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Home My WebLink About2812 LA DUELA LN; ; CB980123; Permit----------------------------- B U I L D I N G P E R M I T Permit No: CB980123 Project No: A9800185 01 /19/98 14:52 Paqe 1 of 1 Job Address: 2812 LA DUELA LN Permit Type: PLUMBING Development No: Suite: Lot#: Construction Type: Parcel No: 255-101-05-00 Valuation: 0 Occupancy Group: Reference#: Description: WATER HEATER REPALCENMENT Status: Applied: Apr/Issue: NEW ISSUED 01/19/98 01/19/98 JM Appl/Ownr : ARENZAZA MARIO 2812 LA DUELA LANE CARLSBAD CA 92009 /( * * Fees Required *** ---------------------------- Fees: Adjustments: Total Fees: Fee description Entered By: 760 753-1075 k* Fees Collect~~&01at,mWP1 01 Of** _________________________________ C-:ffiti~-----~7-00 .00 ,00 27.00 Ext fee Data 20.00 Y 7.00 FIN~Jt)PPROVAL ~DATEW!.. CUARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CZzlo/z3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1 161 EST. VAL. ------=--.,....-- Plan Ck. Deposit ---=;,~~,&..z ......... O.c.~ ... j'--_ Validated By ___ ?? _ __..~,::;,,~----- Date. ______ ~_'-_PV\.. ______ _ it~IPJU>JECt.JNf.ORJMliaN~ 2812 La Duela Ln . Add1t11 !Include Bldg/Suite II BualnHI Name (at thll eddr111) Legal 0ucriptlon Lot No. Subdlvlalon N1m1/Number SFR . Unit No. Phase No. Total I of units At.s1ssor'1 P■rc1I I Existing UH PropoHd UH Ducrlptlon of Work SO, FT. lof StorlH I of Bedrooms I of Bathrooms WATER HEATER REPLACEMENT· ~.t" f(!()i.rr ACT0PEDS_Q, N ·11f ifllf"" ,.,,.,.., '1!<' '"'"Ii ~'"l11,~~Jl.iJXl?.~-f~1Fi.'ifj1!t,~],\lti I , t( Ar;~zan~: Mar1n"6" ,llf.Cll!llf!~psi-2 La1Jti~t,rtn.~/Jltif1ffil'il •m• Addreu City 6t1t1/Zlp Telephone I ~i'~C.DmMCXbe;;cQMUNWwi!lllilMWWimm:rllfMftf SEA WWW.i.~w~ (Sec. 7031.5 Business and Prof111lona Code: Any City or County which requlrH I permit to conatruct, 1lt1r, Improve, d1mollsh or repel, eny 1tructure, prior to Its lssu1nc1, also requires the 1ppllcant for such permit to Ill• a 1lgn1d statement that he la Ucen11d purauent to the provisions of the Contr■ctor'a License Law IChaptar 9, commending with Section 7000 of Division 3 of the Busln111 ■nd Proleulona Codel or that he 11 exempt therefrom, and the basis for the alleged ex1mptlon. Any vlol■tlon of Section 7031,6 by 1ny applicant for• permit aubj1ct1 the appllc■nt to• clvll p1nalty of not mora th■njll• hundrtP(f.oltlf1lf00)). p & 1 FOSTER PT.TJMRJNG 13706-B HWY 8 BUS. · EL CAJON CA. 92 0~ J~ - Name Addr11s City , State/Zlp 1 20035 r41ephone I Slit■ License I 630120 Uc1n11 Cl111 C -36 .City Bu1lne11 Uctn11 I -------- D■signar Name Address State Ucen11 I _ _,N~f._..A.__ ____ _ City State/Zip T1lephone [e;,·,iii'.W.0.RKWi•,coMPENSi\llQt{;j,ijC,~iO'JJ;Ml:8~J~{fHi;i'J!(ro.,'ffl!llli'ltt--1a/Qfflll: Worktra' Compen11tlon D1cl■ratlon: I hereby 1lflrm undar penalty of perjury on, of th, following ,d1claratlon1: 0 1 have and will maintain • certlflcat1 of cons1nt to 111f-ln1ur1 for work■ra' comp1n1atlon H provld1d by Section 3700 of the Labor Code, for the performance of thl WOfk for which this p■rmlt 11 l11u1d. X O I hive and will maintain work1r1' comp1naatlon, H requlra~ by Section 3700 of·the Labor Cod,, for th, parformance of th1 ~ork for which this permit 11 lsaued. My worker's comp1ns1tlon ln1uranc1 c■rrl■r and pollcy number a11: ln1Ufanc1 Company FARMER INSURANCE Polley No, N2007-56-5l Expiration Det~ONTINUOUS ITH1S SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (♦1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I c1rtlfy that In th1 p1rlorm1nc1 of th1 work for whlch thl1 permit 11 l11u1d, I ■hall not employ any person In any manner so as· to bacom, subject to the Workara• Compens■tlon Laws of C1lifornl1. · WARNING: FaRure to 11cur1•w0fker1• compensation cov1rag1 la unlawful. end ■hall 1ubj1ct an 1mploy1r to c,lmlnal p1naltl91 and clvll fines up to one hund1td thousand doRars It 100,000). In addition to th, coat of comp1naatlon, damag1111 provld1d for In S1ctlon 3708 of the Labqr cod,, lnter111 end attorney's fan. SIGNATURE _______________________ -'--------DATE _________ _ 1. -·~:owNER•BUILDER DE~LA""r1oij i·1l.l,/J)'1r;?t~\!ii·?•~"'tri'tl?~~ii'~lm-1.,.ma.~~~~1tl~,r~~i\:lllt:}Jiiil;,:j:;1~1 ;·, I heraby affirm that I am axempt from th, Contractor's Llc1nse Law for the following raaaon: 0 I, as owner of the property or my employe11 with wag11 H th1ir 1011 compensation, will do the work and th1 1tructur1 Is not intended or offered for sale (Sec. 7044, Business and Prol111lon1 Cod,: Thi Contractor's Llcen11 Law do11 not apply to an owner of prop1rty who builds or Improves thereon, and who does such work himself or through hl1 own 1mploye11, provided that 1uch lmprov1mant1 ara not lnt1nd1d or olf1r1d for ■111. If, however, the building or lmprov,ment 11 sold within one yur of completion, the owner-bulldar will have the bwd1n of proving that ht did not build or lmprov, for th• purpo11 of 111•1. 0 I, 11 owner ol th• p,oparty, am· axclu1lv1ly contracting with llc,n■ed contractor, to construct' th, proj1ct (Sic. 7044, Bu1lne11 i nd Prof1ulon1 Code: Thi Contr■ctor'• Uc1n11 Law do11 not apply to an owner of prop1rty who builda. or lmprovaa th111on, and contract• for ,uch proj1ct1 with contractor(■) licensed puuu■nt t:i th, Contractor's Uc1n11 Law). · 0 I 1m axempt under S1ctlon ______ Bu1ln111 and Prof111lona Code for thlt r111on: 1. I per■on1lly plan to provide th1 major labor and materl1l1 fOf con■tructlon of th• propo11d proparty lmprov1ment. 0 YES ONO 2. I lhav1 I have notl 1lgn1d an application for I building parmlt for the propo11d work; 3. I hive contract1d with th1 following person (firm) t~ provld1 the propoaed construction (lnclud, nam, / addrHI / phone number / contractors license number): 4. I plan to provide portions of the work, but I hav, hired the following p111on to coordlnat1, aupervlH ind provide tha major work (Include name / eddress / phone numb■,/ contrectora llcen11 number): ____________________________________________ _ 5. I will provide aome of th, work, but I have contracted (hired) th1 following ptr1on1 to provide the work Indicated (Include name/ address / phone number / type of work): _____________________________________________________ _ PROPERTY OWNER SIGNATURE--------------,---------DATE _________ _ ~1;0~.JH1s:·sEcl)ot,1.F.QR..t<QN:&'.flJ.>.EN.ti&:1i.ii.1UiiNr:l,iloMiis::WN~ ·. Qi~!~-f<rnr;;gwa1~1~1;'.1J't',i,i , i. the 1ppllc1nt or future bulldlng occupant 11qulr1d to aubmlt a bu1ln111 plan, acut,IV haz.ardou1 mat1rlal1 reglatratlon form or rlak management and prevention p,ognm under Sections 26605, 26633 or 26634 of th, Prealey•Ttnner Huardou1 6ub11anc1 Account Actl O YES O NO Is the applicant or futura building occupant requlrad to obtain a parmlt from th1 air poUutlon control dlatrlct or 1lr quality management district? 0 YES O NO la the facility to be constNCted within 1,000 f11t of th1 outar boundary of I achoo! 1lt17 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT II! ISSUED UNLalS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. s,: 1: CONSTRUCTION LENDING 'AGENCY:'.~·r1:Naii1!~S.-W'A.t1lfl~;:~~~Mll~lH11~...l./lfli;iV~1t;i:1:t§:r\l,,: ; \.! : t '. ::: I hereby affirm 1h11 there Is a conatructlon l1nding agency. for th1 performance of th, work for which thl1 permit 11 l11ued (Sec. 3097111 Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS _____________________ _ . ~ .... ,. ,. :- I certify that I hive re1d the application and 1t1t1 that the above Information la correct and that the Information on the plans Is accurate. I agree to comply with 111 Citv ordinances ind St1t1 l1w1 ralatlng to building conatruction. I h111by authorlz.a rapr1HntatlvH of the City of C■rl1b1d to enter upon the above mentioned property for inspection purpos11. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AG/\INST ALL LIABILITIES, JUDGMEHTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUEHCE OF THE GRANTING OF THlS PERMIT. OSHA: An OSHA parmlt 11 raqulred for 1xc1vatlona ovar 5•0• d11p and demolition or conatructlon of atructwH ovar 3 atorle■ In height. EXPIRATION: Every permit lsau1d by th1 Building Ofllclal under th• provl■lona of thl1 Code ahall expire by limitation and become null and void ii the building or work authorized by 1uch permit 11 not ommenc1d within 386 day1 from the date of such parmlt or II th• building or work aulhorlud by such pormlt Is suspended or abandoned ■t any time alter the k It com ,need for ape d of 180 dava_lSectl 108.4,4 Uniform Building Code). ~ r--. /)(]/ APPLICANT'S SIGNATURE z DATE -,1-J_-_t--1,J-';__=--'::L..1...:.. ... L ____ _ WHITE: File YELLOW: Applicant PINK: Flnence PERMIT# CB980123 DESCRIPTION: WATER HEATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 02/03/98 REPALCENMENT STE: INSPECTOR AREA PLANCK# CB980123 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2812 APPLICANT: ARENZAZA CONTRACTOR: LA DUELA LN MARIO PHONE: 760 753-1075 PHONE: OWNER: PHONE: ~ REMARKS: C/CORA ARENZAMA/753-~75 SPECIAL INSTRUCT: _ "'I\'\\\>~ -INSPECTOR --+-1--·_s ______ _ TOTAL TIME: CD 25 LVL DESCRIPTION PL water Heater/Vents ------------------------------------ ACT COMMENTS 4?----- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS I