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Home My WebLink About2066 AVENUE OF THE TREES; ; CB980293; PermitBUILDING PERMIT Permit No: CB980293 02/03/98 08: 44 Project No: A9800369 Page 1 of 1 Development No: Permit Type: PLUMBING Parcel No: 156-290-18-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: REPLACE WATER HEATER Applied: 02/03/98 Apr/Issue: 02/03/98 I Job Address: 2066 AVENUE OF THE TREES Suite: Appl/Ownr : WORTHINGTON, HENLEY 206 AVENUE OF THE TREES CARLSBAD CA 92009 A*.* Fees Requ -__--_-___-____- Fees : Adjustments: Total Fees: Fee descripti Enter "Y" for P Each Water Heat -__---__------_- FINAL A?YL I 7.00 I- - .. . INSP.., . - .-. . \. ..b . !-. - CITY OF CARLSBAD 2075 Las palmas Dr., Carlsbad, CA 92009 (619) 438-1161 4 c 2 DEPARTMENT CA 92009 PERMIT APPLICATION .. FOR OFFICE USE ONLY PLAN CHECK NO. ?go '73 EST. VAL. Plan Ck. Deposit Validated By CITY OF CARLSBAD BUILDING 2075 Las Palmas Dr., Carlsbad (61 9) 438-1 161 Date il*aWEC'G Addresr llnclude Bldg/Suite I) Lege1 DuuipUon Budneu Name (at th(r rddrrul 2066 Av Total I of unltr Subdlvlh NemdNumbr Unlt No. Phere No. lot Auessor'r Parcel 8 Exlrtlng Ure Propored Use Dercriptlon of Work SQ. FT. #of Storhr I of Bedrooma X of Bethhroomr WAm HEATER REPLACEMENT ' Name Addrerr city StrtelZip Telephone I F8X X w S?&& SHELLY City StrteIUp Toleuhone I Name Addrerr Name Addrerr StrtrIZip Telrphone X ISec. 7031.5 Business and Profrrrlona Codr: Any Clty or County whlch rrqdrer r permlt lo cmtruct, rller, Improvr, drmollsh or repelr any rtructurr, prlor to Its Issuance, a150 requires the rppllcrnt for ruch permlt to fllr I rlgned rtatrmrnl thrt h la Ilcrnaed puwurnl to the provlrionr of the Contrrctor'r Ucenre Law IChaptrr 9, commending wlth Srcllon 7000 of Dlvlrlon 3 of the Burlnus and Profoarions Codel or that hr la exempt therefrom, and the basis for the elleged exemption. Any violation of Section 7031 .yj;fiyppw ~pejyjyubjectr the rpem&l penalty &pt mry&mflve huggepdplygv;n060011. Name Addrrrr city Strtel~00354Telephone I State ucenae I630120 Lkenrr Clara - A & J FOSTER PLub!l.BIw Clly Burlnrra Ucrnrr 8 C-36 Q X Drsignrr Name Addrear city s trteIUp Telephone state ucerue a N/A i&:< &WORUR!S: ,COMPENS&lON~ m- Workerr' Compmratlon Dedrrrtlon: I hrrby affirm under penrlty of perjury one of tho foUowlng drclarrtlonr: 0 of the work for whlch this prrmlt la Irrurd. 0 I heve end will mrlnteln e certlficete of conaent to relf4nrwr for workrrr' compenartlon ID prwlded by Sectlon 3700 of the Lebor Code, for the performrnce I hvr and will mrlntrln workm' compenartlon, u rrquirrd by Srction 3700 or (hr Labor Code, for tho performrnce of tho work for whlch thlr permit is c0m1Nu0us Explrrtlon Date N2007-56-51 Itwed. My workrr'r comprnartion lnsurrncr cerrlrr and poky nhbr ur: imurrnce CornpenFARMER I"C* Policy No. \THIS SECTlON NEED NOT BE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED MKURS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that In the performmcr of the work for which thlr permlt la Irrurd, I rhrll not employ any person In any manner eo as to become subject to the Workerr' Compensrtion Lrws of Cdllornlr. WARNINO: Frlurr to emnne.workers' compenrrtbn coverrgr la unkwful, md rh.U BUbjeCt on employor to crlminol penrlliar rnd clvll finer up to one hundrrd thourand dollsrr 1$100,0001. In rddltkn to Ihr coat of wmpmrrtlon. drmrgrr ir providod for In Sr&n 3708 of tha kbpr code, Interert end rttorney'r her. SIGNATURE DATE I hereby affirm thet I am exempt from the Contrrctor'r Uconre Law lor the Idlowing reason: 0 I, as owner of the property or my employerr with wager IS thrlr role compenution, will do thr work md tho rtructure la not intended or offered for rile ISec. 7044. Businerr and Prolerrlona Code: The Contrrctor'e Ucrnar Law dorm no1 apply to mn owner of properly who bulldm or Improves thereon, and who does such work himself or through his own employerr, provided that ruch Improvrmmta rrr no1 Intended or offrred for rrlr. If, however, the bulldlng or Improvement la sold wlthln onr year of complmtlon, the owner-b0lld.r wUI have the burden of proving that he dld not build or knprovo for the putpore of erlm). 0 I. rs owner of the property, em oxclurlvely contrrctln# with llcrnard contrrctorr lo conatruot'Ihr projeot [Src. 7044, Burlnrrr and Proleadons Code: The Cwrtrrctor'r Ucrnre Low dorr not apply to m owner of property who bulldr or,lmprwrr thhwron, and conlrrcta for ouch projrctr with contrrctortr) llcenred purrurnt to the Contrrctor'r Ucenrr Law]. 0 I am exempt under Srctlon 1. I gerronrlly plan to provide the major labor end mrtulalr for conatructlon of the propored properly Improvrment. 0 YES ON0 2. I (have I hrve not) rlgned an rppllcatlon for I bulldlng permlt for the propored work: 3. I have contractrd with tho fdlowlng person (firm) lo provide thr proporrd constructlon Uncludr nrmr I rddrrrs I phon, number I contractors llcenre numberl: 7, ' "OWNER-BUILDER DECLARAtlONt Mi,@& Buelnear and Prolrralonr Codr for thlr rrrron: 4. number I contractors licrnsr number): 5. of work): I plan to provldr portionr of the work, but I havm hlred the followlng prrron to coordinate, rupwvlre and provide the m&r work (Include nema I rddrerr I phone I will provide rome of the work, but I hive contracted [hired) thr following prrrona lo provldr the work lndlcrted (Include name I rddrera / phone number I type la the rppllcrnt or future bulldlng occupant requlrrd to rubmlt I bualnru plan, icutrly hrrirdwa mrtrdrlr reglrtrrllon form or flak minegement and prwentlon proqrm under Srctiona 26606,25633 or 26634 of chr PrraleyTrnner Hrrrrdour Subrtmncr Account Aot? la tha rpflcent 01 Iuturr bdding occup~l rqqukrd lo obtain I prrmlt lrom thr dr poUullon oontrd dlrlrlct or ik qurllty mmrgamenl dirtrlct? 0 YES 0 NO Is the trcllltv to br conatwcted wlWn 1,OOO teet of the outu boundary of i school dto? 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8,' '' CONSTRUCTlON LENDING'AGENCY I hareby effirm that there Is r constructlon lending rgrncy for the performonce of the work tot whlch thlr permlt lr hued Eec. 3097(1) Civil Code). CENOER'S NAME LENOER'S AOORESS 0 YES 0 NO 0 YES 1 cenlfy thrt I hrvm rood the rpplicetlon and sietr lhit tho rbovr Inlormition la cotrrct and that tho Information on the plana Is accurate. I ogres to comply with all City ordinancar end Strtr Irwr relrting to buildlng conrtruction. I hereby ruthorlrr repremntrtlvee of the Clty of Crrlrbrd to enter upon the above mentioned property for tnspectlon puporrr. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CIW OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE QRANTING OF THIS PERMIT. OSHA: An OSHA permit la rrqulrrd for rxcrvrtlm over 6'0. derp rnd drmolltlon or construction of rtructurer ovrr 3 rtorler In height. WPIRATION: Every prrmlt larurd by thr Building Ofllcld undr tha provlalonr of lhlr Codr shrl explrr by llmltrllon and become null and void if Itre building or work avthorlzed by ruch om tho dim of auch wmlt or if lha bulldlng or work authorlzad by such permit 1s suspended M rbrndonsd at any tlmr 180 daw lsoctlon 108.4.4 Unlform Building Codal APPLICANT'S SIGNATURE DATE 2-39 8 WHITE: Fllr YELLOW: Appllcrnt PINK: Flnencr _. ~ - Issue Dale (MMIDDIYV COMMERCIAL CERTIFICATE OF INSURANCE @ENCY sams *mLANMFMx)zA rddress SAN DIEGO, CA 92108 Thiicertifieate is issued as a matterol information only and dersrm rights upon Ihecerlibtehdder. Thiscertificate does nof amend, exlend ordlerthe cowage af!orded by u1G polides shown below. L 8880 RIO SAN Dm DL U700 .. CoYTamEs MIovIDlllfl CovaUcIE: N2007-56-51 5-1-97 s s s s s $- s 1 ,OOO,OOO ~1,000,000 51,000,000 -- . SAN Dm, CA 92123 h 4- tnt