HomeMy WebLinkAbout2642 LA GRAN VIA; ; CB961792; PermitJ')/11:i '-t,> 1 I 4b
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Appl,Ownr URAN, KENNEfH
2t>4l LA liRAN VI.A
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CAR~SBAD CA 920C9
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CLEARA
CITY OF CARLSBAD
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2075 Las Palmas Dr., Carlsbad, CA 92()()<) (619) 438-1161
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PERMIT APPLICATION PLAN CHECK NO. Cf• r;
City of Carlsbad Building Department
2075 Las Pal..,s Dr., Carlsbad, CA 92009 (619) 438-1161
I. PEit.Mi I IYPE
From Llst 1 (see back) give code of Pennit-Type: ____________ _
for Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------"'"-"'------------
Nee Loss/Gain of Dwelling Units
2. PIICllECf IN~UIIMA110N FOR OFFICE USE ONLY
Address 2642 La Gran Via 8u1ldmg or Suite No.
Nearest Cross Street Levante St.
LEGAL DESCRIPIION Lot No. Sutxl1vts1on Name/Numl>er Omt No. Phase No.
CHECK BEWW IF SOBMI 11 EU:
□ 2 Energy c.alcs □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PBQPOSFD USE
DESCRIPTION OF WORK Water Heater Replacement 50 Gallon
SQ. FT. # OF S1URIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PE.l&JN (U dUlerent from applicant)
NAME (last name first) Uran, Kenneth ADDIIESS 2642 La Gran Via
CITY Carlsbad, STATE CA. ZIPffiDE 92009 DAYTELEPHON~d ~~o 4. APPUCANI UWNIRACIOR Y:AGENI FORWNIMCIUR □OWNER OAGENI F W
NAME (last name first) Carol Foster ADDIIESS 13706 Highway B Business, Suite B
CITY El Cajon STATE CA ZIP CODE 92021 DAY TELEPHONE 390-44 77
NAME (last name first) Uran, Kenneth ADDRESS2642 La Gran Via
CITY Carlsbad STATE CA ZIP CODE92009 DAY TELEPIIONfi33 4230 6. WN lltACJOR
NAME (last name first) A & J Foster, Inc. ADDRESS 13706 Highway B Business, Suite B
CITY El Cajon STATE CA ZIP CODE 91977 DAY TELEPHONE 390-4477
STATE UC.# 630120 UCENSE CLASS r 36 DESIGNER NAME (last name hrst) ADDRESS CllYBUSINESS UC.# ] 3003§1
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. Wollkt:it<i WMPRNsA:JION
Workers' Compensation Declaration: I hereby affirm that I have a ceruhcate of consent to self-msure issued by the DirecLor 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 Depanment (Seclion 3800, Lab. C).
rt1 1cate o xempt1on: cert1 l t mt e per ormance o t e war or w
so as to become subject to the Workers' Compensation Laws of California.
SIGNATU~fL}P?ATE q _ 1 f -qu 8. OWNflt-·
□
□
□
Uwner-BuUder Declaration: I here6y athrm that I am exempt from ffie Confradofs Llcense Law ior the ioliowmg 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 emplo}'eeS, provided that sud\ improvements are not intended
or offered for sale. If, however, the building or improvement is sold \,'Vithin one year of completion, the owner•buildcr 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 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATUIIE DATE
COMPLE IE I ms SECI ION FUil NON.HESIDEN I !Ai BDIWING PERM) Is 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 ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution comrol district or air quality management district?
□ YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES ONO
IF ANY OF TIIEANSWEIIS AREYES, AFINAL CEIITIFICATE OF cxx:tJPANCY MAYNITT BE ISSUED AFTEIIJULY 1, 1989 UNJ.E.<;S ·nIE APl'UCANT
HAS MET on IS MEimNG TIIE IIEQU111EMENTS OF TIIE OFFICE OF EMERGENCY ~1!11VICES AND TIIE AIR POU.U-llON illN'IllOL DI~"l111CT.
9. WNSlltuCIION LENDING AGENCY
I hereby aii,rm that there 1s a constructJOn lendmg agency for the perlonnance of the work lor wluch Uus permit 1s issued (Sec 3097(1) Civil Code).
LENDEll'S NAME None LENDER'S ADDIIESS
10. APPUCXNI CEkiiFICXilON
1 certify ihat i have read the appllcatJOn and state that the above miormat1on 1s correct. I agree to comply wuh all City 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 ALSO AGIIEE 1U SAVE INDEMNIFY AND KEEP IIAIIMLESS 11IE CTIY OF CARISBAD AGAINST AIJ. IJABIIn1FS, JUDGMENTS, (DSTS
AND EXPENSES WlllCII MAY IN ANY WAY AallUE AGAINST SAID CI1Y IN illNSEQUENCE OF TIIE GIIANTING OF 11IIS PFJlMIT.
OSIIA: 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 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 pcnnit is suspended or abandoned at any time after the work.is cGlmmenced for a period of 180 days (Section 303(d) Unifonn lluil~ Cod£'. C
APPuCANrs s1GNATUIIE '---fV7_. '--fluC'LL IL..£',._ DATE, ; ~lb
WHITF.: File YEil.OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB961792 FOR 09/30/96
DESCRIPTION: REPLACE WATER HEATER
TYPE: PLUM
INSPECTOR AREA
PLANCK# CB961792
OCC GRP
CONSTR. TYPE NEW JOB ADDRESS: 2642 LA GRAN VIA
APPLICANT: URAN, KENNETH
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: MW/KENNETH/633-4230
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
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PHONE: 619 633-4230
PHONE:
PHONE:
INSPECTOR.,,L'-----------
ACT COMMENTS
4£_ \ ,rJoV
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS