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Home My WebLink About2032 LADERA CT; ; CB972457; Permit09/03/97 09 43 B „ X L 0 X » S P E R M X T p= NO CB?72«7 Development No j^H^rli..1™* LADERA CT £™iS Nr2i6-™-oo *>«" - ^."^K!! S8&y »S, 27-00Construction Valuation.Reference* HEATER REPLACEMENT Aool/Ownr MORI KENICHIAPP 2032 LADERA COURT CARLSBAD, CA 92009 * **Fees Required ****** Fees • Adjustments• Total Fees: Fee description 27.00 . 00 27. 00 Enter Y" for Plumbing Issue Fee Each Water Heater and/or Vent * PLUMBING TOTAL Status: ISSUED Applied 09/03/97 Apr/issue 09/03/97 Entered By JM 760 748-1235 Fees Collected & Credits *** Total Credits Total Payments. Balance Due. Units • Fee/Unit 7. 00 00 00 27 00 Ext fee Data 20 00 Y 7 00 27 00 CITY OF CARLSBAD 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 11 ^(2032 Ladera Ct.^ FOR OFFICE USE ONLY PLAN CHECK NO 7 ~72tf%7 EST VAL Plan Ck. Deposit Validated By = Date Address (include Bldg/Suita I)Business Name (at this address) Legal Description Lot Subdivision Name/Number Unit No Phase No Total H of units Assessor's Parcel Existing Use Proposed Use Description of Work WATER HEATER REPLACEMENT 2; ' CONTACT PERSQN (If different from BDpllcMori, Kenichi 2032 SQ FT #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone ff Fax 3. ^APPLICANT .D Contractor, SHELLY JOHNSON/KRISTY FOSTER t>nUaotor13706- Name Mori. Kenichi Address A.W 2032 Ladera Ct. CARLSBAD Name Address City State/Zip Telephone # (Sec 7031 5 Business and Professions Code Any Citv 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 licensnd 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 exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty_pf not more than five hundred gjollsrs I $5001) A & J FOSTER PLUMBING 13706-B HWY 8 BUS.EL CAJON Name S«a..L.cense530120 Address License ClasS City StttEto()354City Business License * Telephone tt X Designer Name State License »N/A Address City State/Zip Telephone SI,COMPENSATION *,Aft'ri*.^^ ' J. .. . . 'Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 Q I 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 _., __ ___._„,,,-, INSURANCE Po,|cy ^2007-56-51 Explrat,OnCgINU°US (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) 0 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 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 (or In Snction 3706 of the Labq/ code. Interest and attorney s fees SIGNATURE DATE 7 OWNER BUILDER DECLARATION 4,: >,, if , J. _„'"-• ^ ' ^^ •^^£M^^S!M^^M^K^i .".M » '' ,'" i 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason 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 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 auch 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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES I~1NO 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 number / contractors license number) 4 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 / address / phone number / contractors license number) 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 ol work) PROPERTY OWNER SIGNATURE DATE if ../j v, :, 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 Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8. CONSTRUCTION LENDING AGENCY •''ktf**^ ^ ""\¥ih >r,\~3&S#tfe. 'MMi^MMlM'-M^^'. ' 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 9.APPLICANT CERTIFICATION I certify that t 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 City 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 ANO 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 6'0" 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 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 tta work is cpmmenced for_a period of 180 day$ (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant Finance OF CARLSBAD INSPECTION REQUEST PERMIT* CB972457 FOR 09/16/97 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 2032 LADERA CT APPLICANT: MORI KENICHI CONTRACTOR: OWNER: INSPECTOR AREA TP PLANCK# CB972457 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 748-1235 PHONE: PHONE: REMARKS: C/KEN/943-8548 AM PLEASE INSPECTOR SPECIAL INSTRUCT: RESCHEDULED FROM 9/11/97 TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS AP. ***** INSPECTION HISTORY ***** DATE DESCRIPTION 091097 Water Heater/Vents 090997 Water Heater/Vents ACT INSP COMMENTS CA TP RESCHEDULED NR TP NO RESPONSE @ HOME I f N A S If N A umiiiiicnuju. utllHNUut iGENCY . lame ' ALLAN MENDOZA & * 8880 RIO SAN DIEGO CR. #700 Thisctttrf ddress ] SAN DIEGO, CA 92108 jgjjjj T PQ DIST. M AGFNT ?7fi ISURED -ma • A&J FOSTER INC. & • 13706 B HWY 8 BUSINESS ddress • EL CAJON, CA 92021 • III- llfeUHMNI fcate is issued as a certificate holder. Th afforded by the poll 0 5n8>rf ^ Tfl COUPMfTunw § FA WUHIftverm g M coumwmm a Lt issue Dale (MMIUU/YY) S"-/-^^ matter of information only and confers no rights s certificate does not amend, extend or alter thecws shown below. DMPANIES PROVIDING COVERAGE: tUCK INSURANCE EXCHANGE iRMERS INSURANCE EXCHANGE D CENTURY INSURANCE COMPANY COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY 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 REDUCEDBY PAID CLAIMS CO LTR A TYPE OF INSURANCE tanuuAWJTT COMMERCIAL GMRALUABUTY -OCCURRENCE VERSION CONTRACTUAL • MQOCNTAL ONLY OWNERS & CONTRACTORS FDOT AOTOMMUUAIUTT ALL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HREO AUTOS NONWNEO AUTOS GARAGE LUBUTY UMMEUA UUUTY VOMUS" COMF1 MSATIOI m omoTiRS' miiun POLICY NUMBER •' N2007-56-51 POLICY EFFECTIVEDATE (MM/DO/YY) . 5-1-97 POLICY EXPIRATION DATE (MM/DD/YY) • OutefoflOOUS UNTIL CANCELLED POLICY LIMITS GENERAL AGGREGATE PROOUCTSCOMWOPSAGGREGATE PERSONALSADVEflnSNGHJURY EACH OCCURRENCE m DAMAGE (tay m fin) MEDCAL EXPENSE(Any on person) .COMBMEOSWLELMT BOOIYHJURY (PER PERSON) 60M.YMJURY (PERACCDENT) PROPERTY DAMAGE GARAGE AGGREGATE LMT nATVTMf EACHACODENT OBEASE-CACHEUaOYEE DBEASE-POUCYLMT $ $ $ $ $ $ $ $ $ $ $ S $ 1,000,000 $ 1,000,000 S 1,000,000 DEicnmm OF OFtiunoKffiHiauflttSTiocnoK«mui rrmfc RE: ALL OPERATIONS CERTIFICATE HOLDER Name • CITY OF VISTA & * BUILDING DEPT Address • 600 EUCALYPTUS VISTA, CA 92083 CANCELUmOM SHOULD ANY OF THE ABOVE DESCUBED POUCfS BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE GSUNG COMPANY WLL ENDEAVOR TO MAI X DAYS WHITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO WE LEFT. BUT FALURE TO MAI SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABUTfOF ANY NNO UPON WE COMPANY. TO AGENTS OR REPRESENTATIVES. \^ ///S ,-248? 4'M mi mt