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Home My WebLink About2605 CHESTNUT AVE; ; CB972254; PermitBUILDING PERMIT 08/11/97 15:34 Page 1 of 1 Job Address: 2605 CHESTNUT AV Suite: Permit Type: PLUMBING Parcel No: 167-270-11-00 Lot#: Valuation: 0 Occupancy Group: Reference*: Description: WATER HEATER REPLACMENT Permit No: Project No: Development No: CB972254 A9702840 _ 8031 OB/13/97 £001 01Construction T.y.per: Status': Applied: Apr/Issue: Entered By: Appl/Ownr : SCHROEDER FRED 2605 CHESTNUT AV CARLSBAD, CA 92008 *** Fees Required *** *** 760 729-7568 Fees Collected & Credits NEW 17,W ISSUED W 08/11/97 08/11/97 JM ** * Fees: 27.00 Adjustments: , .00 Total Fees: 27,00 Fee description Total Credits: Total Payments: Balance Due: Units Fee/Unit ,00 . 00 27.00 Ext fee Data Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL . • 1 7.00 20.00 Y 7.00 27.00 APPROVAL PATE CITY OF CARLSBAD 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 , •i^tkj^itt.m&ii&B*^11* 2605 Chestnut Ave. FOR OFFICE USE ONLY PLAN CHECK NO.//ZZ$7 EST. VAL. __ Plan Ck. Deposit Validated By Date -27,00 Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No.Phase No.Totel # of units Assessor's Parcel Existing Use Proposed Use SQ.FT.Description of Work WATER HEATER REPLACEMENT £T COrWCt PERSON (irtllflereriUroniMpllcar^i^¥» , „ *.-, Schroder, Frederick 2605 Chestnut Ave. #of Stories # of Bedrooms * of Bathrooms fr3E WHRHBm~-3*?29-t7568 Name Address State/Zip Telephone # 3. j,.APPLICANT ,Q Contractor i (Uj/igent (pr^Co; SHELLY JOHNSON/KRISTY FOSTER Fax # Name Address City State/Zip Telephone 2605 Chestnut Ave Name (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, commending 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 (or a permit subjects the applicant to a civil penalty oLnot more, than five himdr«d_dciHaysyl$500l). a R .1 FOSTER PLUMBING 13706-B HWY 8 BUS. Name State License # 630120 Address License Class C-36 City State/Zjp2QQ354Telephone # City Business License * Designer Name State License * X N/A City State/Zip TelephoneAddress ia;v*y Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following .declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. Q 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 worker's compensation insurance carrier and policy number are: »T^nm re n CONTINUOUSN2007-56-51Insurance Company FARMER INSURANCE Po|icv No.LN^UU '~DV D Expiration Date, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS 100) OR LESS) 0 CERTIFICATE OF EXEMPTION: 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 Workers' Compensation Laws of California. WARNING: Failure to secure-workers' compensation coverage is unlawful, and shall 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 Labqr code, interest and attorney's fees. SIGNATURE. . ' DATE 7./!;OWNER-BU1LDERDECURAtlON •> < . A" ^* J®ffitt}lZ3&JSBlffl~« »J,. >p , ;* 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 Contrector'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). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct" the project (Sac. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract* for auch projects with contractor(s) licensed pursuant to the Contractor's License Law). ' • Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. f~l YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ; 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): . PROPERTY OWNER SIGNATURE DATE ijCQMljTlOT^^ V I, 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? O VES Q 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 VES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. : CONSTRUCTION LENDING AGENCY -V'tJ< " '.'"„ ",, i ^ *4! & "?PS»"«SHKR'4-! i" J%^- V'f&i, ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS f; ! APPLICANtCERTIFlCATION ,' - '' £1* ,, *# I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. 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 TO SAVE. INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" 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 thfrwork is commenced tor a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance f CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972254 FOR 09/03/97 INSPECTOR AREA DESCRIPTION: WATER HEATER REPLACMENT PLANCK# CB972254 OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2605 CHESTNUT AV STE: LOT: APPLICANT: SCHROEDER FRED PHONE: 760 729-7568 CONTRACTOR: HA/ 1R ^ PHONE: OWNER: I l ° to ' PHONE: REMARKS: C/JESSIE/729-7568 INSPECTOR ft I SPECIAL INSTRUCT: CUSTOMER IS STAYING HOME SPECIFICALLY FOR INSPECTION. PLEASE DO NOT CARRY OVER. TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS AGENCY Name & Address COMMERCIAL CERTIFICATE OF INSURANCE Issue Date (MM/OD/YY) ALLAN MENDOZA 8880 RIO SAN DIEGO OR. #700 SAN DIEGO, CA 92108 ' ST..DIST..AGENT_32fi_ INSURED Name & Address A&J POSTER INC. 13706 B HWY 8 BUSINESS EL CAJON, CA 92021 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies shown below. COMPANIES PROVIDING COVERAGE: COMPANY UTTER A TRUCK INSURANCE EXCHANGE COMPANY UTTER B FARMERS INSURANCE EXCHANGE COMPANY UTTER c MID-CENTURY INSURANCE COMPANY COMPANY UTTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO. LTR.TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY)POLICY LIMITS GENERAL UAMUTY COMMERCIAL GENERAL-LIABILITY - OCCURRENCE VERSION CONTRACTUAL • INCIDENTAL ONLY OWNERS & CONTRACTORS PROT. GENERAL AGGREGATE PRODUCTS-COMP/OPS AGGREGATE PERSONAL & ADVERTISING INJURY EACH OCCURRENCE. FIRE DAMAGE (Any one Fie) MEDICAL EXPENSE (Any oni person) AUTOMOBILE UUUITY ALL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (PER PERSON) BODILY INJURY (PER ACCIDENT) PROPERTY DAMAGE GARAGE AGGREGATE UMBRELLA LIABILITY LIMIT WONKAS' COMPERSATIOR AND EMPLOYERS' LIABILITY N2007-56-51 5-1-97 CONTINUOUS UNTIL CANCELLED STATUTORY EACH ACCIDENT DISEASE-EACH EMPLOYEE DISEASE-POLICY LIMIT $ $ $ 1 1 000,000 000,000 000,000 DESCMPTION OF OPERATIONS/VEHICUS/RESTRICTIOIISKPECIAL ITEMS: RE: ALL OPERATIONS CERTIFICATE HOLDER Name • CITY OF & . BUILDING DEPT Address • 2075 LAS PALMAS DR • CARLSBAD, CA 92009 CANCELLATION T TPPMCT? nnno&IP-0 W OF ™E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. li.LC.ENSE BOAFft? ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. MWNKDHEPKSENWIVt 56-2492 4-M 1251 1351