HomeMy WebLinkAbout1852 HIGH RIDGE AVE; ; CB980381; PermitB U I L D I N G P E R M I T Permit No: CB9~0J81
Project Nu: A98U0481
Development No:
02/10/98 11:30
Page 1 of 1
Job Address: 1852 HIGH RIDGE AV
Permit Type: PLUMBING
Parcel No: 207-384-06-00
Valuation: O
Suite:
Lot#:
Occupancy Group: Reference#:
Description: WATER HEATER REPOALCMENT
Appl/Ownr : MOELLER GLEN
1852 HIGH RIDGE AVENUE
CARLSBAD CA 92008
*"* fees Required
fees:
Acliustments:
Total Fees:
Fee description
Enter "Y" for Plu
Each Water Heater
760
3946 02/U/98 0001 01 02
C-PRMT ?7 00 Construction Type: NEW ... •
Status: ISSUED
Applied: 02/10/98
Apr/Issue: 02/10/98
Entered By: JM
434-2186
.00
• () 0
27.00
***
Ext fee Data
r -,....., .,., "'' f\L
J • ..I. ',/\
l0.00 Y
7.00
CLEARAr~~..2 _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.....
' • PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK No.~3g(
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 La s Palmas Dr., Carlsbad CA 92009
(619) 4 38-1161
EST. VAL.-----------.
Plan Ck. Deposit rt,
Validated By r. .... )vV\.. / ~
Date 2(£tj/f 72_
ii;,i,ielPJ\OJECT. IHF.O!\IM.tiO.HW~~Vlllli
1e~2 Ei~h Ridge Ave . Addreu tlnclude8ldg/Suil• 1 Bualne .. Neme Ill lh11 1ddru1J
Legel Ducripuon Loi No, Subdlvlelon Neme/Numbe, Unit No. Phase No. To1el I of unlls SFR .
A.snuor's Porco! I Exl11lng UH PropoHd Un
DHcrlpllon of Work SO. FT. lof Storlu I of Bedrooms t of Be1hrooms
:2.:;1 ·~0N'rAc~·lim;r!!h,Wi!.$~l';}!Jffi\li~~\flllllA
Moeller. Glen 1852 High-Riage1\ve.
Name I Addreta City . St1te/Zlp Telephone I
~j,~C.Dtm!AC.TOR;,cQMUN~ ~iJ!i}i,
ISoc. 7031.5 Business and ProlHalona Code: Any Clly or County which requlrH I permit to conatruct, Iller, lmprov■, d1mollsh or repelr any 11ruc1ure, prior 10 hs
Issuance, also requiru the applicant for auch p11ml1 lo 1111 • algn1d 1t1t1m1nt that h■ la Uc1n11d pu11u1nt to the provlaions of the Con111c1or'a Ucenae Law
!Chapter 9, commending with S■ctlon 7000 of Dlvlalon 3 of the Busln■u and Prof111lone Cod■( OI that h■ la 1x1mpt therefrom, and the bu ls for the alleged
exempllon. Any vlol11ion of S,ctlon 7031.6 by ,ny 1ppllc1n1 for a permit 1ubJ1ct1 the 1ppllc1nt to I civil P•~!ty_o~Not more~ five ~~~dollarej~~.Qij-4 77
A & J FOS!l'ER PIJJMBIJ:ilG 13706-B HWY 8 Bus~ EL C&JO ·
Nema Addttu City St■te/Zlp 1~~!35-t}
Slat, Llcanse I 630120 Uc1n11 Clan C-36 , City Bu1ln111 Llc1n11 I --------
Du igner Name Addr■u City Sttte/Zlp Toloohone
Sllll UcenH I _____ .._N.,.I_.A...._ __
[cl;i ii,W6RK.EAS:•,COMPEHS4'rldk,.li~!W).;.~fJ,m~J~f4~
Workar,• Compen111lon D1cl111tlon: I h111by affirm undtr p1n1hy of parjury one of th■ followlng,d1cltr1tlon1:
0 I hov, and will m1lnt1in I c1rtlflc111 of conunt to 111f-ln1ur■ for work111' comp-■tlon II provided by Stctlon 3700 of lhe Labor Code, for the performance
of th, w0<k for which 1h11 parmlt la luu,d.
0 I h~• ond will malnt■ln work111' comp,nntlon, 11 r■qulr■d by Stctlon 3700 of'the ltbor Cod,, for th, p11form1nce of the work for which 1h11 permll 11
luued. My w0<ker'1 comp,ruotlon lnsur■nc, carrl11 and policy number 11a: · N2007_SG-Sl CONTINUOUS
lruUftnc• Company FARMER INSURANCE Polley No,____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESS)
0 CERTIFICATE OF EXEMPTION: I c1rtlfy th■t In th, p1rformanc1 of th■ work for which thla ptrmlt la l11u1d, I 1h1II not employ ,ny person In 011y manner 10 as
to bocom, subjecl lo lht Work111' Comp1n11tlon Law, of C1lllornl1.
WARNING: Fanur1 to Hcu.e•workera' comp1nHtlon cover■g• la unlawful, ■nd ah■II 1ubj1ct 111 ■mploy■r to crlmln■l p1nalllu and clvll fines ur, 10 one hundrad
lhousand doll•ra It 100,0001, In addition to th, co1t of comp1n11tlon, d■m■gH II provld■d for In Section 3708 of the l■b(V cod,, lntarul ond attorney's faH.
SIGNATURE _______________________ .......,. ______ DATE _________ _
7, ''·OWNER-BUILDER OECLARATION';i:~,~'f.i;Vi~If);W.t\'.~ii~&~~~,U$1B}S1ilfB"i~tfl~lJ/W/m:&'/if,\'\'.:;V,\·.'l-/}?1'1.1;,C_s:,11;,
I heroby affirm 1h11 I am exempt from th, Con111cto1'1 Llc,nae L■w for the following 1111on:
0 I, u owner of 1he property or my employua wilh wagea II th,ir 1011 comp■na■tlon, wlU do th• work ■nd th■ 11ruc1u11 Is nol intended or offered for sale
(Soc. 7044, Businus ind ProfH1lona Code: Th, Con111ctor'a LlctnH Law doe■ not ■pply to Ill own■r of property who build• or Improves thereon, and who does
such work hlmnll or lhrough hl1 own 1mploy1u, PfOVldtd th■t such lmprov■m■ntl 111 not lntendtd or olftrtd IOI' 1111. If, however, the building or Improvement 11
sold wllhln on, yn r or completion, tho owntr•bullder will have the burdtn of proving that he did not build or lmprov, for lho purpoH of 11111.
0 I, u owner or tho prop,rty, ,m 1xclu1lvoly con111cllng with llc1na1d cont11ct011 to conatruc:t' th■ proJ■ct IS■c, 7044, 8u1lnu1 and Prohulon1 Code: Th,
Cont11cto1'1 Uc1n11 Law doH not 1pply to ■n owner of property who build■ or lmprovH th111on, ■nd contracll for ,uch pro)1ct1 wl1h contracto1(1J llconsed
PUf■uant to the Contractor's Uc1n11 law), '
0 f 1m uomp1 under Stctlon ______ Bu1ln1u ■nd Prof111lon1 Cod, for thla r111on:
1. I ooreonellv olen to provida th• major labor and materlala for conalructlon of lh• PfOpoHd Pfoperty Improvement, 0 YES ONO
2. I (have / have noll 1lgn1d ■n appllc■llon for I building p11mlt for th■ propoa■d work:
J. I have cont11c11d with th, following person lflrml ti, provld, th■ propoud con1tructlon Uncluda nam■ / 1ddr111 / phone number / contraclors license numberl:
4. I plan to provld, portions of the work, but I h■v, hlrtd th, following p111on to coordln■t,, 1up11vl11 ■nd provld■ th, major work (include neme / addrus / phone number/ contrectore licenso number): ____________________________________________ _
5. I will provide 1ome of lho work, bul I have con111c11d (hired) th, following p111on1 to provld, the work lndlca11d (include name / address / phone number / IYPe of work): _____________________________________________________ _
PROPERTY OWNER SIGNATURE--------------:-----------DATE _________ _
~coMP.LtJ:E;rH1s:secnoN.F.OR..tJ.01";,/i.if$/P.£N.ti&£:•UJLRiHll11ltBMI.Iifti>J~""HRJftDfllfl!¥miWU!~~~!~!J.i'!I~· ;,.:,<,/~1'.~'1,:'i'11:.1 ,
IJ th• applicant 0< ru1u11 building occup■nt 11qul11d to 1ubmlt I bu1ln1n pl1n, 1cut1ly hu11dou1 m1t11l1l1 11gl1t11tlon form or risk m1nagemen1 and prevenllon
p,ognm under Sections 26606, 26633 or 26634 of th• PrHlty•T■MII H1111dou1 8ub1t1nc1 Account Act7 0 YES O NO
11 the applicant 0< futur• building occup,nt 11qul11d to obt■ln I p11mlt from the ■Ir poUutlon control dlttrlct Of 1lr qu■llty m1n1gem1nt dislrlc11 0 YES O NO
Is lhl facility 10 be construct,d within 1,000 f11t of th■ out■r bound11y of I lchool altll O YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOTH ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
&,'. ~\CONSTRUCTION LENOING'AGENCY-'~'1~)~1i:ll.ffl.'l,.~j~Mlf~i_~':WJ.~1~l@\iif~,'1:•;, '\.-.
I h111by affirm that 1har111 • con1truc1lon lending 1g1ncy for lht p11form1nce of the work IOI' which thl, p11mlt la l11u1d (Sec, 3097(11 Civil Codol
LENDER'S NAME _____________ _ LENDER'S ADDRESS ______________________ _
·9:. 1 ~P\.1cANr.ceRT1F1cA.:t10N..?••··•~: .:r.4I\\'i• .-;;,;~"'Wti'.fiil •4,,.ii1,i,il;q,~~,.::.i~?iil-?~~~tlil-J!&..'ll~m~.,;:,:i;;:\n:~i'i:.:"t·, ,..,, ~.
I certify 1h01 I h1v1 rud 1h1 1ppllc1tlon end 1111, that th, 1bov1 Information 11 corr■c:t ■nd th■t th■ lnform■llon on th, plans Is accurate. I agree lo comply with ,11
Cily ordinances and s 111, law1 ralatlng to building con111uc1ion. I h111by ■uthorlu 11pre11ntatlvH of th• City of C11lab1d to en\tr upon lhe above mentioned
property for inspection purpo111. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP .HARMLESS THE CITY OF CAnLSBJ\D AGAINST 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 parmit la raqulr■d for IXCIVltlon, OYII 6'0" dHp ■nd d■molltlon or conetructlon of lllUCIUIH OYII 3 a1orl11 In heigh\.
EXPIRATION: Every permit lsau,d by th■ Building Olflcl■I under th■ provlalona ol thl1 Cod■ lh■II 1xpl11 by llmlt1tlon ■nd become null and void if the building or
work authori11d by 1uch p11mlt la not commenced within 366 d1y1 from th■ d1t1 of 1uch permit or If th■ bulldlng 01 work 1u1horlud by such permit Is suspended
or ,b,ndoned at any tlm, 11111 th• rk 11 c mm,nc: d • period of 11!,.~•Y• !Section 106.4,4 Uniform Building Code). ,. _ fi U <✓
APPllCANT'S SIGNATURE . _ {,I( D ... TE -l.,;;.,.£..---'Cr....:o~-1-=--.... lL.,______ r
YELLOW: Applh;■nt PINK: Finance