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Home My WebLink About260 OLIVE AVE; ; CB940185; Permit, .. B U I L D I N G 02/22/94 11:56 1 Page 1 of 1 Job Address: 260 OLIVE AV Permit Type: PLUMBING Parcel No : 223-291-37-00 Valuation : ·O Construction Type: NEW P E R M I T Suite : Lot#: Permit No: CB940185 Project No: A9400263 Development No: Occupancy Group: Reference#: Status: Applied: ISSUED 06/29/93 02/22/94 DC Description: WATER HEATER REPLACEMENT Appl/Ownr : FOSTER, A & J 2819 CENTRAL AVENUE SPRING VALLEY, CA 91977 *** Fees Required *** *** Fees: Adjustments: Total Fees: 27.00 .00 27.00 Apr/Issue: 619 Entered By: 697--'4151 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .oo 27.00 *** Fee description Units Fee/Unit Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL CITY OF CARLSBAD 7.00 2075 Las Palrnas Dr., Carlsbad, CA 92009 (6 19) 438-1161 20.00 Y 7.00 27.00 PERMIT APPLICATION ~ V PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Pal..,. Dr., Carlsbad, CA 92009 (619) 438·1161 PIAN CK DEPOSIT. ________ _ I EST. VAL VAIID. BY, __________ _ I. PRRMII hPE A -U COmmerc1al U New Bu1ldmg U lenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -~ Residential D Apartment D Condo 1¼5ingle Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical ~ Plumbing U Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other DAT!! 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address BuHdmg or Smte No. LEGAL DESCRIP I ION Lot No. Subdtvtston Name/Number Unit No. Phase No. CHECK BEWW IF S0BMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report O l Addressed Envelope ASSESSOR'S PABCEL FJCISTING USE PROP9SEP USE DESCRIPTION OF WORI< ~ HEATER REPLACEMENT # OF STORIES 3. WN IACI PERSON (II dll[erenf from apphcan[J NAME James Koury ADDRESS 260 Olive Ave. CI1Y ciitirJ ~ 4. ~A IRACIDR NAME Michelle Medina STATE r~ ZIP CODE ~?na~ DAY TELEPHONE ~4 ~f;?9 2AGEN URCUNIRACIOWNER UAGENIF0R Nb ADDRESS 2819 Central Ave. CI1Y " • ., n S. PROPFJt¥ffflMik" a11ey > STATE Cl\, ZIP CODE !H!I?? DAY TELEPHONE e!/7 4151 NAME James Koury ADDRESS ZIP CODE 260 Olive Ave. 6. ~ 1ro9lin:•bi1'1 • STATE CA 920D8 DAY TELEPHONE 434-6629 NAME A&J Foster, Inc. ADDRESS ZIP CODE 2819 Central Ave. CllY STATE Spring Valley, CA. 91977 DAY TELEPHONE 697_4151 CI1Y BUSINESS UC. # DESIGNER NAME STATE UC.# 530] JQ UCENSE CLASS ADDRESS C 36 1 200351 CI1Y N/A STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORRF.RS WMPENSAIIUN Workers' Compensation Declaration: I hereby afhrm that I have a certificate of consent to self-msure issued by the Ulrectorof 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). rtt 1cate o xempuo t rmance o e wor or w so as to become subject to the Workers' Compensation Laws of California. A. sr1::~J1IJ'32-~ATE {}/pp/?Jf Owner-Builder Declarauon: I hereby ahmn that I am exempt from the Contractor's Llcense Law for the foilowmg 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.). □ 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 license 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 license Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.S 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 penalty of not more than five hundred dollars [$S001). SJGNATIJRE DAT!! COMPLEIE IHIS SECIION FOR NON.RESIDENIIAt BUILDING PERMil'S 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 2S505, 25S33 or 25534 of the Presley.Tanner Hazardous Substance Account Act? □YES ONO 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 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF TIII! ANSWERS ARE YES, A FINAL CERTIFICATE Of OCJCUPANCY MAY NOf BE JSSllED AFrnR JULY I, 1989 UNIJlSS TIII! APPUCANT HAS MET OR IS MEE11NG nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIII! Alll P011.U110N CDNTROL DIS11U<:r. 9. WNSIROCIIUN IENDING AGENCY I hereby afurm that there ts a construction lend mg agency for the performance of the work for which this permtt ts issued (Sec 3097 (1) C1VII Code). LENDER'S NAME mi LENDER'S ADDRESS 10. APPIJCXM I CERI I certify that I have read the apphcatton and state that the above mformat1on 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 AI.50 AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIII! CfIY Of CARISBAD AGAINSI" ALL 1JA11IUT11!S, JUDGMENTS, CDSTS AND EXPENSES WlllCH MAY IN ANY WAY ACDUJE AGAINSI" SAID CI1Y IN CDNSF.QUENCE Of TIII! GRANTING Of nns 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 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 36S 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 pericxl of 180 days (Section 303(d) Unifonn Building Code). APPU~ '--frwu~ DATE, n:JP-'l1f WHITE: File YEil.OW: Applicant PINK: Finance ,. UNSC!!I::cr;r,Ep ItTSPf.CTI'JlJ ~'o/ I!ISPECTOfl __ o/_ ..... ,"'-L ~--------- PLJ\llCK •------- .:"OS ,\DCR.ESS __ ...:2_c:;(,,:....O::..__c:;0:::....:L:....l __ V_<;,:. ___ s~, _______________ _ TI:!Z l\.Il. .. t"tI"IE: ______ TittE LE.AVE: ______ _ CD LVL DESCRIPTIOU Pl!R."llT3 G/1!3/09 ~. --- '1/4-'T1!:7L... t-/c-A-7?:"?-- /\CT CO!UlEIITS