HomeMy WebLinkAbout2431 LA COSTA AVE; D; CB941122; PermitB U I L D I N G
08/31/94 11:00
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Job Address: 2 4 31 LA COSTA AV
Permit Type: PLUMBING
Parcel No: 223 291 37_09,7 Valuation: .1 1<-~ ~::. b'
Construction Type: NEW
P E R M I T
Suite : D
Lot#:
Permit No: CB941122
Project No: A9401574
Development No:
8449 08/31/94 0001 01
C-PRHT 02
21.00
Occupancy Group: Reference#: Status: ISSUED
06/29/93
08/31/94
DC
Description: WATER HEATER REPLACEMENT
Appl/Ownr : FOSTER, A & J
2819 CENTRAL AVENUE
SPRING VALLEY, CA 91977
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumb1.n9 Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
Applied:
Apr/Issue:
619
Entered By:
697-4151
Fees CollGcted & Credits
Total CL-edit::;:
Total Paym,~nts:
Balance Due:
.00
.00
27.00
***
Units Feel.Unit Ext fee Data
-----
20.00 Y
7.00
27.00
FINAL APPROVAL
INSP. __ DATE _ _.
CLEARANCE-----t
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building D-rta!nt
l
~V~DEPOSIT _______ _
2075 Las PalES Dr., carlsbad, CA 92009 (619) 438·1161
I. PERMI I NP£ VAIID. BY __________ _
DAT!!
From List 1 (see back) give code of Pennit~Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: --=S=FR=----------------
Net Loss/Gain of Dwelling Units
2.. PRQJECT INFORMATION FOR OFFICE USE ONLY
Address 2431-D La Costa Ave. Buddmg or Suite No.
Nearest Cross Street
LEGAi. DESCRIF'IloN Lot No. Subct1V1s1on Name/Number Omt No. Phase No.
CHECR BEWW lF SOBMII IEO:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PBOPQSED USE
DESCRIPTION OF WORK water Heater Replacement 30 gallon
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PFltSON (II dlIJerent from applicant)
NAME (last name first) Bonnie Rule ADDRESS 2431-D La Costa Ave.
CI1Y Carlsbad STATE CA. ZIP CODE 92009 DAY TELEPHONE 942-3772
4. APPUCXNI UWNIRACIOk 181AGENI FORWNIRACIOR DOWNER UAGENI FOR OWNER
NAME (last name first) Shelly Andrews ADDRESS 2819 Central Ave.
CI1YS&rin~ Valley STATE CA ZIP CODE 91977 DAY TELEPHONE619 697 4] 51
5. PR.OP Ii O NER
NAME (last name first) Bonnie Rule ADDRESS 2431-D La Costa Ave.
CI1Y Carlsbad STATE Ca ZIP CODE 92009 DAYTELEPHONE 942-3772
NAME (last name first) A&J Foster Inc. ADDRESS
91977
2819 Central Ave.
CI1Y Spring Valley STATE CA. ZIP CODE DAY TELEPHONE 619-697-4151
STATE LIC. # 630120 LICENSE CLASS C 36 CI1Y BUSINESS LIC. # ] 200154
DESIGNER NAME (last name llrst) ADDRESS
CI1Y N,,A STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOitlMtS-1 CDMPENSAIION
Workers' Compensatton Declaration: I hereby afhrm that I have a cemhcate of consent to seif-msure issued by the Director of industnal
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).
□
□
□
5-1-95
Owner-BuUder Declaration: I hereby afhrm that I am exempt from the Confraciofs license Law for the following 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 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 contracror(s) licensed pursuant to the Contractor's Llcense 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 Llcense 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]).
SIGNATURE DATE
COMPLEIE I HIS SEGI ION FOR NON-RESIDEN I IAL BUIWING PERMI rs 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
Is the facility to be constructed within 1,000 feet of rhe outer boundary of a school site?
□YES □NO IF ANY OF 111E ANSWERS ARE YES, A FINAL CER'TIFICATE OF OCCUPANCY MAY NITT BE ISSUED AFJ'ERJULY 1, 1989 UNLF.SS 11IE APPLICANT
HAS MTI OR IS MEIIT!NG 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR FOILIJTION CONTROL msnucr.
9. WNSI KOCI ION ll.NDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V1i Code).
LENDER'S NAME N,, A LENDER'S ADDRESS
IO. APPllCAN i CEitlfillCAiiON
I cernfy that I have read the application and state that the afxive mformatton 1s correct. I agree to comply with ail City ordinances and Stare 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 11IE CflY OF CARISBAD AGAINST AIL LIABILI11ES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY Afx:IUJE AGAINST SAID CflY IN CONSEQUENCE OF 11IE GRANTING OF 1lilS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 voi if the
building or work authorized such permit is nor comm ed within 365 days from the date of such permit or if the building or work authori
such permit is suspended or oned y time af r th work is menced. for a od of 180 days (Section 303(d) Uniform Buimig
APPLICANTS SIGNATURE DATE:_ 0_,_..._~
0