HomeMy WebLinkAbout2757 VICTORIA AVE; ; CB960006; Permit6 U I L D [ N G P E R M I T p,~rm1 No : CB9tSUU1l!_,
ProJect No: A'J1:i1l1Jl ll -i
Dev .o. lopm12n t Nu :
Ul/lJ.:i/:lb U8 :5tl
Pc1ge 1 of l
Jo~ A~Jress: 2757 VICTORIA AV
Pezm1t Type : FLUMBING
Pa r cel No: 167-490-21-U0
Valuation: u
::,uite:
Lot It:
Ocrupancy Group : Reference#:
Construction Type: NEW
::.,tatus : IS::,UEC1
Applied : 01/U3/';ir)
Apr/Issue: 01/U3/96
Entered By: RMA
b19-729-tl5tH
De s cription: RE~LACE WATER HEATER-40 GALLUN
Appl/Ownr SHARDLOW, ED
2757 VICTORI A AV
CARLSBAD , CA 92008
Fees Rt:·qui red Pees Collected & Credits
Fees:
Adjustments:
Total Fees:
Fee descri ption
Ente:r "Y" for Plun bing
Each Install/Repair
PLUMBING TOTAL
To al Pavments :
Balance Due :
Units Fe /Unit
) 1
. .
"" )) l
. '
'1TY OF CARLSBAD
2075 Las Palmas L ., Carlsbad, CA 92009 (619) 438-1161
---
.00
. u ()
27 .UU
Ext fee Data
20.UU Y
7.UU
27.00
FROM AJFOSTER INC FAX 461 5443 PHONE NO. Jan. 02 1996 01:15PM P3
PERMIT APPLICATION
c;ty of Cerlsbnd guflding Oepertaent
2075 Las P•I-Or., Carlst»d, CA 92009 (619> 438-1161
rmaurnPR
From li~t 1 (see back) give code o! Penni1-·1ype: ___________ _
For Rf!S!dcntial Proj~ts Only: from List 2 ($ee back) give
Code of Stnlcture-Typc: ---------~~----------
Nee Loss/Gain of Dwelling Units
2. PRWF.Cl' INFORMAUON
Address 202\,l B al Bulldmg or Suite No. l ruce a Ct. "1
Nearest Cross Street WaUi Dr, A 7 ~7
LECAL DESCRIPIION~o. sutxhvismn Name7Numr
""'t:m:CR'BELOW l
□ .2 Energy Cales □ 2 Structural Cales □ 2 Soila Repon □ 1 Ailtlr<?Ss«l F.nVP.lope
ASsES~P.B:~ PARcm, ... ElQSl'lNG USR DESCRIPTION OP WORK water Heater Replacement a40Gallon
Pl.AN CHECK NO.
~. V.AL'-------------PLAN (l( OEP05IT ________ _
VA.I.II). BY ___ ~-------
DA'll!.
FOR OFFICE USB ONLY
Phase No.
PRnPQSI>Q ust;
SQ. fT. # OF STOR!Es
i. llJNIJ\Cl Pi:.RSON (li ihiierenl from appllcanl) # OP BEOR09MS # OF BAUIROOMS
NAME (last.name fin;i) Cox, Hugh c/J,,JUJ AOL.RESS
STATE vfl✓-l[it,t?:oB. (U
NAME (last name first)
c1TI El Ca~n S. PROPl!lt'li oWN
NAME (last name first)
crrY Carlsbad. 6. CONffiACIOR
NAME (lase name first)
CITY FJ. Cajon
carol rester ADDRESS
STATE CA ZIP cone
Cox, Hugh
STATE CA, ZIP CODE
A & J Foster, Inc.
STATF. CA ZIP CODE
13706 Highway 8 Business, suite B
92021 PAY TELEPHONE 390w4477
ADDll£SS 2021 Bruceala Ct.
92007 DAY 'l"ELEPHONE 4J(i 4Q6~
ADDRESS 13706 Highway 8 Business, Suite B
91977 DAY TEU!PHON!! 390-4477
STATE UC.#
DESIGNER NA.ME (last name hrsO
§JO] 2QLICENSE Cu\SS CllY BUSINESS UC. # 1i00354
CJ1Y STAT£ ZIP CODE OAY TEl.'F.PHONl! S1'ft.TE UC.#
7. WORkElts' WMPt'.NSX'liOH
.A
Worken' Compensation Declarauon; I hereby athrm ifiat I haYe a ceruhcale ol consent to self-1n~ure lssued by ihe Dm:ctor Qt Jnduslnal
Rel.ai:ions, Of a certificate of Workers' Compensation Insuran<:e by an admim,d in3urer, or an exa<Jt copy or duplicate thereof c;ertified
t,y the Oirec."tor of the insurer thereof flied w[ch rhe Building Inspection ~partment (Section 3800, Lab. C).
$0 as to become su !icct to the Workew Compensation Laws oC Cali!otnia.
n III any manner
SIGNATIJRE DATE
8. OWNf.R-B0UDER DlllAIOmOH
Owner-Bu!Iaer Declaration: I hereby 11llmn inaf Ism exempt from tfie Ointii,ctai'", U~m<: Liiw i<>r fie lohowmg reason:
D I as owner of lhe property or my employees with wages a,: their •nle comi;,enaation, will do the work and the s1.n1.iturc is not intended OI'
offered for sale (Stt. 7044, BU$inllSS and Pmf..,.,•ion~ Code: 'T11e Contr~ctur'5 .Llcenme uiw does not apply to an <1Wner of property who build1
or Jmpl'OvCS thereon, aml who doe. ~uch worlc. himself or through hi$ own employee:i, provided that such lmproW!men111 are not intended
or offettd for sale. lf, howl!VC!r, the building or Improvement is sold within on11 ye:,r of completion, the owner-builder will h11v,: the burden
or proving-lhat he did not build or improve for the pu~ of Mic.).
□ I, a,owner or!he property, am exclusi~ly contl'i!lcting with licerued contract-ol'!I to construct the projc:-c::t (Sec. 7044, 8U$iness and Professions
Code: The Contractor's Ucense Law does noc: apply to an owner of property who builds or i111provl.!li th,m::un, and contillclS for such projects
with contractor(s} licensed pursuanr rn the Contractor's License Law),
□ I am exempt under Se.:tion ------~ Business and Profetision, Code for this re=n:
(Sec. 7031.5 Business and Professions Code: Any City or county which requires a permit to construct, 11lt1:r, improve, demoli,h, or repair
any scructure, prior ro lu; lss~n<:e, al50 requires the applicant (or such permit to lile a liigne<I statement that he is licensed pursuant to the
provi$ions or the Contractor's License Law (Chapter 9, comm1mcing with Section 7000 or Division 3 of !he lJl.!5inC6S and Professions Code)
or that he is exempt thettfrom, and the basis for the alleged exemption. Any viulatinn of Section 7031,S by any appltC\lnt for a permit
subjects the applicant to a civil penalty of not more th~n five hundred dollars [$SOO)).
SIGNATIJRE DATE
tbMPLtlt tms stt'ftoN FOR NON-Rf.$Jr$NTIAL D0IWING PEkMmi ONLV1
1, tha applicant or future building occupant required to Nubmit II business plan, acutely ha:rardous materials r1:gistratlon form or rl~k rnanagcmcnt and
prevention progra,!),• ~.'~~er St.'\:tiuns 2S~0~!.~5533 or 25534 of the Prc.~l~y-Tanner Hazardous Substance Accl'.lunt Act?
,
PERMIT# CB960006
DESCRIPTION: REPLACE
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/10/96
WATER HEATER-40 GALLON
STE:
INSPECTOR AREA
PLANCK# CB960006
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2757
APPLICANT: SHARDLOW,
CONTRACTOR:
VICTORIA AV
ED PHONE: 619-729-8581
PHONE:
OWNER:
REMARKS: MW/PAULA/729-8581
SPECIAL INSTRUCT: PM BETWEEN 1 AND 4
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
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PHONE:
INSPECTOR......:.......,_.:;..... ________ _
ACT COMMENTS
4l---------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS