HomeMy WebLinkAbout2348 LA COSTA AVE; 414; CB950072; PermitB U I L D I N G P E R M I T
(,1/Gti/95 .... 4: 02
Pa,re 1 of 1
Job Address: 2348 LA COS7A AV Suite:
Permit Type: MISCELLANEOUS
Parcel No: 216-310-12-01 ~ot#:
Valuation: o
Construction Type: NEW
Or.cupancy Group: Reference#:
Description: ELEC.& PLUM FOR WASH/DRYER
: UNIT 414
Permit Nu: ~B9~U07l
P 1. o: e ct N .:.> : A '-J ':>LO {J 7 7
Df-velopment NCJ:
0210 01/06/95 0001 01 02
C-PRMT 42-00
Status: ISSUED
Applied: 01/0b, ~c;
Apr/Issue: 01/06/9r;
Entered By: ,TPV
Appl/Ownr : PETERSON, R.J.
2568 DRYDEN RD
619-46:,-1486
CONTRACTOR
EL CAJON, CA 92020
PETERSON, R.J-.
2508 DRYDEN RD
EL CAJON, A
*** Fees Required
Fees:
Adjustments:
Total Fees:
fee description
Miscellaneous Fee
Miscellaneous Fee
* MISCELLANEOUS TO
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (6 19) 438-1161
.no
.00
4 ~. 0 0
Ext fee Data
15.UU ELE
27.00 PLUM
42.00
PERMIT APPl.ICATION PLAN CHECK NO.
City of Carlsbad Building D-rtlleflt
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 --
I. PEkMII fiPH
From Llst l (see back) give code of Permit-Type: ___________ _
---------------------------------------------------------
For Residential Projects Only: From list 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PROJF.C'f INFORMATION FOR OFFICE USE ONLY
Address ~ 3~8 z,,, Casr A-Ave Butldmg or Suite No.
Nearest Cross Street
mt o. ase o.
CHECK BEWW IF S0BMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 1 Addressed Envelope
DESCRIPTION OF WO <OJ r /a:;,~ P/'!llf.!J/µJ t'),..-)' er-
SQ. IT. # OF STORIES
3. WN IACI PFltSON (II dtfferenf from applicant)
NAME (last.name first)
+o Ch.se-1--' -9or WAS
# OF BEDROOMS # OF BATHROOMS
ADDRESS
Cl1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCANi l&CONIRACIOk DAGEN I FORCONIRACiOR DOWNER DAGEN! FOR OWNER
NAME (last name first) RB:1-er.;;;::,,:J R "}J-'~$°DRESS ;sb8 o,,-y d €1,) 1< c::f_, I .
CI1Y p~ .C~p STATE e:A; ZIP CODE 2,.,'q;3d DAY TELEPHONE ~65-/~?J'f,
S. PROPEk'V 0
NAME (last name first) S, MON (r / JVA ADDRESS ?--3 'f 8 t--9-Ca.s,,-,,4-Ave.,
CI1Yt'4-r cf STATEt'.'. ZIPCODE 00'7 DAYTELEPHONE OSCJ
NAME (last name first) ~ r..S<>'A.J R ,p )'l'l:IONd ADDRESsc,Z56E} ?J., ,,Yc/e.,J If<:£.
/l.,T, f'e,re,Y.Scf,Q'E;;,,_,;_,,_. q,?. OL <:: • j, Lc;v
CITI If'/ C,,!u°o,,J STATE ~4--ZIP CODE / ,...!:1...,ic> DAY TELEPHONE 7-0,..., ~., -r o .1.,,
STATE LIC. ##01//9£. LICENSE CIASS l3 Cl1Y BUSINESS LIC. #
DESIGNER NAME (last name ftrsf) ADDRESS
Cl1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOkkf:.kY WMPF..NSA:IION Workers• Compensation Declarat1on: I hereby affmn that I have a cert1ftcate of consent to self-msure issued by the Ulrector of 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).
SIGNATURE DATE
8. OWNRk-BUllDER OEt..!IARAIIDN
D
D
□
Owner-BuHder Declaration: I hereby afhnn that I am exempt from the Contractor's Llcense Law for the ioiiowmg reason:
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 build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construe[ the project (Sec. 7044, Business and Professions
Code: The Conrractor's license Law does nor apply to an owner of property who builds or improves thereon, and contracts for such projects
wirh contractor(s) licensed pursuant ro the Contractor's license Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit ro construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statemenr thar 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 Code)
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 rhe applicant ro a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATI!
COMPI.EIE IHIS Sf:cllON FOR NON-RESIDEN tlAL HOIWING PEkMil'S ONLY:
2.-
Is the applicanr or future building occupanr required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES □ NO
IF ANY OF THE ANSWERS ARE YFS, A FINAL CERTIFICATI! OF oa:IJPANCY MAY Nill BE ISSUED AFI1!R JULY 1, 1989 UNLESS THE APPUCANT
HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR l'OIJ.UTION CDNTROL DISTIUCT.
9. WNS'IKOCliuN LENDING AGENCY
I hereby affmn that there 1s a construction lendmg agency for the peffonnance of the work for which ifos permit 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPUCANI CEklll'R!AIJON
I certify that I have read the apphcanon and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the alx>ve mentioned property for inspection
purposes. I AI.'iO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE Cl'lY OF CARISBAD AGAINSf AIL IJABIIITIES, JUIJGMENTS, CDSfS
AND EXPENSES WHICH MAY IN ANY WAY ACx:IUJE AGAINSf SAID Cl'lY IN CDNSEQUENCE OF THE GRANTING OF THIS 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 permit 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 e wor · mmenced for a period of 180 days (Section 303(d) Uniform Building Code)~_
APPLICANTS SIGNATURE DATE:/-f, -~
App 1cant PINK: Finance
0
• •
PERMIT# CB950072
DESCRIPTION: ELEC.& PLUM
UNIT 414
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/31/95
FOR WASH/DRYER
JOB ADDRESS: 2348
APPLICANT: PETERSON,
CONTRACTOR: PETERSON,
OWNER:
LA COSTA AV
R.J. PHONE:
R.J. PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB950072
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-465-1486
REMARKS: MW/RAY
SPECIAL INSTRUCT:
INSPECTOR _l_,_1/_)---J,./c..__-____ _
TOTAL TIME:
ACT COMMENTS J
29 PL Final Plumbing Al'-~
CD LVL DESCRIPTION
-39-_EL _F_in_a_l_E_l_e_c_t_r_i_c_a_1 ______ ,a =--------------
------------------------------------
***** INSPECTION HISTORY*****
DATE
011695
011695
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PY
AP PY
COMMENTS