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Home My WebLink About2530 CHESTNUT AVE; ; CB960758; PermitBUILDING PERMI 04/23/96 17:28 Page 1 of 1 Job Address: 2530 CHESTNUT AV Suite Permit Type: PLUMBING Parcel No: 167-270-35-00 Lot#: Valuation: . 0 Occupancy Group: Reference#: Description: REPLACE WATER HEATER Permit No: CB960758 Project No: A9601047 Development No: Construction Typ^PfoEW' '*"•'" Status: ..ISSUED Applied: 04/23/96 Apr/Issue: 04/23/96 Entered By: RMA Appl/Ownr : PORTER, MICHAEL 2530 CHESTNUT AV CARLSBAD CA 92008 *** Fees Required Fees : Adjustments: Total Fees: Fee description 619-434-1153 llected & Credits Enter "Y" for Plumbi Each Water Heater an * PLUMBING TOTAL *** . 00 .00 27.00 Ext fee Data 20.00 Y 7.00 27.00 04/24/96 0001 01 02 C-PRMT 27.QQ NSP.CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 *ERMTT APPLICATION City of Ctrlsiwd Building Department 2075 LM PolM Dr.. CarlstMd, CA 92009 (619) 438-1161 From List 1 (sec back) give code-of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:CTTP Net loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PIAN CK DEPOSIT. VAUD. BY " DATE FOR OFFICE USE ONLY Address 2530 Chesnut Ave. Nearest Cross Street Uuildmg or Mine No. LtCiAl, UtSCHIPIIUN Subdivision Name/Number Unit No.Phase No. CHECK BEUJW Ir SUBMITTtU: O2 Energy Gales D2 Structural Calcs D2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK water Heater Replacement 40 Gallon PRQPOSF.D USE SQ.FT.# OF STORIES # OF BEDROOMS # OF BATHROOMS J. (JUNIAL.1 rejuxjn ill diliereni irom applicant.) NAME (last name first) porter, Michael CITY mft'IJCANl STATE ADDRESS 2530 Chesnut Ave. ZIP CODE 92008 DAY TELEPHONE 434-1153 APPLICANT UCUNIHACTUHNAME (last name rim) CITY El Canon tLAGENTTOR CONTRACIUR U OWNER 'UMjbN I FOR U.WNER _ . . _ Carol Foster ADDRESS 13706 Highway 8 Business, Suite B STATE CA ZIP CODE 92021 DAY TELEPHONE 390-4477 5. PROPERTY OW NAME (last name first) Porter, Michael CITY shad ADDRESS 2530 Chesnut Ave. STATE CA ZIP CODE 92008 DAY TELF.PHONE 434-1153 o. com NAME (last name first) A & J Foster, Inc.ADDRESS CITY El Cajon STATE CA ZIP CODE 91977 DAY TELEPHONE STATE UC. * 630120 LICENSE CLASS C-36 CITY BUSINESS UC. 13706 Highway 8 Business, Suite B 390-4477 1200354 uESIuNEH NAME (last name lirslj CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE UC. 7. WORKER? COMPENSATION Workers Compensation Declaration: I Hereby affirm that I have a certificate of consent to sell-insure issued oy the Director ol Industrial 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 COMPANY Republic Indemnity POLICY NO. PC3509422EXPIRAT1ON DATE 5-1-96 Certificate ot Exemption: 1 certify that in the performance ot the work lor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE [ B. UWNfcH-BUIlJJm IJbctAHAITUN " * uwner-Buiider Declaration: i nereoy atiirm mat i am exempt tram ine contractors ucense Law ror the following reason: D 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 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.). O I, as owner of die property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractors) 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 Ucense 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 [SSOO]). SIGNATURE DATE COMPLETE THIS SECTION FOU NON-RESIDENTIAL BU1UMNC PLUMMY UNLV; 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? Q YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES D NO D? ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSITO AFTER JULY 1,1989 UNLESS Tl IE APPLICANT HAS MET OR IS MEETING Tlffi REQUIREMENTS OF THE OillCE CT EMEKGEMCT SERVICES AND Ttffi Am TOLLUTTC^ CONTROL DISTO y. UJNblHUCIKJN LtAuiNU AUENlTf I hereby allirm that there is a construction lending agency lor the performance ot the work tor which this permit is issued (Sec 3097U) Civil Code). NoneLENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above mlormauon is correct. I agree to comply with all City ordinances and Stale 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAWST ALL IJABDJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OP THE GRANTING OF THIS PERMIT. OSIIA: 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 ISO days (Section 303(d) Uniform Duildjijg Code), APPLICANTS SIGNATURE J\ Q b~Vv,/y \A DATE: CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB960758 FOR 04/30/96 INSPECTOR AREA DC DESCRIPTION: REPLACE WATER HEATER PLANCK* CB960758 OCC 6RP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2530 CHESTNUT AV STE: LOT: APPLICANT: PORTER, MICHAEL PHONE: 619-434-1153 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/REGINA/434-1153 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 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, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation, as required by section 3700 • B. 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: v£^X^2^^ 5J.:_±g?...... (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.. m C. workers compensation laws of California. • K"" ' Signature ^4^ VJh^uC} ct n Da.te 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. • Carlsbad. CA 92009-1576 • (619) 438-1161 • FAX (619) /nn-OB94