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HomeMy WebLinkAbout2728 LLAMA CT; ; CB983464; Permit✓?£)437 ' 10/09/98 08:55 Page 1 of 1 B U I L D I N G Job Address: 2728 LLAMA CT Permit Type: PLUMBING Parcel No: 215-410-10-00 Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB9834o4 ProJect No: A9804512 Development No: Construction Type: Occupancy Group: Reference#: Status: Applied: NEW ISSUED 10/09/98 10/09/98 BT Description: WATER HEATER REPLACE Appl/Ownr : MAIO PLUMBING 9333 TRADE PLACE SAN DIEGO CA 92120 Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumbi Each Water Heater an *** Apr/Issue: Entered By: 619-566-1234 ollected & Credits *** ---------2081---10/-09.t98---00G~--01--~~ C-ffi'MT 27°00 .00 .oo 27.00 Ext fee Data 20.UO Y 7.00 ~F-IN-s:::ACA~[-P--:P=-R-0_.,,VA-·-- INSP . .,.....--.-"-.U-DATE (} Z J 10 CLEARANCE __ CITY OF CARLSBAD 2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161 \ PERMIT APPLICATION FOR OFFICE USE ON,½ v.Zt [ ,I PLAN CHECK NO. If ()_Jfb'f_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. Plan Ck. Deposit ;>7 ,-----, Validated By Date ~o 'f!(kf I 1. ~ROJECT sfORMATION .,L.. 7 ?.. 1 .t 44f)Ci Address hnclude Bldg/Suite I) Businus Name ,,1 thitl ■ddrnsl Legal Description Lot No. S~on Name/Number I( ,;2 IS 11 CJ (000 .. Aasen°::::' 11 i l ~ 0 ( ~~ Use fa[/IM::c ~h;.._, K~lll:S,~ Unit No. Ph■se No. Total I of units Description of Work SQ. FT. lof Storin Proposad UH I of Bedrooms # of Bathrooms Addreu City St■1111'Zip Tei•phone I S. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requirn ■ permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to fit■ ■ signed statement that he is licenud pursuant to the proviaions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Businn■ and Prof .. 1ion1 Codll or that he 19 e,cempt therefrom, snd the basis for the alleged exemption. Anv violation of Section 7031.5 by any applicant for a permit ■ubiects the appl~nt to a dvl!J>lnattv of not mt!, than five hun/red dollars (t500J). tf ee.s osa me10 eih:q 1-/+'1 Aia. '333;, :U-¼-rlna ~}q"o~ AC?uJ.(. M1>al~(Js':f- Name Address City tlte/Zip T .. ephone I Sme License I 39 :,5-)7 License Cl■os C-3 (o Cttv BUliws u..,.. I 1/C: 3 / 06 1,JIA Oesigne7Name Addraas City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dttderetion■: 0 I have and will mainttin • certificate of connnt to 1elf•lnlure for workers' compensation a■ provided by Section 3700 of th■ Labor Code, for the performance of the work for which this permit is Issued. liJ I have and will maintain wmkers' compenntion, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is issued. My worker's compensation insurance Jfnier and policy number are: lnsurence Compenv J,,,h&r:Tu/ Q11i±JA,l<'.. Policy No. W ('_, 1-/<J, I -L/(q5:i :2-~ Expirotlon Dote lf,U,/91 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lf100J OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit 19 issued, I lh■II not employ eny parson In any menMr 10 u to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure workers' compensation C:O......,. ti unlawful, and ... IUlljKt an amployer to crimkal p■n■ftl■a and dvll finH up to one hundred thousand dollan lt100,000), ~ comp■n■■tlon, .,...... .• ...,_. for In-. 3708 of 1h11. ..-.. -~• ::::. and an--,·•.-· SIGNATURE :2'.){l~-~ DATE {O fl..::_Cl..l)__ 7. OWNER.BUILDER DECLARATION . . ·-•.... . . · ~ . ·,•~·~.·· ........ _. .. '. "·.:rr.~~;:r.1,·~•..-.·•;:' ·-•··" 'fl'i·r.-~-, • I hereby affirm that I am exempt from the Contractor's Ucen■e Law for the following re11on: 0 I, as owner of the property or my employees with w1gu II their sole compensltkm, will do the work and the ■tructwa ta not lntanded or offer■d for ute (Sec. 7044, Business and Protfflions Cod■: The Contractor•, Ucen■e Law doe■ not apply to en owner of property who buMdl or lmprov■s th■reon, and who don such work hlm1elt or through tWs own emplo't'ffl, provklld thllt auch lmprovementa ere not tntend9d or offered for Nie. If, how■ver, the building or Improvement ta sold within one year of compl■tion, the own■r--builder wffl have the burden of provtng that he did not build or Improve for the purpoee of alla). D I, as owner of the property, am exclusivetv contracting wfth licensed contfactors to conetruct the protect flee. 7044, lullneu and Protna6ons Code: The Contractor's License Law dou not apply to an owner of property who build■ or improves thereon, and contracta for ■IICh project■ with contf'lictorla) lk:en■ed pursuant to the Contractor's License Lllw). 0 I am exempt und■r Section ______ Bu■lneu and Profnslons Codi tor this ruaon: 1, I personally plan 10 provide the me}or labor and materials for construction of the proposed property I~. D YES ONO 2. I !have/ have notl signed an application for a building permtt for the proposed work. 3. I have contracted with the following parson lfirm) to provktt the proposed construction Clncluda name I addreu / phone number / contractors lk:.,.e number): 4. I plan to provid■ portions of th■ wmk, but I hive hired the following pem,n to coordlnlt1, auperyise end provide the major work Clnc:Jude name / addren I phone number I contractors license number).:_--------------------------------------------- 5. I will provide some of the work, but I hive contracted Chired) the following persons to provid9 the work indlCltld tlndude name / addrna / phone number / typa of work):. _______________________________________________________ _ Is the •pplic•nt or future building occupant requited to eubmit • buainNs plan, •cutely hllzardoUI m•terial■ 1egi1111aU011! farm or Mk m■n■gament and prevantton program under Sections 25505, 25633 or 25534 of the Pretlev•Tanner Huerdoue Sublt1nce Accaunt Act? D YES D NO Is the applicant or future building oceupent requlr■d to obtatn a permit from tha atr poHutlon control ~ct or air quality m1n1gem■nt district? D YES O NO la the facility to be constructed within 1,000 feet of the outer boundary of I school ■h:e? □ YES □ NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IIE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ii.· CONSTRUCTION LENDING AGENCY -·'v ~-· ..... , ... ~--:-c· -~·~""··~·-'":'!:~,1--'"'""''"''"._.,, .... : .... -.,. .... ,,.,,.,., ... :-..... _ _., • .,., .... , "'·-.... ,.~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued CSec. 3097(i) Civil Code). LENDER'S NAME_____________ LENDER'SAODRESS,=------,-=------------------r9. APPLICANT CEATIFICAtibN ----.·.-. · "•rr:-c-·-".""> .,:,.."""" '"'.-.:_-.~-;':'·,·,,-~,;!7 '·u·•::;,1";r._i•t'"•7· ·'·~.w ..... ,..._,.., •. ,.,.: I certify that I have read the application 1nd stlte that the above Information ii conect and thllt th■ Information on th■ plans Is accurate. I agrH to comS,,y with all City ordinances and State laws relating to building construction. I hereby authorize reprH■ntltiv■s of the Cttt of Carllbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 1tEEP 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. OSHA: An OSHA permit is required for excavations over 5•0• deep 1nd demolition or construction of structures over 3 ■tori■■ In height. EXPIRATION: Every permit issued by the BuHding Official under the provisions of this Codi shall e,cpire by limltltion and become null and void If the building or work authorized by such permit is not commenced within 385 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 commenc1d for a period of 180 days IS.ction 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ c.JuL_ '.'.tr'\,~. DATE i o -s· -s o: YELLOW: Applicant PINK: Finance ' ,, PERMIT# CB983464 DESCRIPTION: WATER HEATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 10/20/98 REPLACE INSPECTOR AREA PLANCK# CB983464 OCC GRP JOB ADDRESS: 2728 LLAMA CT APPLICANT: MAIO PLUMBING CONTRACTOR: PHONE: CONSTR. TYPE NEW LOT: STE: 619-566-1234 OWNER: REMARKS: R/JOAN/431-8566 SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents PHONE: PHONE: INSPECTOR ---=O"-'-J-✓ _____ _ ACT COMMENTS t!.. /1... {'l-v (),J' /1 Ur<-{ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS