HomeMy WebLinkAbout1600 JEANNE PL; ; CB970366; Permitr
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FINAL APPROVAL
INSP ... ~/4;1 ~ DATE 3-r, · 11
CL EARANCE _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
I
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FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. q7 D ]G~
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL _________ _
Validated By ______ .....,. ___ a..-_.__
Plan Ck. Deposit-------~-+--
Oate ___ g ........ -\-~ ...... /p_( q __ _
itlrtMPJIQJEC:S::INFPUll.\tlQNii;°u~1fii:i.&!il.:IW.Ul'ia/,:~ltl;:alimilJ
1600 Jeanne Pl.
Address (include Bldg/Suite I)
' :, .. ' .. . '"II ""'
Business Name lat thla address)
Legal Description Lot No. Subdivision Name/Nu'!'be, Unit No, Phase No. Total I of units
SFR
AssessOf's Parcel I Existing UH Proposed UH
Description of Work SO. FT. lof Stories I of Bedrooms I of Bathrooms
WATER HEATER REPLACEMENT·
~-1 CONlACT PEI\S0N (If dlfll(lflt from;ii,plic:anilV~. )~l'MI4t.'.:?b~u;.:1 • .:n~1tt~U~~v •72~ J~6·4o' :,
zalonis, Helen 1600 Jeanne P. CAro::sB7ID·---·-or:--921JUE -
Name Address City State/Zip Telephone I Fax I
~;;1.?m.:u~T 'Ji□. CO[)lf■1.aor.~,J;ca~l!o.s1G&~iii111Pr.&o~1:!.,;4~l!e11tilitiM''!imif1i~~m\~1?w-fi.7_·,:, '!~'? . SHELLY JOHNSON/KRISTY FOSTER 13706-B HWY 8 BUS. EL OOON,--CA~~2u2r 390-<-t
Name Addre11 City State/Zip Telephone I
;~:::=;Q'~~~~~~l\~~~~~~~'~ W!Bli'iHfMR~t,SBAD CA . t1rar-lw~1~t-~\~--·\, ·
Name Addre11 City State/Zip Telephone I
ll••i!~CONTRACJOJi;;coai,eNt~.ltWlllilltmae:frlPBl'f?-i ffl.~~I(
!Sec. 7031.5 Business and Profeulons Code: Any City or County which require•• permit to construct, alter, Improve, demolish or repair any structure, prior to Its
issuance, also requires the applicant for such permit to file I signed statement that he Is licensed pursuant to the provisions of th• Contractor's License Lew
(Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code( or that ha 11 exempt therefrom, end the besls for the alleged
exemption. Any violation of Section 7031.5 by any applicant for• permit subjects the appllcant to• civil penalty of not mOfe then five hundred dollars 1$5001).
A & .J EQSTEB PUJMRJNG 13706-B HWY 8 BUS. EL CAJON CA. 92021 390-4477
Name Address City Stete/Zlp T,f'ephone I
State license I 630120 License Class C-36 City Busln111 Ucense I 12003 S
Designer Name Address City State/Zip Telephone
O I have and will maintain a certificate of consent to 111f-l11sur1 for workers' comp1n11tlon II provided by Section 3700 of the lebor Code, for the performance
of the work fOf which this permit 11 issued.
x D I have and will maintain workers' compensation, 11 required by Section 3700 of the Labor Code, for the p1rform1nc1 of the work for which this permit Is
Issued. My w01ker's comp-ation insurance carrier and policy number ere:
Insurance Company FARMER INSURANCE Policy No. N2007-56-51 Explretlon Oet~_-_l_-_9_7 ___ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (♦100) OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that In the performance of thG work for which this permit Is luued, I shall not employ eny person In any menner so as
to become subject to the WOfkers' Compensation Laws of California.
WARNING: FaHure to Hcur1• work1rs' comp1n11tlon coverage I• unlewful, and shall subject an employer to criminal p1n1ltl111 and clvll fines up to one hundred
thousand dollars ($100,0001, In addition to the cost of compen11tlon, dam11g11 as provldad for In Section 3706 of the~ coda, lntar11t and attorney's 1111.
SIGNATURE ______________________________ DATE _________ _
7. , OWNER-BUILDER DECLARATION (~._:· .:i<,,,,, .. ·;~~-, ~. ;U ·~fi..'!: :.:, . ,:~~,,_~.,! ·. ~,;; ; :'~·: ,~~~~~~~m£~ti'-·~t.: ';.r.'t,,~~~-~ ~•~~/,
I hereby affirm that I am exempt from the Contractor's LlcensG Law for the following reason:
O I, as owner of the property or my employees with wagas as their sole compensation, will do the work and the structure Is not intended or offered for sale
ISec. 7044, Business and Professions Code: The Contractor's License Law 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 thnt such Improvements ere not Intended or offered for Hie. If, however, the building or improvement is
sold within one year of completion, the owner-builder will havo the burden of proving that he did not build or Improve for th• purpoH of 11111.
O I, as owner of the property, am exclusively contracting with licensed contractors to conatruct' th• project (Sec. 7044, Business end Prof111lon1 Code: The
Contractor'• License Law doH not apply to an owner of property who builds or lmprovH thereon, and contracu 101 euch projects with contractor(■} licensed
pursuant to the Contractor'• Ucen11 Lew). ·
0 I am exempt under Section ______ Business encl Professions Code for this r111on:
1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO
2. I (have/ have not) signed an application for a building permit for the propoHd work:
3. I have contracted with the following person (lirml to provide the proposed construction (Include name / address / phone number / contractors license number}:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (Include name / address / phone number/ contractors license number}: ____________________________________________ _
5. I will provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (Include name/ address / phone number / type of workl: ______________________________________________________ _
PROPERTY OWNER SIGNATURE________________________ DATE _________ _
1$:0Mau~:rH!S SECl:ION,FOR,NJJN.~JJ.ENTMY.Y.!I.QiNO,f!tSM,u1'>~~i-i ~~--~~}'.Jt1~'.;,:~:i:P:~sti.;· :.1
11 the applicant or futu,e building occupant required to eubmit • business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26606, 25633 or 26634 of the Presloy-Tanner Hazardous Substance Acc:ount Act1 0 YES O NO
Is the applicant or future building occupant required to obtain II permit from the air pollution control district or air quality management district 7 0 YES O NO
Is the lac:ility to be constructed within 1,000 fHt of the outer boundary of a 1c:hool 1l117 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.
~·. I
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit 11 l11ued (Sec. 3097111 Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _
;!);'/J APPLICANT CERTIFICATION. : ;;.,:.ill '.,l+'.J;J;~Nf ' 1,t,;t~:·, •': _;,_ -:,;.r,,. ;~·1:1l'·Jt:(l~~MM~llm~1,r ~'.f-~i:>1~£, 1~; '' ~
I certify that I have read the 1ppllc11ion end state that the above information Is corrac:t end that th• Information on the plans Is ecc:urate. I agree to comply with all
City ordinances and State laws relating to building c:on1truction. I hereby authoriie representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for 1xc1v1tlon1 over 5'0" deep and demolition or construction of ■truc:tures over 3 atories In height.
EXPIRATION: Every permit Issued by the Building Offic:lal under the provi5fon1 of this Cod• shall expire by llmltatlon and become null and void II the building or
work euthorized by suc:h permit is not c:ommenced within 365 days from the date of 1uc:h permit or If the building or work authorized by such permit is suspended
or abandoned II any time alter t • work is c:ommenc:ed fDf • period of 180 days (Section 108.4.4 Uniform Building Code},
DATE _....,cD~• ;{)~{__p----~---APPLICANT'S SIGNATUR
WHITE: FIie YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB970366 FOR 03/06/97
DESCRIPTION: REPLACE WATER HEATER
TYPE: PLUM
INSPECTOR AREA DC
PLANCK# CB970366
OCC GRP
CONSTR. TYPE NEW
STE: LOT: JOB ADDRESS: 1600 JEANNE PL
APPLICANT: ZALONIS, HELEN
CONTRACTOR:
PHONE: 619 729-2640
OWNER:
REMARKS: MW
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
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PHONE:
PHONE:
INSPECTOR -Y-----------
ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
030397 Water Heater/Vents
ACT INSP
CO DC
COMMENTS
NO ONE HOME 9:00