HomeMy WebLinkAbout2270 LA COSTA AVE; 14 | MULTI-PERMIT FILE; CB041158; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-0~00~ Plumbing Permit Permit No: CB041158
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2270 LA COSTA AV CBAD St: 14
PLUM Status: ISSUED
04/06/2004
SB
04/06/2004
04/06/2004
Parcel No: 2163101301 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference#: Plan Approved:
Issued:
Project Title: PATCHET RES NEW H20 HEATER Inspect Area:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees: $27.00
0
0
0
0
1
0
0
Owner:
SANCHEZ ANTHONY L
2270 LA COSTA AVE #1
CARLSBAD CA 92009
9841 04/13/04 0002 01. )2
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
C(:,FH 2."/ ~ 00
Total Payments To Date: $0.00 Balance Due: $27.00
Exp •-rn·· n-'"'""~1 .'!3n11· .,., ·• J', ·, •1 ti .. ,,. • i,•·• ffI ··" -.,t_.,•• · · ,, · ,.;;,:,.1. Ur .. ,' . .•.. ~.u:o "'-ijb'"
PERMITHt-S D:,--: .::.DIN ACCORDANCE WITH U.9.C
SECTION 106.4.4
fl'TE \Q\lc\b'-1,, S!GNAT1:1F rJ.N.f__ -
PERMIT APPLICAT~ON
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
!f~ :~~~~zr.@r,.~e.ttf:iNF.O~.M~J;J N.!!~t11~i ~!1;;;~~~'.;~~~~:;~~i,iefY~1rigr~r,:~:i1~t~~~~11rwJ;J:1~1t~l~t~~~tMt~tiJ:~li4
'
FOR OFFICE USE ONLY
PLAN CHECK NO. _____ _
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date --------------------
Address (include Bldg/Suite //) Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
#of Stories # of Bedrooms # of Bathrooms
Designer Name Address City State/Zip Telephone
State License # __________ _
l6~1!f!~~W:O,ij~EflSJ;,i<{OM.tiE~N~A[1Q'.:ij~]m~!11l~i~~i:~i,m~·r~'.~~1;11t{ah:Jfl~1llJ~~l~ili~1J~r~~,J~f~U~~liltt~i~l;l~~}fil~l~'irJ~ij~~~~]ffi~~l~~~tt'.illi~li~~Ui)~m~~~l¢~t~~!1l;~~f,·,,a:{~::;\~;itF~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure wor~~mpen cov rage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollar 0, , In } } :~ the c ation, damages as provided for in Section 3706 of the }:f o/ coz, Interest and attorney's fees .
. ~~.~~~:~.~: ..... ,rr"n~ 'f ,.,,..,,..~,=l,; "rf'.:f' "'"'"''~'•" 'l'!Sl."''-1"""•'~•••>1•~~i":!"!t:i"'•"•""""""""'"""""~• .. .,,•••••, .,.,..cs:::,::,simr•x•11t!-:?.." ,r,0,S;J,,. ... ,;;;.,.,.. '"J"i:,·w,·,," ,, .,. •• L71 f.;~1 OyYN~R)B,,tJllllDER .. ~ECL!'~R~, 1lfl. _ l¼llr · ~~ ~ ~:Jtj"~b·:~;.. J~~~~J:x;,t ... !ii,l~~..'M.'"' !I :.if :t,~\¥..:~"t:li\f~ii:~%l'ii~~~1~8l ~•K~Uit~~~:~~~ rJ~~~wlti_11.,:m.1t./l>1~~. ir.1~i!if.lj1~~i~~-~".i 111:~ 1,~ ,, .~ii!~u 11,d :1$~r~ :i! !~1,1 ~ 1~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 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 that such improvements are not intended or·offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not b~ild or improve for the purpose of salel.
D I, as owne_r of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
D I am exempt under Section _______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. D YES O NO
2. I (have / have not) signed an application for a building permit for the proposed work;
3. I have contracted with the following person (firm) 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 and 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 work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
icoMii(i;,:e!!Jji;i(~i'.S.E,!'.:[fi!;jiJii=.illatm?ii&!tll.$.fi)t'tvi'tf4'f:/i!X!l~PJNG./REiiM.!if~oJigY,~,~~~~'fi!i1;l1tlll~~~~;Jlftl\1~i~ii~iitl~llii"l,til'lfi1~i;i//!ilfiilt~~:i\l~~~:bl/J~~tt~
Is the applicant or future building occupant required to submit a business plan, acutely halardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou·nt Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dist rict? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _
19's~~1Aif.fLtG})!Nt~ceR~t1.f.1'.C\i11aN1~rn,liltJt1m~1J~i;~~~i1ltt~1~~~1~~~~tir~~mi'tJ.11i~i~iw;:,~1'1Jl~i~u~~~tti~airm~~,;~~•~rJcii1a.f~mu]~lttLJf~fil;l~J1.~lliiJjj~~J~
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorile representatives of the Cit\! of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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.
WHITE: Fie PINK: Finance
4
.•
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()<) (619) 438-1161
..
PER'MIT APPLICATION PLAN CHECK NO. -/ft~
City of Carlsbad Building Departaent
2075 Las PallBS Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _
PLAN CK DEPOSIT _______ _
VALID.BY __________ _
I. PRitM.I I hPE
A -U COrnmerc1al
B -D Industrial
C -ml Residential
□Duplex
D New Butldmg U lenant Improvement
□ New Building D Tenant Improvement
D Apartment □ Condo [J(Single Family Dwelling □ Addition/ A1teration
□Demolition □ Relocation □ Mobile Home □ Electrical ml Plumbing
□ Mechanical D Pool D Spa D Retaining Wall D Solar □ Other ___ _
DATE
2. PROJECf INFORMATION FOR OFFICE USE ONLY
ress 2270 La Costa Ave. fl4
Nearest Cross Street El Carru.no Real
LEGAL DESCRIP I ION Lot No. Su&l!vtsion Name/Number Omt No. Phase No.
CHECK BEWW IF S0BMII IEO:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PABCEI. EXISTING USE PBOPQSEP USE
DESCRIPTION OF WORK
WATER HEATER REPLACEMENT SQ. FT. # OF S1DRIES
3. WN IACI PERSON (II duierent from applicant)
NAME William Yancey ADDRESS 2270 La Costa Ave. #14
CilY carlsbad, STATE CA. ZIP CODE 92009 DAY TELEPHONE 942-0851
4. APPUCAN I U WN I RAC J OR
NAME Michelle Medina iMAGENI FORWNIRACIUR UUWNt;H UAlit;NI t'UHUWNt;t{
ADDRESS 2819 Central Ave.
CilY S,Fri~Valley, STATE CA. ZIP CODE 91977 DAYTELEPHONE 697-4151
5. PROPEki OWN
NAME William Yancey ADDRESS
ZIP CODE
2270 La Costa Ave. #14
CITY Carlsbad, STATE CA. 92009 DAY TELEPHONE 942-0851
NAME A&J Foster, Inc. ADDRESS 2819 Central Ave.
CITY Spring Valley, STATE CA. ZIP CODE 91977
IJCENSE CLASS C-36
ADDRESS
DAY TELEPHONE 697-4151
STATE IJC. # 630120 CITY BUSINESS IJC. # 1200354
DESIGNE:/AAME
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. #
7. WORkkkS' WMPENSXIIUN
workers· compensatmn uec1arat1on: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the U1rectorof lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY Republic Dernnity POIJCY NO. PC949585 EXPIRATION DATE 5/1/94
Ceruhcate of Exemption: I certify that m the performance of the work for which this pemut 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
8. S!'JJ:~~~DATE /I I I} J o/0
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the followmg reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Ccxle: 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 that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's license Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031 .5 Business and Professions Ccxle: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Cooe)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE IHIS SECIION FUR NON-RESIOENl1AL BUILDING PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration form or risk management and
prevention program under Sections 2550S, 25533 or 25534 of the Presley-Tanner Ha1.ardous Substance Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
□YES □NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OFOOCUPANCY MAYNUf Bl! ISSUED AFIERJULY I, 1989 UNLESS TIIEAPPUCANT
HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POillJTION CDNTII.OL DISilUCT.
9. WNSIRUCIION LENDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permtt ts issued (Sec 3097(1) CIVIi Ccxie).
LENDER'S NAME NJNE LENDER'S ADDRESS
IO. AWUCANI CPltliFICAliON
I cerufy that I have read the apphcatmn and state that the above mformat1on 1s correct. I agree to comply wuh all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AlSO AGREE 1D SAVE INDEMNIFY AND KEEP IIARMIJlSS TIIE CTIY OF CARISBAD AGAINsr AU. UABIIJTIES, JUDGMENTS, <DSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACXJUJE AGAINST SAID CTIY IN CDNSEQIJENCI! OF nm GRANTING OF TIIlS PERMIT.
OSHA; An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPIJCAN~TSSIGNA E· ~ r1 · DATE, 10h/c,s ~ WJ,e ~~uill I : rF e YEU.OW: Applicant PINK: Finance
' B U I L D I N G P E R M I T Permit No: CB98057t
ProJect No: A9800739
Development No:
02/23/98 16:51
Page 1 of 1
Job Address: 2270 LA COSTA AV
Permit Type: PLUMBING
Parcel No: 216-310-1: QOY
Valuation:
Suite: 14
Lot#:
Occupancy Group: Reference#: Construction Type:
Status:
NEW
ISSUED
0,4(23/98
o'¥/2.3J9..A
RMA zr-w
Description: REPLACE WATER HEATER
Appl/Ownr : YANCEY, CAROLE
2270 LA COSTA AV #14
CARLSBAD CA 92009 -~~-
*:I(* Fees Required ***
4377 02/~~~~
Enter~~:
760 942-0851
*** --------------------------Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y' for Plu
Each Water Heater
.00
.00
27.00
Ext fee Dat-a
20.00 Y
7.00
FINAL APP ROVAL
INSP. fZB _ DATE 3 ~ 6 -~ I CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
-
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. 'ff:fu51 {;;
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(6 19) 438-1 161
EST. VAL. _________ _
Validated By , _ /
Plan Ck. Deposit~
Date 0(1 f>
lt:iJ.IPAOJECt'lNa>RIMU~Vlllli
2270 La Costa Ave #14
Addre,, !Include Bldg/Suite II Bualne .. Neme lat ~ eddreul
legal DucrlptJon lot No. SubdMtlorl Name/Number SFR . Unit No. Phase No . Total I of unlll
AssHsot'• Parcel I Exl,tlng UH Propond Un
lof StotlH I of Bedrooms I of Bathrooms
Nam, Addre11 City St11e/Zlp Telephone I
~B9.f.~D'iO.'f.ffl.~rfi~RIIJ~1WNNPtllPI\Wi',WUM1:WYPIWINIW~-•11,~~~l1i~ ..
Yaocey, Carole 2270 La Costa Ave. #14 CARLSBAD CA. ~-
N•m• AddreH City · State/Zlp T 1lephon1 I
~iili:C.PNTAAc.TOR!iico.MUN ~}if"
!Sec. 7031.5 BusinHs and Profeulona Code: Any City ot County which reqult11 a pe,mll lo conatruct, alter, Improve, demolish or repair any atructure, prior to Its
lnuanca, also requlr11 th, 1ppllc1nt for auch p■rmlt to Ill, 1 algnad 1t1t1m1111t that he la llcena,d purauent to the provlaions ol the Contnctor'• Uc,n11 Law
(Chapter 9, commending with Section 7000 of Division 3 of tht Bu1lna11 and Prof11alona Cod•I or that ht la 1111mpt therefrom, and the bu ls for the alleged
u,mptlon. Any violation of Section 7031.5 by any ■ppllc■nt for I p■rmlt 1ubJ1ct1 the applicant to• clvll_P.tl'lllty ol not more ttJ.a.1111x,hundr~AlAll•~4"70II.
A & ,J FOSTER PLUMBING 13706-B HWY 8 BUS . · EL CAJON CA. ~LULL j~U-
N1m1 Addru, C-36 City Stele/Zip 12003T~~phone •
State License, 630120 Uc,nn Cl■H _________ ,City Bu1lne11 Uc1n11 I _______ _
Ouign■r Nam, Addrus City State/Zip Telephone
S111, Uc1nn I -~N-/=A.,_ ____ _
:;e;ii1'.W6RWU.\·,COMPEN84JldkSii~tl~llf:lilila!fatl-lilf&1(~)\~Jio11ii; J\,t:J~~i.4!' 1·.
W01ke11' Comp1nntlon Decler11lon: I hereby 1fllrm under penalty of perJury OM of tht followlrig,declaretlona:
0 I have and will maintain, c1rtlllc1t1 ol conHnl to Hlf•ln,ure for work■ra' comp-1tlon H provided by Section 3700 of the Lebor Code, for the performance
of th, work for which II~• p■rmlt la l11u1d .
..£] I hive and will maintain work■ra' comp1n11tlon, u require~ b_y Section 3700 ortht Labor Cod■, for th, p1rform1nce of th, work for which thla permit la
~r.;ued. My wo,ker'a comp1n11tlon lnauranc, c■nl■r end policy numbar 11,: CONTINUOUS INur■nc, Company FARMER INSURANCE Polley No, N2007-56-Sl Explretlon Date --------
ITHIS SECTION NEED NOT IE C(?MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LEHI
0 CERTIFICATE OF EXEMPTION: I c,rtlly that In the performance ol the work for which tNa p■rmlt la luu,d, I 1h1II not employ 1ny person In any manner 10 u
to become subject to th, Wotkera' Comp1n11tlon Lawa ol C■llfornla. ·
WARNING: Fanu11 to 11CUl'1•worke11' comp,nutlon cov■rage I■ unlawful, and ahall aubjeot an employer to criminal p1naltlo1 and clvll fln11 ur, to on, hundr■d
thouaand dollora ft100,000J, In addition to th, co,t of comp1naatlon, demagu II provided lot In Section 3701 of the Labqr code, lnterul and 1Uorn1y·, 1111.
SIGNATURE. _______________________ ....:.,. ______ DATE _________ _
7_. '':'OWNER-BUILDEII OE~~TIOijitr~).ij~·~'fi~~ l:~Dm':r.~.lil.~~'\-:ti11riil1-;.:',;l~1-'
I hereby ,rtirm that I 1m exempt from the Contrector'a UctnH Law lot th• following 1111on:
0 I. ■s owner of the property or my ,mploy,u with wagn II th■lt 1olt compenaatlon, will do th, work and the structur■ Is not intended or ofl111d for 1111
(Sec, 7044, Business ind Profualona Cod,: The Contr■ctot, Uc,na, Law doH not apply to an own11 of property who bullda or Improves thereon, and who don
such work hlmaell or through hla own 1mploy111, provld■d that ■uch lmprov,mentt ara not lntend■d or oflerad for 1111. If, however, the building or Improvement 1,
,old within one yu r of completion, th, owner-builder will hive the burden of proving that he did not bulld or Improve for the purpon of 1111I.
0 I, u owner of th• property, ,m uclu,lv,ly contracting with llcenatd contrtCIOfl to conttruct' th• proJ•ct ISto. 7044, Bu1ln1H i nd Profusions Code: The
Contrector'a UcenH Lew don not apply to ■n owner of property who bulld1, or lmprovt1 th111on, and contract• for ■uch proJ1c11 with cont11ctorl1) llcenH d
pV<1uant to th• Contractor'• Ucen■■ Lawl, ·
0 I am exempt under Section ______ Bu1ln111 and Prol111lona Codt lot Uva rttaon:
1. I perton1Hv pl1n to provide the meJor labor ■nd m■terl■I, lor con,tructlon of the propo11d property Improvement, 0 YES ONO
2. I lhlva / h1v• not) ,lgn,d ■n eppllcatlon for , building permit for th• propo11d work:
3. I have contncted with th, following parson (flrml I!) provld■ tht propo11d conatructlon (Include nam, / 1dd1111 / phone number / cont11clo1t llc1n11 number):
4. I plan to provide portion• of the work, but I h■v, hlr■d th■ following peraon to coordinate, 1uptrvl11 and provide th, major work !Include name / ■ddrus / phone number/ contnc1011 licen11 number):. ____________________________________________ _
5. I will provide 1om1 of the work, but I hive c:ontrect,d lhlr■dl th■ loUowlng p■raona to provide the work Indicated llnclud, name / address / phone number / IYP• of wotk):. ______________________________________________________ _
PI\OPEI\TY OWNER SIGNATURE______________________ DATE _________ _
~CO~JHIS;'SEC'(IOf'J;QR.N.ON:lirtil/!~JMJ/,.~'°-W1Jiillt8Mlnftl'NiN?!iWIWll&itWPA~r.(~:~~!7J~:;~1tul~'H!,:i',t.t '
Ill the 1ppllc1n1 or lutur■ building occupant r■qulr■d to 1ubmlt • bualntll pl1111, acutely haurdou, m1ttrl1l1 reglatratlon form or risk m■negement and prevention
p,ogr1m under s,c:11on1 25506, 25633 or 26534 of th• Pruley-Tanner Hnerdou, Sub1t1nc1 Ac:count Aot7 0 YES O NO
11 the 1ppllcan1 o, future building occupant required to obtain a p■rmlt from th• air pollu\lon control dlatrlot or air qu.Uty m1n1g1m1nt di1trlct1 0 YES O NO
1, the l■clllty to b, con.muct,d within 1,000 l11t of th• out11 boundary of a 1chool ■Ital D YES O NO
IF A'4Y OF THE A'4SWERS ARE YES, A FINAL CERTlflCATE OF OCCUPANCY MAY NOT IE IIIUEO UNU.SI THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
,.; 1: coNsTRucnoN LENDING 'AGENcv~r~,,umm.i ,ma!.RIJ'IUi.~iH!ir~~-'@liis:~/1:•r-.. , ·, , : : : .: :
I hereby allirm 1h11 there 11 1 construction lending agency. for the perlorm■nc, ol th, work fOf wNch thl1 permit I• IHued !Sec. 3097111 Civil Codel.
LENDER'S NAME ______________ _ LENDER'S ADDRESS ______________________ _
:9.: .-I .Affl.lCANT,CER'TIFICA,l\OK.]~ .. J-it:4~•~· -~~~ 1~i'P~-li/il~~'Yii.9W~~lmil~1.l/$~;.~';('.f,:'i]· ., , ~. ra ·. ":: W ~
I certify thll I h1v, rud lhl 1ppllc1tlon Ind 1111, thll th, 1bov, Information 1, COfrtCI Ind that th, Information on th, plan, Is I CCUIIII , re~mp~ •II ~
City ordinancu and Stall l1w1 r■latlng to building conatruction. I hereby authOfl&t 11prt1ent1tlv11 of the City of C■rl,bad to ,nt•rin the above mentioned
property for inspection purpo111. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP .HARMLHS THE CITY OF CARLSBAD INST ~lL llABlllTIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST IAID CITY IN CONSEQUENCE OF THE GRANTIN F THlf' E , 3 199g
OSHA: An OSHA permit la r■qulred lor ,xc■vatlona over 5'0" dHp and demolltlon Of conatrucUon ol auuctur11 over 3 1torle1 In height.
EXPIRATION : Every permit l11u,d by the Building Offlclal under th• provlelona of tN• Code ahall tJ(plre by llmltatlon ■nd become null and void H the building or
work 1uthori11d by auch permit la no comm,nctd within 385 day, from th• date of auch permit or If the building or work 1uthorl11d by such pormlt Is suspended
or abandoned ,1 ,ny tlm, alter th, ork 11 comm■nctd for period of 180 d1 Section 108.4.4 Uniform Building Coda),
DA'TE d -;;)_3 -9f
PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB980576 FOR 03/03/98
DESCRIPTION: REPLACE WATER HEATER
TYPE: PLUM
JOB ADDRESS:
APPLICANT:
CONTRACTOR:
OWNER:
2270 LA COSTA AV
YANCEY, CAROLE PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB980576
OCC GRP
CONSTR. TYPE NEW
STE: 14 LOT:
760 942-0851
REMARKS: C/CAROL YANCEY/942-0851 INSPECTOR ------'-R--'""""(3~'-----SPECIAL INSTRUCT: AM PLEASE -LANDLORD OR TENANT WILL BE AT HOME ALL MORNING.
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
CB931182 PLUM
CD LVL DESCRIPTION
25 PL
25 PL
24---
Water Heater/Vents
Water Heater/Vents
----------------
STATUS
EXPIRED
ACT COMMENTS
It? _________ _ +-----
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS