HomeMy WebLinkAbout2759 BERKELEY AVE; ; CB973912; PermitBUILDING PERMIT Permit No: CB973912 12/29/97 16:26 Project No: A9705047
Page 1 of 1 Development No:
Permit Type: PLUMBING Parcel No: 167-563-17-00 Lot#:
Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: WATER HEATER REPLACEMENT Applied: 12/29/97
Apr/Issue: 12/29/97
, Job Address: 2759 BERKELEY AV Suite:
Entered By: JM Appl/Ownr : SPECK ROSS 760 434-5149
2759 BERKELY AVENUE
CARLSBAD CA 92008
**x Fees Required *** ***
Adjustments: .oo
Total Fees: .oo
27.00
27.00 Fees :
Fee description Ext fee Data ------------------
Enter "Y" for Plu 20.00 Y
Each Water Heater * PLUMBING TOTAL 27.00
CLEARANCE I
I
CITY OF CARLSBAD
2075 LW Palmas Dr., Carl~bad, CA 9209 (619) 438-1161
-
PERMIT APPLICATJON ..
CITY OF CARLSBAD BUILDING
2075 Las Palmas Dr., Carlsbad
(61 9) 438-1 161
2 ..
DEPARTMENT
CA 92009
FOR OFFICE USE 02;%'iy57/ 2/
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Lmgd Duulption Lot No. Subdivlrion NrmrlNumber Unlt No. PhrS8 NO. Totrl I of unltr SFR
Assrrsor'r Parcel I Wrtlng Use Proporrd Urr
Description of Work SO. FT. aor st or)^ I of Brdroomr I of Bathrooms
Telephone I
ISec. 7031.6 Burlnerr and Profrrrlona Codr: Any City or County which rrqulrra I prrmlt to conalruct, altar, Impovr, drmollrh or rrprlr my rtructurr, prlor to Its
Issuance. alro requlrer the appilcrnt for such permit to fle a aioned rtatement that tu Is Ucuued pursuant to tho provirionr of ths Contractor's Ucenie Caw
[Chapter 9. commmdlng with Sacllon 7000 of Division 3 of tha Businass and Prokrslonr Codel or that ho la rxempt therafrom, and the basis for the ailoped
exemption. Any violation of Srctlon 7031.6 by my rpplicrnt for a parmlt rubjectr thr rpplicrnt to r clvll pr~lty of not more than five hundrrd doilarr 186001). -- n --I $W@eJ FOSTER PLUMBING WY 8 BUS. Wt+JJLV biGt~lZIP'XL~
City Burlnerr Ucrnae I -11c)825< - Ucrnrr Clirr - mr v stam UC~WO a
Dasignrr Name Addrers city Strte/Zlp Teirphonr
Workrrr' Comprnartlon Declrrrtlon: I hrrby rfllrm under prnalty of prrjury onr of the following drdarrtionr:
0 ol thr work for which thlr pwmlt la Iraued.
0
Inaurnr Company Policy No. Explrrtion Dot
ITHIS SECTION Nld&f%kbdHW ' ' PERMIT IS FOR ONE HUNDRED DOUWTd#Gdh
0 CERTiFlCATE OF EXEMPTION: I crrtlfy that In the performrncr 01 thr work for which tMr prrmlt is Irrurd, I rhrll not omploy my parson In any mrnner io as
to bromr rubjrct to thr Workrrr' Compensation Lrwr of Crilfornlr.
WARNINQ: Frllurr to ronnm.workrrr' comprnrrUon coverrgr la unlawful, mnd rMl rubjrct mn omployer to crlmlnrl penrltler and clvR flnrr up to one hundrrd
thouad dollars 1$100,000). In addition to thr coat of compmrrtlon, drmrgrr ar provldrd for In Sacllon 3706 of UN bbpy code, lnturrt mnd rttornry'r Ires.
SIGNATURE DATE
I hereby affirm that I am rxampt lrom tho Contractor's Ucenre Law for the following rrraon:
0 1. mi owner of the property or my employerr with wages aa thrir solo comprnartlon, will do thr work rnd tho rtructurr Is not Intended or offered for sale
(Sac. 7044, Bustners rnd Profrrrionr Codr: The Conlrrctor'r Llcenrr Law dorr not apply to an owner of property who bullda or Improves thereon, and who doer such work hlmrelf or throuoh his own employrer, provlded that such Improvrmonta arr not htendrd or oflrrrd for rrlr. If. howrvrr, the buiidhg or improvement ir
add withln on. ye4r ol completion, thr owner.builder will Iuvr tho bwdrn of proving thrt ho dld not bulld or Improve for the pwporr of rrlel.
0 1. rr ownor of the property, rm rxclurlvrly contracting wlth Ucmnaed contrrctoro to conrtruct'thr proloot (Sac. 7044, Buainrrr snd Profrrrlonr Code: Thr Cmtrrctor'r Ucenrr Lrw dorr not ipply to rn owner of proprrty who bulida or.Impovor thorron, and conttrcto for much projrctr with contrictor(rl Ilcrnsrd
purrurnt to the Conlrrctor'r Ucrnar Law).
0
1.
2.
3.
I hvr and will maintaln r crrtlflcat@ of conarnt to rrlf4nrure for workrrr' comprnartlon 18 provided by Srctlon 3700 of the Labor Code, for the performrncr
I bvr and wlU mrintaln workrrr' compmrrtlon, ar rrquirmd by Srctlm 3700 of tho Labor Codr, for tho performrncr of tho work for whlch thir permlt la x isrued. My workrr'r comprnsrtlon lnrwrncr cirrior and pollcy numbtr urn:
rr ?- t-
7, ' " OWNER-BUILDER DECLARATION ~~~~~?~~ lR.MX4
I rrn exempt under Section
I perronrlly plan to provldr the mrjw libor and mrtrrlalr for conrtructlon 01 tho proporrd proputy Improvrmmnt. 0 YES UNO
I Ituvr I hrvr not) rlgned an appllcatlon for I bullding prrmlt lor thr proporrd work;
I hrvr contrrctrd wlth thr following perron lfirm) to provldr the proposed conrtructlon (includr nrmr I rddrarr I phono number / contractors llcenrr numbrrl:
Burlnrrr and Profrrrlonr Codr for Ma rowon:
4.
numbrr I conlrrctorr licenrr number):
6.
I plrn to provldr ponionr of tha work, but I hrvr hlred the following perron to coordlnrtr, ruprrvlra and providr thr mijor work lincludr nrme I rddrers I phone
I will provide romr of ihr work, but I hrve contracted lhirrdl ihm following prrrona to provldr the work indlcrtrd Iincludr name I rddresa / phone number / type
la the rpplicrnt or futuro bullding occupant rrqulred to rubmlt r burlnru plan, rcutrly bzrrdour mrtorklr rrglrtrrtion form or rlrk rnmrgament and prevrntlon
program undr SMlwu 26606,26633 or 26634 of tho Prraley-Trnner Hrrrrdoua Subrtrncr Account Act? 0 YES 0 NO
Is tho applicant or futuro bullding occupant roqdrrd to obtain I pudt from thr ai( poUuUon control dlrtrlct w rlf quality manrgement dlrtrict? 0 YES 0 NO
Is tho frclllty to bo conatructrd withln 1,OOO feet of thr outu boundary of I rchod alto? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8.: ': CONSTRUCTlON LENDINO'AQENCY
I hereby rffirm that them ir I conrtructio
LENDER'S NAME LENDER'S ADDRESS
rmrncr of thr work for whlch thlr prrmlt ir Irrurd Woe. 309711) Civil Cod
kf ! APPL\CANT,CERT\F\CNA ur: $$A7%l$F$&:Y..y
I certify that I hrve md the rpplicrtion and state that the above lnlormrtlon la correct and that tho Information on the plana la rccurrtr. I agree to comply with 011
City ordlnrncrr and State laws rrlrting to buiidlng conrtruction. I hrreby ruthorizr rrprerontr1lvrr 01 the Clty of Carlrbrd to enter upon the above mentionsd property for inspection putposer. I ALSO AOREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES.
JUDQMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE QRANTiNO OF THIS PERMIT.
OSHA: An OSHA prrmlt la requlrrd for rxcrvrtiona over 6'0' derp and damollllon or cwutruction of atructurrr ovmr 3 rtorira In height.
U(P(RAT1ON: Every permit irrurd by tho Building OffiJrl undr tho provlrlona 01 thlr Codr rhrll mxplrr by iimltrtlon and become null mnd void if the bullding or
work mvrhorlted by ruth prrmlt la not commenced withln 366 dryr lrom Ls drto of ruch pormlt or If tho bulldlnp or work rulhorlrrd by such permit Is suspended
o( abandoned at any Umr rf rncad f s period of 180 ISecUon 106.4.4 UnilOrm Bullding Cod
APPLICANT'S SIGNATURE Y&d DATE
WHITE: File YELLOW: Appllcrnt PINK: Flnrnce
- -
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB973912 FOR 01/20/98 INSPECTOR AREA PS DESCRIPTION: WATER HEATER REPLACEMENT PLANCK# CB973912
TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2759 BERKELEY AV STE : LOT: APPLICANT: SPECK ROSS PHONE: 760 434-5149
CONTRACTOR: PHONE :
OWNER: PHONE :
REMARKS: C/MR. SPECK/434-5149 AM PLEASE INSPECTOR
SPECIAL INSTRUCT:
OCC GRP
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE
CB880206
CD LVL DESCRIPTION
25 PL Water Heater/Vents
ACT COMMENTS
DATE DESCRIPTION 010698 Water Heater/Vents
***** INSPECTION HISTORY *****
J
ACT INSP COMMENTS co PS NO ONE HOME