HomeMy WebLinkAbout2831 CEDARWOOD WAY; ; CB931183; PermitSuite:
BUILDING PEFMIT
11/02/93 12*14
Page 1 of 1
Job Address 2831 CEDARWOOD WY
Pernnt Type- PLUMBING
Parcel No: 216-310-13-01
Valuation: 0
Construction Type: NEW
Occupancy Group Reference*
Description. REPLACE WATER HEATER
Permit No: CB93118a
Project No. A93G1684
Development No•
4541 11/02/93 0001 01 02
Applied: 11/02/93
Apr/Issue- 11/02/93
Entered By DC
Appl/Ownr : FOSTER, A. J
2819 CENTRAL AVENUE
SPRING VALLEY,
X*
*** Fees Required **
Fees •
Adjustments:
Total Fees:
Fee description
619 697-4151
Enter "Y" for Plun
Each Water Heater
A PLUMBING TOTAL
& Credits Aft
00
00
27.00
Ext fee Data
20.00 Y
7.00
27 00
DATE
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161
I PL'RMITTYPi:
A - LJ Commercial O blew Building U Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - E^ Residential D Apartment DCondo I^Smgle I-amily Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical ^ Plumbing
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2 PROJECT INroRMAIlON
PLAN CHECK NO.
KST VAL
PIAN CK DEPOSIT
VALID BY
DATE
FOR OFFICE USE ONLY
Address"
2831 Cedarwood WayNearest Cross Street
No
tot No
Building or suite
Subdivision Name/Number No Phase No
..BL'LOW lr' UlWMTlTUb1
D2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXIST ING USE PROPOSED USE
DESCRIPTION OF WORK
HEADER REPLACEMENT # OF STORIES
J LUrj'IAUl PL11SUN lil dillerent Irom applicant)NAME Janet Flores
CITY Carlsbad,STAIL
4 APPLICANT LJ CONTRACTOR
NAME Michelle Medina
CITY
ADDRESS 2831 Cedarwood Way
CA. ZIP CODE 92008 DAY TELEPHONE 434-0059
FOROJNTRACIOR DOWNL'H U AtiKN'i11'OU OWNI'lV"
ADDRESS 2819 Central Ave.
STATb Z1PCODE
!. PUOPEinVOWMfJI'
NAME Janet piores
Carlsbad,
DAYIELEPHONE fiq7-4l51
ADDRESS 2B31 Cedarwood Way
STAIE CA. ZIP CODE 92008 DAY TELEPHONE 434-0059
NAME A&J Foster, Inc. ADDRESS 2819 Central Ave.
CITY Spring Valley, STATl CA. ZIP CODE 91977 DAY IELEPHONE 697_415]
STATE LIC # fi3Q12D_ LICENSE CLASS P-CITY BUSINESS LIC # 1200354
LH^Tm
CITY
7 W(jRT
NER NAME
N/A
.LKJi' UtJMl'liNSAI l(
AULWtSS
STATE ZIP CODE DAY TELEPHONE
JN
STATE LIC #
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 (he Building Inspection Department (Section 3800, Lab C)
INSURANCE COMPANY Republic Demnity POLICY NO PC949585 EXPIRATION DATE 5/1/94
Cerulicate ol Exemption I CLrtityThat in Ihe performance ot the work lor which this permit is issued, 1 shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California
^SIGNATUREQWNm- r-^—^—^-^—T,Owner-Huitder Declaration I hereby aifirm lhat I am exempt Irom the Contractor's License Law tor the lollowing 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 docs 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 ownw-builder will have the burden
of proving lhat 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 Ijcense 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 Ijcense Law)
n I am exempt under Section Business and Professions Code for this reason
(Sec 7031 5 Business and Professions Code Any City or Counry which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to Us issuance, also requires the applicant for such permit to file a signed statement thai 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 [$500])
SIGNATURE DATE
CJoMPLETT THIS1 SECTION I-'OR NON-RC51DFNTUL BWLDfNa N'RMJ'IS' uNLV
Is (he applicant or future building occupant required to submit d business plan, acutely ha/ardous maicnals regisiiation form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act?
D YES D NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
h the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NOII- ANY OF I1IEANSWI.RS AHEYLS, A FINAL CER ITHCATF OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1 989 UNLESS TI IE APPLICANT
IIAS MIT OH IS MEETING HIE RI.QUIRr.Ml.NTS OI- T1IE OFFICE OF EMERGENCY SERVICES AND THE AIR PQIJAJTION CONTROL DISTRICT
!> CONSTRUCTION AfiENC.'YONbTUUCnOJNI_1JJJN»ING ACiKNCJY 1__¥_^_______ -„„„„,-, ,-,-T hereby allirm'tliat there is a construction lending agency for ihe performance of the work lor which this permit is issued [Sec 3097U) Civif Code)
LENDER'S NAME MDNE II NOCK'S ADDRFSS
lu APPLICANT ...... _iTertily thdi I havi. redd the dpplkation and staTe that the alx>ve inlormation "is, correct I agree to comply wTTn all City ordinances and biate laws
reiatinc to building construction I hereby authorize representatives of the City of Carlsbad to enier upon the above mentioned property for inspection
purposes I ALSO AGRIJ- TO SAVP INDFMNirY AND KTEP HARMLESS HIE CITY OF CARISBAD AGAINST AU IIABILITIES, JUDGMENTS, COSTS
AND IJCPENSIS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN ODNSHQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over S'O" 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 penod of 180 days (Section 303(d) Uniform Building Code)
APPLICANT'S SIGNATURE D.TT
WHITE ' File' YELLOW: Applicant PINK: Finance