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Home My WebLink About2838 ENGLEWOOD WAY; ; CB970613; Permit1 ( ' 1 ~ r I • (l • { f ! I~ E r, [ ·~r r N; 3426 03 l9/9 'I • Ii , .! r r t #: u + ... ,r . ( 1. p 1r ~ / , t >t ' t t 'l # I-t t ) . l ~( t L •• • • r pr A'[ v11A"''· •t Ar r• 1 A: r • , , : E:r t ( , ,1 i: y , ·•" !1. An I W!.t .. • AN y I r, l '-l ' ~ 'l ~ ' l ~ Jf.< Ef\i ;r,f Wr Jt [ W'v C'A. • < A[ A .: ' . fl. jlll!< 1 f ( E.:. t l y t ' [ J Ld<... Wtit~ 1Pcit1;:;.t d p-;: ~ .B. :Jt .. i"A •., _A l < )l • " ~ I< . ~t E X t f ' , . ., J' • I ' )l PERMIT HAS EXPlRtU t , , ,t .. C.URDANCE WlTH U.B.C. SECTlON 106.4.4 ----~-- RO VAL CL L:,;RANCE ________ _ --_ ... CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • C C PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. r--17) £ / .J EST.VAL. _________ ~ Plan Ck. Deposit,--,,-------- Validated By_~i.,' ~A--~,-------- Date ') l,? {,'.f:Z c:J 1",1 TT Business Name lat this address) Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total I of units SFR Assessor's Parcel I Existing Use Proposed Use Description of Work SO. FT. #of Stories I of Bedrooms # of Bathrooms !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 file a 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 Codel or that he is exempt therefrom, and the basis for the alleged el(emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvil penalty of not more than five hundred dollars I e600J), A ~,.M FOS'PER PLUl!BING ET1 CAJON CA. 92021 390-4477 City State/Z~ Telephone II B7Q~ B HIIW 8 BUS Ad rass X State License #fiu..a3uQ.,J,_.2 .. 0~---License ClasC~-~3=6 ______ _ City Business license I 1 0 0 3 5 4 Designer Name Address City State/Zip Telephone State License I .,~,1j,.(;cA1-------- :6. ,,,,~WORKERS! ,doMPENSATION,;;;,,;;.irJ/\:~'{ /.{r0;~~f, ,, ::~;'.~~::·,. ~~·~';, '. :~}l' .. ,','~':'-i'.!:_· .. ~1~·~;l~~·,1l:;EJ".~ii!~t~ii§G'}aL~h{l; :;~\~~J. ' -·.: .J;; ,: -~ .... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain II 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance CcmpanF.Z\fil~ IWSTIRANCE Mey N.N2007-56-51 Expiration ~atJ-_-_9_7 _____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J 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 parson in eny manner so es to become subject to the Workers' Compensation Laws of Californ·1a. WARNING: Failure to aecure·workers' compensation coverage Is unlawful, and shell subject an employer to criminal penalties and civil fines up to one huridred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labw coda, lntara1t end attorney's fees. SIGNATURE DATE 7,, OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's license Law for the following raascn: 0 t. as owner of the property or my employees with weges as their sole compensation, will do the work and the structure is not intended or offered for sale !Sec. 7044, Business and Profession$ 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 veer of ccmpletlon, the owner-builder will have the burden of proving that ha 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 (Sac. 7044, Business and Professions Code: The Contractor's License Lew does not "PPIY to an owner cf property who builds or Improves thereon, and contracts for such projects with contractcrlsl licensed pursuant to the Contractor's License Law). D I am exempt under Section ,-----Business anti Professions Coda for this reason: l. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. 1 lhava I have not) signed an 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 I phone number I 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 I address f phone number I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE-----------------------------DATE _________ _ :coMP,l.EJ"E.JHIS.'SECUOR.FORNON~S,D~.TJAi.:.ey1L.DJHO·PJ:RMI.T.$.~,iii.Yitiiid'~J(~iialti~W~~,;;:;'.;,.!(,:',';',;:~;::)j~.:~::-:: .,~: :, 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 Act7 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 management distrlct7 O YES D NO Is the facility to be constructed within 1,000 feat of the outer boundary of a school 11te1 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 ·::.~:t,.\t::;J)m:~~1W-''.~i~J_~~~~~i~{~j~J:;ii:;.\}~f~1i):'..::/, I hereby affirm that there is a construction lending agency for the performance of the work fer which this permit is issued (Sac. 309711) Civil Coda). LENDER'S NAME------------- 9; APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is correct and that the Information on the plans 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 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 THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for 9l(cavations over 6'0" deep and demolition or construction cf structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions ol this Coda shall el(pira by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the data of such permit or If the building or work authorized by such permit is suspended er abandoned at any time her t k is commenced for a period of 1 BO days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR DATE 3:19-97 WHITF: n1r1 YFI Inv,.,. '°lr,pli•··,nt r!~!Y· r;,,.,,,,.,.. PEI\MIT# CB970613 DESCRIPTION: REPLACE WATER CITY OF CARLSBAD INSPECTION REQUEST FOR 06/06/97 HEATER INSPECTOR AREA DC PLANCK# CB970613 OCC GRP TYPE: PLUM JOB ADDRESS: 2838 ENGLEWOOD WY APPLICANT: STOUT, SANDY CONTRACTOR: OWNER: REMARKS: R/SANDY/720-3140 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents STE: CONSTR. TYPE NEW LOT: PHONE: 619 720-3140 PHONE: PHONE: INSPECTOR :J::> ...... ~~~~~~~~~~- ACT COMMENTS Cc µe~i ~ ~ T,41 .e_ ***** INSPECTION HISTORY***** DATE DESCRIPTION 040397 water Heater/Vents ACT INSP CO DC COMMENTS NO ONE HOME 8:30