HomeMy WebLinkAbout2652 HIGHLAND DR; ; CB973858; PermitB U I L D I N G P E R M I T
12/23/97 U8:23
Paqe 1 of 1
Job Address: 2b52 HIGHLAND DR Suite:
Permit Type: PLUMBING
Parcel No: 156-130-08-00 Lot#:
Valuation: IJ
Occupancy Group: Reference#:
Description: REPLACE WATER HEATER
Permit No : CB973858
Project No: Aj7U497S
Development No:
Construction Type: NEW
Status: ISSUED
Applied : 12/23/97
Apr/Issue: 12/23/97
2509 ~f..@.ife<M>O.B~l Rt:0
Appl/Ownr : DEHAAS . DANIEL 760 729-7275 C-PRHT 27-00
2652 HIGHLAND DR
CARLSBAD CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumb1
Gas Piping System
* PLUMBING TOTAL
*** Fees Collected & Credits
,00
.uo
27 .00
Ext fee Data
20.UU Y
7.00
27.uo
PPROV/\L
~-DATE{/4;/4--
CLEARANCE _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161
-
PERMIT APPLICATION
., FOR OFFICE USE ONLY '2 ,,-£"
PLAN CHECK NO. crz r,) '6'. I {J
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL. _________ _
ii.:.i.itlP.ROJECJLiNF.OIUM-tlOf.f"~~9
2652 Hi ghl ands Dr.
Addr111 Unclude Bldg/Suite II H
Validated By ~ Plan Ck. Deposit ~
Date /?-( '., 6_Z
Bu1lneu Name lat thla addtauJ
Legal Ouc,lptlon Lot No. Subdlvlalon N1m1/Numbll' Unit No. Phu• No, Total I of unit• SFR .
Aueuor'a Parcel I Exlatlng UH PropoHd UH
DHcrlptlon ol Work SO, FT. lor Storlea I or Bedroom, I of Bathrooms
WATER HFATER REPLACEMENI' :f~'.tt1'~(>N'(ACt'l'>wok ·11filrfii~t1f.cim1ijipti~Ul'~ji\TIT@}t~l1JJW!_V't;'ttmtlli\' '! 2652 Highland Dr . 265Z""Rrgh'Tancrrr~.
Name Addr111 City Statt/Zlp Telephone I Fu I
.,...,,..; -·····"cAN··,· 17'! ,"I ... ,1.zr.r,n,·!.'. rr.;:;r.;,< ·•r:1•·· 'lr:;i,n :l!J:~::·1 liJJ'"~~·•' ..... rm~~~~"l'l\1'!;,llU,:··'·'ii?l:J:U,• ~-. .:lifnr..r.1.1 .. JH J1.:..1J:lillMJIP\O "'""u.ir.a11.-IIJ.11.1111:i..MIU!QJP-'i l.::IIM.nl,WI, r.:i ..,._, ___ DJ1111N:"""1111_-.11i. •• "'Qr:--:rzuzr-1N-"'""'.......,li,,r.o,.j''.:;1(} {t'tf't'/'
SI:IBU ,Y JOHNSON/KRISTY FOS'I'ER 1_,7 6-B · , · -
Name Addte11 City State/Zlp Telephone I
rebaas , Dani el 2652 Highland Dr . &t!F"W:'8!?'9~~~-~~~'5
Name Addreu City State/Zlp Telephone I
li\ci.lrt:.PHlRAo.TOIIYi.~ctMUNIDW,li'Dtlilil■NiramJP'f'Wfflt hWSn+MACIN I Pt i Ntnilr■Wi.~W."
ISec. 7031.!i Bu1lne11 and Profea■lona Code: Any City or County which require■ • permit to conatruct, alter, Improve, demolish or repair any 1tructure, prior to lt1
Issuance, also requlrn the 1ppllc1nt for 1uch permit to flit 1 1lgn1d ■t1tem1nt that he la licen11d pur1u1nt to th• provl■iona al th• Contr■ctor'1 Ucen11 L■w
(Chapt11 9, commending with Section 7000 of Division 3 ol the Busln111 ind Prole11lona Code( or that ha 11 1111mpl therefrom, and th1 b■sl, for the alleged
uemptlon. Any vlol1tlon ol Section 7031.6 by any 1pplic1nt for I p11mlt 1ubjtct1 the 1ppllc1nt to a clvU _penalty ol not more llllA ll1fundr'1~~1114 4.-,9011. A & ,I FOSTER PLUMBING 13706-B HWY 8 BUS . · EL CAJON CA. '::L~U -
Name Addr111 City State/Zlp 12003~,tihone I
630120 C-36 Sutt Ucenn I_________ Ucen11 Cl■H _________ . City Bu1lne11 Uc■nH I _______ _
Ouignar Name Addr■as City State/Zlp Telephone
St1ta UcenH I __ ,a.N.,_/..;;A"'------
:41;i·'ii:W.6RKWt•,COMPE.N84'l'IOi(,M~~~•j,m;.,;~~-'V!'IC~~\llrJltaW'ti!BIIW
Wo,kera' Compenutlon Oecleratlon: I hereby elllrm under penelty of perjury one of the following .decl111tlon1:
O I have end will malnteln • certlllc•t• of conHnt to Hlf•ln1ure for worker■' compena1tlon II provided by Section 3700 of th• Labor Code, for the performence
al th• work lor which th11 permit 11 l11u1d.
~ I have ind wlU m1lnt1ln worker■' compen11tlon, 11 required b_y Section 3700 oftht Labor Code, for th• performance of th• ~ark for which 1h11 permit 11
i;,ued. My worker'■ compenaatlon ln1ur1nc• carrier ind policy number 111: CONI'INUOUS
lnluranc• Company FARMER INSURANCE Polley No. N200?-56-5l Explr1tlon D1te ______ _
(TitlS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work lor which thl1 permit la lnued, I 1h1li not employ any peraon In eny manner 10 u
to become 1ubject to th, Workera' Comp1nntlon L1w1 al C11ilornl1. ·
WARNING: Fenur■ to Hcure•workara' compen11tlon coverage 11 unlawful, and ■hall 1ubject •n employer to crlmlnal penaltlH and clvM finH up to one hundred
thou1and dona,■ 1•100,000), In eddltlon to th• coat of comp1n11tlon, dameg-■ 11 provided for In Section 3708 of the La~ code, lnt11-■t and 1ttorney'1 fH■.
SIGNATURE _____________________________ DATE ________ _
7, '"~•OWNER•BUILOER DE<;LAIIAJIOiji~Ct1'1J;mr.~-j{~~,~~~~'at}~\-~~m~"!J•~!},?f'..~).:~~J~~-'
I hereby allirm that I em uampt from th• Contractor'• LlcenH Law for the following rH■on:
0 I, u owner of the property or my employe11 with w1g11 11 their 101• comp1n11tlon, will do th• work and th• 1tructure la not Intended or offered for ule
ISec. 7044, Bu1ine11 and Profe11lon1 Code: Th• Contractor'• LlcenH Law doe■ not apply to In owner of property who bullda or lmprovH thereon, ind who dou
such work hlmHII or through hi• own employe11, provided th1t auch lmprovemant■ are not Intended or offered for Hie. II, however, the building or Improvement la
1old within on• year of completion, the owner•bullder will have th• burden or proving that he did not build or Improve for th• PllfPOH of Hie).
0 I, 11 owne, of th• property, •m uclualvaly contracting with llcenaed contractor• to con■truct' the project ISec. 7044, Bu1ln1■1 and Profeulona Coda: Th•
Contractor'■ Uc,nH Law do1■ not apply to an owner or property who build■. or lmprovu thereon, and contract• for 1uch proj1ct1 with contr■ctor(■I llc,nnd
pur1u1nt to the Contractor'■ Uc1n11 Law). ·
0 I am u,mpt under s,ctlon ______ Bu1ln111 and Prof-■1lona Cod, lor thl1 re11on:
1. I per■onally plen to provide the major lebor end meterlal1 lor conatructlon of the propo11d property Improvement. 0 YES ONO
2. I (have / hive natl algnad 1n 1ppllc1tlon lor a building parmlt for th• propoHd work:
3. I have contract1d with th• following person lllrml l!) provld■ the propo11d conltructlon Unclud1 nam, I addrtu / phon■ number / contractor■ llcen11 number!:
4. I plan to provide portions al the work, but I hive hired the following peraon to coordlnat,, 1upervlH ind provide th• major work (Include name I 1ddr11s / phone number/ contractor■ licen11 numbarl: ____________________________________________ _
!i. I will provide aom1 of the work, but I have contr■cted (hired) th• following peraona to provld• the work Indicated (Include name I 1ddre11 / phone number / IYP• ol workl: _____________________________________________________ _
PROPERTY OWNER SIGNATURE _____________ ...,...________ DATE _________ _
~eo~:.rHl!l;'SEc1:10N.F.OR.tJ.oNJ.M'$./~P.i.iM.£:e.iJ.ILQ.WA,llui.MiUJti~~'dmrArurtlllURAfflP!~•'\Wg:JI!~:.:tfJ.m'.~.ul:$5~~t,\~ ,
la the eppllcent « future building occupant required to 1ubmlt • bualnen plan, acutely haurdou1 m1t11l1l1 reglatratlon form or rlak m1nag1ment and prevention
program und■r Sectlon1 26606, 26533 or 26634 of the Pr-■ley•T•nn•r Huardoua 6ub1t1nce Account Act7 0 YES O NO
11 the applicant « future building occupant 11qulred to obtain • parmlt from th• 1lr poUutlon control dlatrlct or air quaUty m1n1g1ment di■trlct 7 0 YES O NO
11 the feclllty to be cONtNCted within 1,000 fHt of the outer boundary of 11chool ■1111 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNlllS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
a,:: ~:coNSTRucl'loN LENDING'AGENC"t:'~fo/-rWik!i'l;W,tW~~l''Mli~~~lfj~.l,'~~~~MIII'~iK1¥'B'./l~'/i~~;~~ ... ::.;. ·;_, : ,'.•'·.'.-:
I hereby 111irm that there 11 • con1tructlon lending egency for the parformenca al th• work for which thla p■rmlt 11 luued (Sec. 309711) Clvll Codal.
LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _
:I:, '. Al'l'tlCAH,:,cEl\llflCAl\OM}.)-.; .;~1-lt'~ ·.1iiW~J; t~,ni;_v,il~1l~;,,r~Ylif':ll~ffil.MJ..Wi!Wml~~:W~~-~~;, :~;:;~~-'.::. '·~
I certify th1t I h1v1 r11d the 1ppllc1tlon and 11111 that th• above lnlorm1tlon la corr1ct and lh■t th1 lnlorm1tlon on th, plan■ la accurate. I agree to comply with all
City ordinancH ind State lew1 11l1tlng to building con1truction. I hereby authorlH repr-■ant1tlv11 of the City of C11l1b1d to entar upon th• above mentioned
property lor inspection purpo111. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSKA: An OSHA parmlt 11 required for excavatlona over &•o• dHp ind demolltlon or conatructlon ol 1tructur11 over 3 1101111 In height.
E.XPIRA TION: Every p■rmlt luued by th• Building Ofllclal under th• provl1lont ol thl1 Coda 1h1II expire by llmltttlon and become null and void If the building or
work 1uthorl11d by such permit la not comm1nced within 366 daya from th• data of auch permit or II th• building or work authorlud by such permit Is 1uspended
or abandoned 1t any tlmt 1rtar n= comm1nctd for I j4J~d of 180 d■::?: 106.4.4 Uniform Building Code). /)
APPLICANT'S SIGNATURE uAC11 ja1r '2f A.&9 ~ DATE r2✓ Z--2:=1 '=I-:
WHITE: File YELLOW: Appllcent PINK: Flnence
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB973858 FOR 01/21/98
DESCRIPTION: REPLACE WATER HEATER
TYPE: PLUM
JOB ADDRESS: 2652 HIGHLAND DR
APPLICANT: DEHAAS, DANIEL
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB973858
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 729-7275
REMARKS: C/DANIEL/729-7275
SPECIAL INSTRUCT: INSPECTOR ___,f;~'?+-'----------
TOTAL TIME:
LVL DESCRIPTION ACT CD
25 PL Water Heater/Vents
COMMENTS /}
!Yf!_ -+--'-A::....:=' J __ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS