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HomeMy WebLinkAbout2649 VANCOUVER ST; ; CB930979; PermitPERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departllll!f'lt 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ESf.VAL. ___________ _ PLAN CK DEPOSIT ________ _ VALID. BY, ___________ _ 1. PilltMJ I IYPE DATE. _____________ _ A . LI Commercial LI New Building LI Tenant Improvement B -D Industrial D New Building D Tenant Improvement C ~ Residential D Apartment D Condo Ji:J Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home □ Electrical )Cl Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar □ Other ____ _ 2. PROJECT INFORMATION Address Building or Suite No. FOR OFFICE USE ONLY J~r~ cYo~~~ver St. LEGAL bEscRIPi ioN Lot No. Sul:xl1v1S1on Name/Number Unit No. Phase No. cHECK 8£wW IF S0BMI 11 ED: □ 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL EXJSJJNG USE PROPOSED USE DESCRIPTION OF WORK WATER HEATER REPLACEMENT SQ. FT. # OF STORIES 3. WN IACI PW<SON (Ii dmerent tram apphcanl) NAME John Belasco ADDRESS 2649 Vancouver St. CllY Carlshao STATE CA, ZIP CODE 92008 DAY TELEPHONE 434-2719 4. APPUCANf O't'O~ I RACIOR ~ AGrn1 FOR cON I HAc IOR LI OWNER LI AGEN I FOR OWN EH NAME Shelly Andrews ADDRESS 2819 Central Ave. CilY ~~Ta) le" STATE CA DAY TELEPHONE 5. PltOPffiY ~< 1 ZIP CODE 9] 977 697 41 5) NAME John Belasco ADDRESS 2649 Vancouver St. CilY earl ~had STATE CA' 6. OON11tAcrtni ' ZIP CODE 920u8 DAY TELEPHONE 434-2719 NAME A&J Foster, :enc. ADDRESS 2819 Central Ave. CllY Sf)ring Valley, STATE CA. ZIP CODE 91977 DAY TELEPHONE 697-4151 CilY BUSINESS UC.# ] 2 )Q354 DESIGNER NAME N/A CilY STATE UC. # 630120 STATE LICENSE CLASS ADDRESS ZIP CODE C 36 DAY TELEPHONE STATE UC.# 7. WOIUffiRS' OOMJ1£NSAl10N □ □ □ Workers' Compensauon Oeclara11on: I hereby all1rm that I have a cerulicate of consent lo sell-insure issued by the Director ol 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). EXPIRATION DATE 5/1/94 arauon: ere ya 1rm t at am exempt ram t e w or t e o owing reason: I, as ow r 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]). SJGNATIJRE DATE COMPLETE Ti-lls SECI ION FOR NON-RESIDENTIAL BUILDING PERMl'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 □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL OffiTI}"JCATE OF OCCUPANCY MAY Nor BE ISSUED AFfER JULY I, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION CDN'IROL DISl1UCT. 9. OONSIROCIION LE.NulNC AC£NCV I hereby alt.rm that there 1s a construcuon lending agency lor the perlormance of the work lor which this penn1t 1s issued (Sec 3097(1) CIVIi code). LENDER'S NAME~I LENDER'S ADDRESS tO. APPUCAN'I CEJ I cerufy that I have read the apphcauon and state that the above mlormauon 1s correct. 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 1HE CJ1Y OF CARLSBAD AGAINST AIL IJABlUTIF.S, JUDGMENTS, cnsrs AND EXPENSES WIU□I MAY IN ANY WAY AC:X:JHJE AGAINST SAID CTIY IN CDNSEQUENCE OF TIIE GRANTING OF nns PERMIT. OSIIA: 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 commenced for a period of 180 days (Section 303(d) Uniform Building Code) . . CAN IG ATURE DATE:9 -\U© PINK: Finance PERMIT# CB930979 DESCRIPTION: REPLACE WATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/22/93 HEATER STE: INSPECTOR AREA PY PLANCK# CB930979 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2649 APPLICANT: FOSTER, CONTRACTOR: VANCOUVER ST A & J, INC. PHONE: 619 697-4151 OWNER: REMARKS: MH/DELASCO/434-2719 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Venf411{;i!J M-______________ _ -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS