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Home My WebLink About2049 AVENUE OF THE TREES; ; CB972558; PermitBUILDING PERMIT Permit No: CB972558 09/10/9?* 10: 17 Project No: A9703255 Page 1 of 1 Development No: Job Address: 2049 AVENUE OF THE TREES Suite: Permit Type: PLUMBING I Parcel No- 156-290-33-00 Valuation: 0 Occupancy Group: Lot#: C0n!E#@ Reference#: St Description: WATER EHATER REPLACEMENT Applied: 09/10/97 Apr/Issue: 09/10/97 Entered By: JM Appl/Ownr : WITTNER MILES 760 729-6890 2049 AVENUE OF THE TREES CARLSBAD, CA 92009 *** Fees Required *** ........................ Fees: Adjustments: Total Fees: Fee description Enter "Y" for Flu Each Water Heater * PLUMBING TOTAL ------------------ .oo moo 27.00 Ext fee Data 20.00 Y 7.00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 a PERMIT APPLICATION ' .. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (61 9) 438-1 161 I I- KWEC 2049 Burineu Nume (et thio eddrer) Addrear Iinclude BIdglSulte J) FOR OFFICE USE ONLY PLAN CHECK NO. WZsTfl EST. VAL. Plan Ck. Deposit Validated By ~ Date Logel D~aipUon Lot No. Subdivhion Numu/Nu@r Udt No. Phure No. Totui I of unitr SET3 Aueuor'r Purd I MUtlV U80 Propor0dV.e # of Bathrooms Description of Work sa. FT. #of Storleu I of Badrooma Name Addrerr City . Sate/Up Telephone # Fax # Adbear City stata/lup Telephone I Name (Sac. 7031.6 Buainuar und Profuralons Code: Any Clty or County whlch requlree permit to conutruct, @Iter. Improve, demdlah or repulr any structure. prior to its irsuance, also requirua the applicant for such permit to file e ulgned rtutement that he Ir ilcmred puruuant to the provlsionr of the Contrector'a Ucenre Lsw IChaptr 9. commanding wlth Sectlon 7000 of Division 3 of the Business and Professions Codal or that he ia exempt thsrefrom, end the bash for the alleged exemptlm. Any vloiatlon of Sectlm 7031.5 by any applicont for e permlt aubjectu tho appilcant lo 8 cMI enelty of t more 13706-E3 €DE 8 BUS. c&& &. ($~~~hund,~O'). Addrerr city StateIZip 12 0 0 3!??phona Stste ~cenre I 63 0120 kUMl ClU8S c-3 Clty Burinera Licente I Derignr Name Addrers city StetelUp Telephone Stel@ &OM@ J N/A e I;ij~,~RKERstiCoMPSATlO~~ 1 m%$ Workura' Compenration Dederetion: I hereby ufflrm u 0 of the work for wMch thla permit I@ hsurd. I have und will maintain cortilicetu of consent to erlf-lnaure for workerr' compmretlon e@ providud by Sectlon 3700 of the Labor Code, for the performance $ I have and wHI mulntaln wakers' compmretlon, DU requhd by Section 3700 01 thu Labor Code, lor the performance 01 tha work for which thir permlt la c0NT1Nu0us ad. My wotkur'a comperation huurme carriuf end pdicy number ue: inauerm Company FARMER INS URANCE policy No, N2007-56-51 ExplreUon Date (THIS SECTION NEED NOT BE COMPLETED IF THE PEWIT IS FOR ONE HUNDRED DOLIARS ($1001 OR LESS1 a CERTIFICATE OF EXEMPTION I dly that in thu performance of tha work for whlch tMa permlt is iuued. I ehell not employ any perron in any manner uo aa lo become rubject to the Workerr' Compensution Laws of Callfotnia. WARNINQ: Fuh to uen*a~workera' compenmtbn coverage I@ unl.wfd, end @hall aubject M employor to crlmlnrl pundtbr and dvW finer up to one hundred thourond dollerr ~~100,0001, In additlon to tho coat of compunaetlon, dunugea IS provided for In Sectkn 3706 of tha Lob code, Intreut end attorney's lam. 0 I, aa owner of the property or my employ~r with weger U8 their role compensetlon, will do the work end the rtructure ir not intended or offered for rule ISec. 7044, Burinerr und Profearlonu Code: The Conirector'r UC~M~ Low doer not apply to en ownur of property who builde or Improver thereon, und who dous ruch work himruif or through hl8 own employem. provided Uut uuch improvemantu are not Intmdud or offered for @ale. If. however. the buiidlng or improvement iu add within on. yuar of completion, the owner-bullder wlll have the budun of provlng that he dld not build or Improve for the pwporo of eale). 0 1, aa ownur of the property, um uxclurively contracting wlth Ilconaed contrectore to conrtruct'the project (Sac. 7044, Burinerr and Profesrionu Code: The Contractor's Ucense LDW doue not eppiy to en owner 01 property who builde or, improver thereon, end contructu for ouch projects wlth contrectorb) llcenred puauunl to the Contfecta'e Ucunue Law). 0 1. 2. 3. 4. numbor I contractor@ license numberl: 6. of work): PROPERTY OWNER SIONATURE DATE :CO~JH~r.~~~~~~~~~.~~,~B~~~~ ~PW!dlkl%@N lu the appllcent or futuro bulldlng occupont required to uubmit e burinera pogrom under Sections 26606,26533 or 26634 of the PIOUIOY-TMIW Hererdwu Subrtenco Acmunt Act? la thr epplkont or future building occupant rrqulred to obtain a permit from the elr pollution control district or air quelty mrnrgement dlstrlct? 0 YES 0 NO ir thu fadllty to ba constructad wlthln 1,OOO feel of the outu boundary of I rchd dte? 0 YES 0 NO 1 em exumpt under Section 1 pnronrliy pian to provido the me]w labor end muteriala fw conrtructlon of the ptoporud property Improvement. 0 YES ON0 I (haw I hove not) ulgned un opplicutlon for e building permit for the proposed work: I have contracted with the following person Ifirml to provide the propored construction (include nema I address / phone number I contrictora licenre numberl: i plan to provide pmionr of the work, but I hive hired the following perron to coordinate, aupervlae und provide the majoc work (include name I eddrsrr I phone I wll provide some 01 tho work, but I havu contracted (hired1 thu following persons to provide the work Indicetad (include name I address I phone number I type 6U8inO88 end Prolesaionr Code for thlr reuaon: 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A flNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THE REaUlAEh4ENTS OF THE OFFICE OF UHEROENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8.1 ';CONSTRUCTION LENDINQ'AQEN I hereby uflirm thut there la e conatruction innding agency for thu performance of the work for which thlu permit la irrued (Sac. 3097(1) Civil Code). I coftil~ that I have read the aprAlcetion and state that the above inlormation la correct end that the inlormation on the plena iu accurate. 1 agree to comply with ail City ordinances end Statu law8 relating to building conrtruction. I hureby authorize r~reaentmllver of the City of Cerirbad to entur upon the above mentioned properly for inspection purpoaer. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDQMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAiNST SAID CITY IN CONSE[1UENCE OF THE ORANTINO OF THIS PERMIT. OSHA. An OSHA permit la required for excevatlonr over 6'0' deep end demolltlon or tonstfuctlon of atructurw over 3 utorler in height. UPRATION: Every perm\( iruwd by the Buifdlng Offlcial under the provialonu of thlu Code ahail oxpire by limltetlon md become null end void if the building or work oulhwired by uuch permit I8 not commenced withln 366 deyu lrom the date of such permit or If the building or work uuthorlzed by such permit Is swpended w abandoned et any tlmu after t APPLICANT'S SIGNATURE DATE ction 106.4.4 Uniform Bulldlng Codel. - WHITE: File YELLOW: Appilcunt PINK: Fimnce _pll ___j- -- CITY OF CARISBAD I INSPECTION REQUEST PERMIT# CB972558 FOR 09/15/97 INSPECTOR AREA DESCRIPTION: WATER EHATER REPLACEMENT PLANCK# CB972558 TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2049 AVENUE OF THE TREES STE: LOT: APPLICANT: WITTNER MILES PHONE: 760 729-6890 CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: C/MILES/729-6690 INSPECT0 SPECIAL INSTRUCT: PERMIT IS IN THE LAUNDRY ROOM. THE mDRY ROOM IS OUTSIDE OCC GRP THE HOUSE AIM TO THE FRONT ENTRANCE. TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents !!@ FlJ& ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS COMNjERClAL CERTIFICATE OF INSURANCE Issue Date (MMIDDNY) l-GZ7-l .AGENCY Name AmANMEMxlzA Address SAN Om, CA 92108 8880 RIO SAN DIM;O DR. #700 This certificate is issued as a mafief of information only and confers no righls upon the certificate holder. This certificate does not amend, extend or aller the coverage gorded by the policies shown below. 8l * .. ST.-&, DIST.51 AGENT576. INSURED Name *A&JInsTERINc. b 13706 B HWY 8 BUSINESS Address WON, 92021 COMPANIES pMlVllUN6 COVUUGE: aww A TRUCK INSURANCE EXCHANGE 6 FARMERS INSURANCE EXCHANGE aww CQIAm mn c MIDCENTURY INSURANCE COMPANY MIpm TIUS 6 TO CERTIFY THAT TM POllClES OF INSURCINCE USED BELOW HAVE KEN ISSUED TO THE INSURED NAMED ABOVE FOR THE Poucr PERIOD INDICATED. NOlWlTHSTANDING ANY REOWREMENT. 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 6 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES LIMITS SHOWN MAY HAVE BEEN REDUCE0 BY PAID CLAIMS. poucV NUMBER N2007-56-51 , 5-1-97 POLICY LIMITS s 1,000,000 , ERTlFlCATE HOLDER cAwclEuAnow - -__ SAN DIECO, CA 92123 h 1 ,. i i ! i I !