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HomeMy WebLinkAbout2041 AVENUE OF THE TREES; ; CB931017; PermitBUILDING PERMIT Permit No: CB931017 09/21/93 10:35 Project No: A9301439 Page 1 of 1 Development No: Job Address: 2041 AVENUE OF THE TREES Suite: Permit Type: PLUMBING 377 09/21/93 0001 01 02 Parcel No: 214-241-35-00 Lot#: C-PWT 27-00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: REPLACE WATER HEATER Applied: 09/21/93 Apr/Issue: 09/21/93 I I Entered By: DC Appl/Ownr : FOSTER, A &. J 619 697-4151 281 SRI I k** Fees Fees Adjustments Total Fees Fee descr Enter' "Y" f Each Water * PLUMBING __---------- Requ .---- ipti or P Heat TOTA ---_ Credits k** , .oo .00 2 7 . 0 0 Ext fee Data mQc #n5 LIES Pahas Dr., CkWd, C!Ai 9BXI9 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, U 92009 (619) 438-1161 A - U Commercial U New Building U Tenant Improvement B 0 Industrial 0 New Building 0 Tenant Improvement C Residential 0 Apartment 0 Condo 9 Single Family Dwelling 0 AdditioWAteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 9 Plumbing 0 Mechanical 0 Pool 0 Spa Retaining Wall 0 Solar 0 Other 2. PRWECXJNFORMATION Address Building or Suite No. Esr. VAL PLAN CK DEPOSIT VAUD. BY DATE FOR OFFICE USE ONLY bdivlsion NamdNumber Unit No. Phase No. 0 2 Energy Calcs DESCRIPTION OF WORK 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope E # OF STORIES WATER HEATER REPLACJ3D" SQ. IT. N (it clinerent mom applicantj ADDRESS 2041 Avew- of the Trees NAME Fred Kaczmarek 3 Shelly Andrews ADDRESS 2819 Central Ave. NAME -_ * STATE Trp ZIP CODE n, n77 DAY TELEPHONE co7 =, '-y I L€a. JLJJ 1 "a1 NAME ADDRESS Fred Kaczmarek 2041 Ave. of the Trees STATE ZIPCODE 03 -1 I -- 2819 Central Ave. 91977 ADDRESS NAME CITY STATE ZIP CODE STATE LIC. # A&J Foster, Inc. 697-4151 DAY TELEPHONE Spring Valley, CA. NAME CITY WA STATE ZIP CODE DAY TELEPHONE STATE LlC. # Workers' Compensation Declaration: I hereby atfirm that I have a certiticate ot consent to sell-insure issued by the Director ot Industrial 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 (settion 3800, Lab. C). 49585 ~IRATKNDATE 5/1/94 ich this Dermit is issued. I shall not emDlov anv Demon in anv manner . < <. so as to becomeHbject to the WLrkers' Compknsation Laws of California. Owner-Builder Declaration: I hereby aftirm that 1 am exempt trom the Contractor's License law lor the tollowing reason: 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 (set. 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.). I, as owner of the property, am exclusivelycontracting with licensed contractors to construct the project (set. 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 conrractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section (set. 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 settion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [SSOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE COM- NON-RESlbEmnAL B\ 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A FINALCERTlFICATEOF~ANCY MAY NOT BE ISSUED AFIERJULY 1,1989 UNLESSTHEAPPLICANT HAS 1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3m I Liwl . Code). 0 YES NO YES 0 NO 0 YES 0 NO OR IS MEEITNG TIE REQ- OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR PoLLunON CONTROL DISIRICI. LENDER'S NAME LENDER'S ADDRESS I certity that I have read the application and state that the above inlormation IS correct. 1 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 Acso AGREE To SAVE INDEMNIFY AND KEEP €€ARMIES THE CllYOF CARISBAD AGAINsTALLLIABIUIlES, JUDGMENTS, a3sIs AND EXPENSES WUQi MAY IN ANY WAY ACCRUE AGAIN= SAID CllY IN CONSEQUENCE OF TIE GRANTING OF TEIE 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 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 Buildin Code). DATE: ?/A,/%? &a WHITE: File YELLDW Applicant PINK: Finance \ F CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB931017 FOR 09/24/93 INSPECTOR AREA DESCRIPTION: REPLACE WATER HEATER PLANCK# CB931017 TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2041 AVENUE OF THE TREES STE: LOT: APPLICANT: FOSTER, A & J PHONE: 619 697-4151 CONTRACTOR : PHONE : OWNER: PHONE : REMARKS: MH/FRED INSPECTOR SPECIAL INSTRUCT: OCC GRP TOTAL TIME: CD LVL DESCRIPTION / A~T COMMENTS -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS