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HomeMy WebLinkAbout2338 SHAWN CT; ; CB940944; Permitc)z<lt JJ-01- 08/03/94 11:56 Page 1 of 1 B U I L D I N G Job Address: 2338 SHAWN CT Permit Type : PLUMBING Parcel No : 167-531-17-00 Valuation: o Construction Type: NEW P E R M I T Suite: Lo t#: Permit No: CB940944 Project No : A9401334 Development No: 8034 ~/03/94 0001 01 C-PRMT 02 27-00 Occupancy Group: Reference#: Status: Applied: ISSUED 08/03/94 08/03/94 MOP Description: WATER HEATER REPLACEMENT Appl/Ownr A&J FOSTER INC. 2819 CENTRAL AVE SPRING VALLEY, CA. 91977 *** Fees Required *** *** 619 Apr/Issue : Entered By: 697-4151 Fees Collected & Credits *** ----------------------~-------------------- Fees: Adjustments : Total Fees: Fee description 27.00 .00 27.00 Enter "Y" for Plumbin g Issue Fee Each Water Heater ahd/or Vent * PLUMBING TOTAL Total Credits: Total Pa .. yments: Balance Due: Units Fee/Unit 7 .00 .00 .00 27 .00 Ext fee Data 20.00 Y 7.00 27 .00 FINAL APPROVAL iN~P. ___ DATE ---1 CLEARANCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. 1'c..( -Cj<-{ t.{ City of Carlsbad Building DepartEnt 2075 Las Palms Dr., Cerlsbad, CA 92D09 (619) 438-1161 I. FERM.II fiPR PIAN CK DEPOSIT, _______ _ I ESf. VAL =-BY __________ _ From Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ________ S=FR=----------- Net Loss/Gain of Dwelling Units 2. PROJECf INFORMATION FOR OFFICE USE ONLY Addres£338 Shawn Ct. Butldmg or Suite No. Nearest Cross StreetCelinda Dr . U:CAL DESCRIPiloN Loe No. Subd1v1S1on Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Water Heater Replacement 50 Gallon SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PDtSON (II dlIIerent from apphcanf) NAME (last name first)Brown, Margaret ADDRESS 2338 Shawn Ct. CITY Carlsbad, STATE CA ZIP CODE 92008 DAY TELEPHONE 720-0406 f]AGENI FORWNIRACIOR uuwNut DAGEN I FOR OWNER 4. APPIJCAN I □ WN I RAC I UR NAME (last name first) Kristy Foster ADDRESS 2819 Central Ave. CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONF.697-4151 NAME (last name first) Brown, Margaret ADDRESS 2338 Shawn ct. c1TY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE720 0406 6. rnNIRACIOR NAME (lase name first)A & J Foster, Inc. ADDRESS 2819 Central Ave. CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 CITY BUSINESS !JC. # STATE !JC. # 6301 20 LlCENSE CLASS C-36 ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE !JC. # 7. WukkEkS' OOMPENSA:IlON Workers, Compensation beclaratton: I hereby afhrm 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). rtJ 1cate o xempt1on: cert1 at mt e pe ormance o t e war or w so as to become subject to the Workers' Compensation Laws of California. SIGNATU~~~DATE 9 ~ 3-cw 8. OWNER- Owner-Builder Declarabon: I hereby afhrm that I am exempt from the Confracfofs license Law for the foliowmg 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.). D 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 [$500]). SIGNATURE DATE COMPU:IE IHJS SECIION FOR NON-RESIDEN IIAL BUILDING FERMI IS ONLY: ls 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO 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 YFS, A FINAL CERTIFICATE OF oa:tlPANCY MAYNITT BE cyruEDAITERJULY 1, 1989 IINIBSS THE APPIJCANT HAS MET OR IS MEJITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE Aill POIJ.UTION OONTROL DISTIUCT. 9. WNSIRUCIIUN LHNDING AGENCY I hereby afhrm that there IS a construction lend mg agency for the performance of the work for which this pernut IS JSSued (Sec 3097 (I) Civil Code). LENDER'S NAME None LENDER'S ADDRESS 10. APPllCAN I C!FlliiFICAIION I certify that I have read the apphcat1on and state that the aOOve mformat1on 1s correct. I agree to comply with ah City ordmances 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 ID SAVE INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARISBAD AGAINSf AIL UABIIITIES, JUDGMENTS, <DSTS AND EXPENSES WJilCH MAY IN ANY WAY AOCRUE AGAINST SAID Cl1Y IN OONSEQUENCE OF THE GRANTING OF TIDS 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 abandone at any time after the ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLlCANrs SIGNATURE _ 3-q DATE: 0