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Home My WebLink About1774 COTTONWOOD AVE; ; CB973224; PermitPermit No- CB973224 Project No. A9704146 Development No BUILDING PERMIT 10/27/97 17 05 Page 1 of 1 Job Address- 1774 COTTONWOOD AV Suite Permit Type. PLUMBING Parcel No 215-503-37-21 Lot# Valuation. 0 Construction Type NEW Occupancy Group Reference* 0775 lQ/2§juftitffi&j ft?^ Description WATER HEATER REPALCEMENT Applija^jl0/^*7/^7 Apr/Issue- 10/27/97" Entered By JM Appl/Ownr COURTNEY CHRISTINA 760 438-9443 1774 COTTONWOOD PLACE CARLSBAD, CA 92009 *** Fees Required *** *** Fees Collected & Credits *** 00 Fees- 27 00 Adjustments .00 Total Fees 27,00 Fee description Total Credits. Total Payments. Balance Due • Unite Fee/Unit 00 00 27 00 Ext fee Data Eater "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL 7. 00 20 00 Y 7 00 27. 00 n LJ ut-\.U *, LJ'fc u -i^ '\l- •••• CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 FROM flJFOSTER INC FflX 461 5443 PHONE NO PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 Oct 27 1997 03 53PM P3 FOR OFFICE USE ONLy PLAN CHECK NO EST. VAL Plan Ck Deposit Validated By Dale 1774 rottQ Ave. (include BIdgVSulte /BuilneM Ntme, <at Ihia adarau) Ua»! O««lt)U<m Lot No. Subdlvtilen N»m«/Numb*r SFR Unit Ha.Total » el unlt> r • Parcel f Exletlng Ul«Fropoted U«t Dticnpllon ot Work SQ FT fof Stmlei » of Bedroom** of Bathrooms r Christina 1774 Cottonvrood Ave. N»me Address Sltlettlp SHELLY Telephone * fax I . 'reffiM__ ....... ___________ ...... 13706-B HWY 8 BUS. BL Name AddrefSiy^v^^City State/Zip Telephone I 1 774 rVyt-hnrTwnod CARLSBAD CA. 92009 7bO-438- ourtncy, unrierina Md>n, city sute/ap Telephone t'" (Sec 7031 5 Buslna** end ProfMtlon* Coda: Any City or County which require* I permit to conatmot, tlter. Improve, damolbh or rtpalr any atructur* prior to 11 j l«<j»nca, also require,* th* applicant lot such permit to '!!« t »lgntd atat«ment that ha t» ttotnltd pursuant to the provision* of the Contractor'! Ue»ns» Law IChipter 9, commending with Section 7000 of Division 3 of th* Btulnas* and Prafatalena Cod*) or that he I* exempt therefrom, tnd the baila for the alleged exemption Any violation of Section 7031 5 by wiy applicant for a permit subject* tha applicant to a clyll penalty of not mw» than five hundred dollere 1 '5Q9JU J .FOOTER-PLUMBIEIC 3 ?7QrVR HVvT R BUS EL CAJQN CA. 92021 Mime"Addrut C-36 City St«t«/Zlp .City Butlnm Uc*n*« t 12<JW Oesignir Hams Still UeMU* f City Stttfl/ZIp 2«i?ffi!^»i^^ Werkere' Compentatlon Declaration, t hereby affirm under pentlty of psrlury one of the following declaration*' Q 1 h«v« and will maintain a eartlllctte of consent to aelMnaure fo/ workera' eompent*t<on tl provided by Section 3700 of th« Labor Code, for the performance of the work for which this permit I* lituad D I hive end will maintain worker*' compensation, » required by Section 3700 of the Labor Code, for th* performance of th* work for which this permit Is l»J\r*d My worlttr't compensation Insurant* canter and policy number arm _,N2007-56-51 CONTINUOUS|iM«winc» Company,PAPMP.R TMSTTRANCE Policy No.Bxpintlon Dat* (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 19 FOR ONE HUNDRED DOLLARS 1*100] OR UsS) Q CERTIFICATE OF EXEMPTION I t.rtl'v thit (n «h« p«rferm»n« ef tha woik foi which thli permit I* !»iu»(), I Ihtil not employ eny per«on In any minnnr BO 19 to become subject to th» WOfkgri' Comperaitron Lew* of Cihfornli WARNING FiHur* to secufrwgrkefi' eomp«n»«tlon covirtge li unlAWiul, and thill ittbject kn •mptoyir to criminal penaltlM tnd dvll tlrma up to on* hundred thouiand donert (1100.0001, hi *ddlt(on to the colt of camp*n»tlon. d»m»g«i M provided (or In Section 3709 of tfM Libo/ code, (nt«r«tt end attorney t (««i SIGNATURE DATE 7.'' OWHEB BUlUDEfl DECtAfiATIOM ^?»!«fir>4«XHHWNI^^ i ' I hereby effirm thet I «m wcempt from the Contrector's License tiw for the following r«Mon! Q I 19 owner of the property or my employe*! with Wlgei «» their *ole compenmlon, will do the work «nd the ttfucture Is not Intended or offered for iel« (S«c 7044 Bujln»»» end Prale*tlon» Code The Cont»ctor'e Lleentt lew do«« not ipply to en owner of property who build* or Improve* thereon, imj v*ho da*« juch work hlmielf or thieugh hlj own employees, provided thit luch lmpreytm*nti ire not Intended or offered for tele If, however, th« building or Improvement li >oid within one y»<r of compUtlon. the owner builder will h*v« the burden of provlnff thet h» did not build or Improve for the purptn* of eile) Q I, >i owner of the property, «m excludvely contreetlng with lleented contriotori to conttruet the project (Bee. 7044, Builnen end Profeeslont Code The Contractor» Ucinie tew doei net epply to In owner of property who bulldi or Improve* thereon, «nd. eonU«cU for »uch projictl with oonVietwtt) licensed puriuent 10 the Comtictor'i Uom»« Law) D 1 em exempt under St«tlon ___, Builntt* tnd Pioftttton* Code for thli reMont t I frfrionilly pltn to provide the melor lebor tnd meterlel* for conttiuatlon of the propoted property Improvement. Q YES QNO 2. I (rv»v» / heve not) tlgned in tppllcit/on lor t building permit for the propoied work, 3 I hive contacted with the following parson (firm) \9 provide the proposed contlructlon (Include nem« / tddrwi / phone number / eontrietort license number) 4 I Dleri to provide; portion* of the work, but I have hired the following person ID coordlnete, tupervli* ind provide the mejor work (includa neme / iddrttt / ph«n» number I ewtrtttori llcenie number) __„ 5 I will provide torn* of the work, but I have contracted (hired) the following pettont to provide the work Indicated (Include n»me / addres* / phone number / type ol wciM . PROPERTY OWNER SIGNATURE DATEimwmmmffltsmm3M$m.,®i&®*®K H .. U the ippticant of lutura building occuptnt required to tubmlt a butlntM pt*n, tculaly hawrdOU* mite/rlll* teglsUtlloti term cr risk management ind prevention program under Section* 2&BOB.2SB33 or 2EG34 of the Pre*l«y Tanner HtstfdouaSubtUnt;* Account Act? Q YES D NO l> the tppllctnt or fvitur* building occupant required to obtain * permit from th« elr pollution control rflitrlct of air quality management district? Q YES Q r4O l» the tadiicy to b* con»tnict«d within 1,000 f**t ol th* outer boundary of a lehool *lt«7 D VES D NO IF ANY OF THE ANSWERS ARE VEB, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE tSSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT fl. <! CONSTRUCTION LENDING AQENCYrfWS^JW^WBW^ i ' I hereby altlrm ihat there!« • conatrucilon Innding egeney for the pmlotmance of the work far whl«h thl* permit le laauod (Sec 3097(1) civil Code) LENDER'S NAME __ LENOER'5 AOORES8 B ' &pw.»cANT,cttvTff«5AinoM^ 'iftfr, •j&sps&iff'^»*ii^r#&tftia!B!S^^ <"'< \ ctnlfy thit I hive taad tha application tnd atata thtt th» aoove Inlormttlon la correct tnd that tha Information en the plan* It accurate I agree to comply w.iU c« City ordinances and Silt* lane reining to building conttructton I hereby authorize repr*e«ntatlvea of the City of C«rl«bad to enter upon the above menilennd property for fn*p»ctlon putpoa.i I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AOWMST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY W ANY WAY ACCBU6 AOA'NST SAID CITV IN CONSEQUENCE OF THE OflAWTWO OF THIS PERMIT OSHA An OSHA permit la rewired tor txcavtllon* over B'O" deep and demolition 0* conltructlon of structure* OV»r 3 etortea In height, EXPIRATION' Every permit li«u«d by ihe Building Offlolal under the provl»lon* of thl* Code ahall auplr* bV limitation tnd become null end void If th* byllding or work aulhonied by »ueh permit Is not eomm«nc«d within 386 d«yt from th* dlt* of lueh ptlfnlt or If tha bundlno or wotk tuthorlttd by auch permit Is suspended «r tb«nd,sp«d «tny tlm» alt«f tht \*o(k h Eorrim«fi5«rUor • p«t1«l of 188 dtys IStotlon 10S * 4 Unllerm Building Coo1^ ^ WHITE File YELLOW Applicant PINK Flninc* ENCY me•»* dress uummcnuALk ALLAN MENDOZA 8880 RIO SAN DIEGO DR. #700 SAN DIEGO, CA 92108 t»r issue udie ^IVIIYIIUUI11 f This certificate is issued as a matter of information only and confers no rights upon the certificate holder This certificate does not amend, extend or alter thecoverage afforded by the policies shown below. DIST..AGFMT 17K :URED Tie i iress A&7 FOSTER INC. 13706 B HWY 8 BUSINESS EL CAJON, CA 92021 COMPMffLETTER COMPANY LETTER COMPMffLETTER COMfWff UTTER COMPANIES PROVIDING COVERAGE: A TRUCK INSURANCE EXCHANGE B FARMERS INSURANCE EXCHANGE C MID CENTURY INSURANCE COMPANY D iRAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 9Y PAID CLAIMS. TYPE OF INSURANCE GHEML lUMUTY COMMERCIAL GENERAL LIABILITY -OCCURRENCE VERSION CONTRACTUAL MQOENTALONLY OWNERS i CONTRACTORS PROT IUTOMUUE UMUTY Alt OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HRED AUTOS NOWJWNED AUTOS GARAGE LUBUTY UMItRFIIA UAMJTY WORKERS' COMPUSATWI AID EMPtOYHS' UABJUTY POLICY NUMBER - N2007-56-51 POLICY EFFECTIVE DATE (MM/DD/YY) 5-1-97 POLICY EXPIRATIONDATE (MM/DD/YY) OuwrjJNlXXIS UNTIL CANCELLED POLICY LIMITS GENERAL AGGREGATE PRtnuCTSCOMPAPS AGGREGATE PERSONALS ADVERTISING MJURY EACH OCCURRENCE FK DAMAGE (Any one fn) MEDICAL EXPENSE(Any m person) COMBMEDSINGLE Lwrr BODILY NIURY (PER PERSON) BOOLYKURY (PER ACCIDENT) PROPERTY DAMAGE GARAGE AGGREGATE LMT STATUTORY EACHACCDENT DISEASE-EACH EMPLOYEE DISEASE-POLICY LMT $ s $s$ $ $ $ s $s $ $ 1 ,000,000 $1 ,000,000 $1 ,000,000 RE: ALL OPERATIONS IF1CATE HOLDER 16 • CITY OF -SAN • BUILDING DEPT ress • 9601 RIDGEHAVEN CT 2ND FLOOR • SAN DIEGO, CA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WtL ENDEAVOR TO MAL 30 DAYS WRTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAI SUCH NOTICE SHALL WPOSE NO OBLIGATION OR UABUTY OF ANY KM) UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. , * AUmOOZED XFffSBHAmi •••4 I2SI 13S1