HomeMy WebLinkAbout2257 PLAZUELA ST; ; CB940097; PermitB U I L D I N G P E R M I T Permit No: CB940097
Project No: A9400139
Development No:
01/25/94 12:35
1 Page 1 of 1
Job Address: 2257 PLAZUELA ST Suite:
Permit Type: PLUMBING
Parcel No: ~2'91.-3-7--o-o--' Lot#:
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference#:
Description: WATER HEATER REPLACEMENT
Appl/Ownr : FOSTER, A & J
2819 CENTRAL AVENUE
SPRING VALLEY, CA 91977
619 697-4151
Status: ISSUED
Applied: 06/29/93
Apr/Issue: 01/25/94
Entered By: DC
*** Fees Required *** *** Fees Collected & Credits ***
Fees:
Adjustments:
Total Fees:
Fee description
27.00
.00
27.00
Enter "Y" for Plumbin g Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
27.00
Ext fee Data
20 .00 Y
7.00
27 .00
PERMITAPPUCATION PLAN CHECK NO.
City of Carlsbad Building Departlllent
2075 Las PallllllS Dr., Carlsbad, CA 92009 (619) 438-1161
PIAN CK DEPOSIT _______ _
I
EST. VAL
VAIID. BY ___________ _
1. PRRMII I'YPE
A -U Commercial
B -□ Industrial
C -□ Residential
□Duplex
Li New Butldmg D tenant Improvement
□ New Building □ Tenant Improvement
□ Apartment D Condo IJ:Single Family Dwelling □Addition/Alteration
D Demolition
D Mechanical D Pool
D Relocation □ Mobile Home □ Electrical □ Plumbing
D Spa □ Retaining Wall □ Solar D Other
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2257 Plazuela St. BulJdmg or Suite No.
Nearest Cross Street
LEGAL DESCRWI toN Omt No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S J>ABGEI. EXISTING USE reoposen USE
DESCRIPTION OF WORK
WATER HEATER REPLACEMENT SQ. IT. # OF STORIES
3. WN IACI PERSON (I[ duierent from applicant)
NAME Mary WEbster ADDRESS 2257 Plazuela St.
4. ~~rlsr;NJJrctJDR sifil:E?i FOR JffN ?C:!1~~Qg □OWNE~AY g1zr~?~&R45w~~JG
NAME She y ews ADDRESS 2819 Central Av.
CITY Spring Valley STAn.Ca ZIP CODE 91977 DAY TELEPHONE 697-4151
NAME
CITY
Mary Webster
Carlsbad STATE
ADDRESS 2257 Plazuela St.
ca ZIP CODE 92009 DAY TELEPHONE 942 9286
6. WNikAC'IOk
NAME A&J Foster Inc.
Spring Valley STATE Ca
ADDRES~819 Central Ave.
CITY ZIP CODlh977 DAY TELEPHOl'-!!97_4151
STATE LIC. # 63Ql 2Q
DESIGNER NAME
UCENSE CLASS
ADDRESS C 36 CI1Y BUSINESS UC. # J 2 g p 3 5 4
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOkkERS' WMPENSA:IIUN
Workers' Compensation Deciara11on: I hereby afl1rm that I have a ceruJJcate of consent to self-msure issued by the D1rectorof lndustnal
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 tiled with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY
w or t e o owmg reason:
□ 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
Ccxle: 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).
□ 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 chat 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 chat 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)).
SIGNATIJRE DATE
COMP!Elf: IRIS Sl::cllON FOR NON-Rf:SIDf:N IIAL BUILDING Pf:RMl'l'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF 1HEANSWERS ARE YES, A FINAi.CERTIFICATE OFOCDJPANCY MAYNITT BE IS.5UEIJ AFlllRJULY 1, 1989 UNIJlSS 1HE APPUCANT
HAS MET OR IS MEIITING 1HE REQUIREMENT5 OF nm OFFICE OF EMERGENCY SERVICES AND 1llE AIR FOLLIJTION ffiNTROL DISllllCT.
9. WNSIR0CIION LkNDING ACENCY
I hereby aihnn chat there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vzl Code).
LENDER'S NAME LENDER'S ADDRESS
10. APl'llt!ANI c!F.kliFiCAliuN
I cernfy that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply with ail 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 AJ.';Q AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS 1HE ClTY OF CARISB/\D AGAINST ALL llAllilJTIF.S, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY A£Dl.UE AGAINST SAID ClTY IN OONSF.QUENCE OF TIIB GRANTING OF 11DS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
YEil.OW: Applicant PINK: Fmance