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HomeMy WebLinkAbout2705 GLASGOW DR; ; CB972384; Permit08/26/97 08:46 Page 1 of 1 B U I L D I N G Job Address: 2705 GLASGOW DR Permit Type: MISCELLANEOUS Parcel No: 208-112-47-00 Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB972384 Project No: A9703033 Development No: 8506 08/27/97 0001 01 Construction ,/~tf: 02 27-00 NEW Occupancy Group: Reference#: Status: ISSUED 08/26/97 08/26/97 JM Description: WATER HEATER REPLACEMENT Appl/Ownr : SPIVEY DENNIS 2705 GLASGOW DRIVE CARLSBAD, CA 92008 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee ~1 * MISCELLANEOUS TOTAL *A* ,r 760 Applied: Apr/Issue: Entered By: 720-9464 Fees Collected & Credits *** FINAL APP~OV/\1~ INSP. _____ D! :~ L~ .00 .00 27.00 Ext fee Data 27. 00 PERMIT FE! 27.00 ! J CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 tt~\P.Ro:.tec:r.:mw!U8An0.Nk~~!lli~wiai~saliilfl 2705 Glasgow Dr . FOR OFFICE USE ONLY PLAN CHECK NO. flz.,:~rf( EST. VAL. _________ _ ~:::~:.":;··;~72:A-z ' ~ Address !Include Bldg/Suite II Business Nsme (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Toul II of units SFR Assessor's Parcel I Existing Use Proposed Use lot Stories I of Bedrooms II of Bathrooms Name Address City State/Zip T elephono II Fax II ~-'i,ifN.P.1-!CAf:l~:,~iJ 0 :~1!!1J.f~Jt~Qr,:~&GJiAa~o1i,~[l't9nUJ.9.tP.i.m0 lQ.w~Elr~ii~cifij,lq~l!~J Ji~~~im~--r~;ij;i' r· _ 1.:.. .i ·::.' SHELLY ,JOHNSON/KRISTY FOSTER 13706-B HWY 8 BUS. EL CAJON, CA. 92021 390-4477 Name Address City State/Zip Telephone II [~~BDJt~:D'iO.W~ffl;~~M~~~,~~iiiij,'giillU;~ Spiu~,, Dennis 2705 GJ asgaw Dr CARLSBAD Nom Address City 92008 CA, S.tate/Zip ~~li{l,\:!.i>f~\;ti,~~;.., •. 720-9464 Telephone II w,~u._~;!ii'iJ:. (Sec. 7031.5 Business and Professions Code: Any City or County which requires • permit to construct, elter, Improve, demolish or repair any etructure, prior to Its issuance. also requires the applicant for such permit to file a signed statement that he is licensnd pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division J of the Business and Professions Code) or that he 11 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for• permit subjects the applicant to a civil penalty of not more then five hundred dollars I •5001). A ~ J FOSTER PUTMBING J37Q6 B HWY 8 BUS EL CAJON CA. 92021 390-4477 X Name Addrtss City State/Zip Telephone II Licen•e ClesC-36 City Business License I 1200354 Stole License .t6:..=3e..:0e.al""2""0"'------- Designer Name Address City State/Zip Telephone State Ucenae I _.N.,.,..(scA~------- ,., .. , ,;,u,0RK.EJ\S' -~DMPEN"'"r' 1ou,-·:i;,',/;711,il}~'.li.1:~~,.,~il:~,.:;,1~;~~-.ill'}';~ ,l',i~•~\~• .. ~'l>1rl]IM,;;~,,.,11,,n;;,i;,11'l1'<ltlQ'il'l:<<'•lW'.,Mlml;Mn=~'llM~'i#!'!',J;;:=,w~r Tr~l w,1~·:1: i( , !.-.~ .. ,. ,; , ... l'.V• ;,<,...... "' ~--•~S1,~.tJ .. 1j.:J~ ... r'Q,!t1'tl.Afh'U:Gc11!11~~.:.'f:~ 1•,')~""~iflttl!MK,~,-'!t:~\f.wl'.~~~~~Yr.llf:lk~~i".iiil.H.~~-r.",i . n~ •• 11.~ •,Ii ••. ~t-~,-,.• _., ri•.u Workera' CompenHtion Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain • certificate of consent to aelf-insure for workers' compensation II provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 0 I have and will maintain workers' compensation, 11 required by Section 3700 of the Labor Cod,, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance CompanFARMER INSURANCE Policy NoN2007-56-51 Expiration ~INUOUS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t•100J 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 eny manner so as to become subject to the WOfkers' Compensation Laws of California. WARNING: FaHure to HcUta•workers' compenHtlon coverage la unlawful, and shall subject an employer to crlmlnal penaltlH end civil fines up to ona hundred thouaand dollars ($100,000), in addition to the coat of companaatlon, damagt1 as provided for In Snctlon 3706 of the Labqr code, Interest and attorney·, feu. SIGNATURE _______________________ -'-------DATE _________ _ 7. . . OWNER-BUILDER DE CLARA TI0N:;i,i ~,ft 1¾:.Mf,· ;~,~1:':'i:;:;[tl>f;.fi;lsi\~J.11~'.