HomeMy WebLinkAbout2512 VIA NARANJA; ; CB980228; Permit.,
PERMIT APPLICATION
FOR OFFICE USE ONLY <]I') rv
PLAN CHECK NO. ~ ~
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 4 38-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
i~IPJ\OJECt JNF.ORt4ttQH~,&';.Urla!Bfiiil
2512 V i a Naranj a
Addreu (Include Bldg/Suite IJ Bu1lnH1 Nama (at thla addrual
Lego! Oucrlptlon Lot No. Subdlvlalon Name/Number SFR • Unit No. PhH■ No, T 0111 , of unlll
Asst1s0t'1 Perc,I I Exl1tlng UH Propoaed Uae
Dtacrlptlon ol Work SO. FT. lol StorlH I ol Bedrooms I of Bathrooms
WATER HEATER REPLACEMENT
:I:,; ~CONTACT PEl\~ON ·11f ill1leiwi(Jr.ci'dir•iiP.liwilit~Ji:r~lffl'if:n't,,ua1&1
Audry, Lutes 251 T "1a -"Nar anJa
Nam■ Addre11 City St1t1/Zlp Telephone I Fax I
.~it~~;.;:8~l~N"i~¥t~ZA~-l"wji1~9ltrP'~1tP~Vffl~~~j~.iWl190'.!~477.
Name Addrua City State/Zip Telephone I
~~BPf.EflD'tO.W..~.~,b\'.&l~iii'li'~~ CARLStQIYP8tADWlt§@ CAN. MIJ'ilM}3ii~~~1!~~i76 Andry . Lutes 2512 Via Naranj a ~92UCJS-
Name Addre11 City State/Zip Telephone II
(Sec. 7031 . 5 Busine11 and Prof111iona Code: Any City or County which raqulrH a permit to conat1uct, alter, Improve, demolish or repair ■ny etructure, prior to Its
issuance, also requires the ■ppllcant for such permit to Ille a 1lgn1d atetement that he la UcenHd purauant to the provisions of the Contr1ctor'1 Ucenae Law
IChapt■r 9, commending with Section 7000 of Division 3 of the Busln,11 and Profenlona Cod1I 01 that ht 11 exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit aubjectl the 1ppllc1nt to a civil p1nalty of not more th■n five hundred d~ller• Jtfil).QII.
A & J FOSTER PLUMBI NG 13706-B HWY 8 BUS. • EL CAJON CA. 92021 3~U-44t/
N1m1
630120
Addr11s C-36 City State/Zip 1200:1~f one I
St■ta Ucann I _________ Uc1n11 Cltas _________ . City Bu1lne11 Uc1n1■ I _______ _
Oasigner Nam, Address City St■te/Zlp Telephone
St■t• Uc1na, I __ _;N;;..;,../.;;.A;;_ ___ _
~:ii(WORKEAS~-.COMPEHSA't1dttSii .mU-.4i:9.m~s~£fllti'V!ID.~Ja~il-~)W?la'h'\'li6 1';.:,!fi",tf~l~ . .:·\•;
Worltera' Compen11tlon Oecleratlon: I h11eby affirm under penalty of perjury one of the lollowlng .d1cla11tlona:
0 I have end will molntaln a certlllc1t1 of cona,nt to Hlf•ln1u11 for worlt111' compenaatlon H provided by Section 3700 of the Lebo, Code, lor the performance
of the wo,k for which thl■ permit 11 l11u1d.
!xJ I h■v• and will melntaln worltera' comp1n11tlon, H required by Section 3700 of the Labo, Code, for th• performance of th• .;.,o,lt for which thla permit 11
Issued. My WOfker'■ comp1n11tlon ln1ur1nce carrle1 and policy number 111:
lnaurance Company FARMER INSURANCE Polley No. N20 07-56-5 1 Explretlon O■te CONTINUOUS
ITHIS SECTION NEED NOT BE C(?MPLETEO IF THE PERMIT 15 FOR ONE HUNDRED DOLLARS U100J OR LESSI
0 CERTIFICATE OF EXEMPTION: I c1rtlly that In the p11lo1m1nce of the work for which thl■ permit 11 l11u1d, I 1h1II not employ any person In any manner 10 u
to become aubject to the Work111' Comp1n11tlon Lawa of C1lifornl1.
WARNING: F1nur1 to Hcut■•workar■' compena■tlon coverage la unlawful, end ■hell 1ubject an employer to crlmlnel penaltht, end clvll fines ur, to one hundred
thousand dolla11 1•100,000l, In addition to the co■t of comp1nHtlon, d■mag11 aa provided fOf In Section 3708 of the Labqr code, lnterut end 1ttornay'11111.
SIGNATURE _______________________ _.:_ ______ DATE _________ _
1. 1·~·owNER-BUILDER DEqLA~T1oiji ~~W:fi~1!);?~tl~~~•-rJh~WM~£~~.'i"lfJ1o,X~(;:~~1 .JW.t:f..11;,-•
I hereby affirm thll I ■m exempt from the Contr1ctor'1 Uc1n■e Lew fol th, following r111on:
0 I, ■s ownar of the property or my employee■ with w■gaa ■1 their 1011 comp11111tlon, wlll do the work and the structure Is not intended or offered for sale
IS1c. 7044, Business ond Prof111lon1 Code: The Contractor'■ License Law doe■ not apply to an own11 of property who bulld1 or Improves thereon, ■nd who does
such work himself or through hi■ own employees, provided that ■uch lmprov1m1nt1111 not Intended 01 offered lot 1■11. II, howev11, the building or Improvement la
sold within on• v■ar of completion, th• owner-builder will h1v1 the burden of proving that he did not build or Improve for the purpoH of ■olal.
0 I, 11 owner of th• property, em exclualvely contrectlng with llcenaed contr1cto11 to conatrucf the p1oj1ct IS1c. 7044, Bualn111 i nd Prof11clon1 Code: The
Contr■ctor'a Uc1n11 Lew doH not apply to ■n owner of property who bulld1 or lmprovH th11eon, and contr■ctl for ■uch project, with cont11ctorl1) licensed
puuu■nt to th• Contractor'■ Uc,nH Law). •
O I ■m exempt under Section ______ Bu1ln111 and P1of111lon1 Code for thl1 r111on:
1. I personally plan to provide the major labor end m1terl1ls for conatructlon of the p1opo11d property Improvement. D YES ONO
2. I (have / have notl ■igned 1n 1ppllcatlon for I bulldlng permit for the propoud work:
3. I hive contr1cted with the lollowlng person (firm) I!) provld■ the propo11d con■tructlon llnclud, n■m• / addr111 / phon, number / contractora license number):
4. I plan to provide portions of the work, but I h1v1 hired the following p■r■on to coordln1t1, 1upervl11 and provide th, major work llnclude name / 1ddr11s / phone
number/ con111ctora licenn number): ____________________________________________ _
5. I will provide 1oma of the work, but I hive contracted lhired) the following persona to provld• the work Indicated llnclud1 name / address / phone number / type
of wo,kl: _____________________________________________________ _
PROPERTY OWNER SIGNATURE ______________ ,--_________ DATE _________ _
~COMM:£.JHIS:SECTJONJ:0R./J.ON:l)i$/p,EN.,'IMJ/.B.WWJNIJ ,fl~iU~N~~~r;:~!'J,V1!1Jt:;1Z(.;ul:,i.'S1!,:l'L 1\ .\ '
i. the 1ppllc•nt or future building occupant requir■d to ■ubmlt a bu1ine11 plan, acutely heurdoua material■ registration form or rl■k menagament and prevention
p,ogram under Sections 26506, 25533 or 26634 of th• PrHiey-Tanner Hez.ardou■ Subat1nc1 Account Act7 D YES O NO
11 the applicant o, future building occupant requl11d to obteln a permit from the air poUutlon control dlatrlct or air quality m1negament district? 0 YES O NO
Is the facility to be comtructed within 1,000 IHI of the outer boundary of a 1chool 111,1 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.
e.: ~:coNSTRUCTION LENDING'AGENC'f~Y~ ~'inO~~~.~~If.l~.l.'~~Mli"~~11N-!1@1irW1:i:~ .. , , : : ,:· •.:
I h111by affirm th1t there la I conatructlon lending agency. for the p11form1nc1 of the work for which thla permit la l11u1d (Sec. 30 97111 Civil CodeL
I certlly that I have r11d the 1pplic1tlon and 11111 th■t the above lnlormatlon 11 correct and that the lnlorm■tlon on th, plans Is eccurate. I agree to comply with ,11
Citv ordinances ■nd Stile l1w1 ral■tlng to building con■truction. I h11aby authorltt 11preunt1tlv11 of the City of C■rlab,d to enter upon the above mentioned
property for inspection purpo11s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST &AID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA p■rmlt l1 required for 1xc1vatlon1 over 5'0" dHp ■nd demolition or conatructlon of 1tructur11 over 3 1torlea In height.
EXPIRATION: Every p■rmlt l11u1d by the Bulfding Offlcl1I under the provl■lona of thl■ Code ahall expire by llmllltlon and become null ■nd void ii the building or
work authorized by ■uch p11mlt l1 no commenced within 366 day■ from the date of auch permit or If the building or work 1uthorlt1d by such permit Is suspended
or 1b1ndoned ■t any time ,1111 the rk Is c mm1nc1d for period of 180 daY1 IS tlon 108.4.4 Uniform Building Coda).
APPLICANT'S SIGNATURE DATE
PINK: Finance
J I.
10/20/98
DATE
05/08/98
05/08/98
INSPECTION HISTORY LISTING
FOR PERMIT# CB980228
INSPECTION TYPE
Water Heater/Vents
Water Heater/Vents
INSP ACT COMMENTS
RI
PS
RI
AP
C/434-3821 AM PLEASE
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