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Home My WebLink About111 SEQUOIA AVE; E; CB951674; Permit11 /1 5 /95 09:34 Page 1 o f 1 B U I L D I N G Job Address: 111 SEQUOIA AV Permit Type : PLUMBING Parcel No : 206-013-20-0!i"" Valuation: O P E R M I T Suite: E Lot#: Permit No: CB95167 4 Project No: A9502442 Development No : C'l 1!.. 15/~5 000._ Construction Type: Occupancy Group: Reference#: Status: Applied: NEW ISSUED 11/15/95 11/15/95 RMA Description: REPLACE WATER HEATER Appl/Ownr : A & J FOSTER INC 2819 CENTRAL AV SPRING VALLEY, CA *** Fees Required Fees: Adjustments: Total Fees: Fee description *** 27 .0 0 .0 0 27.00 91977 Apr/Issue : Entered By : 619-697-4151 Fees Collected & Credits Total Credits: Total Payments : Balance Due : .00 .00 27 .00 **.,. Un i ts Fee/Un it Ext fee Data -----------------------------------------------~-------------------------- Enter "Y" for PlUJ\\binq Issue t"ee > Each Water Heater and/or Vent > * PLUMBING TOTAL 7 .00 20.00 Y 7.00 27.00 FINAL APPROVAL INSP. P ~ DATE 1l ·h ·7 r- CLEARANCE-----• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .PERMI1' APPLICATION PLAN CHECK No.f S/ 6 City of Carlsbad Building Department 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 1. PERMI'i 1YPE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ________ .....;;,u.:..,:,.__ __________ _ Net Loss/Gain of Dwelling Units 2. PROJF.Cr INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. 111 Sequoia Ave. #E Nearest Cross Street cart:8\~d B] ¥a LEGAL DESCRIPTION t o. ulxl1vts1on Name/Number CAECK BEWW IF sOBMII IEO: O 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report O 1 Addressed Envelope Unit No. Phase No. ASSESSOR'S PARCEL EXISTING USE PROPQSED USE DESCRIPTION OF WORK Water Heater Replacement 50 Gallon SQ. IT. # OF STORIES # OF BEDROOMS # OF BATI-fROOMS 3. WN l:ACI PEl&JN (at dulerenf from apphcanf) NAME (last name first) Ulmer, Beverly ADDRESS 111 Sequ(lia Ave. #E CITY~~ .,,., h.::u'l STATE CA ZIP CODE 92008 DAY TELEPHONE 729-8563 4. APVUCA.Nf t!CoN'IRACIOR OAC£Ni'FOR CON IRAClbR TIOWNER DAGEN I FOR OWNEll' NAME (last name first) carol F~ster ADDRESS 13706 Highway 8 Bus iness, Suite B CITY ~~ ' s. PR0~~8{) STATE CA ZIP CODE 92021 DAY TELEPHONE 390-44 77 NAME (last name first) Ulmer , Beverly ADDRESS 111 Sequoia Ave. #E CITY £.a.,,., c:::raa 6. wN"mXdrnt STATE CA ZIP CODE 92008 DAY TELEPHONE 729 8S63 NAME (last name first) A & J Foster, Inc. ADDRESS 13706 Highway 8 Business, Suite B CITY El Cajen STATE CA ZIP CODE 91977 DAY TELEPHONE 390-4477 STATE UC.# 6301 :;rn UCENSE CIASS D£slCNER NAM£ (last name brstJ CITY BUSINESS UC.# 7 200354 CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKERS' wMP£NsA'i1oN Workers' Compensauon Oeclarauon: I hereby alhrm that I have a ceruhcate of consent to sell-insure issued by the Director of Industnal 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). SIGNATURE DATE 8. oWNER-B0llDER OilCLARA'noN Owner-Builder Declaration: I hereby alhrm that I am exempt from the Contractor's License Law ior 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). 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 ($500]). SIGNATURE DATE COMPLETE 1 HIS SECilON FOR NoN-RESIDEN liAL BOIU5ING PERM! l's 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit 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? □ YES □ NO IF ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF oa:uPANCY MAY NITT BE lS.5UED AFrER JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND TIIE Am POIJ..UTION OON11lOL DIS11UCT. 9. WNS'i R0Cl1ON LENOING XG£Nti' I hereby alhrm ihat there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME Nene LENDER'S ADDRESS lo. APPllCAN I C£lt llFICA IION I certify that I have read the appltcat1on and state that the above information as correct. I agree to comply with all Caty 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 1U SAVE INDEMNIFY AND I<EE.P HARMLF.SS THE CTlY OF CARISBAD AGAINST AIL UABII.ITIE.5, JUDGMENTS, CDSl'S AND EXPENSES WlilCJ-1 MAY IN ANY WAY AOCRUE AGAINST SAID CTlY IN OONSEQUENCE OF THE GRANTING OF nus 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban ed at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE DATE: //-/_'£-9,S- PINK: Finance 0 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951674 FOR 12/20/95 DESCRIPTION: REPIACE WATER HEATER INSPECTOR AREA PLANCK# CB951674 OCC GRP TYPE: PLUM JOB ADDRESS: APPLICANT: A CONTRACTOR: 111 SEQUOIA AV & J FOSTER INC CONSTR. TYPE NEW LOT: STE: E PHONE: 619-697-4151 PHONE: OWNER: REMARKS: MW/BEVERLY/714-637-1258 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents --------------------------------------------------------- PHONE: INSPECTOR ~f)_C ________ _ ACT COMMENTS .ztf._ (;', Ill A .?-' ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS