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Home My WebLink About2631 ABEDUL ST; ; CB950963; Permit07/19/95 10:47 Page 1 of 1 Permit Type: PLUMBING Parcel No: 215-290-47-00 Lot# : Valuation: 0 Occupancy Group: Construction Type: NEW Reference#: Description: REPLACE WATER HEATER Applied: 07/19/95 Apr/Issue: 07/19/95 BUILDING PERMIT Permit No: CB950963 Project No: A9501374 Development No: 2778 07/19/95 00Q1 01 02 1 Job Address: 2631 ABEDUL ST Suite : C-PWT 27 .OQ Status: ISSUED Entered By: RMA Appl/Ownr : A fi J FOSTER INC 2819 CENTRAL AV 619-697-4151 *** Fees Required *x cted & Credits **x -"""""" Fees : Adjustments: Total Fees : """"""""""" .oo .oo 27.00 Ext fee Data 20.00 Y 7.00 27.00 Fee description """"""""_ Enter "Y" for P1 Each Water Heate * PLUMBING TOTAL ""~"""""" FINAL APPROVAL CITY OF CARLSBAD 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 APPLlCATlON . 2075 Las Palms Dr., Csrlsbad, CA PMOP (619) 438-1161 City'of Carlsbad hitding Departrnt From list 1 (see back) give code of Permit-Type: ................................................. For Residential Proiecrs Only: From list 2 (see back) give Code Of Structure-Type: SPR Net WGain of Dwelling Units I 2 PRClIEiXU4NXlMAllON PLAN CHECK NO. I I FOR OFFICE USE ONLY Address 2631 Abedul St. Burldrng or Sune No. Subdw~smn NamdNumber Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope DESCRlmoN OF wornwater Heater Replacement 50 Gallon D USE SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS (rt anterent trom appllcanr) NAME (last name firstbwke, N~~~ ADDRESS2631 Abedul St. NAME (last name first&iSty ADDRESS2819 Central Ave. 1 F1v - STATE a ZIP CODEg1977 DAY TELEPHON897-4151 NAME (last name first) Burke, N~~ ADDRESS 2631 Abedul St. STATE ra ZIP CODb7nn~ DAY TELEPHONR~R-~ 948 NAME (last name firnth & J Foster, Inc. ADDRESS2819 Centxal Ave. CITY spring valley STATEa ZIPCODE 91977 DAY TELEPHONE697-4151 STATE LIC. X- LICENSE ClASS P 3c CITY BUSINESS LIC. X1 7- (last name tlrstj rn CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified Workers' Compensation Oeclaratlan: 1 hereby attlrm that 1 have a Certlhcate ot consent to selt-Insure Issued by the Ulrector 01 Industnai by the Director of the insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Cemhcate ot Exempu ance o! the work tor whlc thlS permlt i issued, 1 shall not employ any pemn m any manner so as to become subjfft to the Workers' Compensation Laws of California. POLICYNO.~Q~ q~c, EWIRATION DATE 6-1 -qG SIGNATURE DATE 7-14 -95 ON Uwner-nullder Oeclarauon: I hereby attlrm that 1 am exempt rrom the mntractors ucense Idw tor the tollowlng reason: 0 I, as owner of the property or my employes with wages as their sole compensation, will do the work and the strucfure is not intended or offered for sale (Sec. 7044, Business and Professions Code: 'Ihe Contractor's License Law doer not apply to an owner of properly who builds or improves thereon, and who dws such work himself or through his awn 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 0 I, as owner of the property, am exclusivelyconmcring with licensed contractors to construct the project (Sec. 7044, Business and Professions of proving that he did not build or improve for the purpose of sale.). 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). 0 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 penalty of not more than five hundred dollars [$5001). SIGNATURE DAIE 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? Is the applicant or future building occupant required to obtain a permit from the air pollution conml district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? n~OP~AN~AREYES,APINALW~~TEOFOOCUPANCY~YN~8EISSUED-JULYl.l989UNLYSS~~~ HAS MET OR 1s MEEIING THE REQUlREWNS OF THE OFFICE OF EMERGENCY SIXWCFS AND THE A18 POUUTYON CONTROL DEIRFX. 1 hereby attlrm that there IS a construction lendlng agency tor the pertormance ot the work lor whlch thls permlt IS lssued (sec 309773 Clnl code). 0 YES 0 NO 0 YES 0 NO om 0 NO Gm LENDER'S NAME LENDER'S ADDRESS 1 CeN that 1 have read the appllcatlon and state that the above mtormatlon 1s correct. I agree to comply with all Oty ordlnances and State laws pu-. IAISOAGRETOSAVEINDEMNIFIANDI(EEPHARMIESS~CITYOFcARlsBADAGAINSTAU.~,JIIOG~ODSIS relatint to building construction. I hereby authorize repres~tatives of the City of Carlsbad to enter upon the above mentioned property for inspection AND EWENSFS WHICH MAY IN ANY WAY MXXIJE AGAINST SAID CITY IN CONseQUENCE OF THE GRANTING OF "IS PlBMT. OSHA: An OSHA permit is required far 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 pmvisiON of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is suspended or aba APPUCANTS SIGNATURE WHITE: File IYFZLOW r3 CITY OF CARLSBAD INSPECTION REQUEST PfiRMITY CB950963 FOR 07/27/95 DESCRIPTION: REPLACE WATER HEATER INSPECTOR AREA PLANCK# CB950963 OCC GRP CONSTR. TYPE NEW TYPE: PLUM JOB ADDRESS: 2631 ABEDUL ST APPLICANT: A L J FOSTER INC CONTRACTOR: OWNER: STE : PHONE: 619-697-4151 PHONE : PHONE : LOT : REMARKS: MW/NANCY/438-1948 INSPECTOR >c- SPECIAL INSTRUCT: CAN BE REACHED BETWEEN 9:30 & 4:30 AT 275-0101 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents .& ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 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 the performance of the work for which this permit is issued. A. workers' compensation as provided by section 3700 of the Labor Code, for I have and will maintain workers' compensation, as required by section 3700 issued. My workers' compensation insurance carrier and policy number are: 6. of the Labor Code, for the performance of the work for which this permit is INSURANCE COMPANY POLICY NO. EXPIRATION DATE: mm SECTION NEED NOTBE COMPLETED IFTHE..PERMITIS 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 C. workers .. compensation laws of California. . . .. Signature Date 7-12 %? - - - Warning: Failure to secure workers' compensation coverage b unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in addition to the costoicompensatlon, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March.3, 1995