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HomeMy WebLinkAbout2749 GLASGOW DR; MULTI-PERMIT FILE; CB122012; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 PIunbung/MechanicaI/EIectricaI (PME) Permit 10-04-2012 - Permit No CB122012 Buitding Ihspection Request Line (760) 602-2725 Job Address: 2749 GLASGOW DR CBAD Permit Type: PME, :' '. Status: ISSUED Parcel No: 2081111300 . Lot #: 0 Applied: 10/04/2012 Entered By: SKS Reference #: -. ., . - Plan Approved: 10/04/2012 C #: Issued: 10/04/2012 Prnipct Title WPRRFR PFS- REPLACE WATER InQrr'f Amno $64.00 \ $9500 I A VI ' $95.00 I $9500 liii INCORPORATED (N I Balance Due: 7 I L'f I HEATER,'SAME SIZE, SAME LOCATION. A ALL STAR pplicant: WATER HEATERS & PLUMBING EBBOROTHYTSEPARATE PROPER REVOCABE TRU. 30300 PUERTO VALLAA WY 7 2749 GLASGOW,DR MENIFEE'CA92584. . 'V . CARLSBAD CA 92010 1-800-72 7 0977 ç ,- Plumbing Fees Electrical Feei Mechanical Fees Other'PME Fee"s TOTAL PERMrrF Total Fees 1952 "FINAL PROVAL— Inspector:, Vt't Date: AF Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/eactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for . processing in accordance with Casbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,' review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that yourright to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity. changes, nor planning, zoning, grading or other's . imilar application processing or service fees in connection with this project. NOR DOES IT APPLY to any - tees/exa'ctions of which you havepreviously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. . . S. i - -- .5 S • .- 4_S ..., ,, , - •' - - S X-OW CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. G() I Z'ZO12, I Est. Value Plan Ck. Deposit Date O/(.//,, Isw JVU AUUIftSS . SUITE#/SPACE#/UNIT# APN 2749 Glasgow Dr. - - - CT/PROJECT II LOT # PHASE B B OF U ITS B BEDROOMS B BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE . AIR CONDITIONING FIRE SPRINKLERS YES [:]# NO[ YES —]NO YES NO[:] CONTACT NAME (if Different Fom Applicant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE -. FAX PHONE FAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME Dorothy Webber All Star Water Heaters ADDRESS ADDRESS Same as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 Menifee CA 92584 PHONE FAX PHONE FAX 760-434-6639 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE Lb A STATE LIC.B CLASS CITY BUS. LIC.# 812894 C36 1'2-Z_((.1(?'' (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 files signed statement that he is licensed pursuant to the provisions of the Contractor's License LawfChapter 9, commending with Section 700001 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 oenaltv of not more than five hundred dollars 1150011. Workers' Compensation Declaration: thereby affirm under penalty of pedu,y one of the foJloleting declarations: [--]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. [] 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 workers' compensation insurance carrier and policy number are: Insurance Co • OakRiver. Ins, Co; Policy No. 2200062086121. • Expiration Dale. 0021I3:.. This section need not be completed if the pennft is for one hundred dollars ($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 Labor code, interest and attorney's fees, CONTRACTOR StGNATUR 0 AGENT DATE /1 31QøC) - thereby affirm that lam exempt from Contractor's License Law for the following reason: [] I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply teas 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 sate. 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). El I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law). [] I am exempt under Section ______________Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. lIYes ElNo ((have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name! address / phone /contractors' license number): - 5. (will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work): ,'PROPERTY OWNER SIGNATURE []AGENT DATE e 1Ø BJ'i1WM uMDJe PUo1i9?a (ixs2 . , Is the applicant or future building occupant required to submit a business Ian, 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air uality management district? (EYes [J No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? EYes 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. ... thereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address - I certify that I have read the application and statethat the above Information is correct and thattheInformationon the plans lsaccurate. I aeeto comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE ClPr' 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 60 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 murk authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is commenced bra period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ''•• 4 - - .. I - - '' r•- h .:, Inspection. List Permit#: CB122012 Type: PME WEBBERRES -REPLACEWATER - . HEATER SAME SIZE, SAME LOCATION. Date Inspection Item Inspector Act Comments .10/18/2012 25 Water HeaterNents - RI AM 10-12 PLS CALL 20 MINSPRIOR- ,[ DOG -.-1'0/18i201225 Water HeaterNents MC AP EXISTING LOCATION I 10/18/2012 29 Final Plumbing - RI 1. 10/18/2012 29 Final Plumbing MC Fl . . . - . - . . . .__ . -. -. . . .., ., . . . . . I-. -S •. . ... t 5 ' - - - ' Friday, October 19, 2012 . . . . Page 1 of 1 - i,., . .. ..- . .. .. I. . .. City of Carlsbad 09I14/1999 Plumbing Permit Permit No:CB993370 .: Building Inspection Request Line (760) 438-3101 Job Address: 2749 GLASGOW DR CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2081111300 Lot #: 0 Applied: 09/13/1999 Construction Type: NEW Entered By: RMA Reference #: t . Plan Approved: 09/13/1999 Issued: 09/13/1999 Project Title: WEBER RES-REPLACE WATERH EATER Inspect Area: Applicant: . Owner-.. A&JFOSTER, INC. WEBBER FRANKDOROTHY REVOCABLE T STEB 27 GLASGOW DR. 13706 HWY8 BUS (2- rdARLggADcA EL CAJON CA 92021 ()S' doe(1) Total Fees: . $27.00 fL.itl P"ayments Tof $0.00 " Balance Due: $27.00 . \ Fixture or Trap $0.00 Building Sewer 0 0.00 Roof Drain 0 $0.00 Install/Repair Waiter Linee ............Water ....... : . \ Vacuum Breaker \ o INCORPORATEDGas Piping System (\cI' ,/ Other Plumbing Fees $0.00 Master Drainage Fee u $0.00 Sewer Fee . . $0.00 TOTAL PERMIT FEES •' . . $27.00 1 -. FINAL APPROVAL qct S Inspector:' Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fpq1Y2rtinns nf whkh viii havp nrevirpiislu hôn nivpn n NflTIr.F cimiIr tn this rir nq tn whir.h thp cttiite nf Iimittinns his nrpviniisiv nthprwisp pxnirptl CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATIO N CITY OF CAALSBAD BUILDING DEPARTME N T 2075 Las Palmas Dr., Carlsbad C A 9 2 0 0 9 (619)438-1161 FOR OFFICE USE ONL Y PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By__________ _ _ _ _ _ _ _ _ _ _ _ _ _ Date 2749 G1asow Drive Address (lntds 8ldg/Sult. si Business Name tat this address) Las No. Subdivision Nama/Nontbsr UStt No. Phase No. Total S of urlt SFR Mseasers Parcel Ealstlnq Use Proposed Use Osscflptlon of Work SO. FT. fat 65015cc 5 of Bedrooms i of Bathrooms -rRr.r.v .T ]ifcRTPV FflSPFR I 17(%—B HWY 8 BUS, EL CAJON CA. 92021 (619)390-4 4 7 7 Name Address . City 85a5.IZip TelephoneS h- Prn1 7749 c1.scc)w flrivr CARLSBAD CA. 92008 434-6639 Hams Address City 8tstelZlp Telephone .. (See. 7031.5 BusIness and Profe s s i o n s C o d s : A n y c i t y o r C o u n t y w i d t h e q d r e s a p e r m t t t o c o n s t r u c t , a l t e r , I m p r o v e , demolish or repair any su u c t w e , prior to Its Issuance, else epuires the applIcant for such permit to file e signed statement that Its Is lIcens e d p u r s u a n t t o t h e provisions of the Contractors License Law Ctiapt., 9, commending with Sect i o n 7 0 0 0 o f D i v i s i o n 3 o f t h e B u s i n e s s a n d P r o f e s s i o n s C o d e l o r t h a t h e I s e x e m p t therefrom, and the basis for the alleged ezemptiort. Any violation of Section 7031.5 by any applicant for a permit aublecas the applicant to. dvii penalty of not more then five hundred dollars (*8001). A & Cr FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390- 4 4 7 7 - Name Address City State/Zip Telephone . stat1uc.s.s 630120 . _C-36 cltyBuslnsuucens.I 1200354 - Designer Haute Address City State/ZIp Telephone State License S N/A Wotbets' Compensation Declaration : I h e r e b y a f f i rm under penalty 01 perjury one at the foi&swlnq.d.d.rsti o n s : C I have and will maintains certificat, of consent to u04nswe for workers' compensation a s p r o v l d . d b y S e c t i o n 3 7 0 0 of the Labor Code. for the performance of the work to, which this permit I s I s s u e d . *X'(3 I have and will maintain workers' compensation, as require d b y S e c t i o n 3 7 0 0 o f s i t s Labor Coda for the performance of the work for which this permit Is smaed. My worker's compensation Insurancei caaW W W poky Mniber IM unsunagtsacompanyFARMEP INSURANCE . . p,N2OO7565l Expiration DPIOUS (7)05 SECTION NEED NOT BE COMPLETED IF THE PER M i T I S F O R O N E I W N O R E D D O U A U t$1001 OR LESS) CERTIFICATE OF (EPJPflON• I mii l l y t h a t i n t h e pejfrt, of On nj for width this permit Is Issued. I thai) not employ any person In any msnnst so as to become subject to the Workers' C o m p e n s a t i o n L a w s of Celi(ordv. WARNING: FaR,e to seossewonk e l s ' c o m p e n s a t i o n t"Wip Is unlawhd. end shill subject an em p l o y e r to umn*tel penalties end civil time up to one hundred thousand dollars (*100.00 lion to IJij.cos* of damaps as psovidad 1*, in Section 3708 of the Lab code. Interest and attorneys tees. SIGNATURE DATE ('P 14iooa I hereby affirm that I am exempt from the C o n u f t o ? s L i c e n s e L a w f o r t h e f o l l o w i n g t e s s o n t (3 I. as owner of the property or my employ.ec with ispes as thsk sole compensation, will do the work and the structure Is net intended or offered for sale (Sec. 7044. Business and Profes s i o n s C o d e : T h e C o n t r a c t o r ' s L i c e n s e Law doss not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his ow n employees, provided that such knpruvemants a r e n e t I n t e n d e d p r o f f e r e d t o , W e . I t , h o w e v e r , the building or Improvement Is sold width one year of completion, the owner.bulldw will have the burde n of proving that he did not build orkn p r o v e for the purpose of eels). C i. as owner of the property, em eadusively contrac t i n g w i t h l I c e n s e d c o n t r a c t o r s t o c o n s t r u c t ' U t . p r o j e c t l S s c . 7 0 4 4 , t 8 I n s s T I h d P r i o n a Cal: Th' Contrecter's License law doss not apply to an owner of property who biMs or. Improves thereon, and contracts f o r s u c h projects with contnsctor(sfllcensd Pursuant to the Contractor's License Law). . 0 t em exempt under Section Business and Professions Cods for thi s t e a s O r u L L SEP 1 '1999 1. 1 personally plan to provide the major labor and materials for construction of the proposed pro p e r t y I m p r o v e m e n t . 0 YES Qiw . 2.- I (have I hsveot).dgned.anappllcetion4 e . - e b u b * ' p s r m I W o r t h , p r c p o a s t E . - .- 3. 'I have contracted with the following person (firm) to p r o v i d e t h e p r o p o s e d c o n s t r u c t i o n f i n d u d e name I address I number): .- - 4. I plan to provide portions of the work, but I have hired the following person to coordinate. su p e r v i s e a n d p r o v i d e the major work (include name I address I phone mirnber I contractors lIcense number): S. 1 wtr provide some of the work, but I have contracted (hired) the following p e r s o n s t o provide the work Indicated (inclu d e name! address! phone number I type -. of wont): - -' PROPERTY OWNER SIGNATURE - DATE_____________ _ _ _ - - - - Is the ap$Icvfl or future building oconapvtt requir e d to submit a business plan, soutel y h a w d o u s m a t e r i a l s r e g i s t r a t i o n form or risk management and prevention - , ,—Program under Sections 25505. 25533 or 2 5 5 3 4 o f t h e P r e s ) e y T a r m s r H i s a i d s u s S u b s t a n c e A c c o u n t A c t ? 0 YES 0 NO . • - . Is the ap$ema or future building occupant reed to cbidu a p e r m i t f r o m t h e s i r p a n d o n c c S t d i s t r i c t o r a i r q u a l I t y m a n a g e m e n t district? 0 YES 0 NO - - - laths hoRSy to be corwl,uc*ad wiu d à 1 , 0 0 0 feet of the cuter boundary .1 school sits? 0 (ES 0 NO -. IF ANY OF THE ANSWERS ARE YES, A FIN A l . CERTIFICATE OF OCCUPANCY MAY NOT 15 ISSUE D U N L E S S T H E A P P L i C A N T H A S MET OR IS MEETING THE - REOUUIEMENTI OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 5 :7IO,f LENDINGAGEN - I hereby affirm that thins iss construction lending agency for the performance of the work for which this permit I s I s s u e d (S.C. 3097(1) Civil Cod.). !.EIDES NAME -- UNOEWS ADDRESS - .1 1 UC IRCAT1O1I,ie"c dWIF& - I certify that I have reed the application end state that the above Wrrnation Is correct e n d t h a t t h e i n f o r m a t i o n o n t h e plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereb y s u t h o n l i s r e p r e s e n t a t i v e s o f t h e C i t y o f C a r l s b a d to enter upon the above mentioned - property for inspection purposes. I ALSO AGREE TO SAVE, INDEM N I F Y A N D K E E P H A R M L E S S T h E CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPEN S E S W H I C H M A Y I N A N Y W A Y A C C R U E AGAINST LAID CITY IN CONSEQUE N C E O F T h E G R A N T I N G O F T H I S P E R M I T . OSHAl An OSHA permit Is required for excavations over I'D' d e e p a n d d s m a l i t l o n c i c o n s t r u c t i o n o f e t i u c t u r e a o v e r 3 stories in height. j EXPIRATiON: Every permit Issued by the BuildIng Olflol . I u n d e r t h e p r o v I s i o n s of this Cods shall expire by limitation and become null and void ii the building or work autherisad by such permit Is n o t c o m m e n c e d w i d t h SBS days from the date of such permit or U the building or work authorized by such permit Is euspendedAITUCANT'S SIGNATURE DATE - SEP 14 "'Al / • I, 44 City of Carlsbad Inspection Request For: 9/29/99 Permit# CB993370 - Title: WEBER RES-REPLACE WATERH EATER Description •,• . - Type: PLUM Sub Type: Job Address: 2749 GLASGOW DR Suite: ' Lot 0 Location APPLICANT A&J FOSTER, INC. t'4...... . Inspector Assignment: Phone: 7604346639 Inspector: - 'jwl lel. vv rz DDr ri MuFiJJr'J in I I Remarks AM PLEASE- HOME TILL 1 PM 4- _4 4 •- 4_ (••. .••I r Total Time Requested By DOROTHY WEBER Entered By CHRISTINE CD Description Act Comments (\(\ r- 25 .Water Heater/Vents :1 Wç' j--d . * Inspection History y Date Description ., Act insp Comments .:_, t • • 4 4,? a / 4 I4 4 '. .4. .4 4 - 4 4. 4 44 4 ,1. 4 + ,.. :t, • • -- - 11 BUILD 4ING PERMIT Permit. No: CB930904 08/3,1/93.12:02 - - Project N: A9301291 Page 1 of 1 . - Development No: Job Address: 2749 GLASGOW DR - Suite: - Permit Type:- PLUMBING • - 'Parcel No:- 208-111--,13700 Lot#: 08/31/93 01 02 .. Valuation: 0 C-PRMT Construction Type: NEW - Reference#: • Status: ISSUED -Description: WATER HEATER REPLACEMENT' Applied: 08/31/93 Apr/Issue: 08/31/93 Entered By: DC Appl/Ownr, :.FOSTER, A& J .' , - 619 697-4151 ' / -• 2819 -CENTRAL AVENUE ' - - - -. 'SPRING VALLEY, .CA 977 - -4 ** Fees R&quired cted & Credits Fees: 27.0 .. -. Adjustments: - (\00 • T : - - .00 Total Fees: - T'a1P y .00 - Balan e 'bic: 27,00 Fee descrip;ticon L-xt fee Data __ •- ' Enter "Y" for Plum i7Le 1ç Y Gas Piping System 0 PLUMBING TOTAL' 27.00 INCORPORATED 1952 - . -• : T CITY OF CARLSBAD 2075 Las Palmas Dr.,Carlsbad, CA 92009 (619) 438-1161 PERMIT APP1ICA11ON City of Carlsbad Building Department 2075 Las Palmas Dr, Carlsbad, CA 92009 (619) 438-1161 : 1. PERMIT TYPE _. A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C -0 Residential 0 Apartment DCondo R Single Family Dwelling 0Addition/A1teation 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical ] Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall Molar 0 Other__________ PLAN CHECK NO. q3- 9v Z EST. VAL PLAN Q( DEPOSIT_______________ VALID. BY____________________ DATE 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. Nr &Ja§qW Dr. LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BEWW IF SUBMIITED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK WATER HEATER REPLACEMENT SQ. yr. - # OF STORIES 3. UJI.IIACT PI1KUN (ii ditlerent from applicant) NAME Frank Weber ADDRESS 2749 Glasgow Dr. CITY STATE ZIP CODE 4. 639 DAY TELEPHONE C0NTRACT&°oWNER NAME Shelly Andrews . AGTOR ADDRESS U AGENT FOR 2819 Central Ave. CITY Ta1lcy, STATE ZIP CODE 91977 DAY TELEPHONE s. 697-4151 NAME Frank Weber, ADDRESS 2749 Glasgow Dr. CIlY ba STATE CA: ZIP CODE 92008 DAY TELEPHONE NAME A&J Foster, Inc. OON'FRACTUR-4-34-66632 ADDRESS 2819 Central Ave. - CITY STATE Spring Valley, ZIP CODE CA. DAY TELEPHONE 91977 697-4151 STATE UC. # 6)0120 LICENSE CLASS a 36 . CITY BUSINESS UC. # uoo.i DESIGNER NAME N/A ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS WMPENSNI1ON Workers' Compensation Declaration: I hereby atlirm that I have a certificate 01 consent to sell-insure issued by the Director 01 Industrial 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, ReDubLic Dernnitv POLICY NO. PC94985 EXPIRATION DATE 5/l/94 Certificate of Exemption: 1 erufy that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become sub t to the Workers Compe sation Laws of California. 8. OWNER-I!Uja~ DECLARATION Owneuilder l3eclaration: I hereby affirm that I am exempt from the Contractor'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.). 0 1 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 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). - 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, oi 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 DATE - COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? - DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ' ONO - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES DNO' IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MEF OR IS MEETING THE REQUIREMENTS OF ThE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTEICr. 9. WNS711TUCI1UN LENDING AGENCY 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 I certiry that I have read the application and state that the above information is correct. 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 1TIE 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 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 the work is commenced for a period of 180 days (Section 303(d) Un orm Building Code). APPLICANTS SIGNATURE -• DATE: - 2) '7 \) \... , f\ 1\ I C\ f\ i • A - e CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930904 FOR 09/07/93 INSPECTOR AREA DESCRIPTION: WATER HEATER REPLACEMENT PLANCK# CB930904 0CC GRP TYPE: PLUM , S. '• CONSTR. TYPE NEW JOB ADDRESS: 2749 GLASGOW DR STE: LOT: APPLICANT: FOSTER, A & J • PHONE: 619 697-4151 • : CONTRACTOR: S • PHONE: OWNER: S • PHONE: REMARKS: MH/WEBBER INSPECTO SPECIAL INSTRUCT: S S. • S • S • - S - TOTAL TIME: CD ,LVL DESCRIPTION S ACT COMMENTS S 25 PL Water Heater/Vents ***** INSPECTION HISTORY ***** • .5 5 DATE DESCRIPTION ACT INSP COMMENTS .5 5.. .. . 555 - S 5 - . * . S • 5 3 S55 •• S -S S S S• . S S • . S . S S SS S ••• S .'S 1• * •-. 55 . I (