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Home My WebLink About2703 TIBURON AVE; ; CB973758; Permit12/08/97 17:31 Page 1 of 1 B U I L D I N G P E R M I T Permit No: CB973758 ProJect No: A970484b Development No: Job Address: 2703 TIBURON Permit Type: PLUMBING Parcel No: 167-512-51-00 Valuation: o AV Suite: Lot#: 02 Occupancy Group: Reference#: Description: REPLACE WATER HEATER 2172 12/10/97 0001 01 C-PRHT Construction Type: Status: 27-00 NEW ISSUED 12/08/97 12/08/97 RMA Appl/Ownr : Fees FELDMAN, ROBERT 2703 TIBURON AV CARLSBAD CA 92008 Required *** 760 Applied: Apr/Issue: Entered By: 4 34-8077 Fees Collected & Credits ----------------------------Fees : -------------------------------------------- Adjustments: Total Fees: Fee description 27.00 .00 27 .00 Tota-1 Credits: Total Payment s: Balance Due: Units Fee/Unit .oo .00 27.00 ---------------------------------------------------------------------------Ext fee Data Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL 20 .00 Y 7.00 27.00 ROVAL ~~~DATE~%7 CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ?137f 'f} CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (6191 438-1161 EST. VAL. ________ _ Plan Ck. Deposit _...,,,."f"I------- Validatad By __ -c,,/,_➔~'-'di~~-,/_.c.,---,---- Date. ___ c:--_-+C2,-b/ +/~//,"-? _ [1:.J,i1'J10JECT;JNf.11111MtiQN~~iallil'Jiili Buslneu N1m1 lit th11 1ddr1u) l•g■l OascripUon Lot No. Subdlvl1l0n N1m1/Number SFR . Unit No, PhaH No. Total I of units Assessor's P11rc1l I Existing u .. Proposed UH Description ol Work SQ. FT. lof StorlH I of Bedrooms I of Bathrooms :2:c:·co~WEJl~m11E-::in\~1~~lili',~~~IIWll'F.!.t.W!A~l/Wll•~'lm'i11~~t,··1,0~0-434-8077 Feldman, Robert 2703 Tiburon Ave. CTrnL • N1m1 Address CllV State/Zip Telephone # Fax I :,;;i;/AJ'Y,UCANT:;,,,□:c,oii.•i;i~r!i.i:.@!rui•oi;m:1: •. ~111.1.im□liiwnirB!l.C!illAll•6!itiifliili~,1li~~-i~,11.w:t1·90i1.~477' SHEIIY JQHNSQN(KBISTY FOSTER 13706-B HWY 8 BUS. EL ·CAJ'ou-;---"CA-:--·'J - Name Address City State/Zip Telephone I ~.8PtEIID'i!'.l.WJl~1ll"'1W~-c!:r:W£l£"*' CA~rinft1f»~~~]~~lfo77 FelElman, ~obert 2703 Tiburon Ave. N■me Address City St■t•/Zfp Telephone I IS~:.'.'tCD/flJ!Ac.lllRr..coMe.MWUii.i iil!i)i, (Sec. 7031.5 Business and Prof■Hlons Code: Any City or County which requlrH • permit to construct, ■lter, lmprovt, demolish or repair 1ny 1tructure, prior to Its issuance, also requires the applicant for such permit to fll• • signed 1t1t1m1nt that he I• licensed pur1u1nt to th■ provisions of the Contr1ctor'1 Ucense Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Prof111lon1 Codal or that ht la exempt theref,om, and the basis for the alleged exemption. Any violation of Section 7031 .5 bv ■nv applicant for a p11mlt 1ubJ1cta the appllcant ta I clvll penalty of not more than five l]undrad AQl~r•4~5:?~I), A & .J W5TEP PPJMBING J 3706 B HWY 8 BUS. · EL CAJON CA. 92021 3:, - N•m• Addreas City State/Zip 1200~~2!1ona I Sut• llcenH I 630120 Ucenn Class C-36 City Bu1ln111 UcenH •-------- Designer Name Address City Stile/Zip Telephone St•t• Ucenu I __ _.','-"------ :,,;; ,i.WiJRKIRSl•;COMPENSA 'ncit1..l/#.iil,1/),~~l,ll!lffll'l!ismmfl ,f jil:il!lli~fflilllr.lll!l.~l'Jffla'illl-lill!~l.'/~i'Ji& ·.i\/'J/l';l!J ~'l" ~:·· c· , Work,ra' CompenHtlon Declaratlon: I hereby affirm und11 panalty of perjury one of the lollowlng.declar1tlon1: D I hava and will maintain a cer1lflc■t1 of consent to 111f-ln1ure for worker■• companutlon H provided by Section 3700 or the Labor Code, for the performance ol the work for which this permit It l11ued, ~ I hava and will maintain workers• compansalion, 11 11qulr•~ by Section 3700 of the Labor Code, for the parlormance ol the .;,.,o,k for which this permit Is Issued. My w01k1r'1 compensation Insurance carrier and pollcy numbe, e,e: O INUOUS Insurance Company FARMER INSURANCE Polley No. N2007-56-51 Explretlon D•t•_c __ NT ____ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR less, 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit 11 l11ued, I 1h1II not employ any person In eny manner so as to becoma subject to the Workers' Compansatlon laws of Callfomla. WARNING: Fanura to 11cure•workaJ1' compenaatlon coverage 11 unlawful, and shall aubject an employar to criminal panalllet and clvll fines ur, to one hundred thouHnd donara ft100,000I. In addlllon to the coll of compenntlon, damagH as provldd for In Section 3708 of the labqr code, lnterHt end attorney'• fau. SIGNATURE _____________________ ~------DATE ________ _ 1. •· ··-owNen-eu1LoE11 oECLAMTloN ir:tij~'..!}:t~~~\-:i~~~~1i~:~~t«:~~'-~it~~:!l[ij~-~i~i}~llmlm~B~i~~.~~{'i.:i.~~1r;i{.~::,(1.:, I hereby 1llirm th11 I am exempt from the Contr1ctor'1 License law for the following 11110n: D I, ,s owner or the properly or my employees with w1g111 11 their 1ole compensation, wlll do the work and the structure Is not intended or altered for 11111 (Sec, 7044, Business and P,olH1lon1 Code: The Con1r1ctor'1 Llcen,e Law doH not epplV to an owner of property who bulld• or Improves thereon, and who does such work himself or through his own employees, provided th•t 1uch lmprovemenll are not lnt1nd11d or offered for Hie, U, however, the building or Improvement 11 1old within one ye■r or completion, the owner-builder will h•v• the burden of proving that he did not bulld or Improve for th• pUfpoH of e■le). 0 I, u owner of tha property, am 11xclu1lvely contracting with llc1n11d contractor, to con1trucf the proJ1ct (Sec. 7044, Bu1lnt11 end Prol11ulon1 Code: The Contractor's UctnH Law do11 not apply to an owner of prop1rty who bullda or lmp,ov11 thareon, and contrectt for euch proj1ct1 with contractor(a) llcen111d puuu1nt to th1 Contr1ctor'a Uc1n111 Law). · D I am exempt under Section ______ Bu1lnt11 and Profe11lon1 Code for thla re11on: 1. I pertonally plan to provide the major labor and meterlala for conatructlon of tha propoHd property Improvement. 0 YES ONO 2. I (hive I have not) 1lgn1d an 1ppllc1tlon for a building permit for the propo,ed work: J. I have contracted with th1 following person (firm) l? provide the propostd conatructlon tlnclude nem• I addreH I phone number/ contractors licenH number): 4. I plan lo provide poMiona of the work, but I have hired the following person to coordinate, aupervlH and provide the major work (Include name I address / phone number I contractor, license numbtrl: ____________________________________________ _ 5. I wlll provide soma of the work, but I have contracted (hired) the following per1on1 to provide the work Indicated (Include name / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________ ,,.,,-,,,======== DATE _________ _ coMatrt:rH1s,SEC1JONJ'.OR.t!fJN.-/iitSl.l/.EJ!IJN:.8illiJ1.INP ll"11Mi,UJiiti~YiPlll~l;Wlll.'iffl!P!l~Wi$!~~~-;,,i[t;~l:~,,,.,,·, ;: , b the applicant or future building occupant 1equlr1d to 1ubmlt • buain, .. plan, acutely huardou1 mate,1111 registration form or risk management and prevention PfOprtm under Sections 25505, 25533 or 26634 or the Praaley-Tanner Haz■rdout Substance Account Aot1 0 YES O NO Is the 1pplic1nt or futur, blnlding occupant requlrtd to obtain a permit from the air pollution control dlatrh:t or air quality men■gemtnt dl1trlct7 O YES O NO Is the facility to be construct1d within 1,000 feat of the outer boundary of a school 11117 0 YES O 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. a,: '' CONSTRUCTION LENDING' AGENC\''\//',N\Jm'~ffl~\;":,ffl!!lla'l~i:'!i'!!(li.W/~i~~'!if:~j:,j:lj .. , , . I hereby affirm that there 11 a conatrucUon l•nding ag1ncy. for the p1rformanc1 of the work for whlch thl1 permit Is IHued CSec. 3097(1) Clvll Code). LENDER'S NAME ______________ _ LENDER"S ADDRESS _______________________ _ 9; , 1 Al.'PltcAtn:: cERt1F1cA116K.J,:1 ... ;) ,i~t~t~\i ;,. ·.-::::~\~~~~-&1J,': . '· 1til'\?,.~-,N'>i.~i.::•::~?ltk'lf!1W!!PJB?u~1¥Jr1r~M~irnm.~l~~;~:-; ;.y;: .;; · I certify that I have read the application and state that the above Information la correct and that the Information on the plans Is accurate. I agree to comply with ell City ordinances and State lawa ralatlng to building construction. I hareby authorlta repre■-ntatlvea or the Chy of Carl1bad to enter upon the above mentioned property lor inspection purpo1111. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 1xc1v1tlon1 over s•o• deep end demolltlon or construction ol 1tructurea over 3 atorlea In height. EXPIRATION: Every petmit Issued by \ht Buifdlng Oftlclal under the provision, ol this Code 1h1II 1xplr1 by llmlt1tlon and become null and void if the building or work authorized by 1uch permit Is not commenced within 365 d1y1 from the date of 1uch permit or If the building or work authorlz.ed by such permit ls suspended or abandoned 11 any limo 1l1or ~ ~",_::•need lo, 1 period of 180?yl :lion 108.4,4 Unllorm Building Codel, APPLICANT"S SIGNATURE :z:u_r.iLUe I rbe.iu2 ll'kd DATE i 2~ :r~ 9 3::: WHITE: File YELlOW: Appllctnt PINK: Finance PERMIT# CB973758 DESCRIPTION: REPLACE WATER TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 12/15/97 HEATER STE: INSPECTOR AREA PLANCK# CB973758 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: 2703 TIBURON AV FELDMAN, ROBERT PHONE: 760 434-8077 CONTRACTOR: OWNER: REMARKS: C/ROBERT/ SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents ------------------ ------------------------------------ PHONE: PHONE: ~ INSPECTOR--~-~·-· _5 _ __.:... ____ _ ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ----