HomeMy WebLinkAbout2828 CEDARWOOD WAY; ; CB951247; PermitBUILDING PERMIT
09/08/95 16-23
Page 1 of 1
Job Address. 2828 CEDARWOOD WY Suite
Permit Type. PLUMBING
Parcel No. 156-320-09-00 Lot#.
Valuation: 0
Construction Type: VN
Occupancy Group. Reference*
Description WATER HEATER REPLACEMENT
Permit No.
Project No.
Development No
CB951247
A9501845
Status:
Applied:
Apr/Issue.
Entered By:
ISSUED
09/08/95
09/08/95
MDP
Appl/Ownr PAY-LESS PLUMBING
2636 DAVIS PLACE
CARLSBAD. CA 92008' v>--x'*** Fees Required ***'
619 720-9136
Pees, Collected & Credits ***
Fees •
Adjustments .
Total Fees.
Fee description
. 00 --Credits
Tolial ^P^ymen^s
,/^C B a 1 a n,c e^-p u e
_ Units,, \ fee
00
. 00
27. 00
Ext fee Data
Enter "Y" for Plumbing ^ssue Fee > >
Each Water Heater land/or ;Vent .\ >
* PLUMBING TOTAL
20 00 Y
7.00
27. 00
3597 09/08/95 0001 01 02
C-PftrtT 27*00
FINAL APPROVAL
^SP. _J^ DATE £•.
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PE&MTT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From List 1 (see back) give code of Permit-Type
For Residential Proiects Only From List 2 (see back) give
Code of Structure-Type
Net Loss/Gain of Dwelling Units
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT
VALID BY ~
DATE
2 PROJECT INFORMATION FOR OFFICE USE ONLY
vcfvo
Nearest Cross Street
LttiAL INSCRIPTION
TTcT
Lot No Subdivision Name/Number Unit NtT Phase No
CHECK BELOW IF SUUMITI'KU "
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PABCFT.EXISTING PROPOSED USE
DESCRIPTION OF WORK pZpi
# OF BEDROOMS # OF BATHROOMSa. UJNIAL'l PEKSUN (it ditterent trom applicant)
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE
4 AmjCAfJ I1 G CONTRACTOR U AUKNT l-'OR (JONTHACl'OK
NAME (last name first) ADDRESS
CITY STATE zip CODE
DAY TELEPHONE
DOWNER UAfJL'NT l-'OR OWNER
DAY TELEPHONE
NAME (last name first)
Ch
ADDRESS
DAY TELEPHONE
NAME (last name first) P/\ tf -
CITY r& tilt l^A/J STATE
0/^/5
STATE LfC #&~?%2£ LICENSE CLASS
NAME (last name hrstj '
DAY TELEPHONE
" J •& CITY BUSINESS LTC # fj A/ 'K
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
Workers' Compensation UecIaratfdrTThereby atfirm chat I have a certificate of consent to selt-msure issued by the Director ot Industrial
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 Department (Section 3SOO, Lab C)
INSURANCE COMPANY POLICY NO EXPIRATION DATE
Certificate of Exemption I certify that in tne performance or the work for whicn this permit is issued, I snail not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California
S1^^R^^tX^^^t^' DATE *? " %8 OWNER-BUILDER DCCL^R^TtuN^'
Owner-Builder Declaration I hereby attirm mat 1 am exempt trom tne contractor's LicenseTaw tor tne following reason
D 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 employees, provided that such improvements are not intended
or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale )
D 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 License 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)
D 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 5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [S500])
SIGNATURE DATE
UJMPLtTE THIS SECTION FOR NQN-RESIDENJ'lAl BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY I, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.'
\ hereby atlirm that there is a construction lending agency tor the performance ot me work tor wnicn this permit is issued \xc 3uy/uj Civil Code;
LENDER'S NAME
10.
LENDER'S ADDRESS
~t certify that I have read the application and state that the above information is correct I agree to comply with all City ordinances 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 AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CTFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSIIA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildmg Cod "
APPLICANTS SIGNATURE ^i / sS • J^ S?'- DATE " '' '
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
* INSPECTION REQUEST
PERMIT* CB951247 FOR 09/14/95 INSPECTOR AREA
DESCRIPTION: WATER HEATER REPLACEMENT PLANCK# CB951247
OCC GRP
TYPE: PLUM CONSTR. TYPE VN
JOB ADDRESS: 2828 CEDARWOOD WY STE: LOT:
APPLICANT: PAY-LESS PLUMBING PHONE: 619 720-9136
CONTRACTOR: PHONE:
OWNER: PHONE:
>REMARKS: MW INSPECTOR __f
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
25 PL Water Heater/Vents
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS