HomeMy WebLinkAbout2650 VISTOSA PL; ; CB980291; Permit4
B U I L D I N G P E R M I T
U2/U3/::J8 08:40 .,
Permit No: CB980291
Project No: A98U0367
Development No: Page 1 of 1
Job Address: 2650 VISTOSA PL Suite:
Permit Type: PLUMBING
Parcel No: 216-250-65-00 Lot#:
Valuation: o
Occupancy Group: Reference#:
Description: REPLACE WATER HEATER
Appl/Ownr : TACKETT, CHARLOTTE
Fees Required
Fees :
AdJu stments :
Total Fees:
Fee description
---· -------------
Enter 'Y" for Plu
Each Water Heater
***
Construction Type: NEW
Status: ISSUED
Applied: 02/03/98
Apr/Issue : 02/03/98
Entered By : RMA
Collected & Credits ***
J706 02/04/98 0001 01 02
s : C-PRMT. 00 27-00
1 s : .00
27.00
nit Ext fee Data
APPROVAL
. l)ATE i•/3· 7t
20 .00 Y
7 .00
CLEI.RA, . --...: _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
,I
PERMIT APPLICATION
FOR OFFICE USE ONL ffi (
PLAN CHECK No.6 / ~
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit -------+-.,.....
Valldated By ____ =F-lirr--...-i>-1-,,-,LJCB.;(i
Date. _______ ....,._..__,.'---"'---1-Lfi~...::
i~IP.I\O.IECt JNa:>~ti.Qi.4~
i e5~ Vis;tosa PJ ,eu l~clude Bldg/Suite II ,( Bu1lneu Nam• l•t th11 eddreul
leg1I Oucriptlon Lot No. Subdlvl1lon N1m1/Nuf!1bll'
SFR
Unit No. Phase No.
Ass111or'1 Parcel I Propo11d U11
Total I of unit■
Description or Work SO. FT. fol StorlH I ol Bedrooms I of Bathrooms
:l"J~c~'faf.ufiM~lt5E' ~u~~~Jt~atrf.tt'.\tm~~.11~"41.:~;;.,13 ~ --~ ... : • .
Ta ckett, Charlotte 2650 Vi st osa Pl. ~SBAIY··-. •
N1m1 Addr111 City ' St1t1/Zlp Telephone I Fu I
~~f~~ucANr·•:iJ □:i;!iriil,i.f~rtl.tl@ZA-i.,Mf.GE.i::9.ilillieimGJ!i:l.wniJJDtIJIAa~lilillfm-a.,1~~~w!!l~~f•··,1-41l~·.,;<, • •
SYFIIY JQaNSON/KBISTY FOSTER 13706-B HWY 8 BUS. EL CA.JO~ • -
~ Addr111 City Stete/Zlp Telephone I
~.BP..eE!tD'iO.W~.~lll~~~Pili&WiWlflPffli'WJWMQWWIVCllttlt@ ~~ffl1\~11;; ..
T11-clcett Ghs:i;:lotte 2650 Vj stosa Pl. CARLSBAD CA.
N'ame ' Add11u City St1t1/Zlp T 1l1phon1 I
$.~CPNtR4c.T0il!a"ieQMUJOOWit=OWJ■NfBIFfJIMeftihWf! ----t~mw.·
IS1c. 7031 . 5 Buslne11 end Prof111lona Code: Any City or County which 11qulrt1 1 permit to conatruct, alter, Improve, demolish or repair any structure, prior to Ill
luu1nc1, 1ls0 requlru the applicant for such permit to Ille • algn1d 1t1t1ment that he It Ucanaed pureuent to th1 provleiona of the Contractor·• Ucen11 Law
(Chaptar 9, commending with Section 7000 of Division 3 of the BuslntH ind Prof111lona Codi) or thlt hi I• exempt therefrom, and the buls for the alleged
exemption. Any vlolatlon of Section 7031.6 by any eppllcant for• parmlt 1ubj1ct1 the 1ppllc1nt to• civil penalty of not mor~ 2h~~t• hu'j~B~'Ji'~,'f 600)1.
A & J FGS~ PUJMBING 13706 B HWY 8 BUS. • EL CAJON CA.
Name Addr111 City St1te/Zl'1_200354elephone I
51111 License I 630120 Uc1n1t Cina C-36 .City Bu1lne11 Ucenae I _______ _
Dasignar Name Address City State/Zip Telephone
Slate Uc1ns1 I _...,N..,.l:...,.A::,..... _____ _
te:i i1~W.6RKEAS~·.C~PENS4'r1ottSi~W).:{£;J.~~~€f™n l~~IWIIHl!aUlll:Affi!IEIDIIU!i~Bl~Wmi'L'Yli&l'JJlf:llc'J .. ;,,,t:1,:
Workar1' Compen■atlon Oecluetlon: I hereby 1fllrm under p1n11tv of p1rJury one of the following .d1cl111tlona:
O I h1v1 end will maintain• certlllc1t1 of consent to 1tlf•ln1ur1 for worker•• comp1n11tlon H provided by Section 3700 or the labor Code, for th• perrorm1nc1
of the work for which 1h11 permit 11 l11u1d.
0 I h1v1 and wlll m1lnt1ln workera' compan11tlon, H r1qul11d by Section 3700 of'the Labor Code, for th• performence of th• ~ork for which thla permit la
X l11utd. My workar'a compensetlon lnaur1nc1 carrier ind policy number 111:
lnsunnc• Company FARMER INSURANCE Pollcv No. N2007-56-51 CONTINUOUS Expiration D1t1 _______ _
(THIS SECTION NEED NOT IE COMPlETED IF THE PERMIT IS FOR ONI! HUNDRED DOLLARS 1noo1 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that In the p1rform1nc1 of the work for which thll permit le l11ued, I 1h1II not employ •nv person In any m1nner 10 u
to become subject to the Work1r1' Comp1n11tlon L1wa of C11Uornl1.
WARNING: F1nur1 to 11cu,1•worker1• comp1n1■tlon cov111g1 la unlawful, ind ahall 1ubJ1ot 1n employer to c1lmlnll p1n1ltlea ind civil fines uri to one hundred
thou1end donera It 100.0001, In addition to the coet of comp1n1■tlon, d1m1g11 11 provided fo, In Section 3708 of the lab(lr code, lnterut end 1ttorney'1 fau.
SIGNATURE. _______________________ _._______ DATE _________ _
7, '·'.'OWNER-BUILDER DE~LARAJIO~ it➔,iW.:.~'1~~·~1f&,_~~·.lJ}~ l~1lim1:l'filti..~\~:r~'l1&;,:.::11';~ • '
I hereby 1flirm 1h11 I em exempt from th• Contractor•• Uc1n11 Law 101 th• following r111on:
0 I, as owner or the property or my employHI with w1gea II their eolt comp1n11tlon, wlll do th1 work ind th• structure Is not intended or offered for 1111
IS1c. 7044, Busineu and Prof111lon1 Code: Th• Contractor's Ucenat law d011 not apply to III owner of PfOperty who build• or lmprovu thereon, and who dou
such work hlm11II or through hi• own 1mploy111, provided that auch lmprov1m1nt1111 not Intended or offered for 1111. II, however, the building or Improvement 11
1old within one y11r of compl1tlon, the owner-bullder will hive th• burd!N'I of proving that he did not build or Improve for th• purpoH of ■ale).
0 I, 11 owner ol th• PfOp1rty. 1m 1xclualv1ly contrtctlng with licensed contractor• \o conatruct' th1 project (Sic, 7044, Bualn111 ind Prof111lon1 Code: The
Cont11ct01'1 Uc1n11 law do11 not apply to 1n owner of property who bulld1 or lmprov11 thereon, ind contractl for euch proj1ct1 with cont11ctor(1I llc1n11d
puuuant to th• Contrector'• UcenH L1wl. •
0 I am exempt under Section ______ Bualntaa ind Prof111lon1 Codi lor thle ra11on:
1. I p1raonally plan to provide th• major lebor and mat1rl1la for con1tructlon of th• propoHd property Improvement. 0 YES ONO
2. I (hive / hive notl signed en appllcatlon for I building permit for the propoHd work:
3. I h1v1 contracted with the following person (flrml t!) provide th1 propoHd construction (Include name / 1ddra11 / phone number / contractota llcenH numberl:
4. I plan to provide portions of the work, but I have hired the following p111on to coordln1t1, 1up1rvl11 ind provide th• major work llnclude name / 1ddr11s / phone
numbar / con111c1011 llcen11 numbtrl:. ____________________________________________ _
5. I will provide 1om1 of the work, but I h•v• contracted (hlredl the following persona to provide the work Indicated llnclude n1m1 / address / phone number / typa
of workl:. ______________________________________________________ _
PROPERTY OWNER SIGNATURE DATE
~eo~.1H1s.-sEc1:10,..,1.0R.tJPN:i.Ut#R.E-N.~il.Y1W.iNQ 1il~l.UJQ"N~'fflWIWURiiB ':.l~1Jr.f:n;n:;U:7ml::i~;1.~·, ?,l ,
II th• 1ppUcant or future building occupant required to submit I bu1ln111 plan, acutely h111rdou1 m1t1rl1l1 11glst11tlon form or rlak m1nagement and prevention
prog,am under Section, 26606, 26633 or 25534 of the Pr11lev•T10011 H111rdou1 Sub1t1nc1 Account Act1 □ YES □ NO
11 the 1ppUc1nt or future building 0t.cup1nt requl11d to obtain • permit from the llr pollution control dl1trlct or •Ir quality m1n1gem1nt dl1trlct 7 0 YES O NO
la the f1clllty 10 be conatNCt1d within 1,000 IHI of th• outer boundary of• school 11111 0 YES O NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNI.US THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
a,;. ])CONSTRUCTION LEHDING'AGENCY·';.)~l :iti'iffl.IJA\'J---ffl.l;ti,t1Ji~~lfi~Fd(li®1m~.;:,.i:tii'.r,i., ; ·,.: : ,·.· ·.":
I he,1by affirm th1t 1h1r1 11 • conttructlon lending eganov. for the parform1nc1 of the work for which this permit la l11u1d (Sec. 3097(11 Civil Code).
LENDER'S NAME--------...------LENDER'S ADDRESS. ________________________ _
:a:.'. AePt1cAN,:,cERt1F1c~JtoM},i-u; .;AA.w;~. ::!i!WM&~i;; .1!.twHii~?"ilrJ;tt::.iN.-ill()l~!lMV.Mf\1?~~11'!i~~'J,lil:Z\l :~:r,:; ;.•;,,: :'(;· '· •• • ··.,
I certify that I have r11d the 1pplic1tlon ind 11111 that the 1bov1 Information la correct ind that the Information on the plans Is 1ccu11te. I agree 10 comply with 111
City ordinances ind State laws 1tl1tlng to building con1tructlon. I hereby 1uthorl11 11pr111nt1tlv■1 of the City of C1rl1b1d to enter upon th• above mentioned
property for inspection purpo111. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AG/\INST All LIABILITIES,
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA parmlt la required for 1xc1v1tlona over &•o• d11p ind demolition or conatructlon of 1tructw11 over 3 1torl11 In height.
EXPIRATION: Every permit laaued by the Building Olllcl1I under th• provl1lon1 of thl• Code 1h1ll upl11 by limitation ind become null i nd void ii the building or
work authorlnd by such permit 11 not commtnc1d within 386 days from th• d1t1 of auch permit or If th• building or work 1uthorlud by such permit 11 suspended
01 abandoned at any time altar the WOfk tncad tor I period o 180 day, \Section 108.4.4 Uniform Bulldln:A~oEdeld , 2:t:/ ?
APPLICANT'S SIGNATURE _ __;i..,:::~.:...J--..1~~~::J:...l.c~.=:..----------_ _
PINK: Finance
PERMIT# CB980291
DESCRIPTION: REPLACE WATER
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/11/98
HEATER
TYPE: PLUM
JOB ADDRESS:
APPLICANT:
2650 VISTOSA PL
TACKETT, CHARLOTTE PHONE:
CONTRACTOR:
OWNER:
REMARKS: C/CHARLOTTE/944-9773
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS
STE:
INSPECTOR AREA
PLANCK# CB980291
OCC GRP
CONSTR. TYPE NEW
LOT:
CD
25 PL _w_a_t_e_r_H_e_a_t_e_r_;_v_e_n_t_s ______ ~ _______________ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS