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Home My WebLink About1816 COTTONWOOD AVE; ; CB940252; PermitBUILDING PERMIT 03/10/94 11 01 Page 1 of 1 Job Address 1816 COTTONWOOD AV Suite Permit Type PLUMBING fi Parcel No 215-503-37-13 '' Lot* Valuation 0 Construction Type NEW Occupancy Group Reference* Description REPLACE WATER HEATER Permit No Project No Development No CB940252 A9400369 Appl/Ownr A&J FOSTER INC 2819 CENTRAL AVE SPRING VALLEY, CA 91977 Status Applied Apr/Issue Entered By ISSUED 03/10/94 03/10/94 MDP *** Fees Required ****'*'* 619 697-4151 Fees Collected & Credits * * * Fees 27/00 ' Adjustments 00 Total Fees 27..00,, Fee description , "~j . / Total -Credits . \ •:'/ :.Total Payments v- x ' •• ;/\.\Baiance -Due; "' \ , ... ......Units ....--Fee/Unit 00 00 27 00 Ext fee Data Enter "Y" for Plumbing rlssue Fee >> Each Water Heater and/oir Yent >v * PLUMBING TOTAL i X~ . ... //*.•;;':/;7'(oo;,j ; / ••-xV- <I 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 PaImas Dr , Carlsbad, CA 92009 (619) 438-1161 1 PERMIT TYPE ~~AQ Commercial U New Building U Tenant Improvement B D Industrial D New Building D Tenant Improvement C g Residential D Apartment D Condo Ej^Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical Eg Plumbing D Mechanical DPool D Spa C3 Retaining Wall D Solar D Other 2. PROJFXrr INFORMATION PLAN CHECK NO EST VAL PLAN CK DEPOS1T_ VALID BY DATE FOR OFFICE USE ONLY Address 1816Nearest LEGAL DESCRIPTION Building or suite NO ottonwood AveStreet Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK HEATER REPLACEMENT # OF STORIES 3 UJNTAtri PERSON In dillerent Irom applicant; NAME Glen Cerniky CITY Carlsbad. ADDRESS 1816 cottonwood Ave STATE CA ZIP CODE 92009 DAY TELEPHONE 471-6163 !^^^-MIHJMHMV^M-4 APPLICANT U (JON 1 RAC.TOK IJ{ AGENT FOR CONTRACTOR U OWNER U AGENT FOR OWNER NAME Michelle Medina/Kristy Fos*gPRESS 2819 Central Ave CITY YOWNliR STATE ra ZIP CODE qi q77 DAY TELEPHONE 697-4151 5 PROPEKT NAME CITY Cerniky Carlsbad STATE ADDRESS 1816 cottonwood Ave ZIP CODE 92QQ9 DAY TELEPHONE 471-6163 6 CONTRACTOR NAME A&J Foster, Inc CITY ADDRESS 2819 Central Ave ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE LIC # g30120 LICENSE CLASS p_3fi CITY BUSINESS LIC # 1 200354 Spring Valley, STATE CA CITY NAME N/A STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS^ COMPENSATION WorKers Compensation Declaration I hereby atlirm that I have a certilicale or consent to sell insure issued oy the Director of Industrial 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 'epnblin Dprnmtv POLICY NO PC949585 EXPIRATION DATE 5/1/94 I tertiiy that in the perrormance ot the work tor which this permit is issued, I shall not employ anCertilicate ot Exemption I tertiiy that in me perrormance or the worK Tor wnicn tnis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Owner Builder Declaration I hereby arhrm that I am exempt rrom the Contractors License Law lor the following 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 ) 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) 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 penally 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? D 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 distnct? O YES Q 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 CONSTRUCTION LENDING AGENCY I hereby allirm that there is a construction lending agency lor the perlormance ot the work lor which this permit is issued (Sec 30971U civil Code) LENDERS NAME"E .NONECERTU-'ICATI LENDER S ADDRESS 10 APPLICANT I certiry that I have read the application and state that the above inlormation is correct I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM1.ESS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 aulhonzed 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 Building Code) APPLICA DATE WHITE File YELLOW Applicant PINK. Finance