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Home My WebLink About2874 NANTUCKET LN; ; CB950967; Permitt te I B U I L D I N'G. P E R M I T Permit No: CB950967 07/19/95 16:04 Project No: A9501379 Page 1 of I Development No: Job Address: 2874 NANTUCKET LN Suite: Permit Type: PLUMBING Parcel No: 167-472-23-00 ., Lot#: Valuation: 0 . Construction Type: NEW ... Occupancy Group: Ref erence#: Status: ISSUED Description: REPLACE WATER HEATER Applied: 07419/95 Apr/Issue: 07/19/95 Entered By: DC Appl/Ownr.: WATER HEATERS ONLY, INC.- 800 83344570 500 AIRPORT BLVD #240 BURLINGAME,- CA Fees Required ***,,'ç* F/46 es'CoU.e.cted & Credits : —------------ :;z; Adjustments: .00 Tota-1, - Credits: .00 Total Fees: .2700 \ .00 Balanee \ 27.00 Fee description -------.nits ç7it\ Ext fee Data Enter ','Y" for Plumbin~?Is`sue Fee 20.00 Y Each Water Heater andVor 07--.70 7.00 ' vent PLUMBINGTOTAL 27.00 INCORPORATED 1952 - 2 4 07/19/95 000101 02 27-00 -.. FINAL APPROVAL 1 DATE 124 4 1CLEARANCE CITY OF CARLSBAD -. 2075 Las Palmas Dr., Carlsbad, CA 92009(619) 438-1161. PERMiT APPLICATION City of Carlsbad BuiLding Department 2075 Las PaLuims Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: TLV IV" --------------------------------------------------------- PLAN CHECK NO. V 5-1'67 WE VAL PLAN CK DEPOSIT______________ VALID. BY DATE For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PRO= INFORMATION FOR OFFICE USE ONLY Mdress94Jj ,tfJfl4 Va./j' 4j1J.. Building or Suite No. Nearest cross Street LEGAL DESCRIPTION LOt No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITrED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope DESCRIPTION OFWORK yv1f OV (Li '10 J0110VI JCS W&-*V It'f1C4' SQ. Fr. # OF STORIES # OF BEDROOMS # OF BATHROOMS CON IALrI 1't.H.JN (if different from applicant) NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) %1CA CITY?iAfW/flfI&i STATE ZIP CODE G1ttO (0 DAY TELEPHONE LJV PROPERTY OWNER' NAME (last name first) OU lAkL ) LOLA)DRESS C1t.4 CITY STATE (ç ZIP CODE DAY TELEPHONE tclq) 7- 9S CO WA O( DRESS 3t) j4tV)0 3\v W-4O NAME (last name first) CITY t3UY I ('\4j.; V1A' STATE CA ZIP CODE qo 10 DAY TELEPHONE ''ço ç33 t-.S'JO STATE LIC. ________ LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE TIC. # WORKERS' WMPENSA11ON Workers' compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of 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 10 Y' V1( POLICY NO.OJ\J LOXPIRATION DATE 3/2 ' 4 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. SIGNATURJ1ftdN).. DATE T. OWNER-fl ZATION Uwner-Iilder Declaration: 1 hereby affirm that 1 am exempt from the Contractors 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 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, 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, 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 PERMITE 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 13 NO 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 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIsrRIC1. ereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (SeC 3U97U) Civil CO). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERflPICAT1ON I certify that I have read the application and state that the above information is correct. 1 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. 0511k An OSHA permit is required for excavations over 5'O" 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 aba doned at any ti after the work is commenced for a period of 180 days (Section 303(d) Uniform Build' Coda APPLICANTS SIGNATURE i a I 7 - / - DATE: f L/1 0 CITY OF CALSBAD1 INSPECTION REQUEST PERNIT# CB950967 FOR '07/26/95 INSPECTOR AREA DESCRIPTION: REPLACE WATER HEATER PLANCK# CB950967 OCCGRP TYPE: PLUM - CONSTR. TYPE NEW JOB ADDRESS: 2874 NANTUCKET LN STE: LOT: APPLICANT: WATER HEATERS ONLY, INC. PHONE: 800 '833-4570 CONTRACTOR: PHONE: OWNER: PHONE: - REMARKS: MW/729-6225 * - INSPECTOR J) C- -' SPECIAL INSTRUCT: - _.• 4• •s ' • C TOTAL, TIME: - - CD LVL DESCRIPTION ' ACT COMMENTS 25 PL Water Heater/Vents *****INSPECTIONHISTORY-.,***** - DATE DESCRIPTION - ACT INSP COMMENTS - -- - ' r