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Home My WebLink About2102 JANIS WAY; ; CB930788; Permit' 'f .. I t cl~ I~ 10 Q. ,. ,., t :\ ,W •[ II y ,t I .. t' l fl p , t • : Wl\ R ' A, E ✓f1 l A ~ F I l/. T ~(J t • I * A .. •( • t 1 f- • C:J: .rt. >r. ~'y,,~~~~~=-------s~ ~'t-\<t. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT AP'PUCATION PLAN CHECK NO. Cit)' of carlsbad Building Departaent 2075 Las Pal..,. Dr., carlsbed, CA 92009 (619) 438-1161 ~ V ESI". VAL. ____________ -o PLAN CK DEPOSIT ____ "'-...1T-..IA~- VAUD. BY ______ ___:•'--' ·P;;:,.:._, DATE ,c, 5) I. PPltMII hPE A-UCOmmerc1al □New Bu1idmg Li tenant Improvement B -D Industrial □ New Building D Tenant Improvement C -JI Residential □ Apartment □ Condo ~ingle Family Dwelling □ Addition/ Alteration □ Duplex Li Demolition □ Relocation □ Mobile Home □ Electrical ~ Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Buiidmg or Suite No. 2102 Janis Way Nearest Cross Street Donna Dr • LEGAL DEScRllfildN Lot No. Subd1V1s1on Name/Number Omt No. Phase No. CHECK BMW IF S0BMII 1£0: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXlSTING USE PBOP9SEP USE DESCRIPTION OF WORK W¼'.W HEATER REPLACEMENT # OF STORIES 3. WN IACI PERSON {U duierenl from applicant) NAME Pat Perry ADDRESS 2102 Janis Way CI1Y car lsbad 4. APPlll!AN I a coN I RAC 10R STATE CA. ZIP CODE 92008 DAY TELEPHONE 729-4889 NAME Michelle Medina CI1Y ¥il~Va]] ey. 5. PROPFJl NAME Pat Perry CI1Y carlsbad, 6. CDNlkACIOk NAME A&J Foster, Inc. CI1Y Spring Valley, IIAGENI FORWNIRACIOR □OWNER □AGENI FOR OWNER ADDRESS 2819 Central Ave. STATE CA. ZIP CODE 91977 DAY TELEPHONE 697 4151 ADDRESS 2102 Janis Way STATE CA. ZIP CODE 92008 DAY TELEPHONE 729-4889 ADDRESS 2819 Central Ave. STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE LIC. # 630120 LICENSE CIASS C 36 CI1Y BUSINESS LIC. # CI1Y N/A STATE ZIP CODE DAY TELEPHONE 1200354 STATE LIC. # 7. WORRERS' WMPP.NSAIION Workers' Compensation Declaration: I hereby afitrm that I have a cert.1hcate of consent to seif-msure issued by the Otrec[or of lndustnal Relations, or a certificate of Workers• Compensation Insurance by an admiued insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depart.men[ (Section 3800, lab. C). rtl 1cace o xemp on: cert.1 t at m t e per ormance o t e wor or w 1c t 1s perm1 1s issu , s a no emp oy any person m any manner so as to become subject to [he Workers' Compensation Laws of California. g_sg;;~n:t;A;k ~ATE r La,{}?) bwner•Bu1ider beciarabon: I hereby affirm that I am exempt from the Concracto?s Llcense Law for the following reason: □ I, as owner of [he 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 co 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 exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). □ 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 co 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]). SIGNAlVRE DATE COMPl]l£ IHIS SECIION FOR NON-RESIOi-:NilAt BUILDING PERMll'S ONLY: Is the applicant or future building occupant required to submit a business plan1 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAi.CERTIFiCATE OF oa:uPANCY MAY Ncrr BE ISSIJED AFI1!R JULY 1, 1989 UNU!SS TIIE APPIJCANT HAS MET OR IS ME£TING TIIE REQlllREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILITTION mNTROL DJSTlllCT. 9. WNSIRUCIIUN LRNUlNG AGENCY I hereby afhrm that there 1s a construcuon lend mg agency for the performance of the work for which this penn1t 1s issued (Sec 3097(1) Civtl Code). LENDER'S NAME IDNE LENDER'S ADDRESS 10. APPilCAN I dkiiFICAfiON I certify that I have read the apphcatlon and state that the above mformatlon 1s correct. 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 ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE crIY OF CARISIIAD AGAINST AIL UABlllTIF.S, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACDUIE AGAINST SAID crIY IN OONSEQUENCI! OF TIIE GRANTING OF TIDS 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). f.JO,C/t) APPLICANTS SIGNATURE . DATE: '--1VJ, '1vutLU1.A. WHITE: File YEU.OW: Applicant PINK: Finance PERMIT# CB930788 DESCRIPTION: WATER HEATER TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 08/23/93 REPLACEMENT STE: INSPECTOR AREA PLANCK# CB930788 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: A CONTRACTOR: 2102 JANIS WY J FOSTER INC. PHONE: 619 697-4151 PHONE: OWNER: REMARKS: MH/PERRY/729-4889 SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents ------------------------------------ ------------------ p::::~CTLJkjL ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS