The URL can be used to link to this page

Home My WebLink About2813 FOREST VIEW WAY; ; CB971552; PermitCITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 t~EQJ[Rllf,O,iaU~\l 2813 Forest View Way AddrHI (Include Bldg/Suite #I FOR OFFICE USE ONLY PLAN CHECK No.q7t'iiL Bu1ln•" Name (It thl1 1dd11"I legal 0Hcriptlon lot No, SFR Subdlvlalon Nama/NUf!lblt' Unit No. PhlH No. Tot1I I of unite Ass111or'1 Parcel I Exl11ing U11 l'Topo11d U11 D11crlptlon of Work SO. FT. lol Storl11 , I of Bedrooms I of Bathrooms WATER .HFA~"'~f LAC,~ ·~m~~ .. --~!:1(1-~im-~., ··t'\i!filt/.4i!.'l~"JA:L\\1.:tW~~1',t11i11;a~,,111<11!11i . .l<'i'""'· ,Ii':· •.• i27ti;:COtf'(ACtr""'-°"'" ·11 ... f l'l!llt.;,r, . . .·. _. It ·,,~!{11,JtJ • -'·th.~ldCP,.~m'J'''it,9~~...,_;~4J!Jl~l1i1..:.;,l~\i(_/rtj•i.f'. Saclder , Albert 2 Fores 1.ew a · Name AddreH City State/Zip Telephone I Fu I ~?.il'~c~:tiW Cil/~9.11.Jl•_g(qtgtm~a.,fi-tf.(iit onl'illiiiril@~olat;m rni~·11~~~~~~"4'9~'lim:. SHELXY ,JQHNSQN/KRISTY FOSTER 13706-B HWY-S-BUS. , · Nam, Addr11s City St1t11/Zlp Telephone I ~JtUtt>'1P.~~~MlriDIIIIPDIDWffl'iUWtf,. MY M!~~~~~, 5ar-'k:ler Al.bilrt 2813 Forest View Way CARLS CA. ~L:uu 'l'lame I Addreaa City State/Zip Telephone I 1&:~c.'toili.cQM~MFT f fmll¥.! &l&i l!SilUf (Sec. 7031.6 Bu1ln111 and l'Tol111lon1 Code: Any City or County which r11qulr11, permit to construct, 1lt11r, lmprov1, demolish or r11p1lr 1ny 1tructure, prior to Its luu1nc1, 1110 requires the 1ppllc1nt for such permit to Ille • signed st1t11m11nt th1t he 11 llcen11d pur1u,nt to the provisions of the Contr1ctor'1 Ucen111 Lew ICh1pt11 9, commending with Section 7000 of Division 3 of the Business end Profession, Codel or that ha Is exempt therefrom, end the besls for the 1lleg11d exemption. Any vlol1tlon of Section 7031.6 by 1ny 1pplic1nt for I permit subjects the 1ppllc1nt to I civil pana&ol not~ztln flv~~'f<'.f',"f" lt60011, A & ~ .ms:PE!:R p;r,,r;JWSI'b"G J 3706-B HWY 8 BUS. EL CAJON • t«mi° -.-Addr1u City St1'!~0 354 Telephone I S1111 UcenafflQ) 20 Ucen11 ci&-3 6 . City Bu1ln111 Llcen11 I ------- 011igner N1m1 Address City St1t11/Zlp Telephone State Uc-• ~ ('Ii, · · . - -r.:i·it.WORKW1;eoMP£Ns4'r1ott.~.~a~nLGiilml!tfliilM'Ct~\\!'Mli'lllill.l\ll~~••mia1111111•ammm1·! W.lAi'iiMV>Jf~ll£fl'1w:.1,•;;_;·i· .. X WOfk1r1' Compensation Oecl111tlon: I hereby 1fflrm under penalty of perjury on, of th, following .d1cl111tlon1: 0 I hive ind win m1lnt1ln I c1rtlllc1t1 of coneent to 11lf-ln1ur, for work111' comp11n11tlon II provided by Section 3700 of the lebor Code, for the perform1nc11 of the work for which this pe,mlt 11 l11ued. 0 I hive 1nd will m1lnt1ln worklfl' compensation, 11 required by Section 3700 of the l1bor Code, for th• p1rform1nc11 of th, work for which this permit ls lseuad. My worker'• comp1n11tlon lnluranc, cerrllf ind policy number 111: 1neur1nce ComP!'ABMEB JNSITRANCE Polley ~007-56-51 CONTINUOUS Expiration Dete _______ _ !THIS SECTION NUO NOT BE C(?MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify th1t In the p1rform1nce of the work for which this permit ls la1ued, l 1h1ll not employ 1ny person In eny m1nner 10 es' to become subject to the Work111' Comp1n11tlon laws of C11ilornl1. WARNING: Falluf, to 11cu,1•work11s' compen11tlon cov1reg1 11 unlawful, ind 1h1H 1ubJ1ct an employer to crln*11I p1nlltht1 Ind clvH fln11 Ull to one hUtldr,d thou1and dollar11•100,000l, In addition to th, co1t of comp1n11tlon, d1m1g1111 provided for In Section 3708 of the l.abq, coda, lnlll'Ht ind 1ttorn11y'1 f11a. SIGNATURE DATE--------- 7, '":'OWNER-BUILDER DECLARATIO~,ani::r;.~~'f,,; ... ~1~&-fl?ti!.t."'f~~e1.H-\.~1~U.~fflBi'E'~™~~~~-""~~-1~:.'i1~~i: i I hereby affirm th,t I 1m exempt from th, Contrector's Ucent& Lew lor the lollowlng reason: 0 I, 11 owner of the property or my employe11 with w1ges II their 1011 compenutlon, wlll do the work ind the structure ls not Intended or offered for sale (Sec. 7044, Bu1ine11 ind Profenlons Code: The Contrector'1 Ucen11 law do11 not 1pply to an owner of property who build• or Improves thereon, end who does such wotk hlm1ell or through hi• own employ1e1, provided that such lmprovementa ,re not Intended or offered for 111,. II, howavlt', the building or Improvement 11 sold within one year of completlon, the owner-builder wlll h1v1 the burden of proving that he did not build or Improve for the purpoH of HIii, 0 I, 11 owner of th• property, 1m ·exclu1lv1ly contr1ctlng with llceneed contr1cto11 to conltruct" the project (Sec. 7044, Busln111 Ind Prof111lon1 Code: Th, Cont11ctor'1 Uc1n11 law do11 not 1pply to 1n owner of property who build• or lmprov11 thereon, ind contract, for auch proJ1c11 with contr1ctorl1I licensed pu,1u1nt to the Contr1ctor'1 Uc1n11 L1w). · 0 I ,m ,umpt under Section ------Bu1ln111 ind Prol1111lon1 Code for this re11on: 1. I per1on1Hy plan to provide the m1)or l1bor end m1te,l1l1 for construction of the propo11d property Improvement. 0 YES ONO 2. I (hive I h1v1 not) 1lgn1d ,n 1ppllc1tlon for I bulldlng permit for the proposed work: 3. I h1v, cont11ct1d with the following person lfirml t!) provide the propoaed construction (Include nam, I 1ddr111 I phone number I cont11cto11 license numberl: 4. I pl1n to PfOVld• portions of the work, but I have hired the following person to coordlnat,, supervise and provide the m1jor work (Include n1me I 1ddr111 I phone number I contr1cto11 lic11n111 numberl: ___________________________________________ _ 6. I wlll provide som1 of the work, but I h1v11 contracted lhlredl the followlng p1111on1 to provide the work lndlc1t11d (Include n1me I 1ddr1111 I phone number I type ofworkl: _____________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ ~to~1H1s1'8Ec1:10M,1.0R.ll!JIJ.--$/./!PJ.'lfN:,il.JllUliNJ1,l!l!llMirS1'1N~'ffilW'llU~ a. the applicant or future building occupant required to 1ubmlt a bualneH pl1n, acutely h11ardou1 materl1l1 regl1tr1tlon form or rl1k m1nag11m1nt and prevention progr1m under Sections 25506, 25533 or 25634 of the PT1ll11y-T1nner Haurdou, Sub1t1nc, Account Act1 0 YES O NO 11 the 1ppllc1nt or future building occupant required to obteln I permit from th1 ,Ir pollutlon control dl1trlct or •If qu1llty m1n1g1ment dl1trlct1 0 YES O NO 11 tha fecllitv to be constructed within 1,000 fHt of the outer boundary of 11chool 11t,l O YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •t-1:coNSTRUCTION LENOING'AGENCYJ~,'~lr~1®}t:U;.;\·1~~ili!il~~.t~)J.;i.ffi~~Ki.~~,~;i;i$Ji',r'JY~:_i'{~'t~ I hereby affirm that there 11 a construction lending agency for th• performance of the work for which thla permit 11 lnued (Sec. 3097111 Clvll Codel. LENDER'S NAME _____________ _ LENDER'S ADDRESS---------------------- :I_;.-.( .Affl.lCANl:1Cll\TIFIC"-TIOM_Ji ,~! -hl~J\\1f;;~;v;:j,1Ji,,j::. ,\'.,.;'i~~·ii/.~~i·:~1:;~~l1ir)~ij)j&_i-~il:t¥Jm-Jllt~,~'Wm_':l_t~"t; l}i' . :i· ?~f:{ -' -·· · I certify th1t I have r111d the 1pplic1tlon and stete th1t the 1bove lnlorm1tlon Is correct ind th1t the Information on the plans Is accurate. I egr1111 to comply with 1111 City ordln1nc11 and Stitt laws relating to building construction. I hereby 1uthorlze r11pr1111nt1tlv11 of the City of Cerlabad to enter upon the above mentioned property for Inspection purpo1111. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 GRANTINO OF THIS PERMIT. OSHA: An OSHA permit 11 required for 1xc1v1tlone over s•o• d11p ind demolition or construction of 1tructur11 over 3 1torl111 In height. EXPIRATION: Every permit l11ued by the Building Olllcl1I under th, provision, of thl1 Code shell expire by limitation and become null ind void II the building or work 1uthorl111d by 1uch permit 11 not commenced within 366 d1y1 from the date of such permit or II the building or work 1uthorlnd b such permit Is suspended or 1b1ndoned 1t ,ny time 1fter th work Is commenced for I perl of 180 d1y1 (Section 1~,4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _ __,...,_.-'--+--_.__,_ ___ _ WHITE: File YELLOW: Applicant PINK: Fln1nc11 PERMIT# CB971552 DESCRIPTION: REPLACE WATER TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 07/22/97 HEATER STE: INSPECTOR AREA DC PLANCK# CB971552 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: 2813 FOREST VIEW WY SACKLER, ALBERT PHONE: 760 434-0749 CONTRACTOR: OWNER: REMARKS: C/MR. SACKER/434-6749 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ::~::: /} £~ INSPECT~----'lf-1....:::,_:_=-~~~~~- ACT COMMENTS Co ***** INSPECTION HISTORY***** DATE DESCRIPTION 061997 Water Heater/Vents ACT INSP CO DC COMMENTS NO ONE HOME 8:30AM