HomeMy WebLinkAbout2505 LA MACARENA AVE; ; CB941564; PermitB V I L D 4 N G P E R M I T Pe.rm1t N,,: <..B'441Sb4
11 / 3 o I .j 4 1 o : 11
Pa'-Je 1 of 1
Job Address: 25J5 LA MACERENA AV
Permit Type: PLUMBING
Parcel No: 25S-070-52-00
Valuation: o
Construction ~ype: NEW
Suite:
Lot#:
f.' .t t) J e ct N l, :
[>eve lo[.>nlen t No:
9737 11/30/94 0001 01
C-PRMT
A940,.3ll2
02
27-00
Occupancy Group: Ref~rence#: Status:
Applied:
ISSUE['>
11/J0/':J4
11/.30/94
MDP
Description: WATER HEATER REPLACEMENT
Appl/Ownr : AJ FOSTER INC.
2819 CENTRAL AVE
SPRING VALLEY, vA . 91977
fees Required * * I(
Apr/Issue:
Entered By:
bl9 697-4151
Fe~~ Collected & Credits A I< Jr.
--------------------------~ -~----------.. --~-...... ----------------.. ...., _________ _
fees:
Adjustments:
Total Fees:
T~tal Cr dit~: .oo
Total Payn."Sl)t,;: . oo
Balan~e Due· 27.uu
Fee description Vni~s F~e_/'llnit Ext fee Data
Enter Y" for PluJb±ng In:ue F;e > ----20.l>O Y
Each Water Heater c1nc -fr Vent Y 1 7. n 7.oo
~ PLUMBING 70TAL 27.00
n~ APPROVAL !!NSF .1-_ DAT[ __,,......_-1,:.:::;__1
ICl EA,,,. -_______ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building D-rtllent
2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL,_ _________ _
I. P£itMJI IYPR
PLAN CK DEPOSIT _______ _
VAIJD. BY __________ _
DATE
From Llst l (see back) give code of Pennie-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ___ S_FR ________________ _
Net Loss/Gain of Dwelling Units
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address 2505 La Macarena Ave. Bualdmg or Suite No.
Nearest Cross Street
LEGAL DESCRIPI ION Lot No. Su6d1V1s1on Name/Number Omc No. Phase No.
CHECK BEWW IF SOHMII I Eb:
□ 2 Energy Cales C 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOB'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK Water Heater Replacement 50 gallon
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATI!ROOMS
3. WN IACI PEltSON (II dU(erent from appltcantl
NAME (last name first) Billye Alexancter ADDRESS 2505 La Macarena Ave.
CITY Carlsbad STATE CA. ZIPCODE 92009 DAYTELEPHONE 436-7274
4. APPDCANI UCONIRACIOk 0AGENI FORWNIRACIOR DOWNER DAGEN! FOR OWNER
NAME (last name first) Shelly Andrews ADDRESS 2819 Central Ave.
STATE CA ZIP CODE 91977 DAY TELEPHONE 619-697-4151 CITY Sprin~ Valley
S. PROPF.klY U NEk
NAME (last name first) Bill ye Alexander ADDRESS 2505 La Macarena Ave.
CITY Carlsbad STATE CA. ZIP CODE 92009 DAY TELEPHONE 436-7274
NAME (last name first) A&J Foster Inc. ADDRESS 2819 Central Ave.
CITY Spring Valley STATE CA. ZIP CODE 91977 DAYTELEPHONE 619-697-4151
STATE !JC.# 630120 IJCENSE CIASS C-36 CITY BUSINESS !JC.# 1200354
DESIGNER NAME (last name hrst) ADDRESS
CITY N,,A STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WUitkERS4 WMPENSXliUN
Workers• Compensation beclaranon: I hereby afhrm that I have a certificate of consent to seh-msure issued by the Otrector 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).
INSURANCE COMPANY Republic Indemnity POIJCY NO. PC949585 EXPIRATION DATE 5-1-95
Certificate of Exemptmn: I certify that m the performance of the work for which tfos pern11t 1s issued, I shall not employ any person many manner
so as to become subject to th~ Workers' Compensation Laws of California.
SIGNATUJ&:;?j;i '-fhcd,(__N!, DATE //~~ ~y
8. OWN Im-BO t!k OPl!LAltA:I IUN
a
a
a
Owner-Builder Declaration: I hereby afnrm that I am exempt from ffie Confracfofs License Law for ffie 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 Llcense 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 Llcense 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 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE 'IRIS SECilON FOR NON-RESIDEN liAL BOIWING PERMIIS 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 the outer boundary of a school site?
□ YES □ NO IF ANY OF TI!EANSWERS ARI! YES, A FINAL CERTIFICATE OF OOCUPANCYMAYNOTBE ISSUED AITERJULY 1, 1989 UNLESSTI!E APPIJCANT
HAS Mfil" OR IS MEIITING TI!E REQUIREMENTS OF TI!E OFFICE OF EMERGENCY SERVICES AND TI!E AIR POLLUTION CONTitOL DISTRICT.
9. WNSIRUCIIUN LENDING AGENCY
I hereby affirm that there ts a construction iendmg agency for the performance of the work for which this pemut ts issued (Sec 3097(1) Civil Code).
LENDER'S NAME N,, A LENDER'S ADDRESS
10. APPi1CAN I CFJtliFICAliuN
I certify that I have read the apphcatlon and state that the afxive miormatton IS correct. I agree to comply with all dcy ordmances 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 AISO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS TI!E Cl'IY OF CARlSBAD AGAINST AIL IJABILITIES, JUDGMENTS, <DSTS
AND EXPENSFS WHICH MAY IN ANY WAY AfXJlUE AGAINST SAID Cl'IY IN CONSEQUENCE OF TI!E 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 Ccxle 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Bui}jn~CQ<I~1 J
APPIJ~[tv (_j__, '--['ru...JJ,(J\.P.,__ DATE: /-I/✓ 7
WI-IlTE: File YELLOW: Applicant PINK; Finance
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB941564 FOR 03/31/95
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
INSPECTOR AREA
PLANCK# CB941564
OCC GRP
CONSTR. TYPE NEW
STE: LOT: JOB ADDRESS: 2505 LA MACERENA AV
APPLICANT: AJ FOSTER INC.
CONTRACTOR:
PHONE: 619 697-4151
OWNER:
REMARKS: MW/MORGAN
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT/I TYPE
CB890319 PLUM
CD LVL DESCRIPTION ACT
PHONE:
PHONE:
INSPECTOR --,~Lr___,,_ ______ _
fl/
STATUS
EXPIRED
COMMENTS (t; -S-T--In_t_e-rior lath;~~~~~ _____________ _
►' ---,vp;:t,;. ) C .,, £; rt ,,0 ------~-Llo!."""1-"lo..,/._l,..Co==----~,~ --------------
-------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS