HomeMy WebLinkAbout2133 VUELTA CT; ; CB980068; PermitJ B U I L D I N G P E R M I T Permit No: CB980068
Project No: A980011 3
Development No :
01/12/98 16:57
Page 1 of 1
Job Address: 2133 VUELTA CT
Permit Type: PLUMBING
Parcel No: 216-492-22-00
Valuation: o
Suite:
Lot#:
Construction Type:
Occupancy Group: Reference#: Status:
NEW
ISSUED
01/12/98
01/12/98
JM
Description: WATER HEATER REPALCEMENT
Appl/Ownr : STAFFORD IRVIN
2133 VUELTA COURT
CARLSBAD CA 92009
*** Fees Required ***
Fees: 27.00
Adjustments:
Total Fees:
Fee description
***
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent
760
Applied:
Apr/Issue:
Entered By:
4315-4037
2964 01/14/98 0001 01 02
Fees Collected & Crecfrffl.MT **7*"00
otal Credits:
Total l'ayments :
Balance Due:
Units Fee/Unit
7 .00
•
.00
.00
27 .00
Ext fee Data
20.00 Y
7.00
Fl. ]AL APPROVAL
INSP .. ___ DATE __
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 4 38-1161
it:.aelP.ROJECt INF.O~ tic»i~~~
213 3 Vuelta ct,
FOR OFFICE USE Otf
PLAN CHECK NO. W~z>
EST. VAL. _________ _
Plan Ck. Deposit __ ..,...r:-4-____ _
Validated By ______ -:--i'7':~f-71"71'"-
Date ________ .q._,:_~t-r-~,J---
Addreu !Include Bldg/Suite I) ,( Bualneu Name l•t thla addreu)
Legel Duc,iptlon Lot No. Subdlvlalon Nama/Numbe, SFR • Unit No. PhHe No. Total I ol unit,
AssH1or'1 Parcel I ExJ1tlng UH PropoHd u ..
Description ol Work SO. FT. lot StorlH I of Bedrooms I ol Bathtooms
NIme Addre11 City State/Zlp Telephone I Fu I
-~~~tJ'J:UCANT',•u D .~ll(llf.lli;\Qr.:.il&.CiJZAi,111~:i::cmlll°QJei~G~~!'Ai1!6tili'~ilt.l~~-G"h:.f~.?i:\\'.~f , ¼~·~1;{,
SHELLY JOHNSON/KRISIY FOSTER 13706-B HWY 8 BUS; EL CAJON, CA. 92021 390-4477
Nome Addrau
~B9t~D"i0.W..~~lfi~~~
Stafford Indo Nome 1 2]33 :V11eJta Ct Addreu
i,;fa,1:CPHtAAc.TOB~CQMUN
City State/Zlp
CARISBAD CA
City State/Zlp
Telephone I
~i).',fi~~il,;. ·
92009 7 60-436-4037
Teltphont I
~w-
I Sec. 7031 .6 Buslneu and P1olet1lon1 Code: Any City or County which require■ • permit to COl\ltruct, altar, Improve, demolish or rep1l1 any Itructure, prior to Its
luu1nc1, 1110 requlru the applicant for such permit to 1111 • 1lgn1d 1t1t1m1nt that M la Ucen1ed pur1uant to the provisions of the Cont11ctor'1 Ucenn Law
IChapur 9, commending with Section 7000 ol Division 3 ol the Busln111 and Prol111lona Code) or that he 11 exempt therefrom, and the basis tor the 1lleged
exemption. Any violation of Section 7031 .5 by any applicant for I permit 1ubJ1c11 the applicant to• clvll penalty of not more than five hundred dollara 1•5001).
A & .J EDSTER PUJMBING J 3706 B HWY S BUS EL CAIDN CA, 92021 390-4477
N1m1 Addra■s City State/Zip Telephone I
Stat, Uc,nse I 630120 Uc1nH Cius C-36 City Bu1lnH1 Uc1n11 I 1200354
Dulgn11 Nam, City S\1te/Zlp Telephone
St1te Ucenu I -----"N"'/-'A'-'-------
:-,;i ii'.vtORK.EASi~COMPEHS4'rtc5kSi~~J.m-W~ffllZ!~l;:GlMif.~il~~J\lj,:Jl"\'li,;; ';,~!iUf~l~ .• : \•l
Workert' Comp1n11tlon D1cl1ratlon: I hereby 1lllrm und11 penalty al perjury one of the followlng,d1cl11atlon1:
0 I have end will maintain a certlflca\l of conHnt to 11lf-lnIure for worb11' compent11tlon H provided by SIctlon 3700 al the L1bor Code, for the perlorm1nce
al th, work for which this permit 11 l11u1d.
xD I h1v, and will m1lnt1ln worker1' comp1n11tlon, H requl11d by Section 3700 of'the Labor Cod,, for th, performance of the work tor which this permit la
Issued. My worker's comp1n11tlon ln1ur1nc1 carrier end policy number 111:
lnsurInc1 Company FARMER INSURANCE Polley No, N2007-56-51 Expiration Oat.CONTINUOUS
ITHIS SECTION NEED NOT IE C(?MPLETE0 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In the p1rform1nc1 of the work for which thl1 permit 11 l11uad, I 1h11i not employ eny person In any manner ao as
to become subject to th1 Worker■' Comp1n11tlon Law, of C1lilornl1.
WARNING: Fanure to 11cur1•work111' comp1n11tlon con11g1 11 unlawful, and 1h.U 1ubj1ct an employer to criminal p1naltlH and civil lines up to ona hundred
thou1and donare 1$100,000), In addition to th, cost ol comp1n11tlon, d1m1gH H p10¥1d1d for In Section 3708 of the L1bqr code, lnt1111t and 1ttorney'a f111.
SIGNATURE _______________________ ~------DATE _________ _
7. 1·'.'0WNER-BUILDEJI DE~LA~TIOtllit ~Wl~i~i¥ffl$'~~~l~~~-~}~l.U&ilEBiilUUl~~:,··~~~i\•:f."!~!)'.;~:.:.\1~,
I hereby 1flirm th11 I 1m exempt from th• Contrac:tor'a Uc,nH Law for the foliowlng 111aon:
0 I, u owner al the property or my 1mploy1ea with w1g11 11 their 1011 companHtlon, will do the work and the atruc:ture Is not lnlended or altered for ule
ISec. 7044, Business and Prof111lon1 Code: The Contractor'• License law doH not apply to an owner of property who build, or Improves thereon, ind who does
such work himself or through his own 1mploy111, provided thet Iuch lmprov1m1nt1 are not Intended or of1111d for H it . If, however, the building or Improvement la
sold within one year of completion, the own11-bulld11 will have th, burden of proving that he did not build or Improve for the purpou or aalel.
0 I, H owner of th• property, em exclualv1ly contracting with Uc1n11d contr1c\or1 to con1truct' the project ISec. 7044, Bu1ln111 i nd ProfuclonI Code: The
Cont11ctor'a Uc1n11 Lew do11 not apply to In owner of property who bullda or lmprovH thereon, and contract■ for ,uch projtc\l with contractorla) llcenud
pur1u1nt \o:, the Cont11c\or'1 Uc1n11 Lew), •
0 I am exempt und11 Section ______ Bu1ln111 and Prol111lon1 Code for thl• re11on:
1. I p1r1on11ly pl1n to provide th, m1Jor labor ind m1\11l1l1 for con■tructlon of th• propo11d property Improvement. 0 YES ONO
2. I Chav, / hive not) algned an 1pplic1tlon for • building p1rmlt for th• propoHd work:
3. I have contracted with th• lollowlng person lllrm) t!) provide the propoud construction (Include n1m1 / 1ddre11 / phone number / contractora license numberl:
4. I pl1n to provide portions of the work, but I h1v1 hired the loliowlng perIon to coordinate, 1upervl11 and provide tha m•Jor work !Include name / 1dd1Hs / phone
number / contrectora license number):, ____________________________________________ _
5. I will provide some of th• work, but I h1v1 cont11ct1d lhlredl the following pa11on1 to provide th• work Indicated !Include name / 1ddress / phone number / type
al workl: _____________________________________________________ _
PROPERTY OWNER SIGNATURE--------------,-----------DATE _________ _
_ COMaEJ,EJHIS.'SECUONJ;OR./J.ON..,fif~,E«}ML;.8.il)l.RIHQ11liaaMI.ImN~'WfWlUUfiJQU\YJl~~!~~.£?.'m:;1:§ia~'l,',~1!,:i', ?,\ ,
i. the 1ppllc1nt or lutu11 building occup1nt required to aubmlt • bu1lnHa plan, acutely haardoua m1\11l1la regl1t11tlon form or rlak men1g1mant ind prevention
p,ognm under Sections 26606, 26633 or 26634 of th• P111ley•T1nn.r Huardou1 Subatanc:e Account Actl O YES O NO
11 the eppllc,nt or future building occupant required to obteln • permit from the air poUutlon control dlatrlct or air quality man1g1m1nt di11rlc:t7 0 YES O NO
11 the fecillty to b, construc\ld within 1,000 fut of tM outer boundary ol • achool altal O YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLE.8S THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
a.: ''CONSTRUCTION LENDING'AGENCY~i~ ffii.;)]l~"r '"ffll~l#im~~illlif1F'.i!Wil!Kl\i:,·::;:,·l;,;·1, J 1,
I hereby 111irm 1h11 thera 11 1 conItructlon lend,ng 1g1ncy for th• perform1nc1 of th■ work for which thlI permit 11 l■aued ISec. 3097111 Civil Codol.
I certify 1h11 I hi ve rHd the application and 1\ate that the 1bov1 lnlorm1tlon la correct and that th1 lnlorm1\lon on the plans 11 1ccu11to. I 1gree to comply with 111
Chy ordinances and State l1w1 relating to building con1tructlon. I hereby euthorlH repr111n\1tlvH ol the City of C1rlab1d to enter upon the above men1loned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP .HARMLESS THE CITY OF CARLSBAD AGI\INST ALL LIABILITIES,
JUDGMEHTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA p11mlt 11 requl11d for excava\lona over 5'0" detp and demolltlon or COl\ltruc\lon of 1tructur11 over 3 atorl11 In height.
EXPIRATION: Every permit luu,d by t Bulldlng Olllclal undllf the provlalona ol th11 Code 1h1II expire by limitation and become null i nd void ii the building or
work authorited by such permit 11 not m,ncad within 365 d1y1 from the data ol auch permit or II the building or work 1uthorlud by such permit Is suspended
or abandoned II any time alter the wor 1nc1d for I period o 80 d1ya IS1ctlon 106.4.4 Uniform Bulldin:A~oEde). J__.,, /3.-q y' {/
APPLICANT'S SIGNATURE t:. _ _ '
PINK: Finance