt from the Contractor's LJ'ensa Law for the following reason:
S * LI 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).
- fl 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).
LI I am exempt under Section Business and Professions Code for his reason: -
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO
I (have / have not) signed an application for a building permit for the proposed work
I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
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 I address / phone number / contractors license number): S '
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 S
CO)PLET TiHISi SECT 3-1 I0NFOB NOJV
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management a.nd prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 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 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO . IF ANY OF THE ANSWERS ARE YES, AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF.THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CS wul- iJ L
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.- 3097(i) Civil Code). -
••- LENDER'S NAME - - - LENDER'S ADDRESS
I certify that-I have read the applicatlon)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 Cit%i of Carlsbad to enter upon the above mentioned property for inspection purposes. I 4LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIE
S
,
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 for! over 5'0" 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 w
o
r
k
authorized by such permit Is not commenced with (Lays fromthe date, of such ermit or ! the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced to erio 0 ys lion 10 - nit rm Building Code). - -. I - S —i_1_Q( APPLICANT'S SIGNATURE - - DATE 1 -' I -'
I 'WHITE File/YELLOW Applicant PINK Finance
- - - - S ' • 'S -
u. t I. mot btorues # of Bedrooms # of Bathrooms
4"
•
..• 4 4. --. .•44 4
City of Carlsbad Bldg Inspection Request-
For 08/03/2005
L g i A. -
Permit# CB052731 " Inspector Assignment
Title: FULLER RES REPLACE H20 HEATER - - .4,
Description
• '. •--
Type PLUM Sub Type
Phone: 7606340534-
Job Address: 2031 ESCENICO TERRACE '.•' ,
-
Suite: Lot 0 , ,'
. ---''44 " •4 44
-• 4-
Location - Inspector
- .
APPLICANT A&J FOSTER, INC
Owner: FULLER LARRY N&KENDZIOR-FULLER ALEXANDRA ..':-.
• . .. . ''' '•
_
Remarks am please - please
Total Time " Requested By ALEX FULLER
• . . Entered By: CHRISTINE'
. - . ,.'-' ,• 4-'
CD Description Act Comment
25 Water HeaterNents
Associated PCRs/CVs .' . . .
--
Inspection History
Date Description Act insp comments
4 44%4
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City of Carlsbad
05/03/2000 PlUmbing Permit Permit No:CB001705
Building Inspection Request Line (760) 602-2725
Ii. I
Job Address',2031 ESCENICO TERRACE CBAD
Permit Type PLUM Status ISSUED
Parcel No 2164821000 Lot # 0 Applied 05I03/2000
Construction Type NEW Entered By JM
Reference #: Plan Approved: 05/03/2000
Issued: 05/03/2000
Project Title INSTALL WATER SOFTNER Inspect Area
Applicant: . ' t)(ffl ('ii 0" U WADDELL PLUMBING FULLER LARRYN&KENDZlOFU1iER AL$A 2700
1931 RECHE ROAD' 4"2 N I ?QO
FALLBROOK CA 92028 (g)3 CARLSBADJ0
760-728-2911
Total Fees: $27.00 /' T'tiPyments TorDirVk so.00\ ' Balace Due:, $27.00
Plumbing Issue Fee 20.00
Fixture or Trap 0.00
Building Sewer $0.00
Roof Drain
(\\• I
Install/Repair Water Line
:
Water fs Piping 7rent INCORPORATED _$0.00 0 1952
Vacuum Breaker 0 $0.00
Other Plumbing Fees ;$0.00
Master Drainage Fee ti $0.00
Sewer Fee . $0.00 -
r
TOTAL PERMIT FEES I $27.00
)
,.eo
' / FINAL APPRO AL
insecto 4 Date ___ _Clearance
NOTICE: Please take NOTJ4'E that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. .
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD .
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
r
6 PERMIT APPLICATION ...
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas 'Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY
V
PLAN CHECK NO.__________
EST.-VAL." 'VVVV V
Plan Ck. Deposit
Validated By,
Date ..
_JNF0RWATIOf0 'cis 4r& Mw-"
Address (include Bldg/Suite #1 ' V "
i Business Name (at this address) -
Legal Description
,
, Lot No. Subdivision Name/Number
'
Unit No. Phase No. Total # of units
Assessor's Parcel # -. - Existing Use .. ' Proposed Use
Description of Work ' , , ' SQ.-FT.
_V V #of Stories , " # of Bedrooms # of Bathrooms
Maw WPM
Name ' Address ,
V VV :VV V City ', State/Zip Telephone # Fax #
_ Ut-_€It 4 __ 7óo72J'Z'/
V V Address -
City State/Zip Telephone #
Name ' Address V
V , City . , State/Zip Telephone #
EN
- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repairany structure, prior to its
* V 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
V (Chapter 9, commending 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. Anvationof Section 7
06-y
03 15 any _____cant frt subjects the ptcanUoacM pena more than five hundred dollars 7
31
Name Address V City ' State/Zip Telephone #
State License If 5!3 _ // License Class c:.:34 .. City Business License #
r- V
Designer Name , : ' Address V,, V ' , . City ' State/Zip
,
Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Sectidn 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are: 'I Lo Insurance Company c51eki'i FIIAIO Policy No. _______- Expiration Date /0/ /
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for 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. . V
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE ' V ' DATE
RIMER =_014—m-P W V I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ' V ' '•
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 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
V 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).
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 for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
I am exempt under Section ______________ Business and Professions Code for this reason: . , - V V .' ••'
. .. .
1. I personally plan to provide the major labor and materials for 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 nu'mber /'contractors license number):
I plan to provide poriio'ns of the'work, but I have hired the following person to coordinate, supervise and provide the major work (include name / addres / phone
- number / contractors license number): V V V
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): ' ' V V V , • -
PROPERTY OWNER SIGNATURE V V 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? -0 YES 0 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 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?. D' YES 0 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
V REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). V V
LENDER'S NAME LENDER'S ADDRESS
"V
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 Cit, 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 for excavations over 5'0" 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 becoine null and void lithe building or
V 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 ork is ommenced for a per. d of 180 days (Section 106.4.4 Uniform Building Code). '
APPLICANT'S SIGNATURE _ . DATE L0
WHITE. File YELLOW: Applicant
,
PINK. Finance.
V
1 4 ... .•
,- -
City of Carlsbad Bldg Inspection Rqies
For 5/16/2000-' L(M UD7- j
Permit# C BOO 1705 Inspector Assignment
Title INSTALL WATER SOFTNER
Description
-
4
Type: PLUM Sub Type: -' ) ' •_'_•4 ..
. Phone: 7608011575 - -
Job Addres: 2031 ESCENICO TERRACE -.
- -
Suite: Lot 0
* -'. -•'5 4i,•'- ,
Location Inspector
APPLICANT LJ WADDELL PLUMBING 1' • -
-
Owner: FULLER LARRY N&KENDZIOR-FULLER ALEXANDRA 4 ..
Remarks RESET FROM 5/15/2000
- 4 -4
Total Time: . . Requested By: RESET FROM MONDAY
*
Entered By: CHRISTINE r
CD Description Act Comment - - .- .•
25 Water Heater/Vents
1
Associated OCRs
Inspection History
Date - Description Act insp Comments - . .
4-; -. •
5/15/2000 25 Water HeaterNents NS RESET FOR 5/16.
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City of Carlsbad
06/09/1999. , Plumbing Permit Permit No:CB992155
Building Inspection Request Line (760)438-3101.
Job Address: 2031 ESCENICO TERRACE CBAD . .
Permit Type: PLUM . Status: ISSUED
Parcel No:. 2164821000 Lot #: 0 Applied: 06/09/1999
Construction Type: NEW Entered By: JM
Reference #: * . - Plan Approved: .06/09/1999
Issued:' .06/09/1999
Project Title: WATER HEATER REPLACE Inspect Area:
Applicant: .
A & J FOSTER •. • CONTINENTALRANCH INC
C7öCONTINENT1HOMES
2819 CENTRAL AVE ' - '2.36.'HFdHBL'UFF_DR#300 -
SPRING VALLEY SAN1blGO CA30 \
619 697-4151
N,-c\\
Total Fees: $27.00 /fl,,TatEil Payments To'D'a1:'V' $0.00 \ Balance Due: $27.00
Plumbing Issue Fee $20.00
Fixture or Trap 0 $0.00
Building Sewer 0.00
Roof Drain 0.00
Install/Repair Water Line $0.00
Water Heater and/or Vent \\ INCORPORATEDGas Piping System ,
,,/
Vacuum Breaker 4 0
Other Plumbing Fees
'.
$0.00
Master Drainage Fee ... $0.00
Sewer Fee . $0.00
TOTAL PERMIT FEES . $27.00 .
FINAL APPROVAL
Inspector: Date: __________ Clearance:
'
NOTICE: Please take NOTICE that approval of your project includes the imposition of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the pretest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for.
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. . .
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer conection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD . .
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
1 i1
4
FOR OFFICE USE ONLY
CHECK N&I f PERMITI APPLICATION
.PLAN JUN 7issiA
EST VAL CITY OF, CARLSBAD BUILDING DEPARTMEN
T
207& Las Palmas Dr, Carlsbad
.±29..
Plan Ck Deposit
(619) 438-1161
. Validated By______________________ i ll
Date_________________________ •
.. .2031'Escenico Terrace
* ..
Address linclude Bldg/Suit. i
Business Name (at this address) .
I.sgsl Description . . Lot No. Subdivision Name/Number Unit No. - ,.Phase No. Total I of units - - SFR - I' Assessors Parcel . . ' Existing Use Proposed Use .
Description of Work' SQ. FT. lot Stoties I of Bedrooms - I of Bathrooms WATER HEATER REPLACEMENT
--
. tONTACT PERN (haBit
CA. 92009 634-O534
Fuller, Alexandra 2031 Escenico Terrace CARLSBAD Name Address
- City State/Zip TeIephoneiT Fax I UCANT 0 tAgi I rç cT-rRr.r.Y Ic CmT/T<RTSPV PC9'ER 11706—B HWY. R BUS.- EL CAJON, CA. 92021 (619)390-4477 Name Address City State/Zip Telephone I
Fuller. Alexandra 2031 Escenico Terrae CARLSBAD CA, 92009 634-0534 Name Address. City State/Zip Telephone I
(Sec. 7031.5 Business and Professions Cod.: Any City or
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A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON . CA. 92021 (619)390-4477 Name Address City • - State/Zip Telephone q Ststi Ucsnsel- _630120 : • License cuss C-36 City Business License 1200354
Designer Name . Address . City . . SteteIZlp, Telephone • ... State License N/A
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
- o I have and will maintain a certificate of consent to self.lnsurs for workers' compens
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as provided by Section 3700 of the Labor Code, for the perfo
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of the work for which this permit Is issued.
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of the Labor Code, for the performance of the work for which this permit is
-Issued. My worker', compensation insurance carrier and
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-. Insurance Company FARMER INSURANCE • Policy No.N20075651' . Expiration D. CONTINUOUS IThIS SECTION NEED NOT BE COMPLETED IF THE PERMIT I
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- -- 0 CERTIFICATE OF EXEMPTION: leer Ily that in the performance of the work for which this Permit Is issued I shall not employany person In any manner so
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to become subject to the Workers' Compensation Laws of Calif
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. WARNING: Failure to ae • ra' co tlon 909 a Is unlawful, and shall subject an employer to criminal p.naltiaa and civil fines up to one hund
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thousand dollars ($10 ), t cost of nsp don, damages as provided forks Section 3708 of the Lsbqr code, interest
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SIGNATURE_
DATE III IN (15 1QQQ -
.. OWNER.BUlLDER I I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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0 I. as owner of the properly or my employee, with wages as their soli compensation, will do the work and the structure is not intended pr !9' ssle
(Sec. 7044. Business and Professions Code: The Contr
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such work himself or through his own employees, provided that such improvements are not intended or offered for sale. it, however, the building 9 l,hpjoement is -.
sold within one year of completion, the owner.bullder will have the burden of proving that he did not build or Improve for the purpose of sale).- 0 0 I. as owner of the property, am exclusively -contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
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Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such project, with contractor(s) licensed
- pursuant to the Contractor's License Law).
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I am exempt under Section Business and Professions Code for this reason - I personally plan to provide the major labor and materials
for construction of the proposed property lmprov.ment. 0 YES ONO : --
I (hay. F have not) signed an application for a building permit for the proposed work:
I have contracted with the following person (firm) to provide the p
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construction (include name I address / phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following
persàn to coordinate, supervise and provide the major work (include name I address / phone
number I contractors license number): -
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I will provide some of the work, but I have contracted (hired) the following persona to provide the work Indicated (include na
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of work
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- PROPERTY
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Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
proem under Sections 25505. 25533 or 25534 ot the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the alt pollution control district or sir quality managemint district? 0 YES 0 NO. Is the facility to be constructed within 1,000 feet of the outer boundary of a school sits? 0 YES 0- NO
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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 AND THE AIR POLLUTION CONTROL DISTRICT.
1 CONSTRUCTION LENDING
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I hereby 'affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097f1) Civil Code)_' LENDER'S NAME
LENDER'S ADDRESS
9 APPUCANT CERTRCTIOPU ,i4rr I certify that I have reed the application and state that the above information Is correct and that the Information on the plans is accurete. I agree to comply with all - -
City ordinances and State laws relating to building construction. I hereby aut
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to enter upon the above mentioned
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property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AGAINST ALL LI
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JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. - OSHAI - An OSHA permit Is required for excavations over 5'0 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 II the building or -
work authorized by such permit Is not commenced within 365 days from the data of such permit or If the building or work authorized by such pormil is suspended -
or abandoned at anytime sitar the wo co,ps nced tots-period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE
DATE J IN. 081999
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'City of Carlsbad Inspection Request'
For 6/17/99 -
Permit# CB992155 Inspector Assignment S v
Title: WATER, HEATER REPLACE
Description .
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t Type PLUM Sub Type ...
. . • . ' . ' •Phone: 0000000000
Job Address: 2031 ESCENICO TERRACE . . . . •- •. .
Suite: . . Lot .0 .
- Location: :4 ..
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. Inspector: - -
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APPLICANT A & J FOSTER
Owner FULLER LARRY N&KENDZIOR-FULLERA ,.
Remarks: . 4..
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Total Time Requested By ALEX
Entered By CHRISTINE
CD Description . - Act Comments.. . ,
25 Water Heater/Vents
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Inspection History .. - • . --
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Date Description . Act insp
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Comments ,.. - • .- .
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W . APPLICANTTOFILLININFOR - ' W .'
MATION WITHIN RED LINES.
JOB ADD
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AV. ST. BUS. LICENSE- PERMIT NUMBERRD
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OWNER OWNER'S PHONE -yo AC WRA
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1 ,- LF BLOCK SUBDIVISION....- ASSESSOR S PARCEL NO - DESIGNER - STATE LICENSE I
III 1111111 '-
DESCRI//Ff$r/ \f,4!J, '_f_7 DESIGNER S ADDRESS
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DESIGNERS PHONE"IM ...
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CENSUS-TRACT -' - OP LAND USE ZONING '- - - -. RES. UNITS- PACE -.-- NUMBER OF STORIS
BLDG SQ. FT. BLDG USE . DCC. GP STANDARD PLANP PLAN ID p E CONST I. 0CC. LOAD
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CITY. PLUMBING PERMIT AMT QTY 'MECHANICAL PERMIT * AMT.'- 2.
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INSTALL FURN DUCTS UP TO 100 000 BTU
MECH EXHAUST - HOOD/DUCTS
EACH FIXTURE TRAP
EACH BUILDING SEWER OVER 100,000 BTU
- EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 1630 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT.
- EACH LAWN SPRINKLER SYSTEM
— TER SOFTNER . . RELOCATION.OF EA FURNACE/HEATER . GILDING PERMIT.
SIGN PERMIT
TOTAL PLUMBING TOTAL MECHANICAL.- - PLAN CHECK I I I I
ALL INCLUSIVE PERMIT I I — CONTRACTOR CONTRACTOR
- - TOTAL PLUMBING I I
QTY. -ELECTRICAL PERMIT . - AMT. . QTY, MOBILE HOME PERMIT AMT.
. ELECTRICAU I I
-. NEW CONSTEAAMP/SW'f/BKR . - . . AWNING ' . - ., . . MECHANICAL
1 PH .25 . - 3 PH . . — PORCH MOBILE HOME
- . EXIST BLDG EA AMP/SWT/BKR . SET-UP - - . - . . . - - .-.-,• -. - -. ' SOLAR
— 1 PH 25 3 PH RAMADA CABANA
REMODEL/ALTER PER CIRCUIT - .- - FENCE OVER 6'
TEMPPOLE 200AMPS . - . .. TOTAL MOBILE HOME -- -. - - MI -FILM. - - I I7 . I
OVER ZOOAMPS.
TE)nP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL - , a:., . ,2.- s, , TOTAL FEES PAYBLE
CONTRACTOR r-
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I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO AN OSHA PERMIT IS REQUIRED FOR ExCAV1TroNs OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I - 5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER .. -
- SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- -
LESS THE CITY OF CARLSBADAGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
- EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. - AKCANT77INfff/ . OWNERD CONTRACTORD APPROVED BY /3 - DATE '7 AGENT( PHONED BY /jfJ I 1c't
OWNER-BUILDER DECLARATION
Dl hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law-(Chapter9
'commencing with. Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex- -
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars -
($500).-
01, 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 of-
fered for sale (Sec. 7044, Business and Profes-
sions 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 of-
fered for sale. If, however, the building or improve-
ment 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). -
Dl, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, .Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property t.ho builds or im-
proves thereoR, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec._, B. & P.C_
for this reason_______________________________
Date ______________ Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or. a certificate of Workers'
Compensation insurance, or a certified copy
thereof (Sec.
Maw POLICY NO. _S11
COMPANY 'r /
Copy is filed with the city.
0 Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the per.
mit Is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
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.
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len-
ding agency for the performance of the work for
which this permIt is issued (Sec. 3097, Civil Code).
CITY OF-CARLSBAD—BUILDING DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION APPLICATION & PERMIT -
hereby affirm that I am licensed under provi- USE BALL POINT PEN ONLY 1200 ELM AVENUE
- slons of Chapter 9 (commencing with Section - -
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and at-
fact. .
V. V•V V V V • V
SITE 90 c-)a OWNER PERMIT- NO:
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FIELD INSPECTION RECORD - FIELD
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INSPECTION DATE INSPECTOR INSPECTORS NOTES
WOOD FLOOR
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FOUNDATION • FORMS • SET BACK • TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING -
OK TO INSTALL SUB FLOOR
SLAB FLOOR - - - -• . V V - -
UNDER SLAB PLUMBING
FOOTING FORMS. SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAMEON.PLACE INSULATION .
- INSULATION OK • PLACE WALLBOARD
WALLBOARD OK. PLACE TAPE
EXTERIOR LATH OK • PLACE STUCCO
FIREPLACE
DAMPER &STEEL V
PLATE TIES/HEIGHT OF CHIMNEY V
V.
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V
OTHER-
TEMP-POWER (POLE)
SEWER
GAS TEST
SWIM POOL.. STEEL BONDING
PRE DECK
. FENCE PREPLASTER
SHOWN • FRAME
- V - - - -V -V VV• -V - -
3,4
FINAL INSPBY SLOG DEPT
OTHER DEPT'S REQ COMPLETED
ELECMETER_PERMVTEMP
GAS METER-PERM-TEMP
CERTOFOCCUPANCYISSUED
V /
V.
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V _!_V '7
V
V
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V V