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HomeMy WebLinkAbout1749 FOREST AVE; ; CB950499; Permit. . B Ii I L [> .:: N t; P ,; ~ "" I T L' 4 I 1 2 / '1 r., 1 1 : 2 7 P"iqe 1 of : .Jell A<J,lre::;::: 1749 FOREST AV E•erm1 t "'yp<.;: PLUMBING Petr. c:e: N<:..·: Vuluation: 1 c, o -1 1 - 2 S -11 0 () Cc,ns true:-t 1 on fyp•=-: NEW .3uite: Lot#: Uccupanry Grvup: Reference#: Descr11.1t1 ,n: WA':'ER HEATER REPLACE'MEN':' PPrrr1t N,,: c'G".l\d4~.::I Pr< H-'~·t N'>: A~"1H7··- Dc,velopment No: 1468 04/12/95 0001 01 C-PRMT Si·att.:.;: Appllf:'d: A[..r/!S.,LW: 02 27-00 Appl/Ownr : A~ J FOSTER Fnt•::red ry: 619-6g/-4151 I' ',UE~> l4/L! -ii; 04:/12/93 Rt-<A 2819 CENTRAL AV SPRING VALLEY, CA :I. A * Fees Required Fees: A,lju~tments: Tntal Fees: Fee de::;cript10n En~er 'Y for P~um Earh Water Hedter 1< PLUMBING .,..07AL .9 S7 > > CITY OF CARLSBAD t . ,, u • ( .. l 27,(,0 **I< Ext feE: [iat .; 1, , L CJ y l.C~ 2.7.lD Cl IAI APPRO""l ::NSP. -DL OAT 1: ,t).qs \cLEARA, ... c I 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 P~APPUCATION PI.AN CHECK NO. City of Carlsbad Building Deparuoent 2075 Las Pal-Dr., carlsbad, CA 92DD9 (619> 438·1161 I. PPltMII IYP.i! From List 1 (see back) give code of Pennit-Type: ------------ For Residential Projects Only: From Llst 2 (see back) give CodeofSlnlcture-Type: _______ l:iJ:~----------- Net Loss/Gain of Dwelling Units 2. PRClJECT INFORMATION FOR OFFICE. USE ONLY Address 1749 Forest Ava. Building or Suite No. Nearest Cross StreeJi; gb ,12~ st LEGAL DEsCRIF'IIO t o. Su6d1vis1on Name/Number Unit No. Phase No. CHECK BEWW IP SOBMII IED: CJ 2 Energy Cales D 2 Structural Cales D 2 Soils Report CJ 1 Addressed Envelope ASSESSOR'S PARCEL EXlSTING USE PROPOSED USE DESCRIPTION OF woRK water Heater Raplacemant 4 O Gallon SQ. IT. # OF STORIES # OF BEDROOMS # OF BA11IROOMS 3. WN IACI PEJtSON (1£ different from apphcani) NAME (lastnamefirstlJohnson, Constance ADDREss1749 Forest Ava. CI1Y~ JsMrl STATEq, ZIPCODEq200R DAYTELEPHONE414. 1803 4. XPPLit!XNf trCONIRACIUR UAGEt-ll FORCONIRACfdit' LI OWNER UAG£NI FOROWNM NAME (last name firstJi<risty F8ster ADDRESS2819 Central Ave. CI~/lQ ¥fi111 e:,, STATE CA ZIP CODE9] 977 DAY TELEPHON¥;97 4151 5. Pkut' N NAME (last name first) Constance Johnson ADDRESS 17 49 Forest Ave. CI1Y @;.Boi1?3d STATE CA ZIP CODE92oos DAY TELEPHON§, 34 3803 ADDRESS2819 Central Ave. Foster, Inc. c11Y Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 LlCENSE CLASS C11Y BUSINESS UC.#] 30035 Q STATE UC.# f3QJ 20 DESIGNER NAME (last name hrst) c~ mbRESS CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WukkERS' WMPF.NSAIION Workers' Compensation Declarauon: I hereby afhrm that I have a cert1hcate 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-Builder Declaration: I hereby afhnn that I am exempt from the Confracfofs Llcense Law for the iollow1ng reason: CJ 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.). CJ 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). [J 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 co 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 Llcense 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNA11IRE DATE CoMPLEIE IRIS SEGIION FOR NON-RESIDEN IIAt BOIWING PEkMIIS ONLY: ls 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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? [J YES [J NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? [J YES [J NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [J YES [J NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CER11FICATE OF OOCUPANCY MAY NOT BE ISSUED AITER JULY 1, 1989 UNIBSS TIIE APPUCANT HAS MTI OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Alli. POillJ110N CON11l0L DIS111ICT. 9. WNSIROCIION LkNDING AGENCY I hereby aftlrm that there is a construction lending agency for the performance of the work for which tfi15 penn1t IS issued (Sec 3097 (IJ Civil Code). LENDER'S NAME Nona LENDER'S ADDRESS 10. APPDCANI CERIOJCAIION I certUY that I have read the apphcatlon and state that the above 1nformat1on 1s correct. 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 AI.'iO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl1Y OF CARISBAD AGAINST AIJ. UABILITIES, JUDGMENTS, <DSTS AND EXPENSF.S WHICH MAY IN ANY WAY ACx:RUI! AGAINST SAID Cl1Y IN CONSEQUENCE OF TIIE GRANTING OF nns PERMIT. OSHA: An OSHA pennit 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 pennit 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) Unifonn Buildiug Code)q5 APPLlCANl"S SIGNATURF:--f'n.J • ../J..)LJ.11..t ~ DATE: 1-f-rt..-- WHJTE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950499 FOR 07/10/95 INSPECTOR AREA PLANCK# CB950499 OCC GRP DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 1749 FOREST AV APPLICANT: A & J FOSTER CONTRACTOR: OWNER: REMARKS: BJN/CONNIE/434-3803 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents CONSTR. TYPE NEW STE: LOT: PHONE: 619-697-4151 PHONE: PHONE: INSPECTOR-~~.-.,....~~~~~~~~~ ACT COMMENTS df ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS