HomeMy WebLinkAbout1841 VALENCIA AVE; ; CB972461; Permit09/03/97 09: 51
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B U I L D I N G
Job Address: 1841 VALENCIA AV
Permit Type: PLUMBING
Parcel No: 207-250-60-00
Valuation: O
P E R M I T
Suite:
Lot#:
Permit No: CB972461
Project No: A9703121
Development No:
8719 O'J/03/97 0001 01
C-PRHT
Construction Type:
02
Occupancy Group : Reference#: Status:
27-00
NEW
ISSUED
09/03/97
09/03/97
JM
Description: WATER HEATER REPLACEMENT
Appl/Ownr : LOVE JOHN
1841 VALENCIA AVENUE
CARLSBAD, CA 92008
Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
27 .00
.00
27.00
***
Applied:
Apr/Issue:
760
Entered By :
434-7460
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
27.00
Ext fee Data ---------------------------------------------------------------------------Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
CITY OF CARLSBAD
7.00
' OVAL
ATE ?-?-'1-=>
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161
20.00 Y
7.00
27.00
I
FOR OFFICE USE ONLY
.PERMIT APPLICATION PLAN CHECK No.?7Z.£16(
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL. ------'~i----;E-,....,...--
Plan Ck. Deposit _""'7[7 ..::::........::....--"---
Validated By __ -i,1'~7f'--!----h-r-o----
Date __________ ~"-"'-'----
(1 :.ill.lPJ\OJ,EC1;.INFDR"8A ticmW,;;:Jii,\',iZ1"';w~Wlfl'M:~
1841 V ale ncia Ave .
Address (include Bldg/Suite I) Business Name lat this address)
Legal Description Lot No. Subdivision Nama/Number Unit No. Phase No.
SFR
Assessor's Parcel I Existing Use Proposed Use
Total I of units
Description of Work sa. FT. lol Storiu I ol Bedrooms I of Bathrooms
WATER HFATER REPLACEMENT
~;1~01~~PERSON (I( dlllaientttttji~~r:J ~ftf ~fJ!'~lf!i~~f:{~.~1;~ffl'.?-~lf{1 ' ;:1,il·~~~~111~? 416 0,
Name Address City State/Zip Telephono # Fax #
SHELit ~~ri~~~/~~~g~~b~~:tm:.~f~7ri~~~~~n•i~l~g~[t2~6~~~-~~)~~~~~7 '.,.
Name Address City State/Zip Telephone I
~~..80f~r.Y~O'e,i.Nffl,A~~1}'1'.A.i\if!I~~~:&~ ~~•j.~J,\:.f,;>Ji'!i~\,~i,,
Love, ,Iobo 1841 Valencia Ave , CARLSBAD CA. 92 008 4 3 4 -7460
A &
Name Address City State/Zip Telephone II
iti~CPNTMC:{'OR;;icoMeM'dNAM ·-~'Wl.~);;t}ijt '.,
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any atructure, prior to Its
issuance, also requires the applicant for such permit to file a signed statement that he Is llcensnd pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, end the basis for the alleged
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (t600)1.
,J FOSTER PLUMBING 1 3 706-B HWY 8 BUS. EL CAJON CA. 92021 3 90-4477
Name
State Licen~l2 0 ----------
Address
License &s~_6 _______ _
City State/Zl8 Telephone #
City Business Llcensif0 __ 3_5_4 ____ _
Designer Name Address City Stele/Zip Telephone
State UcenatNf'.._A=-----------
;e,, ,)1:Y{0RKERSt.C0MPENS4 TIOf(,tm!IJ1,~1'[.i,l;1,~W~•';i~ _illl, i t~{~~~l~'ii;\lt~;.~~~,'~'..~&tiI~.}li-~ /lit;,~·/,,· (·J;, ,,..:. ·•,u
Workers' Compensation Decl■retlon: I hereby afllrm under penalty of perjury one of the following declaration,:
0 I have end wlll maintain e certlliceta of consent to sell-lnaura for workers' compensation II provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit la Issued.
X O I have and will maintain workers' compenutlon, 11 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 era:
lnsunnce comli'AW-'1ER INSURANCE PoUcWJ)0 7 -56-51 ExplretGQ~;j:.NUOUS --------
lT HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify thll In the performance of the work for which this permit is Issued, I shall not employ any parson in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fanure to aecu,a•wOfkara' compenHtlon coverage Is unlawful, and shall subject an employer to criminal peneltlH and clvll fines up to one huodred
thousand dollars 1$100,0001, In addition to the cost of compensation, damages II provided for In Snctlon 3706 of th• Labqr code, Interest and attornay'a fees.
SIGNATURE______________________________ DATE _________ _
7. OWNER-BUILDER DECLARATION '• ,/ [ r. t;.•,,. ;$i>.; 1 ,~'i rff, f tf t~. i';'ii-'•' :s\'t;i?! t /1£Mf-: ~tfil!'~j);J.i~m&\~imlaO'.;'{~_-.,;>' ~•. ;1·,.:'.•' , • .".•:., ',
I he11by affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 nle
tSec. 7044, Business and Professions Code: The Contractor'• License Law does not apply to an owner of property who build• 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. II, however, the building or Improvement Is
sold within one y11r of completion, the owner-builder will have the burden of proving that ha did not build or Improve for the purpo■e of Hie).
0 I, as owner of the property, am exclusively contracting with licensed contractors to conltrucf the project ISac. 7044, Business and Professions Code: The
Contractor's License Law does not apply to ■n owner of property who builds or lmprovea thereon, and contracts for ■uch projects with contr■ctorlsl licensed
pursuant to th• Contractor•• Ucen■e Law). •
0 I am exempt under Section ______ Business and Prole11lons Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the propoaed property Improvement. 0 YES ONO
2. I (have/ have notl signed an application for a building permit for the proposed work;
3. I have contracted with the following person lfirml to provide the proposed construction (Include name / ■ddreas / 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 Unclude name / address / phone
number/ contractors license number): ______________________________________________ _
5. I will provide soma of the work, but I have contracted Chlredl the following persons to provide the work Indicated (include name / address / phone number / type
of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE________________________ DATE _________ _
~coMP.LU.t:JHfs,-secl]oN..1;0R .-1.0'1(~~.P.ENtJN:..bi11LQ1No ,11tlU'llu$IC11iii:Y1ffi.ur...i.rM.l'ii1mi wa.,~~;~!.f?ic.r ;,:1i'.-.~:i 1: ~ri:t:, '. ,i ..
Is the applicant or future building occupant required to submit • bualneas plan, ■cutely huardoua materials registration form or risk manegement and prevention
program und■r Sections 25505, 25533 or 25534 of the Prasloy-Tanner Huardoua Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distrlct7 O YES O NO
Is the facility to be constructed within 1,000 feet of the outet boundary of a school alte7 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.. 1: coNsrnucTioN LENDING· AGENCY ::i'=:'::s w~t'!f~11ri1r..,, 'i~ ·':!l'~t:~?i\lj t,),;· :~!\'i, rr;~~Ri.W.~.~~~~iti':~ffi"t.!IJf"i.j,/, 1;F ,..,
I hereby affirm that there is a const,uction lending agency for the performance of the work for which this permit Is issued CSec. 30971il Civil Codel.
LENDER'S NAME ----------------9: APPllCANT CERTIFICATION.:
I certify that I have read the application and stete that the above lnlormatlon la 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 authotlte 1epreaentatlvea of the City of Carlsbad to enter upon the above mentioned
property for Inspection purposes. 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 excavations over 6'0" deap and demolition or construction uf structures over 3 stories In height.
EXP1RA TIDN: Every permit Issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ii the building or
work authorized by such permit Is not commenced within 365 days from the date of such permit or 11 the building or work au horiz d by such permit Is suspended
or abandoned at any time alter th work is c mancad lo period of 180 day Section 106.4.4 Uniform Building Code).
DATE
WHIJ'E: File YELLOW: Appllc~nl r1►1r Finonr.~
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB972461 FOR 09/09/97
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
JOB ADDRESS: 1841 VALENCIA AV
APPLICANT: LOVE JOHN
CONTRACTOR:
OWNER:
REMARKS: C/JOHN/434-7460
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
CD
25
LVL DESCRIPTION ACT COMMENTS /)
;+{) cl -h hA PL Water Heater/Vents
--------------------
--------------------
--------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
INSPECTOR AREA
PLANCK# CB972461
OCC GRP
CONSTR. TYPE NEW
LOT: