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Home My WebLink About2762 INVERNESS DR; ; CB930759; Permit£> ' T ... Ill •#: CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 3365 OB.'03/9?.' .. 001 01 :;-PR! " 1 , 7, PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Depart111e11t 2075 Las Pal.as Dr., Carlsbad, CA 92009 (619) 438· 1161 EST.VAL ___________ ~ PLAN CK DEPOSIT ________ _ VAUD.BY __________ ~ I. P£RMI l l"YPE DATE ____________ ~ A -LI Commercral O New Butldmg O Tenant Improvement B -0 Industrial D New Building D Tenant Improvement C 1P Residential O Apartment O Condo ~ Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home LI Electrical )P Plumbing D Mechanical O Pool Cl Spa Cl Retaining Wall O Solar CJ Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Butl<lmg or Suite No. LECAI bESCRIP'MON Lot No. Su!xhV1s1on Name/Number Omt No. Phase No. cAtCR BEWW IF SOHMII !Eb: O 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK WATER HEATER REPIACEMENT SQ. Ff. # OF STORIES 3_ WNIACI PERSON (Ir dtfterent from apphcant) NAME Howard Harman ADDRESS 2762 Inverness Dr. c11Y C'R:t:J soon 4. APPUCAN'J om~ I RAC'IUR NAME Shelly Andrews CI1Y ~-;..i, ,, T S. PROPElt'tr"cM¥if'.k a:::.t.OT, NAME HOward Harman CITY Carlsbad, 6_ mN'l'lt.AC'IDIL NANIE A&J l''oster , Inc. STATE~ ZIP CODE q')O~ DAY TELEPHONE 6~-RSPO !J AGE FOR CON I MC !UR 4JWNER O AGEN I FOR £ ADDRESS 2 819 Central Ave. STATE CA I ZIP CODE fi)l,9?7 DAY TELEPHONE (j!#J 4l5l ADDRESS 2762 Inverness Dr. STATE CA. ZIP CODE 92008 DAY TELEPHONE 729-0500 ADDRESS 2819 Central Ave. CITY Spring Valley, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE LJC. # 630120 DESIGN&~RAME CITY 1. WolUMts OOMPENsXfidN STATE LlCENSE CIASS C-36 CllY BUSINESS UC. # ADDRESS ZIP CODE DAY TILEPHONE 1200354 STATE LIC. # Workers' Compensation Oeclaratlon: I hereby affirm that l have a certl!tcate of consent to sell-msure issued by the b1rectorol industnal 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). Republic Demnity POLlCY NO. PC949585 5/1/94 ere ya inn t at am exempt rom w or t e o owmg reason: D 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.). D 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). 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 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 exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE THIS sECnoN FOR NON·RESIDEN11At sUftDINC PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF 00:UPANCY MAY Nar BE ISSUED AFfER JULY 1, 1989 UNLESS TI-IE APPlJCANT HAS MET OR IS MEETING 11IE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POILUTION WNTROL DISfRICT. 9. WNSlkOCl1oN UffiDING AliENCY l hereby afhnn that there ts a construction lending agency for the performance of rfie work for whlch this penmt 1s tssue<l (Sec 3097(1) CtVJI C&ie)_ LENDER'S NANIE OONE LENDER'S ADDRESS 10. APPLlcANT Cl1t'l11iJCX'ndN I cerufy chat I have read lhe application and state that the above mlormauon 1s correct. I agree to comply with all City ordmances 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 TIIE crJY OF CARISBAD AGAINST ALL UABlllllES, JUDGMEN1'S, CXJSTS AND EXPENSES WIUC:11 MAY IN ANY WAY Aa:RUE AGAINST SAID CTIY IN WNSEQUENCE OF nm GRANTING OF TIIIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. File YELLOW: Applicant PINK: Finance \ CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930759 FOR 08/19/93 DESCRIPTION: REPLACE WATER HEATER TYPE: PLUM STE: INSPECTOR AREA PLANCK# CB930759 OCC GRP R-3/M-1 CONSTR. TYPE NEW LOT: JOB ADDRESS: 2762 APPLICANT: HARMON, CONTRACTOR: INVERNESS DR HOWARD PHONE: 619 729-0500 OWNER: REMARKS: MH/HOWARD/729-0500 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ~--~~~~~~~-~~/-~_A'L~-~-f- PHONE: PHONE: ACT COMMENTS ~------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS