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Home My WebLink About2501 SOMBROSA PL; ; CB941700; PermitB U I L D I N G P E R M I T Permit No : rB9417UO Project No: A940~507 Development No : 12/28/~4 09:51 Page 1 of 1 Job Address: 2501 SOMBROSA PL Suite : Permit Type : PLUMBING . Lj00 Parcel No: :a~ 275 0'6'1i O Lot#: 0106 12/28/94 0001 01 02 C-PRHT 27 .()() Valuation: O Construction Type : NEW Occupancy Group : Reference#: Status: ISSUED Applied: 06/29/9~ Apr/Issue: 12/28/94 Entered By: DC Description : WATER HEATER REPLACEMENT Appl/Ownr : FOSTER, A & J 2819 CENTRAL AVENUE SPRING VALLEY, ~A 9 9 77 Fees Required Fees: Adjustmen ts : Total Fees : 619 697-4151 l ected & Credits otal Paymen t s: Bala ue: ,00 .00 27.00 le le le Fee description Units e/Uriit Ext fr->e Data Enter "Y" for Plumbing I Each Water Heater and/or * PLUMBING TOTAL 20.00 Y 7.00 27 .00 ~PPROVAL 1• ~SP. DATE t;/27/ff l:LEARANCE ____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. 9 (/-/ '7 0 () City of Carlsbad Building Department 2075 Las PalllllS Dr., Carlsbad, CA 92009 (619) 438-1161 ES'f_VAJ.'------------ I. PERMIT l'VPE PIAN CK DEPOSIT ________ _ VAIID.BY. __________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: Prom Llst 2 (see back) give Code of Structure-Type: ________ S_FR ___________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2501 Scinbrosa St. Nearest Cross Street Buildmg or Suite No. LEGAL DESCRIP I ION Git No. Subd1V1s1on Name/Number 0mt No. Phase No. D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope ASSESSOR'S PARCEi. ft¥STI~ u~ DESCRIPTION OF WORK Water H:-}dt:0f Rdplacetttlfllmi PROPOSER USE SQ. FT. # OF SIDRIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PFltSON (I[ .AlJ!er!'J''Itron;i,.,a_m:ihcanfJ l NAME (last name first) NLW2 ' 'l'Olll ADDRESS 250 Sombrosa St. CilY Carlsbad, STATE CA ZIP CODE 92009 DAY TELEPHONE 753-2755 4. APPUCANI 0WNllli\CI0R f]AGENI F0RC0NiRACI0R 28 uo,:;yNEtr OAC£NI FOR OWNER NAME (last name first)Krlsty Foster ADDRESS .l~ Centra.l Ave. CilY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHON1i97-4151 5. PROPIDtlY OWNPA NAME (last name first) Newe 11, Tom ADDRESS 753-2755 CilY Carlsbad, STATE CA. ZIP CODE 92009 DAY TELEPHONE753-2755 6. CDN iRACIOR A & J NAME (last name first) Foster, Inc. ADDRESS 2819 Central Ave. CilY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE UC.# 630120 UCENSE CIASS C-36 CilY BUSINESS UC.# 1200354 DESIGNER NAME (last name lirst) ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORKERS' OOMPENSXI ION Workers' Compensauon Dcclarat1on: I hereby affirm that I have a certificate of consent to self-msure 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). INSURANCE COMPANY Republic Ind2rnni ty POU CY NO. PC9 4 9 58 5 EXPIRATION DA TE 5-1-9 5 Ceruhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to bee me subject to the Workers' Compensation Laws of California. SIGNATURE . -frl.aliflA,ATE )12,., Jq/_. □ □ □ Owner-BuUder Deciarat1on: I hereby affirm that I am exempt from the Contractor's Llcense Law lor the followmg reason: 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.). 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). 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]). SIGNATIIRE DATE COMPLE IE I HIS SEC! ION FOR NON-RESIDEN I IAL BOILDING PERMI I's 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? □ YES ONO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLESS TIIEAPPUCANT HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR PO!l.UTION OONTROL DJSI1UCT. 9. WNSIR0CIION umnmc AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Coae). LENDER'S NAME None LENDER'S ADDRESS 10. APPUCANI CfJlIIFICAJION I certify that I have read the application and state that the above mformat1on 1s correct. I agree to comply with ali 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 m SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARISBAD AGAINSf ALL LlABIIITIES, .JUDGMENTS, CXlSTS AND EXPENSES WIIIGI MAY IN ANY WAY ACx:IUJE AGAINSf SAID CI1Y IN OONSEQUENCE OF TIIE GRANTING OF TIIIS 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 abando ed at any time a teF-the work is commenced for a period of 180 days (Section 303(d) Uniform Build/'Z ~ APPUCANT'S SIGNATURE . 1..a DATE: ' WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB941700 DESCRIPTION: WATER HEATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 01/17/95 REPLACEMENT STE: INSPECTOR AREA PLANCK# CB941700 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2501 APPLICANT: FOSTER, CONTRACTOR: SOMBROSA PL A & J PHONE: 619 697-4151 OWNER: REMARKS: MW/TOM/899-0711 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ;:g::: /} J ~ /YJ INSPECTO'=---h~~--'---~J;::.._L~~-=---'~------ ACT COMMENTS _25 __ P_L _w_a_t_e_r_H_e_a_t_e_r_;_v_e_n_t_s ______ ~ ~f~,t!~A-...-___________ _ -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS .,