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Home My WebLink About2011 ESCENCIO TR; ; CB970612; PermitPermit No: CB970612 Project No: A9700797 Development No : *- - - BUILDING PERMIT 03/19/97 10:06 Page 1 of 1 Job Address: 2011 ESCENICO TERRACE Suite: Permit Type: PLUMBING Parcel No: 216-482-08-00 Lot#: C-PRHT 27-00 Valuation: 0 Construction Type: NEW Occupancy Group; Referenced: Status: ISSUED 3426 03/19/97 0001 01 02 Description: REPLACE WATER HEATER Appl/Ownr : BARGE, FRED 2011 ESCENICO TR CARLSBAD CA 92009 *** Fees Required *** Fees : Adjustments : Total Fees : Fee description Applied: 03/19/97 Apr/Issue: 03/19/97 Entered By: RMA 619 632-8690 Collected & Credits Enter "Y" for Plumbi Each Water Heater a * PLUMBING TOTAL *** .00 .00 27.00 Ext fee Data 20.00 Y 7.00 27.00 FINAL APPROVAL . DATEJH CLEARANCE... CITY OF CARtSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carlsbad CA 92009(619) 438-1161 FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL. _Plan Ck. DepositValidated By_DateAddress (include Bldg/Suite »)Legal DescriptionAssessor's Percel *Description of Work Business Name (at this address)Lot No. Subdivision Name/NumberSFRExisting UseSO. FT. *of Stories Unit No. Phase No.Proposed Usef of Bedrooms Total * of units# of Bathrooms Escenico TerraceBargName ,Y JQHM5CT/KPT Address City ^ 1 ^7Dfi-R HWY 8 BUS. EL CAJQN, State/Zip Telephone #Fax* Address Fired City TART-SHAD State/Zip CA. 92009 Telephone # 632-8690 Wdress City State/Zip Telephone (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, liter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statemant 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 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 e civil penalty of not more then five hundred dollars ($5001). 13706 B HWY 8 BUS RT. CATCM CA. 92021 390-4477A framTe FO3TGR PLUMBING State License <k3Q12n Address License ClasC-36 City State/Zip Telephone # City Business License *-1200354 Designer Name Stale License * City State/Zip Telephone / TV X Address ^ fflSKfWorkers' 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 as provided by Section 3700 of the, Labor Code, tot the performance of the work for which this permit Is issued. Q I have and will maintain workers* compensation, es 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 and policy number are: Insurance Comoanp^^gp INSURANCE __ Policy NdJ2Q07-56-51 _ Expiration fliM-_r_..' _ (THIS SECTION NEED NOT BE COMPLETED IP THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iasued, I shall not employ eny person in eny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure- workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar* |J 100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labo/ coda, Interest and attorney's fees. SIGNATURE _.. . . DATE 7.OWNER-BUILDER DECLARATION'^ >'.-••-.;<; ,1^. ;' m^^^^^^^'^W I hereby affirm the! I am exempt from the Contractor's License Lew for the following 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, end who does such work himself or through his own employees, providad 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 eele). G I. « 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, end contracts for such projects with contrector(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. Q YES QNO 2. 1 (have I heve not) signed en application tor a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include neme / address / phone number / 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 / address / phone number / type of work): _^______ PROPERTY OWNER SIGNATURE DATE , 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-Tenner Hazardous Substance Account Act? Q YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or elr quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G YES Q NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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>^:||4 ^ I hereby affirm thet there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME ___ _ __ LENDER'S ADDRESS APPLICANT CERTIFICATION I certify that I have reed 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 OS HA permit is required for excavations over B'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 abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR DATE WH1TP: ni YFI I nw-PINK- CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB970612 FOR 03/25/97 INSPECTOR AREA DESCRIPTION: REPLACE WATER HEATER PLANCK# CB970612 OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2011 ESCENICO TERRACE STE: LOT: APPLICANT: BARGE, FRED PHONE: 619 632-8690 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/FRED/632-8690 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS J\ 925 PL Water Heater/Vents f\-\ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS City of Carlsbad— -~ mmr •• " ——— —^•••••••••i^Mii^MiMMpMai^MMg^rjuilclinej Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and wilt maintain a certificate of consent to self-insure for A. workers' compensation as provided by. section 3700 of the Labor Code, fur the performance of the work for which this permit Is issued. I have and will maintain workers' compensation, as required by section 3700 B. of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO.EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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,.-' •• C. workers compensation laws of California. K Date ;' Warning; Failure to secure workers' compensation coverage is unlawful, ana* shall be, subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for' in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2075 Las Palmas Dr. - Carlsbad, CA 920O9-1576 • (519) 43R-1ini • FAX (019) * FFOI1 :IHSURHICG 619-291-0776 PHONE NO. : 4618313 Hay. 07 19% OllOZFH P01 AGENCY Name w* Address COMMERCIAL CERTIFICATE OF INSURANCE Issue Dale (MM/OD/YY) ALLAN NKNOOZA 8080 KIO SAN DIEGO DR. 9700 SAN DIEGO, CA 92108 5/J/9G This cerllflcalo Is Issued as a mallor nl Information only and confers no riyMs upon the corlillcalo holder. This corlNlcale (loos not amend. cxlcnd ui allot llio covotage altontotf by the policies snqpvn below. ST 99 DIST. INSURED Name Aotiiess AGENT 376 FOSTBK INC. 13706 B 1WY B BUSINESS EL CAJON, CA 92021 TAUV CWPAI.Tami COMTAW COMPANIES PnOVIDIHQ A TRUCK INSURANCE EXCHANGE B FARMERS INSURANCE EXCHANGE C MIO-CENTUBY. W5UIW«E COMPftMY COVEHAGES nn 15 10 cwi»v 'MAI »it 1'in^ts tir IHSIMANCC usrro nrinwiwvr orrHissurn 10 THF wsuwn NAMFD Aiwvf FOM THE POUCY c[ftioo IWMCAUO. MOiwuisiAKmuG Vli «tOUIf>EMEM . 1E«/ 0« COUDITHW Of AHY GCW1IUCT OH OTHER DOCUMENT WITH RESPECT TO \VHICH THIS GEHflFICAU WAV DE ISSUED OR MAY PCRIAIH, IMC JNSUWhCr HKmi.H.1) (*r iHt COL'C&S UtbCK'HtO HEREIN IS SUBJECT TO AIL THE TERMS, CXCLUSIONS AMD CONDITIONS OF SUCH POLICIES. LIMlIf. SIKlWM MAY HAVE DEIM IllKUD[»» PAKi O.AWS. .^ * A lYPEQ'KCSURAKCE SillfUL UAIIU1T r.QUMCRCtAt Ctl.tWl 1IAKLIIY - OCCUWttCC VERSION CCKURACIUAl KiCWmW. MvlY O-AIIERS & cotonACTOAS rnor. AVTDM9IIU UAIILITT All (nVNED COMMERCIAL AM SCHEOULCO AurO$ ' rtfilO AU10S IKNIOVAIEOAUIOS GARAGE UUUTY UHHUU UMIUtT Ytonxnr tmruuiniii AND IMM.OHM1 lUIIUtr POLICY NUMBER W2007-56-51 POLICY IfKCTIW DATE (MMTOWYYI 5/1/96 POLICY EXPIRAIIPN DATE (MWOIWYYI •4 3/1/97 POLICY LIT,«IS (iEUEfWl AGGFtCCATE PhOOUCTSCOMPlOfSAGGREGATE KRSOWl ft ADVEftllSWG ttJUIlY EACH OCCUftflENCE FIRE DAMAQE (Any Ml Fktl MEDICAL EXPCHSt(Any we fihton) COMBINEDSWCLE inn B001Y ICJOftY (CEH PERSOII) BOOIY wwnr (TEHACCHUmi PHOPf ftir UAKWiE GMM&E WMGAU W »MV»nY EACH ACClDCm Ot££AU-tACtt twaoxtt OlSEASE-PlklCY LIW1 $ s $$$ $ $ $ $ $$ $ X J, 000, 000 J J ,000,000 * / . nno.nDn. OIURIPHQ* OF OnMllDXUVtncitUU»IUCTIW$nPEClAL IKMSt RR» All OPERATIONS f.'jme £, CAHCELLATIOH SHOULD ANY OF THE ABOVE DESCRIBED POUClfS BE CANCtlUb Off Our Iilf. LXllllMlOH I1AIFlllTfeslwG ciMTANY WHi CNDEAYQR TO MAI 3D OAYS WmHEH IIUIICE 101HE CtfillFlCAIC HOLDLIiHAMtO TO 1HE UFL BUT FAHUftf TO MAIL SUOl NOTICE SHALL IMPOSE TO UBLIUAIIQN OR LI/01IUIY OF AHY Wl« UPON M COtlPANY. HS AQ^IS OR IWKSENTAUVES