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Home My WebLink About2677 SAUSALITO AVE; MULTI-PERMIT FILE; CB090780; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-11-2009 Plumbing Permit Permit No: CB090780 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2677 SAUSALITO AV CBAD PLUM Status: Parcel No: 1675121700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: WENSTONE RES REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: WENSTONE FAMILY TRUST 01-22-01 2677 SAUSALITO AVE CARLSBAD CA 92010 ISSUED 05/11/2009 KG 05/11/2009 05/11/2009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27. 00 Balance Due: Inspector: Clearance: $0.00 approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Y u have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack. review. set aside, void, or annul their imposition. City of Carlsbad (i) Plan Check N170oq O 7 "1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit / ' . I £# Building Permit Application Date ", .-/ /..--('ff JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN . /-2677 Sausallito ave. -- CT/PROJECT# rOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP .- DESCRIPTION OF WORK: Include Squant Ffft of Affected Area(s) Replace existing like for alike water heater EXIS1 INO USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES0, N<O v,s □NoD v,s□NoD CONTACT NAME (fflllffoNntFomAppll<~,, California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 E. Baseline road suite # 155 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 480-898-0007 I FAX 1-858-410-1499 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com · PROPERTY OWNER NAME Ralph Wenstone CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS Same as site 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 85206 AZ. 85206 PHONE IFAX PHONE I FAX 760-434-7872 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# STATE LIC.# I CLASS I CITY BUS. LIC.# 811114 c-36 {Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to fi!e a signed statement that he is licensed pursuant to the provisions of the Contractor's ucense Law JChaoter 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WQfU(SRS•' COMPENSATION • Wor11ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: [ZJ I have and will maintain a certificate of consent to self-Insure for workers' compensalbn as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss, 1<1. [Z] I have and will maintain workers' comi,ensation, as reQuired bv Seclbn 3700 of the Labor Code, for the performance of the work for 'Mlk:h this i,ermit is issued, My workers' compensation Insurance canier and policy number are: Insurance Co Polk:y No. 1697823 Expiration Date IJ&l'Jlf.ll ~section need not be completed if the pelTTlil is for one hundred dollars ($100) or less. • ltJ Certificate of Exemption: I certify ttiat in the performance of the 'Mlrk for 'MIich this pelTTllt is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wor11ers' compensation coverage Is unlawful, and shall 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 Sectl 3706 of the Labor code, Interest and attorney's fees. JIS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason· □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the 'NO/'k and 1he 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 'Mio bullds or Improves thereon, and who does such work himself or through his own employees, provided that six:h 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). I, as owner of the property, am exclusively contracHng 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 bu/Ids or improves thereon, and contracts for such projects with controctor(s) licensed pursuant to the Contractor's License Law). I am exempt under Sectiori ---~,usiness and Professions Code for this reason: 1. I personally plan to provide the majOr labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) &gried an application for a building pennlt for the proposed work. 3. I have controcted with the follov.ing persori (fimi) to provide the proposed constructiorr (lnclllde name address I phone I controctors' license riumber): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majOr work (lnclllde name/ address I phone/ contractors' !icerise numbe~: 5. I will provide some of the work, but I have contracted (hired) the folklwing persons to provide the work indicated (Include name/ address I phone/ type of work): 6$ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTfON FOR NON-RESll>ENTIAL BUILDING PERMIT$ ONLY ·• ef Is the applicant or future building occupant required to submit a business.R!m!, acutely hazardous materials registration form or risk management and prevention program under Sectlons 25505, 25533 or 25534 of the Presley. Tanner Hazardous Substance Account Act? D Yes L.JNo Is the appUcant or future building occupant required to obtain a permit from the air pollution control district or al,c9!:!allty management distrt:I? Oves 0No Is the focility to be constructed within 1,000 feet of the outer boundary of a school site? Dves LJNo 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, CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address I certify that I have read the c1pplication and state that the above infonnatlon Is correct and that the lnfonnatlon on the plans Is acnirate. I ageeto comply with all City ollflnances and State la\W ielatlngto building construction. I hereby authorize reJ)'8Selltatiw of the City of Ccl'lsboo to enter UIX)n the aboYe mentioned property for in~ puri:oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES VVH\CH MAY IN ANY WAY ACCRUE AGAINST SA.ID CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSl-u\ J):llTTit is require:! for excavati:lns aver 5'0' deep and demoitk:Jn or coostnx:oon of structures aver 3 stories in height. EXPIRATION: Ewry permit issued by the Buildhg Officlal under the p-ovisbns of this C.ooe shall expre by limitatioo and berome null and \ok:I if the building or work authorized by such permit is oot oommenced within 180 days frcrn the date of such permt or if the lxlilding or work authoriZEd by s\.dl permit is suspended or allcn:loned at any tima after the work is oonmenced for a period of 180 days (Sa::tion 100.4.4 Uniform Buik:!ing C.ode), ..@S° APPLICANT'UGNATURE DATE /1/ /4 . m . . . City of Carlsbad Bldg Inspection Request For: 05/21/2009 . Permit# CB090780 Title: WENSTONE RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Phone: 7604347872 Job Address: 2677 SAUSALITO AV Lot: Suite: 0 Location: Inspector: OWNER WENSTONE FAMILY TRUST 01-22-01 Owner: WENSTONE FAMILY TRUST 01-22-01 Remarks: P M PLEASE Total Time: Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: RALPH Entered By: CHRISTINE City of Carlsbad 06/15/1999 Plumbing Permit Permit No:CB992234 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB 2677 SAUSALITO AV CBAD PLUM 1675121700 Lot#: 0 Construction Type: NEW WATER HEATER REPLACEMENT 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/15/1999 DT 06/15/1999 06/15/1999 Total Fees: $27.00 ·rotat Payments io bate: $0.00. • Biirance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: -'~"""...:....;,_ __ _ 4 0 0 0 0 1 0 P. FINAL APPROVAL Date: }9) lg tgq 4 • t;!o.oo ., * J0.00 • $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 ' .. $0.00 $0.00 $27.00 Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PEftMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 venue J FOR OFFICE USE ONLY 2~) PLAN CHECK NO. 9'°\ d:::_~) l/- EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ Addre11 llnelud• Bldg/Suhe I I Bualneaa N•m• lat thla addreaal Legel Oucrip\lon Lot No. &ubdlvlalon N1ml/Numbe, SFR · Unit No. Phu• No. Total I ol uniu Au1uor'1 Parcel I blatlng Uat PropoHd UH DelCtlptlon ol Work SO. FT. lol Storl11 I of Bedrooms , of Bathrooms WATER HEATER REPLACEMENT ~~rtJf ~?-,.it'r~l<i.CJ&iffll'jji~~~t~!M~~;, •.~~L -Ja·12 Name AddrtH City St1t1/Zlp Telephone I Fu I ~~l>~airAmf~~i,jjrama~-i,·~A~'-~rt"f~-) 3~tl~:~,4 77 Name Addr111 City St1t1/Zlp Telephone I ~.l~:009.~.~lll~ft''!*ra.ffllf?"'riWP'm!l"l@,r.'--~iJ.1~f.i-,~~-· Wenstone, Raipn ausa 1to venue · . 4~7872 Neme AddrHI City St1t1/Zlp Telephone I ii~c.'rll~CO..MUK I -f\<""._).f~t•\••.f,,,•,t.: / f•,.',',.'t1',1 4 ,1•,'-,.l °t,,",, •'/:l•f 4,tf• •!• I.,,,'\ .-h \"""". •·•••l"l•, •,•,.1•~-t;' ~mw · (Sec:. 7031.6 Bu1ine-■ and Pfoleaalona Code: Any City ot County which requlr11 I permit to ~ttuct. llltlf, lmprov,, d1moll1h or repel, any atructu,., prior to 111 luu1ne1, 1110 requl111 tha applicant for auch permit to IHa • algnad 1t1t1m■nt that ha II Ueanaed pursuant to th• provl1ions of th• Contractor' 1 Ucenae Law IChlpta, 9, commanding with Section 7000 of DM1lon 3 of th, Bualnua end Prol11alon1 Cod•I Of that ht 11 exempt therefrom, and the buls for the 1ll1g1d ~•rrtl;r, Ms~°Ff~~ 31 .6 bl 'j'~rf~~~ti!ftW'"B"\~~u tht 1ppllct_el:.,to ~lJ.r'1lY of ~ore '§,d~i hurt 1~'.3'9'd~~fW~7 Name Add,111 City State/Zip 1200J~.lf Phona 11 630120 St■tl Lie-• I ________ _ C-36 Ucenat C1111 ________ _ . City Bualnt11 Ucenaa I ______ _ D11ignlf N1m1 N/A State Llctnaa I ________ _ Add111s City Sllta/ZJp Telaphone -:;tX·i!:WO.RKW!::COMPEHIA'nd.k~~ll~APnpm\Nf1RliffliW1W':11?'~l~iii~~ '~-·}[·~~;'-.: , • Wo,k.,.' Compenaatlon Otclaratlon: I hwaby affirm under SMMlty of pe,jury -of the following .d1dat1tlona: O I hava and wlll malnteln, cartlllc■ll of consent to atlf-lnaure for worllw1• comp-•tlon II provided by Section 3700 ol th• Labor Code, tor tna perlorm1nce of the wotk lor which thll pe,mlt II llaued. XO I hava and will maintain work••• comp1na1tlon, 11 raqulrad by Section 3700 of'thl Labor Coda, !Of th• perfo,m1nc1 of tha work lor which thl1 permit 11 luutd. My wotkll'• ~~ and policy number u,: N2007-56-51 CONI'INUOUS lnawance Company ___________________ Polley No._____________ Expiration Dtt! ______ _ ITMII SECTION NEED NOT SE COMPLETED IF THl PERMIT la FOil ONE HUNDRED DOI.LAU lt100J Oil LUii 0 CERTIFICATE OF EXEMPTION: I c:1rtlly that In the ,-formence of th■ work for which thl1 permit II laauld, t ahaU not employ any person In any m1nner 10 u · to btcoma 1ubj1ct to tht Worker•• Compan11tlon law1 of Caillornla. · WAIINIHO: f.._• to Hcur••-llw1' c:ompanaatlon cover111• la wlul, end 1hall 11abject en 1mployar to criminal penaltlH and civil llnu ur, to one hundred thouund dolata lt100,000I. In ..C.llt1.o..n.. COit o,S,""1~,dli,,l';"dl11111g11 II provided fot In S1etlon 3701 of Iha labQr code. lnterut end 1\\orn,y'a IHI. . -. ~~gg~\.:~~r.iw..~.:=,\r';, .. SIGNATURE • Law for Iha following ra11on: 0 I, II owner of th• proptrty or my 1mployeaa with wagaa II th11t 1ol1 companaatlon, will do th• WOik and tha structure 11 not intended or ollered lor n i• ISec. 704', lluain1-■ and Proleaalons Coda: Thi Cont11c:tor'1 Ucana, Law doll not 1pply to en ownar of propeny who builds or lmprovas thereon. and who dou auch work hlmatll or through hl1 own 1mploy1H, provided that luc:h lmprovemanu are not lntandad ot of1111d lot 1111. If, however, the building or lmprov,ment 11 sold wtthln -ynr of completion, the owne1-bulld• will have the burden ol proving that hi did not build o, Improve fo, th• purpoH of Hltl, 0 1. H owne1 of th• property, am 1xclullvaly conuactlng with II-ad contr1c:tor1 to conatrucfth• project (610. 7044, 8u1ln111 and Prof111lons Code: The Contt1c:tor'1 Ucanat Law doa1 no.t 1pply-to-an-oWMPof.tNoparty=w~lm:provu ttit11on, anirconlr1c:t1 lorauch prolec11 with con1110tor(sl llcennd pu1-,it to thl Contr1ctot'1 u-, law). · 0 I am 1111mpt under Section _____ Bu1ln111 ind l'rcl111lona Cod, fer thll rauon: 1. I pll'aonelly plan to provide the m1Jor l1bot and m1t1tlela for c:on1tructlon of \ht proposed property lmprov1m111t. 0 YES O NO 2. I lhlva I have notl algned en 1ppllc.atlon lot • building pa,mlt for tht propoatd work: 3. I hive c:ontr1ct1d with Iha following pe,son llirml t!) provide tha propoHd construction llnclud, n1m1 / 1dd1111 / phone number I cont11cto11 llcen11 numberl : 4. I plan to provide portions of tht work, but I have hired the following pa,1on to coordlnata, auparvlat end provlda the major work Cinclud1 name / 1ddre11 / phone number I contrectora lic1na1 numberl: _________________________________________ _ S. I will provid1 some or the wo,k, but I hive c:ontr1ct1d lhlredl tha following peraona to provide tha work lndlcatad (Include name / eddren / phone number / \VP• of worltl: ___________________________________________________ _ P"Ol'EftTY OWNER SIGNATURE DATE ~~~'NC'OON.f.Q~~~-.~~~,m:~1::..":11,:,,·,:,\ 11 th■ applicant ot future building occupant raqulrad to aubmlt • bualnua plan. ,cutely haurdoua matlllall ragi1tr1tlon form or rl1k management and prevention prog,1111 under StctloN 261i01i, 25533 o, 26634 of th• Pr1el1r-T-Huardoua Subltanc, Account Aotl O YES O NO II the appll;ant Of futur1 bulldlng occupant requited to obtain• permit from the lit pollution control dlatr!Gt or air quality management di11rlct7 O YES O NO II Iha fac:llitv to bt c:onstructad within 1,000 f11t of the outlf boundary of• achool 11111 0 YES O NO If ANY o, THE ANSWERS AR£ YH, A FINAL CEf\TIFICATI OF OCCUPANCY MAY NOT II! ISSUED UNLE.U THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICU ANO THE AIR POLLUTION CONTROL DISTIIICT. 1{:~\CO.NSTRUCTION L£NOIN01AOENCY:.."W,MWIVG~~~-:Bl!lllrllri.i~~Gl!lllllii'li■Mlli~Dlfl'2li~.-F~~[~\jtt;:,;\;,}'; . , , , I hereby 1llltm that there 11 • conatructlon lending 1gency. for th• pe,forn11nc1 of Iha wotk lot which thll permit la iaaued ISec. 309711) Civil Code!. UNDE"'S NAME_____________ LENDER'S ADDRESS ______________________ _ :I: .. '. .Al'l'UCAJn:;cu.tlF\~l\O~~;.~,~ -.~_l4.'mlj(i~~Y$1MlfffllifiM~~i~l~Ii..:i."' N. ;, . I c1"1fy that I hive read tha appllc.atlon end 1t1t1 that the 1bov1 lnformltlon II correct end thlt the Information on the plans 11 1ccurate. I agree to comply wrth 111 City otclnlnc:ta end Stell lawa relating to building c:onattuction. I hereby aulhorlll rapr11ent1tlvH of tha City of Cerlsbed to ,nu, upon the 1bov1 mentioned prope,ty lot inspection purpoaH. 1 ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP .HARMLESS THE CITY OF CARLSBAD AQI\INST ALL LIABILITIES, JUDGMENTS, COSTI AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit II required lot ,xcavatlona ovlf 5'0" deep end demolition or construction or 1tructur11 over 3 1torlu In height. EXPIRATION: Every permit lllutd by tht Building Ollldll undar Iha provlalona of thll Coda ahlil expire by limitation and become null and void ii th• building or work 1uthoriled by such p■rmlt II not commenc:ad within 386 dlya from th• d of auch permit or II the building or work 1uthorlud by such permit Is 1usp1nded o,ablnclonld ,uny tlmllfte, tht work It c ::,JP~f180 (S1 106.4.4 Uniform Building Cod1l. JUN 1 5 1999 APPUCANT'S SIGNATURE ---....&..~~ .:-<:-~"" _"_"" _____ /__,;: )~ •__, ·~_!'_-s:-_~_c.-_...,_-_:______ DATE ____________ _ City of Carlsbad Inspection Request For: 10/7 /99 Permit# CB992234 Title: WATER HEATER REPLACEMENT Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2677 SAUSALITO AV Lot APPLICANT A&J FOSTER, INC. 0 Owner: WENSTONE RALPH A&NOREEN E Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents @_ ~~ Inspection History Date Description Act lnsp Comments Inspector Assignment: SR --- Phone: 7604347872 Inspector: S \<, ' Requested By: RALPH Entered By: CHRISTINE 8/3/99 25 Water HeaterNents 7 /13/99 25 Water HeaterNents co SR NO COLD WATER BONDING CO SR NO ONE HOME N I ) : 1€ V• b7 / .:,All A A t • V • 1..I M NC., 2. ~7 L t #: 3,;; 1,2 ◊t'/"4 '93 0001 01 02 C Pf",M1 ~ ,00 '<n· true+ ten y >f': NEW , upt1llt:Y ;r )Ut1 : f tt;-;n •#: l l... : A.t p .. u· 1: f ) )P r1ptLon: WATER HEA Ek RH ... A ·P.MFN A[ Ll • : wr.1 /t ~ 1 1 u ed ' ' ~: A1•u tn nt:.:.: , < d f-€-' E <•E• le..,i.;r [:)t 1 n f ( :r H t e A. t 3 b 7-4 n y: & c.r: Pdl ts ~ I :..x t 27. ~_LAPPROVA~ . _ /' INS~ DATE L1:J.1... CLEARANCE _____ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL~----------PIAN CK DEPOSIT ________ _ VAIID.BY __________ _ I. PEkMI I hPE DATE A -UCommerc1al □New Building U tenant Improvement B -D Industrial □ New Building □ Tenant Improvement C -A Residential □ Apartment D Condo ~ingle Family Dwelling D Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical ~ Plumbing □ Mechanical □ Pool D Spa □ Retaining Wall □ Solar □ Other 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY ress u1 mg or u1te o. 2677 Sausalito Ave. Nearest Cross Street Pontiac Dr . LEGAL DESCkiPI ION Lot No. Suix11V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSER JJSE DESCRIP"TION OF WORK W.'9\R HEATER REPLACEMENT # OF STORIES 3. WN IACI PERSON (II dlHereni from applicant) NAME Ralph wenstone ADDRESS 2677 Sausalito Ave. c1TY carlsbad, STATE CA. ZIP CODE 92008 DAY TELEPHONE 434-7872 1-. APPilCAN I UCON I RAC IOR t8.AGENI FURCONIRACIOR uuwNtt< □AGENI FOR OWNER NAME Michelle Medina ADDRESS 2819 Central Ave. STATE CA. ZIP CODE 91977 DAYTELEPHONE 697-4151 NAME Ralph Wenstone CITY carlsbad, STATE CA. ADDRESS ZIP CODE 2677 Sausalito Ave. 92008 DAY TELEPHONE 434-7872 NAME MJ Foster, Inc. ADDRESS 2819 Central Ave. CITY Spring Valley, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE UC. # 630120 UCENSE CIASS C-36 CITY BUSINESS UC.# 1200354 N/A CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. W01tkEllS5 WUPENSAI ION workers· compensation uec1arat1on: I hereby affirm that I have a certificate of consent to self •insure issued by the Director of lndustnal 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). Owner•Bu1Jaer Oeciarat1on: I hereby affirm that I am exempt from the Contractor's Llcense Law for the followmg 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 Llcense 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.). □ 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 Llcense Law). D 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 [$S00]). SIGNATURE DATE COMPLEIE IHIS SEC I ION FOR NON-RESIDEN IIAL BUILDING PERMI I'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25S33 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a pennir from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF nm ANSWERS ARE YES, A FINALCER11FICATE OF OCCUPANCY MAYNar BE ISSUED AFfERJIIl.Y I, 1989 UNlJlSS THE APPUCANT HAS MET OR IS Ml!ImNG THE REQUIREMl!NTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POlLITllON CDNTROL DIS11IICT. 9. WNSIROCIIUN IP.NOING AGENCY I hereby alllnn that there 1s a construction lending agency for the performance of the work lor which this permit 1s issued (Sec 309?{1) Civil Ccxie). LENDER'S NAME NJNE LENDER'S ADDRESS 10. APPUCAN I CEklffit!AllUN I cemfy that I have read the apphcat1on and state that the above miormauon 1s correct. I agree to comply With au City oromances ana 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIBSS THE CTIY OF CARISBAD AGAINST AIL LIAllllJTIES, JUDGMENTS, CDSfS AND EXPENSES WIIlCH MAY IN ANY WAY A£x:IUJE AGAINST SAID CJTY IN CDNSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 if the building or work authorized by such permit is not commenced within 36S 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 303(d) Uniform Building Code). APPUCANT'S SIGNATURE . DATE: f :W, '18 '------!i9 I CA-v...~ '-~qL,_,-~ WHITE: File YEU..OW: Applicant PINK: Finance , I ·• PERMIT# CB930863 DESCRIPTION: WATER HEATER CITY OF CARLSBAD INSPECTION REQUEST FOR 09/02/93 REPLACEMENT INSPECTOR AREA PLANCK# CB930863 CCC GRP TYPE: PLUM JOB ADDRESS: 2677 APPLICANT: FOSTER, CONTRACTOR: OWNER: SAUSALITO AV A & J REMARKS: MH/NOREEN/434-7872 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ------------------ ------------------------------------ STE: CONSTR. TYPE NEW LOT: PHONE: 619 697-4151 PHONE: /Ji---\ PHONE: 'lfL INSPECTO~~..,<.:......,_~K....:..,~...::c...:::....::::... ___ _ ACT COMMENTS ~--- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS