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Home My WebLink About1742 CEREUS CT; ; CB960320; Permit28/% 0001 01 02 BUILDING PERMIT Permit No: CB960320 02/27/96 17:51 Project No: A9600473 Page 1 of 1 Development No : Job Address: 1742 CEREUS CT Suite: Permit Type: PLUMBING Parcel No: 215-517-05-00 Lot#: . Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Status: ISSUED Description: REPLACE WATER HEATER Applied: 02/27/96 : Apr/Issue: 02/27/96 Entered By: RMA ,vAppl/Ownr :.,RIKER,. .CRAIG ..... ... ••>.,. .-, , , „. 6,19438,-0:914v 1742 CEREUS CT . . CARLSBAD,. ..CA _ 92.00-9 *** .Fees Required *****, Fees Collected & Credits . 00 Fees: 27.00 Adjustments: ,00 Total Fees: 27.00 Fee description Total Credits: . Total Payments: Balance Due; Units Fee/Unit .00 . 00 27. 00 Ext fee Data Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL 7. 00 20.00 Y 7. 00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PEKMT r TYPE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: RFR Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT VALID. BY ~ DATE FOR OFFICE USE ONLY 1742 Cereus Ct. Nearest Cross Street Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELUW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Water Heater Replacement 40 Gallon SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS FtKbUN (.u uitierent trom applicant; NAME (last name first) Riker, Craig CITY CarlsbacL STATE ADDRESS 1742 Cereus Ct. ZIP CODE 92009 DAY TELEPHONE 38-0914APPLICANT QCON 1HACIUR NAME (last name first) CITY El Cajon LLACjhNl hOK LONIRAC1OK UOWNtR U AObN I rOR OWNhR Carol Foster .ADDRESS 13706 Highway 8 Business, Suite B STATE CA ZIP CODE 92021 DAY TELEPHONE 390-4477 5. PROPERTY OWNER NAME (last name first) Riker, Craig CITY Carlsbad STATE ADDRESS 1742 Cereus Ct. ZIP CODE 92009 DAY TELEPHONE 438-0914 O. CONTRACTORNAME (last name first) A & J Foster, Inc. ADDRESS 13706 Highway 8 Business, Suite B CITY El Cajon STATE CA ZIP CODE 91977 DAY TELEPHONE 390-4477 STATE LIC. #__£3JVL20 LICENSE CLASS C-^f, CITY BUSINESS LIC. # 1 LJESIGNKK NAME (last name first)ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKER? COMPENSAllON Workers' Compensation Declaration: I hereby affirm that I have a certificate ot consent to self-insure issued by the Director oFIndustriai 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 Republic Indemnity POLICY NO. pc35Q9422EXPIRATIONDATE 5-1-96Certificate ot Exemption: 1 certify that in the performance of the work tor which this permit is issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8TDWNER-BU E Uwner-Builder Declaration: i nereoy arrirm that 1 am exempt trom the Contractors License Law tor trie tollowing 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, 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.). O 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 THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? O YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO , Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO 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 DISTRICT. 9. UUNSTKIKJI'IUN LENU1MU AGENCY I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 309'/lu Cml Code). LENDER'S NAME None LENDER'S ADDRESS 10. APPLICANT 1 certify that 1 have read tne application and state tnat the above information is correct. Tagree to comply with alFCity 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 OSHA permit is required for excavations over S'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 303(d) Uniform Buildui APPLICANTS SIGNATURE L ^ (\ \- n DATE:," r> A IE: File YELLOW: Applicant PINK: Finance ^ -*• CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB960320 FOR 05/24/96 DESCRIPTION: REPLACE WATER HEATER TYPE: PLUM JOB ADDRESS: 1742 CEREUS CT APPLICANT: RIKER, CRAIG CONTRACTOR: OWNER: REMARKS: MW/JOYCE SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB930859 RAD INSPECTOR AREA DC PLANCK* CB960320 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619438-0914 PHONE: PHONE: INSPECTOR CD LVL DESCRIPTION 25 PL Water Heater/Vents STATUS EXPIRED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 050796 Water Heater/Vents ACT INSP COMMENTS CO DC LEAK @ T&P PIPE NDS REPAIR City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. /^^xl 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: jSL£l^ (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. Signature Date Warning: Failure to secure workers' compensation coverage is unlawful, and 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 92009-1576 • (619) 438-1161 • FAX (619) 438-0894