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Home My WebLink About2615 COLIBRI LN; ; CB972313; Permitu BUILDING PERMIT08/18/97 16 09 Page 1 of i Job Address 2615 COLIBRI LN Suite Permit Type PLUMBING Parcel No 215-535-17-00 Lot* Valuation: 0 Occupancy Group: Reference* Description- WATER HEATER REPLACEMENT Permit No Project No Development No CB972313 A9702926 Construction Type. Status Applied A , .„Appl/Ownr • SCHULZ LINDSEY 2615 COLIBRI LANE CRLSBAD, CA 92009 *** Fees Required ****** 8279 760 438-7896 Fees Collected & Credits NEW ISSUED 08/18/97 JM 27.00 *** Fees: 27.00 Adjustments .00 Total Fees. 27.00 Fee description Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL ' /. •• ' ' ' • : i ' ,'•' •.r~- . ,-; .: Total Credits- Total Payments : Balance Due: Units Fee/Unit ;:. '-••'- .>':i • ., 7 oo• . , . ••' "i . ' ' • :. ,., ,_.- • ." /' ; ''••• ".' -• : "j '; r'^v'v'/'',..',•• .X 27 Ext f 20 7/ r\ i—i27 00 00 . 00 ee 00 oo\s \J 00 Data Y FINAL APPROVAL . DATE CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 2615 Colibri Ln.^ FOR OFFICE USE C PLAN CHECK NO.. EST VAL Plan Ck Validated By_ Date Address (include Bldg/Suite *) Legal Description Assessor's Parcel * Business Name Lot No. Subdivision Name/NumberSFR Description of Work WATER HEATER REPLACEMENT 2; ' CONTACT PERSON (if different .from applliSchulz, Lindsay 2615 Name Existing Use SQ FT santliiSSali 'JaCi'Sil luJfiStiilColibri Tin. Address tot Stories ;v, \,^i^^^^g City (at this address) Unit No Phase No Proposed Use * of Bedrooms # m%s$Bsay3^®E%$._h State/Zip Telephone Total # of units of Bathrooms 96 # Fax # 3. ^APPLICANT .-D Contractor. „ DAaent,6o<iontrj9?Pr.S&O»Qwa3£Ka Afg SHELLY JOHNSON/KRISTY FOSTER 13706-B HWY 8 BUS. Name Address City State/Zip Telephone Schulz. Lindsey ^2615 Colibri Ln. _ CARLSBAD CA. 92009 ^g "'••*• Name Address City State/Zip Telephone # (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 tor such permit to file a signed statement that he is licensod pursuant to the provisions of the Contractor s License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 ^ civil penalty of not mqre^than^five hundred dol|arij$500|) A & J FOSTER PLUMBING 13706-B HWY 8 BUS.EL CAJON X Name Address State License t 630120 License Class C-36 City State/Zip- QQO,- /Telephone # City Business License * Designer Name Address City State/Zip Telephone State License » _ N/A_ ^^ , ! J. ., . Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37OO of the Labor Code, for the performance of the work for which this permit is issued Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued My worker's compensation insurance carrier and policy number are Insurance Comp.nyFARMER INSURANCE Policy No N2007-56-51 c , CONTINUOUSExpiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l»100] OR LESS) O CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this peimit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall 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 Snction 3706 of the Labq/ code, interest and attorney s fees SIGNATURE DATE 7 OWNER BUILDER DECLARATION ~ • I hereby affirm that I am exempt from the Contractor's License Law for the following reason G 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) Q 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 auch projects with contractor(s) licensed pursuant to the Contractor's License Law) 0 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement l~l YES f~lNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMRLETEJHIS SECTION FOR fVO/V-fi?S/0£rV?Mt,Bl|lLDINQ PERMIT.SJPNCYiiSi 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, 2S533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8. CONSTRUCTION LENDING AGENCY * W* 3e>. V? '' ftWi' ^v.^VISfflBfe, 5?M«I®!1^tS&riUft'. '" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION ?' , SJ7' ', -' '• & I certify that I have read the application and state that the above Information is correct and that the information on the plans Is accurate 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 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 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 abandoned at any time after the work is commenp^d for a period of ISO^rays (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE WHITE File YELLOW Applicant r>iMK Finance DATE Q CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972313 FOR 09/03/97 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 2615 COLIBRI LN APPLICANT: SCHULZ LINDSEY CONTRACTOR: OWNER: INSPECTOR AREA PLANCK# CB972313 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 438-7896 PHONE: PHONE: REMARKS: C/LINDSEY/438-7896 OR673-7333 INSPECTOR SPECIAL INSTRUCT: WILL BE HOME AFTER 3PM TODAY. TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS COMMERCIAL Cf AGENCY Name '* ALLAN MENDOZA S ' 8880 RIO SAN DIEGO DR. #700 Address j SAN DIEGO, CA 92108 ST qq DIST <;i ARFNT ^7« •HTIFiCATE OF INSURANCE This certif upon the c coverage INSURED Name ' A&J FOSTER INC. & • 13706 B HWY 8 BUSINESS Address ' EL CAJON, CA 92021 Issue Date (MM/DD/YY) //Lj^ —^O cate is issued as a matter of information only and confers no rights ertificate holder This certificate does not amend, extend or alter the afforded by the policies shown below COMPANIES PROVIpING COVERAGE: LETTER"* A TRUCK INSURANCE EXCHANGE S™"" B FARMERS INSURANCE EXCHANGE COMPANY"™ c MID CENTURY INSURANCE COMPANY COMPANY LETTER Q COVERAGES 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 BY PAID CLAIMS CO LTR A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL-LIABILITY - OCCURRENCE VERSION CONTRACTUAL INCIDENTAL ONLY OWNERS & CONTRACTORS PROT AUTOMOBILE LIABILITY ALL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY UMBRELLA LIABILITY WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY POLICY NUMBER N2Q07-56-51 POLICY EFFECTIVE DATE (MM/DD/YY) 5-1-97 POLICY EXPIRATION DATE (MM/DD/YY) CONTINUOUS UNTIL CANCELLED POLICY LIMITS GENERAL AGGREGATE PRODUCTS COMP/OPS AGGREGATE PERSONAL & ADVERTISING INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MEDICAL EXPENSE (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (PER PERSON) BODILY INJURY(PER ACCIDENT) PROPERTY DAMAGE GARAGE AGGREGATE LIMIT STATUTORY EACH ACCIDENT DISEASE-EACH EMPLOYEE DISEASE-POLICY LIMIT $ s $$$ $ $ $ $ $$ $ $ 1,000,000 $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPEWmONS/VEHICLES/RESTRICTIOIIS/SPECIAl ITEMS. RE: ALL OPERATIONS ' CERTIFICATE HOLDER Name • CITY OF CARLSBAD LICENSE I & . BUILDING DEPT Address • 2075 LAS PALMAS DR . CARLSBAD, CA 92009 CANCELLATION K> AT^fit ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. C— H/r -^h ^ ,•1 /( t^^y\^s y / ( (Ln Jc.(r] <^~^ AUTHORIKOHEPRISENIAJIVE //-" 56-Z492 4-84 1251 ArW 13S1