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Home My WebLink About2726 NAPLES CT; ; CB970099; PermitFOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PLAN CHECK NO. Zletlff esr.vAL. 6 ,Ztol.> Plan Ck. Deposit--~------ Validated By /; ~ Date 1/t ¢£7 (~CT.IN6>fUMl.lQNJ;1"" ,-..,"~ 2726 Naples Ct. Address (include Bldg/Suite I) Business Name (1t this address) Legal Description Lot No. sFEtubdlvision Name/Number Unit No. Phase No. Assessor's Parcel I Exlsting Use Proposed UH Description of Work SO. FT. lot Stories I of Bedrooms WATER HEATER REPLACEMENT iz: co~~i~'f:~o~rrerent ,,cim •PP~"'~ -N~rJs :•etf:t ::-'•~::;. ,1~,;,2A~~., Total I of units I of Bathrooms Name Address City State/Zip Telephone I Fax I ?-:~'ID.~ANJo~sbNiKRii ~-10~~~~11ia9i31~~~~~~rf*. 9~t=·· ... · ~='~~j,§o-4~~-7- Name Address City St1te/Zlp Telephone I ~.l'~Wftl;ll,i~li Shetula, Ali ~~AU CA. ~~~p ~~~•gf{J)J ·)"\,· Name Address City St1t1/Zip Telephone I I&• _ONlBACJQR:.COMI( (Sec. 7031.5 Business and Professions Code: Any City or County which requires • permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file • 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 for• permit's~~•cts the 1pplic111Uo c::t!hJS'lty of ~ore t'!1~B'1fundr91~tjl!.'4.!ftlfll. A & J FOsrER PLUMBING 13706-B HWY 8 BUS. ~L • Name State License I __ 6_3_0_l_2_0 ___ _ Address C-36 City Stete/Zlp 1200J,!!f>hone I License Class _________ _ City Business License I _______ _ Designer Name State License I ___ N-'-/_A _____ _ Address City State/Zip Telephone le. ·~Yl_ORKE.RS! COMPENSJ\TJOffk~.J?.., ~~ Y." ~• JP-:~~-.,,.. ~,.. ~ .,,~~v.,./·~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain • certificate of consent to sell-Insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit 11 Issued. ~ I have ind will maintain workers' compensation, H required by Section 3700 of the lebor Code, for the performance of the work for which this permit Is Issued. My worker's compensation insurance carrier ind policy number are: Insurance Company FARMER INSURANCE Policy No. -------------N2007-56-51 5-1-97 Expiration Date _______ _ 1 TH IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 menner so es· to become subject to the Workers' Compensation Laws of California. WARNING: Failure to sacure• workara' compensation coverage la unlawful, ind shell subject 1n employer to crlmlnel penalties and clvU fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages II provided for In Section 3706 of the l.abq, code, lntarHt ind attorney's fe11. SIGNATURE _______________________ --'-------DATE _________ _ '7.' O)NNER-BUILOER DECLARATION ·\ , ". ·• \/' JJ,,'· :,'] _ _ _ ' • ,,-;• : ~,jf~ ~~~ 'l" "' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work end 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 bulld or lmprov1 for th1 purpoH of 11lel. 0 I, as owner of the property, 1m exclusively contracting with licensed contractors to construct' the proj■at (Sac. 7044, Busln11a ind Profession• Code: The Contractor's License Law does not apply to 1n owner of property who builds or improves thereon, ind contracts for such proj1ct1 with contractor(s) llcenHd pursuant to the Contractor's License Law). 0 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. 0 YES ONO 2. I (have / have not) signed 1n 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 I address I phone number I 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 j:O~ 'SEClJON.JQR NP~D~JJ,!_ILD!hlG f'~RM!I&::.QNi.t '°" , 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-T■Mer Hazardous Substance Account Ac:t1 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality m1n1gemant district? 0 YES O NO Is the facility to be constructed within 1,000 feat of the outer boundary of a 1chool site 1 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,_. ' CONSTRUCTION LENDING AGENCY '· "-J"'. ~°"]. ,~, ·•s · ;t, ,1; :~;:;rr.,, ,~ " f-' ~[~~~:,~ .. , I hereby affirm that there is • construction lending agency for the performance of the work for which this permit 11 Issued (Sec. 3097(1) Civil Code!. LENDER'S NAME ______________ _ 9; APPUCANT CERTIFICATION h I certify that I have read the application and state that the above information is correct and that the Information on the plens 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 Cerlsb1d 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 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 shill expire by limitation ind 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 1t any time eft~commenced for I period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~yyYL[)dh DATE j,-I 6 /J7 WHITE: File YELLOW: Applicant PINK: Finance • PERMl:'£# CB970099 DESCRIPTION: WATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 03/04/97 HEATER REPLACEMENT JOB ADDRESS: 2726 NAPLES CT APPLICANT: ALI SHETULA CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA DC PLANCK# CB970099 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 493-8103 REMARKS: MW/ALI SPECIAL INSTRUCT: INSPECTOR,,IL----------- TOTAL TIME: CD 25 LVL DESCRIPTION PL water Heater/Vents ------------------------------------ -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 012997 Water Heater/Vents ACT INSP CO DC COMMENTS NO ONE HOME 8:30