HomeMy WebLinkAbout2712 VIA COLIMA; ; CB931302; PermitI ,
A
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PlAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pal111as Dr., Carlsbad, CA 92009 (619) 438-1161
F.Sf. VAL~-----------PLAN CK DEPOSIT ________ _
VAUD. BY ------------
I. PEltMI I IYPE DA TE'--------------
A -LI Commercial □ New Building O Tenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -LI Residential D Apartment D Condo El Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical □ Pool D Spa □ Retaining Wall □ Solar □ Other ____ _
2. PROJECT INFORMA110N
Adclress2712 Via Colit\lft Building or Suite No.
FOR OFFICE USE ONLY
Nearest Cross Street
LEGAL bEScRiP'I ION Lot No. Subd1V1s1on Name/Number Omt No. Phase No. WATER HFATER REPLACEMENT
CHECK BEWW IF sOBMI 11 ED:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRJPTION OF WORK
SQ. FT. # OF STORIES
3. WN JACJ )'filtS(JN (if dulerenl from applicant)
NAME Robert Johnson ADDRESS2712 Via Colina
CITY Carlsbad S~TE Ca ZIPCODE92008 DAYTELEPHONE729-8177
4. APPUCANI OQJJ'-llRbCitJH t\GENJ FORwNlllACtQ.R:9 CJ.OWNERl OAGENI FOROWNEH
NAME Sne 1.1.y Anare ws ADDRESSLlH c e ntra AV.
CITY Spr ing ValleJSTATE Ca ZIP CODE 91977 DAY TELEPHONE 697-4151
S. llllOP£illY OWNER
NAME ADDRESS
ZIP CODE STATE Ca DAY TELEPHONE
NAME
CITY
A&J Foster Inc.
Spring VallejTATE
ADDRESS 2819 Ce ntral Ave.
Ca ZIP CODE 91977 DAY TELEPHONE 697-4151
STATE UC.# 6301 20 LICENSE ClASS C-36
DESIGNER NAM£ ADDRESS
CITY BUSINESS UC.# ] 200354
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOilREltS' WMPENSXl1ON
□
Workers' Compensauon Oeclarauon: I hereby aihrm that I have a cerulicate of consent to 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).
Owner-Builder Oeclarauon: I hereby ail1rm that I am exempt lrom the Contracto?s License Law for the following 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 Llccnse Law does not apply co 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.).
D 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]).
SIGNATIJRE DATE
COMPLETE THIS SECl'loN FOR NON-RESIDENTIAL BUILDING PERMITS 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?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES ONO
IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:m>ANCY MAY NOf BE ISSUED AVl'ER JULY I, 1989 UNLF.SS TIIE APPUCANT
IIA.5 MET OR IS MEETING TIIE REQUOIBMENTS OF TJ[E OFF'ICE OF EMERGENCY SERVICFS AND TliE AIR POLUITION <X>NTROL DISfRICT.
9. OONSIR0CIION LENDING AGENCY
I hereby atllrm ihat there 1s a construcuon lending agency lor the performance of the work for which this permit 1s issued (Sec 3097(1} C1V1l Code}.
LENDER'S NAME LENDER'S ADDRESS
JO. APPLICANT CEit'ITI1icA'lidN
I cerufy that I have read the appllcauon and state that the above mlormauon 1s correct. I agree to comply w1tn all city ordmances ana :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 1U SAVE INDr~Y AND KEEP IIARMLFSS TI-IB CTIY OF CAIUSBAD AGAINST AIL UABIIJTIF.S, JUDGMENTS, CX>STS
AND EXPENSF.S WIDCII MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSF.QUENCE OP lllE GRAN11NG OF nns PER.MIT.
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 che 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 che 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) Unifoni, Building Code).
~~ATURQl)lCUJ
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,LLI.L OATIS // f:!}b / '1,Q
) WI-DTE: File YEllOW: Applicant PINK: Finance
PERMIT# CB931302
DESCRIPTION: REPLACE WATER
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/05/94
HEATER
TYPE: PLUM
JOB ADDRESS: 2712 VIA COLIMA STE:
INSPECTOR AREA
PLANCK# CB931302
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT:
CONTRACTOR:
FOSTER, A & J, INC. PHONE: 619 697-4151
PHONE:
OWNER:
REMARKS: MH/JOHNSON/729-8177
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL water Heater/Vents-F
0
,J
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PHONE:
INSPECTOR --~f-7-+--------
ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS