HomeMy WebLinkAbout1904 HIGH RIDGE AVE; ; CB982223; Permit~\fj)\\
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CITY OF CARLSBAD
2075 Las Pa!Inas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION JUL 1 · 1998 · ·
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_CITY OF CARLSBAD BUILDING DEPARTMENT ···,
2075 Las Palmas Dr.;-€-erlsbad CA 92009
(619) 438-1161
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FOR OFFICE USE ONL \,/
PLAN CHECK NO. q O ')7';)--_:)
EST. VAL. --------:::;:,o,--,--
Plan Ck. Depoait __ ..,.,...-=::--......_-+-_
Validated By ___ -+-a.,--:=t---./---
Date _______ -1-+...j'---':>.+-'---lL-
1904 High Ri~e Ave .
Addte11 (Include Bldg/Sulle II )( Bualnea, Heme lat thla acldr..,I
Legel Duc,lpllon Loi No, Unit No, PhH• No. Total , ol Unill
AuH1ot'1 Parcel I bJ1tlng UH PropoHd U11
DHcrlptlon ol Work SO, FT, lol llOIIN I ol 8edtoom1 I ol 811htoom1
~c~Wol-11~~~rmtli3l.tantmfms,B@a~~l~·1. ~<t~f.{ , · , ·
Evans . David 1904 High Ridge Ave CABT,SBAP '·. CA 92008 760 729 6956
N1m1 AddteH CltV Slata/ZJp T1l1phone I F1x 1
~Ji1&J:1-1c~tEl'J EJ:c11ri.11),for~G'.1Wi~Mil'.miii.mGIWl&'G>fUal?&i.Slima?&BlPNWl\lHilffiSM@N@Wt~~\V,t;f: .. · ¼;2·:·' :1 ~ . ·
SHELLY JOHNSON/KRISTY FPSTEB J 3706 B HWY 8 BIIS ETe CAJON CA 92021 390 4477 Nam, AddrHI . City lllla/Zlp Tel1phon1 t
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F.vaos , David
N1me
] 904 High Ri a°ge AEA
AddlHI CARI5BAD • City c~ 9200a 760-729=6956 l .llla/Zlp T 1l1phon1 t
I •o, ~•l'lf•\t1fl,,,,,, •• /'('.'.'•.'!~,l .. ,1•,\•~J",,'1;•• • .:1,f ftft •I•• lt ,••f'' ,. h\•••• •·••tir!•1 •,:.1•t1:• ~w·
(Sec. 7031.6 8u1lnu1 end Proluel-Code: Any CIW Of County which requllM I pe,mlt to -llUOl, alter, Improve, demoll1h 01 rep1lr ,nv 11ructuro. prior to It,
l11u1nce, 1110 requltu lh• appUcant IOf auch p11ml1 lo IUe • algntd alltlfflllll lNt hi le~ pwauant to \he p,ovlalona al th, Contrector·, Uc1nn Lew
(Ch1pt11 9, commending with Section 7000 ol Olvl1lan 3 of th• Bualnaaa and "'olllllona Codll a, INt hi II uempt lhlrelrom, and tho b11h tor tho 1ll1g1d
exemption. Any vlol,tlon of Section 7031.6 by 1ny 1ppUc1nl for a p11mlt aubJeoll IN applicant to a clvU penalty of nol mo,e then llv, hundred dollc:a I 160011.
A & ,I FOSTER PUJMBING J 3?06 B liIAN 8 BPS li:I.. CAlOW CJ), 92021 390=4477 N1m1 Addlu1 City 6t1ta/Zlp T 1l1phon1 I
S1111 Uc1nH I 630120 l.kenae Clm C-36 ,CIIV Bualneaa lkenae I 1200354 . .
Oulgner N1m1 AddlHa City SIila/Zip Tel1phon1
Stet• Ucenae I N/A .
-~:,·;;,:wo.RKWO'.:OMPEHSl.TIQ~~;IJami!t~MIPl!ft)WilliQPIIWitf!!Nij~)1i1Q\liit..'W6 J\,·~:1~~;' .;.~· •,•:
Wotk11•' Comp1na11lon Decl111tlon: I h11eby 1lll1m unde1 p1nel1y of p11Jurv -ol \he loljowin9,cleclltatl0fw1
0 I have and wUI m1ln11ln • clltlllc•t• of canaent la 1ell-ln1111e IOI wo,ke,a' ~lion M prevlded by Section 3700, ol the Labor Cod,. for tho p1rloum1nc1
ol lhe wotk lat which 1h11 p11mlt la la1u1d,
X O I have and wlll m1lntaln work11a' comp,naatlan, a, requlrad by leotlon 3700 ol'\he LabOI Code, IOI th• pe1l01m1nce of lh• ~erk for which this permit 1,
-la1uld. My w01k1r'1 c:ompena1tlan lnau,ance c111l11 and policy nurntier 1111 ·
1naur1nc:• comp,nyFARMER INSURANCE Polloy No, N2007-56-51 Exi>111llon oroNI'INUOUS
(THIS SECTION NEED NOT IE C(?MPUUO U' THE PERMIT IS FOR OHi HUNDRED DOLL.ARI lt100J OR WSJ
Q CERTIFICATE OP EXEMPTION: I cerilly that In the petf01manc1 of IN WOfk IOI which lhla parmll II llaued, I aheU not employ 1ny peraon In 1ny manner 10 u
lo become 1ubJ1cl to the Wotkera' Comp1n11tlan Law1 of C1lll01nla, ·
WARNIHO: Falun lo 11cu,e•worl1111' compenaallon cove11ge It unlawful, and ahall aubJIOt III employer to crlmlnll penallle• and clvN flnu ur, to on■ hur'ldrod
thou1and don111 (t100,000l, In addition lo the co,.t of compenaallon, M1Ugaa II provlclad fa, In kcllon 3701 ol the Labcf oode, lnlt1Hl end 111omey'1 1111.
SIGNATURE _____________________ .._ _____ DATI ________ _
7., ~-~:OWNER-IUILDER DE~l:AM_TIOijiiC1lWlmJ.1ai·~ Atf,\.~\-;Ji~~?r}if_;,';i';,:'
I hereby 1111,m th11 I am eumpl from lh• Con111clot'1 Ucena, Law lot IN followlnt r1110N
0 I, u owner ol th, prop1t1y army employ,u with w1g11 H INlt aot, comptn11llon, wlll do th• wo,k and the 1tructure 11 not ln11nd1d or olfertd tor 1111
(Sec. 7044, Bu1in111 ind P1ol11alona Code: The Con111c1ot'1 Ucena, Law doll nol apply \o an ownet of property who build• ot lmprovu thereon, end who do11
auch wo,k hlm11II 01 thlough hi• own 1mployu1, p,ovld1d that 1uch lmprovamenll 111 not lntandad o, olle,ed IOf 11le. II, how,ver, th• building or fmprov1m1nt 11
1old within on, YHI ol compl11lon, lh• own11•bulld11 wlll have the burden of proving INl hi did not bulld Of lmpr.ove lot lh• pu,poH of 11l1J.
0 I, u owner of th, p,operty, em ·uclualvely conuacllng with~ oonuaota,1 to conalluct' the projeot (Seo, 7044, Bu1lnH1 ind Prolualon, Code: Thi
Contnctot'• Uc,nn Law dou not apply to en owne1 ol p,operty who bulldl o, lmprovM \hlleon, and oonllaota lot euch proJ1ct1 wl1h contractorlal llconu d
l)UtlUlnt lo th, Conu,ctot'a UceNI Lawl. •
0 I ,m u,mpt und11 Section _____ Bu1ln111 and Prol111lona Coda lot lhla r111on1
1. I p1uon1lly pl1n lo p,ovldo th1 m1j0( l1b0( end m1t1tl1l1 lot CONUUGlion of the Pfopoaecl property Improvement, 0 YES 0NO . .
2. I lhav1 / hive noll 1lgn1d 1n 1ppllc1tlon fo, I building p11mll IOf the propoaad WOfk:
J. I have cont11c11d with lhe following p111an 1111ml l!) provide Iha p,opo11d conallucUon Unclude nam, / addlau / phone number / conl11cto11 llc1n11 number):
4. I plan to p,ovlde portlana ol lhe work, bul I have hired the loUowlng par,on to c:oorcllnat,, aupervlla and provide the m1Jor work Uncludo n1m1 / 1ddr11s / phone numb11 / cont11cto11 Nc1N1 numb11I:. _________________________________________ _
6. I wlM provide 1om1 of the work, bul I h,v, con111ct1d lhlrtdl the following pa,aon, \o provide \he WOfk lndlca11d llnclud, name / 1ddre11 / phone number / typt of wo,k):, __________________________________________________ _
PROPERTY OWNER SIGNATURE--------------,-,---,----,-,------"."'""""'."--,=
~i;O~,l"tqS.:.'IEClJOHJ.<JR.t-'Pti,&'~,EN~~JJUMLi'@N
II w eppllc1nt ot lutu,e building occupant requited to 1ubmll a bualneu plan, ICIUIIIV ~~ matwlala reglallallon form or rlak manag1mtnt and prevention
p,ogr1m und11 Sectlona 21i506, 26533 o, 26534 ol lhe P11al1y-T1M11 HIUI~ lubatlMI Account Aot7 0 VH O NO
la lhe 1ppllc1n1 ot futur1 building occupant requited to obtain a permll lrom IN alt pollutlon oonllol dlat,lat Of alt quaUty management dl11rlctl O YES O NO
1, the l1clllty to be c:ona1Net1d within 1,000 IHI of IN outer boundary of I IOhool 11111 0 YU O N~
II' ANY OP THE ANIWERa ARE VH, A FIHAL ClRTIFICATI OP OCCUPAHCY MAY NOT U IHUID UNW. THE APPLICANT HAS MH OR IS MEETING THE
REQUIREMENTS o, THE OFFICE OP EMERGENCY IERVICU AND THI AUi POLLUTION CONTROL D&ITRICT.
ai_'.:~~CONSTRUCTION UNDIHG'AGENCY~\?.,lU"QfR~~ mf~\i&~;;i:•f:,t,. , .
I hereby affirm th11 1h111 11 • con11rucllon landing 1g1ncv. lor th• petf•-• of IN Wlfk flf whloh thla pttmll 11 IHued (Sec. Jog7111 Civil Codol.
LENDER'S NAME____________ LEN0£R'I ADDRUI
:9.: .-·'. .Al'l'\.ICAJn:;_W.llFICA.T\Oll~;._..w,f ~.~~~~fM
I certlly thll I h1v1 rnd the 1ppllc1llon and 111te that tha abova lnlonnallon II coneot and INt the Information on \he pl1n1 I, 1ccu11te. I 1gr11 to comply with 111
City o,dlnlncu and State l1w1 11l11lng to building can,trucllan, I h11aby au~l&t rap,111nta&lv11 of \he City of C11lab1d to enter upon th• 1bov1 mentioned
property IOf ln1pectlon pu,po111, I ALSO AGREE TO SAVE, INDlMNlfY ANO l(U, .HARMWI THI CITY Ofl CARLSBAD AGAINST ALL UASIUTlES ,
JUDGMENTS, COSTI AND EXPENSU WHICH MAY IN AJ4Y WAY ACCRUI AGAINIT IAID CITY 1H CONHOUENCI OP THI GRANTING OF THIS PERMIT ,
OSHA: An OSHA p11mlt la 11qull1d for ,acavatlona ove, 5•0· deap and damolltlon Of oonauuctlon or IIIUCWIII ovar 3 alOIIH In halght.
EXPIRATION: Eval'f p11mll 111111d by the Building Olllclal unde, the provlalona of thll Codt lhall uplr1 by llmltaUon and bacom, null i nd void ii th■ building 01
wark ■uthollud by 1uch permit la not commanc,d within 316 days from IN data of IUCh permit Of U IN bulldlng ot WOfk ■ulhorlud by such permit 11 suspended
ot abandoned II any tlm•~~ warlt la comm,nc,d IOl I plllod or 110 uya lSICUon 108.4.4 Unllarm 8ullcllng Codel,
APPLICANT'S SIGNATUR _'11 PP..RA-f~"tm-001\.--DATE 7 -14 ---qr
. . ..... --... . ..... -··· . ..
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB982223 FOR 08/12/98 INSPECTOR AREA
PLANCK# CB982223
OCC GRP
DESCRIPTION: WATER HEATER REPLACE
TYPE: PLUM
JOB ADDRESS: 1904 HIGH RIDGE AV
APPLICANT: A & J FOSTER PLUMBING
CONTRACTOR:
OWNER:
REMARKS: C/EVANS/729-6956
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619-390-4477
PHONE:
PHONE:
INSPECTOR __ {)~}-~--------
ACT COMMENTS
Ef _______ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS