HomeMy WebLinkAbout2737 VICTORIA AVE; ; CB960098; Permit01/17/9b lo :42
.Paoe 1 of 1
B U I L D I N G
Jot Address : 2737 VICTORIA AV
Permit Type: PLUMBING
Parcel No : 167-391-19-00
Valuation : O
P E R M I T
Suite:
Lot#:
Permit No : CB9b0U98
Project No: A9600160
Development No:
\ Construction Type: VN
Occupancy Group : Reference#: Status: ISSUED
01/ 7/9r:,
01/17/96
MDP
Description: REPLACE WATER HEATER
Appl/Ownr : WADDELL PLUMBING
1931 RECHE ROAD
FALLBROOK, CA. 92028
Fees Required
Fees: 27 .00
Adjustments:
Total fees:
Applied:
Apr/Issue:
619
Entered By :
728-2911
Fees Collected & Credits
Total Credits:
Total Pa yments:
Balance Due :
.0 0
.uu
27 .00
* )< *
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Plumbing Issue Fee )
Each Water Heater and/or Vent >
A PLUMBING TOTAL
20.00 Y
7.00
2.7 ,00
/'·_. ~~Al~~, VAL «~" INSP. '>'I 4' DATE ---,
y-:. CLEARA
~\, ~!;_,_:_-,Ae,__ ______ _
C':, ~
CITY OF cAlt~eAo
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO. °!,&7, (!)O Cz 6
City of Carlsbad Building Department
2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438·1161 EST.VAL. ___________ _
1. PEltMl"t IYPE
PLAN CK DEPOSIT ________ _ VAUD.BY ___________ _
DATE
From List 1 (see back) give code of Permit-Type: ____________ _
---------------------------------------------------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: _____________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address;? 7 3 7 (/ IL../-oLi 4 Bu4g; ~No.
Nearest Cross Street
LEGAL bEscRIPiioN Lot No. subd1v1S1on Name/Number Omt No. Phase No.
CHECK BEtbW IF s0BMI 11 Eb:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRJPTIJ?f ~.-1 <.:.§' µ/I✓
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATiiROOMS
3. WN IACI PERSON (1f dmerenl from applicant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4 APPUCANI OCONIRACIOR OAGENI FORCON IRAclOR DOWNER DAGEN I FOR OWNER
~NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
S-~~~;~~t~:':e~rstr:::::vm:15-op) ~✓-ADDRESS ;;;737 )/,i/4,~A n VB
CITY /(,_./~ STATFt!/1-ZIP CODE ~0 "9 DAY TELEPHONE
• NAME (last name first) W l{:D D§Lc_ (7 / U''l'V\ ~~Rl::ss / <:;J 3 f '
CITY,:::.;,,lt-61LJEUO,C_ STATE~ ZIP CODE '1Z-eJ°ZX DAY TELEPHONE 7;:z__-g -;;;<._'f ~
STATE UC.~/ LICENSE CLASS C!. -3 c; CITY BUSINESS UC. # I 2.p 2.../Cf 'E
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORl<ERS' OOMP£NsA'i10N
Workers' Compensauon beclarauon: I hereby affirm that I have a ceru!tcate of consent to sell-insure issued by the Director of lndusmal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director oft e insurer thereof filed with the Building Inspection Department (Section 3800, uib. C).
□
□
□
/f..,9_2:, !RATION DATE I ~/-C,
rson in any manner
Owner-Builder Declaration: I hereby atftrm that I am exempt from the Contractor's License Law lor 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 License uiw 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 uiw 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 uiw (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)).
SIGNATURE DATE
COMPLETE !Ats sEElioN FOR NON-RESIDENliAL B0iu51NC PEltMlts 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?
0 YES ONO 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 ONO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFlCATE OF OCDJPANCY MAY Naf BE ISSUED AF1'ER JULY 1, 1989 UNLF.SS nm APPUCANT
HAS MET OR IS MEETING TI-IE RF.QUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POILUTION OON11l0L DISI1UCT.
9. OONS'I ROCl10N I.ENDING AGENCY
I hereby alhrm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s 1SSued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCAN I CRRnFICAIION
I cerufy that I have read the application and state that the above inlormauon 1s correct. I agree to comply w1lh 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TI-IE Cl1Y OF CARLSBAD AGAINST AIL IJABD.ITIF.S, JUDGMENTS, CDSTS
AND EXPENSES WIBCH MAY IN ANY WAY ACXJUJE AGAINST SAID Cl1Y IN OONSF.QUENCE OF TI-IE GRANTING OF TIDS PERMIT.
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 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 co menc :wit ·n 365 d from the date of such permit or if the building or work authorized by
such permit is suspended or a ndon time fter t e o ced for a period of 180 days (Section 303(d) Uniform BuilcJing Code).
APPLICANTS SIGNATURE --....~r-c__....e::ic_..f:9......_-'C._.><_ DATE:c-"/7':-y_.6
YEllOW: Applicant PINK: Finance