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Home My WebLink About219 CHESTNUT AVE; ; CB962386; Permit. BUILDING PERMIT Permit No: CB962386 12/17/96 17:40 . • Project No': A9603401 Page 1 of 1 ...'•' , Development No: Job Address: 219 CHESTNUT AV Suite: Permit Type: PLUMBING . • 156912/18/96000101 0? Parcel No: 204-150-02-00 . Lot#: . C-PRHT 27-00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Status: ISSUED Description: REPLACE WATER HEATER , Applied: 12/17/96 : Apr/Issue: 12/17/96 Entered By: RMA Appl/Ownr : REEVE, RENEE 619 434-4965 219 CHESTNUT AV CARLSBAD CA 92008 *** Fees Required **•* Fees: 27,00 Adjustments; . uu Total Fees: " • 2'?. 00 Fee description y A A-Fe<*'^ C"llected S. Credits *** Total -Cre'Jit;;: "ct i>.", Pc-.yment.c.; "fiance- ''Due; Un its V> e/l'iii t . 00 .00 27.00 Ext fee Data Enter "Y" for Plumbiny Issue Fee ..>. Each Water Heater and/or Vent > * PLUMBING TOTAL . . 7 . 0 0 20.00 Y 7.00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ftft PERMIT APPLICATION City of Carlsbad Building Department 2073 la* PalMt Dr., Carlsbad, CA 92009 (619) 438-1161 i. nut MIT TYPE From Ijst I (sec lack) give code-of Permit-Type: Fur Ucsidcntial Projects Only: From List 2 (see back) give Oxlc of Slructure-Typc: SFR Net toss/Gain of Dwelling Unils PLAN CHECK NO PIAN CK DEPOSIT VA1JU. DY DATE z. PROJECT INFORMATION FOR OFFICE USIi ONLY A0drcss 219 Chestnut Ave Nearest Cross Street Building or Suite No. LtCiAL DESC-llll'llON Lot No.Subdivision Name/Number unit No.Phase No. UtKLK UKIXJW ||- bUUMII IhU: D 2 Energy Calcs D 2 Structural Gales 0 2 Soils Hcport D 1 Addressed EnvelopeEnv ASSESSOR'S PARCEL EXIgnNGIlSEnenr. ,3 u IJC PROPOSED USEDESCRIPTION OF WORK Water Heater Repiacen SQ. FT.OF STORIES # OF DEDUOOMS OF DATMIKXJMS UUNI/MjI IT-HbU NAME (last name IN lilJillereni I roan anp icanlJr,rs,)Reeve, Reriee CITY Carlsbad STATE Ca ADDRESS ZIP CODE 92008 219 Chestnut Ave. DAY TF.l.EP]lOr4?4~4965 4. AJTUCANT U CON 1 KAL'LUK ±J AGhNl HUH CON UlAtTlUlt, -.WOWNfik , UftLilfN tJ-mifUWMLM Cm'-t-^ nNAME (last name first) Shelly Johnson ADDRESS J-37W Highway % RlSlnegEr, Suite B C1TY El Cajon STATE ^ zipcoDE92021 DAYTE..EPHONE390-4477 5. PROPER IT OWNliR o T3c»nc>c» NAME (last name firsrfeeve' Kenee CITY Carlsbad STATE CA .™ -219' Chestnut Ave.ADDRESS ZIPCOD82008- DAYTELF-PHOr4^4-4965 6. CONTRACTOR NAME (last name firstr C)TYE1 Cajon r T& J TriolnC- STATE CA ZIP CODE ADDRESS 91977 13706 Highway 8 Business, Suite B 390-4477DAY TELEPHONE STATE I.IC.630120 UCENSECLASS C-36 CUT BUSINESS LIC.,1200354 UtblUNLK NAME (last name lirsl) CITY STATE ZIP CODE 7. "•WOnKFJlS1 COMPENSATION AUURESS DAY TELEPHONE *-. ,' :- STATE I.IC. rf 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 COMPANYFarmers TOUCY NO. ~ EXPIRATION DATE (Jerttlicate ol Exemption: 1 certify that in the performance ol the work lor which this permit is issued, I shall not employ any pcison in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 87DWNKH-BUIUJE11 DECLAHAIION Uwncr-Uuiluer Declaration: l hereby allirm trial I am exempt irom Uic Lonlraclors License Law lor me loiiowmg reason: D I, as owner of the property or my employees with wages as llielr sole compensation, will do the work and the smicture 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 trie property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, business ami 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 penally of not more than five hundred dollars [$500]). .SIGNATURE DATE COMPLETE IHJS SECTION FOIt 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?a YES a 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*!. 1989 UNIJ-SS11 IE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.UTION CONTROL 9. IJUNSIHUCIION LfcNDlNCi AUhNCY I hereby allirm that there is a construction lending agency lor Die perlormance ol the work lor which tins permit is issued (Sec 309/10 Civil Lode). LENDER'S NAME LENDER'S ADDRESS 10._ _ _ __________^_____________^______- I certiiy that I have read the application and slate that the above inlormation is correct. I agree lo comply with all Uiy ordinances and State laws relating lo 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 Tl IE OTY OF CARl-SBAD AGAINST Al 1. UAUIUHES, JUIX'.MI-NTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 11 IE CHANTING OF 11 US PERMIT. OS11A: An OSHA permit is required for excavalions over S'O" deep and demolition or construction of structures over 3 slories 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 die work is commenced for a period of 180 days (Section 303(d) Uniform Building APPLICANTS SIGNATURE DATE: City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, (or the performance of the work for which this permit is Issued. I have and will maintain workers' compensation, as required by section 3700 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:<-^A ^3@AAQQM&^^ &-J.:.3j.......... (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,..1 •• C. workers compensation laws of California. K Signature YnrTxTV^ Da.te . , vv 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. • Carlsbod. CA 92OO9-157O • (019) <t3n-11Rl - FAX (O19) 'inn PFOM : FARMERS IMSURAHCE 619-291-0776 PHONE MO. : 4618313 'laM. 07 1996 Gi:02FH P01 AGENCY Name ' ALLAN NENDOZA i ' 8880 KJO SAN DIEGO DK, #700 Address ' SAN DIEGO, CA 9210Q COMIVIERCIAL CERTIFICATE OF INSURANCE Issue Dale (MM/DO/YY) /J/90 OIST. 5J AGENT. 376ST 99. INSURED Name ' A&J FOSTER INC. J, ' 13706 B 1WY B BUSINESS ' EL CAJON, CA 92021 This cerlilicale Is issued as a niallor nl Information only and confers no lights upon the cortilicalo holder. This certificate (loos not amond. extend 01 allot iho coverage allordod by Hie policies shown below. COMPANIES PROVIDING COVERAGE: A TRUCK INSURANCE EXCHANGE D FARMERS INSURANCE EXCHANGE C MID-CENTURY INSURANCE COMPANY COMPANYUWR COMPANY COMPANY UlllH COVERAGES im'i IS 10 CERTIFY IHAI Hit I'UL-UIES Of INSURANCE USTFD RFinW HAVF OF.F.N ISRIJFD TO Tiff IMSURFD NAMFD AflOVF FOR THE POLICY P[fllfiD INDICATED NOTWI1IISIANPINGVli "tO'JISEMENI, lEai/. OR CONDITION OF AMY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO' WHICH THIS CEHWCAU MAY BE ISSUED On MAY PERTAIN. THE INSURANCEif-fOMDLD BY 1HE POUCliS OESCR'BtD HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS' AND CONDITIONS OF SUCH POLICIES. UMlTS SHOWN MAY HAVE DEEM Htt'UCEO0> PAI» CLAIMS. .;•• • A TYPE 05 INSURANCE OENERAL LIABILITT rOMMERCIAl GENERAL UAEUillY - OCCURRdlCE VEflSOM COIIIRAC1UAL • IKCIOCmAL QKLY OV.'lltHS & CONTRACTORS I'WI. AUTOMOBILE UABILITY ALL OWNED COMMERCIAL AUIOS SCHEDULED AUfOS ' HIRED AUIOS NOH OWNED AUIOS GARAGE LIABILITY UMBRELLA LIABILITY WORKER? COMPENSATION AND EMPLOYEflt' LIABILITY POLICY NUMBER N2007-56-51 POLICY EfF-ECTIVE DATE (MM/ODA'Y) 5/1/96 POLICY EXPIRATION DATE (MM/OD/YY) \ 5/1/97 POLICY LIMIIS GENERAL AGGREGATE PRODUCTS GOMPIOPS AGGREGATE ADVER1ISING INJURY EACH OCCURRENCE FIRE DAMAGE (Any on« Ffte) MEDICAL EXPENSE (Any one (tei&on) COMBINED SINGLE LIMII BODILY ll!Wm (PER PERSON) BODILY INJURY(PER ACCIDENT) PROPERTY DAMAGE GARAGE AGGREGATE LIMIT STATUTORY EACH ACClOCNl OISWSE-EACH EMPLOYEE DISEASE-POLICY UVIil $ $ $ $ $ S $ $ j $ $ $ t J ,000,000 $ J ,000,000 * / .oo.o.nou... OE3CRIPTIOH OF OPERATIONSfVEHlClEURESTRICTIONSfSPECIAL HEMS: 1 • . RBt CERTIFICATE HOLDER f-.Mnie CANCELLATION SHOULD WW OF WE ABQVt DtSCWBEO POUOf.S K'CMAtlltO ffif OKf. M T.XI1BMION OA1T Illl-RI (ifHIE ISSUING COMPANY WiLL ENDEAVOR TO MA«l 30 DAYS WRIHEN NOTICE 101HE CERHFlCAlf HOLL'tR NAMED TO 1HE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE KO OBLIGAIION OR UABUHY Of ANY KIO UPON M COMPAHY, IIS AU^IIS OR REPRESENTATIVES