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Home My WebLink About2424 LA PLANCHA LN; ; CB930663; Permit#, #· • v~ 3012 07/06 93 001 ~1 r Ft,;l-4T ' l . t · I 1\PPROVAL IN SP. ~------DATE 2/,£/11 CLF.ARA NCE _____ I CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATIQN ~ V PLAN CHECK NO. City of carlsbad Building Departllent 2075 Las PalllllS Dr., Carlsbad, CA 92009 (619) 438·1161 I. PERMII NPR A -Li COmmerc1al U New Bu1idmg D lenant Improvement B -D Industrial D New Building □ Tenant Improvement C -A Residential □ Apartment U Condo [l.Single Family Dwelling D Addition/ Alteration □ Duplex □ Demolition D Relocation D Mobile Home □ Electrical liJ Plumbing D Mechanical D Pool □ Spa □ Retaining Wall D Solar D Other 2. PRillECf INFORMATION FOR OFFICE USE ONLY Address Butldmg or Smle No. 2424 La Plancha Ln. Nearest Cross Street Los Pinos Dr. LEGAL b£ScRIVIION Lot No. Subci1V1s1on Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMI I I ill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope Assessoa•s PABCEJ. 255 091 26 EXISTING USE PROPOSED USE DESCRIPTION OF WORK WW HEATER REPLACEMENT # OF STORIES 3. WN IACI PERSON (II dll[erenf from appJJcanO NAME Toshmuki Takarni ADDRESS 2424 La Plancha Ln. CITY carlsbad, STATE CA. ZIP CODE 92009 DAY TELEPHONE 954-7538 lAAGENI FdkWNIRACiOk DOWNER UAGENI FOR OWNER 4. APPUCAN I U WN I MCIOR ADDRESS 2819 Central Ave. NAME Michelle Medina CITY ~alley. STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 S. PROPER NAME Toshmuki Takarni ADDRESS 2424 La Plancha Ln. CITY carlsbad, STATE CA. ZIP CODE 92009 DAY TELEPHONE 943-7538 6. WNIMCIOR 2819 Central Ave. NAME A&J Foster, Inc. ADDRESS CITY Spring Valley, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE LlC. # 630120 IJCENSE CLASS C 36 CITY BUSINESS IJC. # 1200354 N/A CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WdkkFJtS1 WMPF.NSAIIUN Workers' Compensation Oeclarat1on: I hereby afhrm that I have a cert11lcate of consent to self-msure issued by the Director of lndustnal 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). PC949585 EXPIRATION DATE 5/1/94 rt1 1cace o emption: cert& t at m t e pe ormance o t e wor or w 1c t 1s penmt ts 1ssu , s a no emp oy any person m any manner so as to become subject to che Workers' Compensation Laws of c.alifomia. 8.si:~~:e:f~~ 711.98, Uwner-Bu1lder Oeciarat1on: I hereby afhnn that I am exempt from the Contracto?s Lcense Law for the following reason: □ □ 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 Llcense 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 noc 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 Ccxle: 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 Ccxle for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense 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 pennit subjec e ap i nt to a ci nalty not more than five hundred dollars [$500]). filGNA DATE Is the applicant or future b · ding occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Seccions 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 pennit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within I,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF THE ANSWERS ARE YES, A FINALCER11FICATE Of OCCUPANCY MAYNITT BE ISSUED AITERJULY I, 1989 IINLllSS TIIEAPPLICANT HAS MET OR IS MEJmNG THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR FOLW11ON <X>NTROL DIS11IICT. 9. WNSIROCIIUN LENDING ACRNCY I hereby afhnn that there 1s a construction lendmg agency for the performance of the work for which this penmf IS issued (Sec 3097(1) Civil Code). LENDER'S NAME NJNE LENDER'S ADDRESS lo. Al'Pl.lCAN I t!EkllPICAI ION I cercUY that I have read ihe apphcat1on and state that the above mformat1on 1s correct. I agree to comply with all City onlmances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I A1SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE Cf1Y OF CARISBAD AGAINST AIL IJAIIIUl1F.S, .JUDGMENTS, CXl!ITS AND EXPENSES WIDCH MAY IN ANY WAY ACCRUE AGAINST SAID Cf1Y IN <X>NSEQIIENCE OF THE GRANTING OF 11llS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). DATE: 71.e, L'J APPIJCANT'S SIGNATURE ~ (l)t1Lu ~ WJ-flTE: File YEll.OW: Applicant PINK: Finance (. , PERMIT# CB930663 DESCRIPTION: REPLACE CITY OF CARLSBAD INSPECTION REQUEST FOR 07/14/93 WATER HEATER TYPE: PLUM JOB ADDRESS: APPLICANT: 2424 LA PLANCHA LN TAKAMI, TOSHIYUKI CONTRACTOR: OWNER: REMARKS: MH/943-7538 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA TP PLANCK# CB930663 OCC GRP R-3/M-l CONSTR. TYPE VN LOT: CD 25 25 PL Water Heater/Vents PL Water Heater/Vents ,,:;,::> ------------- ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS