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Home My WebLink About2045 CHARLEEN CIR; ; CB960779; PermitBUILDING PERMIT 04/30/96 12:03 Page 1 of 1 Job Address :'2045 CHARLEEN CR Suite:. Permit Type: PLUMBING Parcel No: 205-330-21-00 Lot#: Permit No: CB960779 Project No: A9601080 Development No : 7298 04/30/96 .0001 01 02 Valuation; '0 Occupancy Group: Reference*: Description: REPLACE WATER HEATER Appl/Ownr : WOOD, CAROLYN 2045 CHARLEEN CIR CARLSBAD CA 92008 *** Fees Required *** 27 Construction Type:" WEW Sta*US:-.ISSUED Applied': 04/30/96 Apr/Jsaue: 04'/30/96 Entered" By:, RMA 619-729-2244. "'<•'. •• 27.00 llected & Credits Fees: Adjustments: Total Fees : •, Fee description Enter "Y" for Plumbi Each Water Heater an * PLUMBING TOTAL ** * .00 . 00 27.00 fee Data , 2 6, '.,00 Y 7.00 27. 00 FINAL APPROVAL CLEARANCE 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 T^PtHMITTYPE From List 1 (see back) give code of Permit-Type: _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT/i VALID. BY DATE i y/Hi?/w FOR OFFICE USE ONLY Address 2045 Charlean Cir.Nearest Cross Street Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USF. DESCRIPTION OF WORK SQ.FT. Water Heater Replacement 30 Gallon # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. (JUN IAL.1 FfcKbUN (it different from applicant) NAME (last name first) „ ., ADDRESSWood, Carolyn CITY STATE ZIP CODE 4. APPLiCAflarl*lje«i 2045 Charleen Cir. DAY TELEPHONE -,,OO/I A.RAi'OR NAME (last name first) vCarol Foster CITY _, „ . STATE m OR CONTRACT ADDRESS OWNER Q AGENT FOR OWNER 13706 Highway 8 Business, Suite B ZIP CODE Q0rio-i DAY TELEPHONE ^pn_A477 57TROPE NAME (last name first) CITY Wood, Carolyn STATE ZIP CODE ADDRESS 92000 Charleen Cir. DAY TELEPHONE ,29 221J6. NAME (last name first) CITY A & J Foster, Inc. ADDRESS 137o6 Highway 8 Business, Suite B El Cajon STATE CA ZIPCODE 91977 DAY TELEPHONE 390.4477 STATE LIC. # . LICENSE CLASS _ CITY BUSINESS LIC. # NAMK [last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # TTVVORKERS' COMPENSATION Workers Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by theDirector ofTnaustria] 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 (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate of txemplionKtigftlliy-toat laffimtptwarmjince of the work so as to become subject to the Workers' Compensation Laws of California. permit is issued, I shall not empli person in any manner SIGNATU DATE 8. CJWNER-BUUJJkR DECLARAnON Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law tor the following reason: D 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 such projects with contractor^) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: (Sec. 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THlS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. C-UNbTKUd'ION LENDING AGENCY .",' . 1 hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APF1JCANT I certify that f have read tne application and state that the above information is correct. I agree to comply with all City ordinances ana 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 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 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 Building Code). 4/^? ft? U WHITE* File YELLOW: Applicant PINK: Finance City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for 1 A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ^\\ I nave and will maintain workers' compensation, as required by section 3700 r* By of the Labor Code, for the performance of the work for which this permit is ^—^ issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO. EXPIRATION DATE: ntAu- ^P^^o^-n^_____________ ... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 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...* •• C. workers compensation laws of California. * ' • ** "" Signature ^Q-^vj* i^ Date Warning: Failure to secure workers' compensation coverage is unlawful, and shall be. ... 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. March 3, 1995 2075 Las Palmas Dr. • Carlsbad. CA 92009-1576 • (619) 438-1161 • FAX (619) 430-0894 * CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB960779 FOR 05/07/96 INSPECTOR AREA DC DESCRIPTION: REPLACE WATER HEATER PLANCK# CB960779 OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2045 CHARLEEN CR STE: LOT: APPLICANT: WOOD, CAROLYN PHONE: 619-729-2244 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/CAROLYN/729-2244 INSPECTOR SPECIAL INSTRUCT: BETWEEN 1 AND 3 WOULD BE GREAT/OFF DONNA & CHESTNUT/ YELLOW TRI-LEVEL SURROUNDED BY JUNGLE TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents /ftf T? ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS