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HomeMy WebLinkAbout2410 LA PLANCHA LN; ; CB960580; Permitu.,✓,_1,✓6 ~l, Paqe 1 of l B lJ I L D I N G 1Job Address: 2410 LA PLANCHA LN Permit Type: PLUMBING Parcel No: 255-091-21-00 Valuation: O P E R M I T Suite: Lot#: Permit No: CBY60580 ProJect No: A~600~01 Development No: 6717 03/21/96 0001 01 02 C-PRMT Con~truction Type:· NEW 2 , O Occupancy Group: Reference#: Status: ISSUED Applied: 03/27;96 Apr/Issue: 03/27/96 Entered By: RMA 619-4:H-1400 Description: REPLACE WATER HEATER Appl/Ownr : DEWEESE, GEORGE 2410 LA PLANCHA LN CARLSBAD CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter Y" for Plumbi Each Water Heater an * PLUMBING TOTAL .00 .00 27.00 l<'f<A Ext fee Data 20.00 Y 7.00 27.00 { --4 PROVAL ' -DATEah/r~ ,.JCE ----- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I • >' PERMIT APPIJCATION PLAN CHECK NO. City of Carl-Building D-rtaent 2075 l• P■l-Dr., Carl.-, CA 92009 (619) 438·1161 I. Prmtr IYPR Pl.AN CX DEl'OSIT:..-,~------ I EST, VAL -:::,,,1#fr96 From Ust I (see back) give code·of Pennie-Type: ___________ _ --. --. -----.. ---... ----·------. --------------------..... - For Residential Projects Only: From Ust 2 (see back) give Code of Structure-Type: ________ _:.,i,:;.'"----------- Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2410 La Plancha Ln. Bu1idmg or Suite No. Nearest Cross Street • C . ..,. il'.GAL DEsCRIV'IION :bss tftWo?• Sut>ct,vmon Name/Number Omt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy c.alcs □ 2 Structural Gales □ 2 Soils Repon □ 1 Addre:ued Envelope ASSESSOR'S PARCEi, EXISTING USE DESCRIPTION OF WORK Water Heater Replacement 50 Gallon PROPOSED USE SQ. FT. # OF STORIES II OF BEDROOMS 3. WN IACI Pmst.JN (U duierent from apphcani) NAME (last name fin1) Deweese, George ADDRESS 2410 La Plancha Ln. # OF BATIIROOMS CI1Y rJ bad STATE Cl'. ZIP CODE 9:>009 DAY TELEPHONE 434-1400 4. APPUo.Jir OCbNtRACIOR UAGENTiUKWNIRACIOtr bOWNER DAGENI FOR OWNER NAME (last name fint) Carol F6ster ADDRESS 13706 Highway 8 Business, Suite B S. PKUPF.k U STATE CA ZIP CODE 92021 DAY TELEPHONE 390-4477 NAME (last name fir~l) Deweese, George ST.ATE Cl\ ADDRESS 2410 La Plancha Ln. CITY tt\Ul shad 6. WNI I K ZIP CODE 92009 DAY TELEPHONE 434 1400 NAME (last name first) A & J Foster, Inc. ADDRESS 91977 13706 Highway 8 Business, Suite B DAY TELEPHONE 390-44 77 Cl1Y El Cajon STATE CA ZIP CODE STATE UC.# 630] 2Q LICENSE Cl.ASS DESIGNER NAME (last name hrst} r 36 ADDRESS Cl1Y BUSINESS UC. # 1200354 Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC. 11 7. WOR.JMts' WMPENSA 110N , Workers' COmpensat1on Declarauon: I hereby afl1rm chat i have a certificate of consent to self-insure issued by the Director of industnal Relations, or a certificate or Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereor certified by the Direccor of the insurer thereof filed with the Building Inspection Depa~ent (Section 3800, Lab. C). INSURANCE-COMPANY 5-1-96 not emp oy any person m any manner SIGNATURE DATE 8. OWNEK-Dotmm DFi!LAAXIR.JN Owner-Builder Declaration: I hereby afhnn that I am exempt from the Confraciofs License 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 c.ode: The Contractor's Ucense Law does not apply to an owner o( 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 or proving that he did not build or improve for the purpose of sale.). □ I, as owner of th~ property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The C.Ontractor's Ucense 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 Ucense Law). □ I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit 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 Ucense 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 the applicant to a civil penalty of not more than five hundred dollars ($500]). SJGNATIIRE DATE WMPLEIE IRIS SECIION FOR NUN-RESIOEN IIAL BOILOING PERMli's ONLY: Is the applicant or future building occupant 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO ls the facility to be construcled within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 111EANSWERS ARI! YES, AFINALCER11FICATEOF OCDJPANCY MAY NOT BE ISSUED AFl'ERJIJLY I, 198911NU!SS nm APPIJCANT HAS MET OR IS MElm:NG 11lE ~IIIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLUfllON OONTilOL DISl1UCT. 9. WNSI KOC I ION LENDlNG »;ENCY I hereby alhrm ihat ihere IS a construcuon lending agency for ine performance of the work for which ifi15 penmt IS wued (Sec 3097(1) CivU Code). LENDER'S NAME None LENDER'S ADDRESS 10. XPPUCANI OltliFICAIION I certify inat I have read the applicauon and state that the above miormauon IS correct. I agree to comply with ail City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned propeny for inspection purposes. I A1SO AGREE ID SAVE INDEMNIFY AND l<EEP IIARMIJlSS nm 01Y OF CARISIW) AGAINST AIL UABIUl1F.S, JIJIXiMEN"fS, cnm; AND EXPENSES WI0OI MAY IN ANY WAY ACXlUII! AGAINST SAID 01Y IN OONSJ!Qlll!NCE OF nm GRANTING OF 1lilS PERMIT. OSHA: An OSHA permit is required £or excavations over 5'0" deep and demolition or construction or structures over 3 stories in height. ' Expiration. Every permit issued by the Building Official under the provisions of this c.ode shall expire by limitation and become null and void ir the building or work authorized by such permit is not commenced withi_n 365 days from the da!e of such pennit or i~ the building <!r work a_ut~orized by such pennit is suspended or abandoned at any time after the work 1s commenced for a penod of 180 days (Secuon 303(d) Umfonn Building Codeq). / A AJ'PUCANTS SIGNATURE DATE: .'3 "Q7-_ ¥' \ ,. PERMIT# CB960580 DESCRIPTION: REPLACE WATER CITY OF CARLSBAD INSPECTION REQUEST FOR 10/04/96 HEATER INSPECTOR AREA PLANCK# CB960580 OCC GRP TYPE: PLUM JOB ADDRESS: 2410 APPLICANT: DEWEESE, CONTRACTOR: OWNER: REMARKS: MW/434-1400 LA PLANCHA LN GEORGE SPECIAL INSTRUCT: I SET IT UP BETWEEN 1 TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents ------------------------------------------------------ CONSTR. TYPE NEW STE: PHONE: 619-434-1400 PHONE: PHONE: // LOT: INSPECTOR ~ AND 3/HOPE THI..,,S'"'w'-o-R--K-------- ACT COMMENTS ~ ------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS