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Home My WebLink About2820 CAZADERO DR; ; CB973857; PermitBUILDINGPERMI'T Page 1 of 1 Job Address 2820 CAZADERO DR - Permit Type: PLUMBING Parcel No: 215-320-33-02 ' Valuation _, 0 Occupancy Group. " Reference* Description- REPLACE WATER HEATER Appl/Ownr : SCHULT2 , STEVE 2820 CAZADERO DR "CARLSBAD CA 92009 *A^ Fec-s Required Permit No: CB973W57 Proiect,Wo A9704974 Development No- Suite Lot# . Construction Type- NEW , Status : ISSUED Applied- 12/23/97 250? Entexe<£-BW 7oO 603-8717 Collected & Credits 1 22 3 / 9 7 27-00 Fees- Adiustments: Total Fee?>: Fee description Enter "Y" for Gas Piping System * PLUMBING TOTAL /,' 00 . 00 27 00 Ext fee Data 20 UO Y 7. 00 27.00 NAL APPROVAL INSP. DATE _ J CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 n^-upiiajECTMMiiMATirtriLHfrafflamEB^ 2820 Cazadero Dr. FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL Plan Ck Deposit Validated By Dote / / Address Undude Bldg/Suile f)Business Him* (at this address) Legal Description Lot No Subdivision Nome/Number SFR Unit No Phase No Total f of units Assessor'! Parcel f Existing Use Proposed list Discretion of Work SO. FT for Stories WATER HEATER REPLACEMENT ^ rcoNTACT PERSON (if different ,f rorp-Yppllceni] i $$£} ^^^iW^lUJa^^sMSst Schultz, Steve 2820 Cazadero Dr. ™&K I of Bedrooms of Bathrooms Ntme Address City arrwAeiifucAiiT.tfQ'coiw.cf^ gRF-r.T.v .TOHNSON/KRISTY FOSTER 13706-B HWY 8 BUS. EL Stete/Ilp Telephone *Fax Nsme Address City " State/Zip k^PIIDPartOWMr^eaftV^CI^^ Schultz. Steve ?820 Cazadero Dr, CARLSBAD CA. Telephone * Name Address City State/Zip Telephone f TBin:j!iiiOD"iJiJiujiu^ (Sec 7031 5 Business snd Professions Coda Any City or County which requires a permit to construct, alter. Improve, demolish or repair any atructura, prior to Its issuance, also requites the applicant for such permit to file a signed statement that ha la licensed purauant to the provisions of the Contractor's License Law IChaptw 9, commending with Section 7000 o( Division 3 of the Business and Pfofniions Code! or that h* la «xampt \heifcfiom, and the basis \ot the alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to e civil penalty of not more then fiveihundred JpJlnre LIBflOJ) A s T Fnc:^ PT.TTMRTMT; 127Q6-B HWY 8 BUS. EL CflJON CA. 92021 390-4477 Nim« Address City State/Zip , ,-,„ -Telephone * State License* 630120 License Class C-36 Cltv Business License * ' Dtugner Namg Address Stale Ucsrue 1 N/7J, City State/Zip Telephone M.i* WOMCEUijCOMPENSAtlOllWJ^ tttf Workers' Compensation Declaration. I hereby affirm under penalty of perjury one of the following declarations* Q I have end will maintain a certificate of consent to self-Insure for workers' compensation u provided by Section 3700 of the Labor Code, lot the of the wofk for which this permit Is Issued. Q I have and will maintain workers' compensation, aa required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued My worker's compensation Insurance carrier end policy number sie. _ „ „TS2007-56-51 - .- - - CONTINUOUSInsurence Company FARMER INSURANCE Policy No.Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) Q CERTIFICATE OF EXEMPTION 1 certify that In the performance ol the work (or which this permit Is Issued, I shall not employ any person In any menner ao as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure wotkers' compensetlon coverage Is unlawful, and shall subject in employar to cilmkial penalties end civil fines up to one hundred thousand dollars 1*100,0001, In addition to the cost of compensetlon, damages as provided fof hi Section 3706 of the Labq/ code. Interest end attorney s fees SIGNATURE _ ___ __^_ DATE _ I hareby affirm thet I am exempt from the Contractor's License Law for the following reason: Q I is ovtnet ol \h« piopertv or my employees wuh wagon as than sole compensation, will do the woik and the sliuctuia is not Intonded or ollered foi sale (Sac 7044 Business end Professions Code The Contractor'* License Law does not epply to «n owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements ert 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 ••!•) Q I es owner of the property, em excluslvaly contracting with licensed contractora to construct the project (Sac. 7044, Business and Professions Code The Contractor's License Lew doss not spply to an owner of property who builds or Improves thereon, and contracts for such project) with contractor(a) licensed pursuant to the Contrector's License Law) Q I am exempt under Section _ Business and Professions Code for this teason: 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement. Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work. 3 1 hive contracted with the lollowlng person llirnil to provide the proposed construction (Include name I address I phont number / contractors license number) 4 t plan to provide portions of lha work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone numbir / contractors license number) ____ __ .. . __ ._.--. 5 I will provide some of the work, but I have contracted (hired) the following parsons to provide the work Indicated (include name / address / phone number / type ol work) _ _ DATEPROPERTY OWNER SIGNATURE COMPLEJt.THIS SECT10N,FOR Jto/llHettMtfn^BUOJlMBiBEM^ ^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 2550S, 25533 or 25534 of the Presley-Tanner Hetardous Substance Account ActT Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school lite? Q YES Q NO IF ANY OF "THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OH IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8. ^CONOTHUCTON LENDING AOWCV;.^^ , ?''"• ^ I h«nbY affirm thai than U e construction lending aaency for the performance of the work for which this permit Is laaued (Sec 3097(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS _ ____ 9.,i^^f^^^K^^sm^^^^^^';. "•- - 1 certify that I have read the application and state that the above Intormstlon I* correct and thai th» Information on ths plena Is accui«A« I agiee to comply with t,\\ City ordinances and State laws relating to building construction 1 hereby euthorlze representellves of the City of Carlsbad to enter upon the above mentioned property for inspection purposes 1 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 6'0" 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 .1 tha building or work suthomed by such permit Is not commenced within 366 days from the date of such permit or If the building or work authorised by such permit Is suspended or abandoned it »ny \\m* t\\v \h» Wo.1* l» commwwed lot A vw)a$ of. ABO daya (Se.ct.lat\ 108,4,4 Uniform Building Code). APPLICANT'S SIGNATURE » W6ik \» comm«iw»d. l(1 riihe DATE WHITE File YELLOW- Appllcent PINK Finance AGENCY Jame & Address NSURED Jame & Address COMMERCIAL CERTIFICATE GF iMSURAHCE Issue Dale (MM/DD/YY) ALLAN MENDOZA 8880 RIO SAN DIEGO DR. #700 SAN DIEGO, CA 92108 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies shown below. 09 DIST. 51 AGENT_326 AAJ FOSTER INC. 13706 B HOT 8 BUSINESS EL CAJON, CA 92021 eaueurr UTTEK COUMNT ICTIW COMMNVUTTEB COMMWT UTTEH COMPANIES PROVIDING COVERAGE: A TRUCK INSURANCE EXCHANGE 8 FARMERS INSURANCE EXCHANGE C MID CENTURY INSURANCE COMPANY D WERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALt THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLJPES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE CUEJUL UAWUTT COMMERCIAL GENERAL UAflflJTY - OCCURRENCE VERSON CONTRACTUAL HCCENTAL ONLY OWNERS & CONTRACTORS PROT AUTOMOBILE UAIUTT AIL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HRED AUTOS NOffOWNEO AUTOS GARAGE UASLflY UMUEUA UUttJTT WOUXERT eowwmw AMD EMPLOYERS' UAlttlTY POLICY NUMBER - N2007-56-51 POLICY EFFECTIVE DAH (MM/DD/YY) 5-1-97 POLICY EXPIRATION DATE (MM/DO/YY) CXNTINCJOUS UNTIL TOUCYIMTS GENERAL AGGREGATE PftOOUCTS-COUPWS AGGREGATE PERSONAL& ADVERTISING MJUHY EACH OCCURRENCE FK DAMAGE (AfljomFn) MEOCAL EXPENSE (Any om person) COMBWED SNGLELMT BOOLYHIURY (PER PERSON) BODLYMJURY (PERACQDENT) PROPERTY DAMAGE GARAGE AGGREGATE LMT STATUTORY EACHACODENT DISEASE-EACH EMAOYEE OGEASE-POUCY LMI S s $ $$ s $ $ $ s$ $ $ 1 ,000,000 $1 ,000,000 $1 ,000,000 urnm OF opcjumoKsnrEmcus/rasTiucTioisfirECUL irats: RE: Ali OPERATIONS >ame & ddress tllRCkTE HDIDEH CTTY OF -SftN BU3H5ING DEFT 9601 RIDGEHAVEW CT 2ND FLOOR SftN DIEGO, CA 92123 SHOULD ANY OF THE ABOVE DESCRIBED POLICES 8E CANCOIED BEFORE THE EJOWTON DATE THEREOF. THE ISSUING COMPANY WU ENDEAVOR TO MAI 30 DAYS WRfTTEN NOTICE TO THE CERTinCATE HOLDER NAMED TO THE LEFT. BUT FAtURE TO MAI SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABUTYOF ANT KMO UPON THE COMPANY. (TS AGENTS OR REPRESENTATIVES.