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Home My WebLink About2701 MEDFORD CT; ; CB930767; PermitV /I .. 1 Ali?. l. l l ME> 'UR> r PL' .8 p 7 4 lb Ut.ltl n: !1 t r ul t l ) t. Yl e: Nf..W ·cup lllC y ,r OU[ : .. -I .., r1rt (t.: REE--...,A EWA EE HEA H' Ar .. ; w1,~ F · ; , 1..11 red , ~ r-• .., . Ai u ·tn =-n+-::.: Fee le '1r,ti m 1 ter ' Y t:. 1 r. Wc1t t.:l He ter ;. PL' 1'·-:B~NG ':'OTAL t:. M ..., >t#: ~ r<:>nr #: CITY OF CARLSBAD ~): L V 3405 08/05/93 0001 01 ◊~ 4 4 b e ~-FRMT 27.00 < t l tl, A[ p l J\[ LI t t:,:;r 1 ~v: .... ....... 2 7. 7. ( V 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las PallllBS Dr •• carlsbad. CA 92009 (619) 438-1161 l 1. PERMIJ IYPE A -U Commercial Li New Bmldmg O Tenant Improvement B • D Industrial □ New Building □ Tenant Improvement C -□ Residential Li Apartment Li Condo O Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical Li Plumbing □ Mechanical □ Pool Li Spa LI Retaining Wall O Solar □ Other ____ _ 2. PRQJECf INFORMATION FOR OFFICE USE ONLY :za,.tOl M r::.f\Fo AD C.R:r. Nearest Cross ~ Bu1ldmg or Suue No. LEGAL DESCRiP'I ION lot No. SutxhV1s1on Name/Number Unit No. Phase No. cRECR BEWW IF SOBMII lEb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING~ {Z. (2, p k--L l.,..J o... 4 ~ PROPOSED USE DESCRIPTION OF WORK SQ. IT. # OF SlDRIES 3. WNJACJ PERSON (n duferent from apphcanl) NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE i!f'6wNER DAGEN I FOR dWNER 4. APPilCAN I U CUN J HAC"l UK LJ Ac.i EN I l'UK CUN l HAC I UK JAME I ADDRESS / i,;(.SOJ>O't-1= M, wv-tvDdl u t ~T -;L "10 ( cR..r~ 'fJ'i CITY ~~fl:P --STATE ~ ZIPCODE 5. PkUPEk f/''2008 DAY TELEPHONE NAM{,~ 'E,_ 6\-,~ O ',I 'c_ CllY STATE ADDRESS ZIP CODE DAY TELEPHONE 6. OON'l'RAC'tult NAME ~ t.,J tJ t. f2.-ADDRESS CllY STATE ZIP CODE UCENSE ClASS DAY TELEPHONE STATE UC.# CITY BUSINESS UC. # DESIGNER NAME CllY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE UC.# 1. WolllcERY wMPENSAl10N Workers' Compensatmn Declarallon: I hereby athrm that I have a cert1hcate of consent to sell-insure 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). INSURANCE COMPANY POUCYNO. EXPIRATION DATE □ □ Owner-Bmlder beclaratmn: 1 hereby alfmn that I am exempt lrom the Contracto?s License 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 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 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 License Ulw}. 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 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 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 xemption. Any violation of Section 7031.5 by any applicant for a permit subjects ~plicF( to a civil n of not more th n five undred dollars [$500]). ,SIGNA11JRE \ • { f ~ , -..r--DA'm 1 ..:;,-{ q Is the applicant or future building occupant requi11 o submit a business plan, acutely hazardous m rials registration form or risk management and prevention program under Sections 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? CYES CNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF 1HE ANSWERS ARE YFS, A FINAL CERTIFICATE OF ocx:uPANCY MAYNar BK~ AFJ'Ell.JULY 1, 1989 UNIJ!SS 1HEAPPUCANT HAS MET OR IS MEIITING 111E REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICF.S AND TIIE AIR POlllTilON CDN"JllOL DISllUCT. 9. WNSIR0CIION LENDlNG XGENcV I hereby alhrm that there 1s a construction lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3091W dvu Code}. LENDER'S NAME LENDER'S ADDRESS Io. APP1.iCAN1' cmtiiFICA'fiON I certify that I have read the apphcauon and state that Lhe above mtormauon 1s correct. I agree 10 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 ID SAVE INDEMNIFY AND KEEP HARMIJ!SS TIIE CllY OF CARLSBAD AGAINST AU. UA8JUl1ES, JUDGMENTS, CDSTS AND EXPENSF.S WlDCH MAY IN ANY WAY A(IlllJE AGAINST SAID C11Y IN CDNSEQUENCE OF nm GRANTING OF nus PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" 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 pennit 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 180 days (Section 303(d) Uniform Building Code). DATE: J>-5'-93, YEIJ.OW: App 1cant PINK: Finance PERMIT# CB930767 DESCRIPTION: REPLACE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/02/93 WATER HEATER STE: INSPECTOR AREA PLANCK# CB930767 OCC GRP R-3/M-1 CONSTR. TYPE NEW LOT: JOB ADDRESS: 2701 MEDFORD CT APPLICANT: LUNDQUIST, TED CONTRACTOR: PHONE: 619 434-6884 OWNER: REMARKS: MH/434-6884 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION PHONE: PHONE: ACT COMMENTS CD 25 PL Water Heater/Vents frE_ _____ _ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS -----------·--~-·-~-----··'"······