HomeMy WebLinkAbout1857 PENTAS CT; ; CB980235; PermitB U I L D I N G
01/27/98 16:32
Page 1 of 1
Job Address: 1857 PENTAS CT
Permit Type: PLUMBING
Parcel No: 215-521-05-00
Valuation: o
P E R M I T
Suite:
Lot#:
Permit No: CB980235
Project No: A9800307
Development No:
Construction Type:
Occupancy Group: Reference#: Status:
NEW
ISSUED
01/27/98
01/27/98
JM
Description: WATER HEATER REPALCEMENT Applied:
Appl/Ownr : SPENCE STEVENS
1857 PENTAS COURT
CARLSBAD CA 92009
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
27.00
.00
27.00
760
Apr/Issue:
Entered By :
438-3244
*** Fees Collected & Credits ***
-----------------------l4-n--01r287m--ooui-01.--02--
c-PRMT ?7 oo Total Credits: .00 .. •
Total Payments: .oo
Balance Due: 27 .00
Units Fe~/Unit Ext fee Data
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
20.00 Y
7 .00
DATE 9,\ H \~s, SIGNATURE_..c~9~0•◄ .:io>--..---
FINAL APPROVAL
INSP. ___ DATE ------
CLEARANCE ===------
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE ONLY . .
PERMIT APPLICATION PLAN CHECK NO. qg>f5dJ1
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
Addre11 flnclud1 Bldg/Suite IJ
Leg1I OucrlptJon
Ass11sor's Parcel I
D11crlptlon of Work
Buslneu N1m1 (at thla 1dd1euJ
lot No, Subdivision N1m1/Nu'!'lbtf
FR
Exlslln11 Un
SO. FT. lof StorlH
Unit No. Phu• No.
Proposed UH
I of Bedrooms
Tatel I of units
I of Bathrooms
N1m1 AddreH City State/Zip Telephone I Fo I
~.1jj-APJ:uci:w:r·•'.iJ O):!lnu•i;:m&i:mliAa.,6,,f,ijgi::1>.nllliiiiil13110~JBlfi3lA'diiti~"iii,tjiifiWf~~•fil::,~W.~fi' ; ,· i&·~~·n, , ·
SHELLY J~SOO~IS!l'Y FDSTEB J 3706-B HWY 8 BUS. EL CAJON, CA . 92021 390-44'77
N1m1 1 Addl111 City State/Zip Telephone I
~B9..,~D'.iP.W.f.ll®~\'I.W ~ . " ~i~1.{iffl~i'J1~; ..
N,~evens, Spefiec CABISBAD CA, 92009 438-3244
City State/Zip Telephone I
~w·
IS1c. 7031.5 Bu,lne11 ind Profoaslone Code: Any City or County which 11qul1H I permit to conatruct, alter, lml)fove, demolish or repair any 1tructu11, prior to Its
lssuanca, also requl11s the applicant for such permit to Ill• • 1lgn1d 1t1tem1nt that h• la llc1n1td pur1u1nt to th, provisions of the Cont11ctor'1 License Law
IChapttr 9, commending with Section 7000 of Division 3 ol the Busln111 ■nd Prol111lona Code! or that h1 11 ,xempt therefrom, and the basis for the alleged
extmptlon. Any violation of Stcllon 7031 .5 by eny applicant for• permit aubtecll the 1ppllc1nt to• civil penalty of not mor1 than five hundred doll111 lt600JI.
13706-B HWY 8 BUS EL CAJON CA. 92021 390-4477
Addr111 City State/Zip Telephone I
. City Bu1ln111 Uctn■• I ___ 1_2_0_0_3_5_4_ Stall License I __ ,..6._3,..Q.,_],.....?..,Q,.__ __ _ Ucen1t Class __ .;:C::..-_3;;::..;;;6 ____ _
Designer Name Address City State/Zip Ttlephone
State UcenH I N/A . · ..
re;, i1~W.6R1tERS~-.coMPEHs4'r1ok.,a1#~{(.!l~PS~ ffmllJM:Wli:llMJ&~~~n%~!iru\'li& J\,~)ii'tl~.1,',.:.~ · ,., ,
Worker■' Comp1n11tlon Oecltratlon: I hareby affirm und1r penaltV of perjury one of th• following .decl111tlon1:
0 I hav, ind wlll maintain • certlflc1t1 of consent to 111f-ln1ur1 for workers' compena■tlon H provldtd by Section 3700 of the Labor Code, for the performance
of the work for which this p1rmlt la la■utd,
Q I h1v1 and will m1lnt1ln worker■' compen1■tlon, H raqulr•~ b_y S1ctlon 3700 of'the labor Code, f_or th• performance of th, ~ork for which this permit la
lriued. My work11'1 compensation lnaur■nct carrier ■nd policy number 111:
Insurance Comp1ny EA.FMEB INSURANCE Polley No. N2007-56-51 Expiration oite CONTINUOUS
ITHIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100I OR LESS)
0 CERTIFICATE OF EXEMPTION: I c1rilfy that In th• performanca of th• work lor which 1h11 permit 11 l11ued, I 1hall not employ any person In eny m1nner 10 u
to btcome subject to the Workers' Compenntlon L1w1 of Calllornl,. ·
WARNING: Fanuro to 11cure•work111' comp1n11tlon coverage la unlawful, and shall subject 1111 amployw to criminal pen1ltht1 and clvll fines up to one hundrtd
thouaand dona111•100,0001, 1n addition to th• coat of comp1n11tlon, d1m1g11 H provided for In Section 3706 of the labqr cod,, lnttrHt end attorney's fH1.
SIGNATURE ______________________ ~--'-------DATE _________ _
7, '''.'OWNER,BUILOEJI DECI..AIU\.TIO~Ji'../t~W;~~-~~1a:'~~\~./t.'U~ll [~~N~J~'\;~~;J,1~I.Wl.1';,·.
I hereby 1ffirm that I 1m exempt from th• Contractor'• Ucanse Law for the following re11on:
0 I, u owner ol the property or my employeea with w11111 H th,ir 1011 comp1n11tlon, wlll do th• work and th, 11ructur1 Is not intended or offered for sale
!Sec. 7044, Business ind Profualont Cod,: Th• Cont11ctor'1 Ucen11 law doH not apply to 1111 owner of prop11ty who bullda or Improves thereon, and who does
such work himself or through his own employeu, p(ovlded that 1uch lmprovemanta 11■ not lnt1nd1d or offer1d for Hie. II, howev11, the bulldln11 or Improvement la
sold within on1 yHr of compl1tlon, the owner•bulld1r will h•v• the burden of provln11 that he did not build or Improve for th• purpoH of .. 1,1.
0 I, 11 owner of th• prop1rty, am ·uclualvely contrtctlng with llcen■■d contrectora to conatrucf th• proj1ct (Sac. 7044, BuslnHa and Profusion• Code: Th,
Contrector'a UcenH law do11 not epply to an owner of prop1rty who bulld1. or lml)(OVH th■r1on, and contr1ct1 for 1uch project, with controctorlal llcannd
pursuant \'!I the Contrector'a UcenH Law). ·
0 I am exempt undtr Sacllon ______ Bu1ln111 and Profa11lon1 Cod, for thla 11110n:
1. I p■rsonally plan to provide th, motor labor ind m1t1rl1ls for conatructlon of th• propoHd prop■r1y lmprov1ment, 0 YES ONO
2. I (have/ hove not) 1lgn1d 1n 1ppllc1tlon for • building p1rmlt for the propoHd work;
3. I have contract1d with the following person (flrml I!) provld1 the propo1td conatructlon (Include n■m• / 1ddr■11 / phone number / con1r1ctora license number):
4. I plan to provide portion, of the work, but I have hired the following peraon to coordinate, 1upervl1t and provide th, m■Jor work (Include name / addr11s / phone
numbtr / contractors licenH numberl: ____________________________________________ _
5. I wlll provide 1om1 of the work, but I have cont11ct1d (hired) tht lollowlng peraona to provld1 th• work Indicated (lnclud1 name / address / phone number / typ1 ol workl: ______________________________________________________ _
II th• 1ppllc1nt or future building occup1nt requlrad to aubmlt • bualnen plan, ■cutely h11■rdou1 m■t1rl1l1 11gl1t11tlon form or rlak menagement and p11ventlon
prog,em under Sections 26606, 25633 or 26634 of th• P1esl1y•T■mer H11erdou1 Subat■nce Account Actf O YES O NO
11 t». 1ppllc1nt or future bulldin11 occupant required to obtain• permit from th1 air poUutlon control district or air quality management distrlct7 0 YES O NO
11 the facility to be constNCted within 1,000 fHt of the outer boundary ol t achool 111■7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT II! ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
a,:. ~\CONSTRUCTION LENDING'AGENCY.'.iir~Wffi'ht'lf"~'}--j~t~'\'.!,..~W'.i.V"'.4-ll@iif.':!.;\;i,ki.. ' ·, ~: ·.-~·.:: :
I hereby elfirm that there 11 1 construction l1nding agency, for th• performanct of the work for which thla permit Is l11u1d (Sec. 3097111 Clvll Code).
I certify that I hive read \he ■ppllc■llon ■nd atate th■\ th, above Information 11 correct and that th, Information on the plan, Is 1ccu11te. I 1gree to comply with all
City ordinances and St1t1 l1w1 rtla\lng to building conltruction, I hereby ■uthorlH 11pr11ant1tlv11 of the City of Carlsbad to enter upon the above mentioned
property for inspection pu1pos11. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP .HARMLESS THE CITY OF CARLSBAD AGI\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 excavation• over 5•0• d1■p and d1molltlon or con■tructlon of 1uuctur11 over 3 atorlea In halght.
EXPIRATION: Every permit Issued by th• Building Ofllclal undtr the provision■ of thla Cod• ah1ll 1xplr■ by llmltatlon ■nd become null i nd void if the building or
work authoriud by such ptrmlt 11 t commenced within 366 d1y1 from,the data I auch p1rmlt or II th■ building or work authorlud by such pormlt Is suspended
or abandoned 11 ■ny tlm1 alter th ork Is omm1 1d I period of \8/0 on \08.4.4 Uniform Bulldln;A~oEde)/. _ =~t/ f
APPllCANT'S SIGNATURE s::Z.':rµ._!.!~'..L:~l..!::c-!......4,0il=.loL.:..li::::....L-.....;~------+.---"~'--~ ..... _{.._ •--"_.._ ______ _
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