~lil~i;sft~l~It~t,r.l.t:~l~~i'iJ.i!lmrJJl!lt~.l-UI.iiil~•':':iJ.~·,.·,h:):~J;,:_,;;\I\, I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: 0 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 Coda: The Contractor'• Licens• Law does not apply to an owner of property who build, or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements •re not intended or offered for aale. If, however, the building or Improvement Is sold within one yHr of completion, the own•r-build•r will have the burden of proving that he did not build or improve for tha purpoH of uleJ. 0 I, u owner of the property, em exclusively contracting with licensed contractors to construct' the project (Sec. 7044, Bu1lness and Professions Coda: Tha Contractor's Uc1n11 Law does not apply to an owner of property who bulld1 or lmprovH thereon, and contracts tor 1uch projects with contrectorlsl licensed pursuant to tha Contr•ctor's UcanH LawJ. · 0 I 1m •xempt under Section ______ Businass and Profasaiona Code for this raason: 1. I personally plan to provide the major labor and materials for conatruction of the propoHd property improvement. 0 YES ONO 2. I (have/ hava notl signed an 1ppllcation for a building permit for the proposed work: J. I have contracted with the following person lfirml to provide the proposed construction (Include name/ 1ddre11 / phone number/ contractors license numberl: 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 (hiredl tha following persons to provide the work Indicated (include name/ address / phone number / type of workl: ________________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE _________ _ LCOMP,LfJ~.JHIS:'sEC1JOf',f.QR,/!..0N:M$/P..EN.iJM.l1YILP.iNG1f!~,uJRrj~)'mii1i1~"":r8l:~;;t:J.:;~i~r;~[-:li:l;'.),\\";;".'j'1'i.1 ' Is the applicant or future building occupant requlred to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the f'lasloy-T,nner Huerdoua Subst1nc1 Account Actl O YES O NO Is the applicant or future building occupant required to obtain a p1rmit from the air pollution control district or air quality man1g1ment district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a achool alte7 0 YES 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,, 1:coNSTRUCTION LENDING'AGENCY :;i'fcJ'tt\1ifil(il mm:,;.. '1%-~tt'tY,;)~~:l\l.~~~-Pfli:"r;1'1iJ~ITl1ffli.~\~l~:ilfiC.:\if'J['~,3:;t.~i\:•: .: ,; I I hereby affirm that there is • construction lending agency for the performance of the work for which thia permit is iasuad (Sec. 3097(1) Civil Code). LENDER'S NAME --------~-----LENDER'S ADDRESS ______________________ _ :9: APPllCANT,CERTIFICA,T\0Nl. ,,,' :.,·.:,~\'', ;:)\~,t';,1;).;~.f;::ti; ~~~J1,f:{\~:,f:;?1,~/J;i:w,wi:r@{111'~"i~-Jiv·J?~.tl{,~,Wl;il'j;~f~;i~\.~,-:-;r;,'i.;'; '.,. I certify that I have reed the application and state that the abova Information i• correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws ralating to building construction. I hereby authorize representatives of the City of Carlabad 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 exc1v1tlons over 5'0" deap and demolition or construction of structures over 3 1tories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code ehall expire by limitation and become null and void ii the building or work authorized by such permit is not commenced within 365 deys from the data of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time aft he work 's commenced for I period of 1B a s (Section 106.4.4 Uniform BuildinDgACToEde). ~/ '1 ~!n? APPLICANT'S SIGNATURE\....<U'..!..l.A~~~...s:,U.t:..,~d.q..Jt..,....:l.,,_L.._________ ~ 41..:1_ L WHITE: 'File YELLOW: Applic•nt r•~lk' Finencft