HomeMy WebLinkAbout2057 PLAYA RD; ; CB951411; Permit10/06/95 13:31
Page 1 of 1
B U I L D I N G
Job Address : 2057 PLAYA RD
Permit Type: PLUMBING
Parcel No : 215-140-07-00
Valuation: 0
P E R M I T
Suite:
Lot#:
Permit No : CB951411
Project No: A9502062
Development No :
Construct ion Type:
Occupancy Group: Reference#: Status:
Applied:
VN
ISSUED
10/06/95
10/06/95
MDP
Description: WATER HEATER REPLACEMENT
Appl/Ownr : MAIO PLUMBING
9333 TRADE PLACE
SAN DIEGO, CA. 92126
*** Fees Required ***
Fees :
Adjustments:
Total Fees :
2 7 .00
.00
27 .00
Apr/Issue:
619
Entere d By :
566-1234
Fees Collected & Credits
Total Credits:
Total Payments :
Balance Due :
.00
.00
27.00
***
Fee description Units Fee/Unit Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Plumbing Issue Fee >
Eac h Water Heater an9/or Vent >
* PLUMBING TOTAL
1 7.00
4028 _0/06/95
Fl AL APPROVAL
20.00
7 .00
27.00
0001 01
C-PR,·17
INSP. _J) u DATE /o ✓/ri7-f s
CLEARA, CE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-11 61
y
.,2
.... \I •
PERMIT ,0.PPLICATION ~ V
.___\, \ (
City of Carlsbad Building Department EST. VAL. ______________ _
2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161
1.
A
PERMIT TYPE
COMMERCIAL
PLAN CK DEPOSIT ___________ _
TENANT IMPROVEMENT
VALID. BY ______ ~----~--
DATE ------4b<~<-4{ ... '-~l.:::"':..,c..__ __
B O U/DUSTRIAL □TENANT IMPROVEMENT
C QRESIDENTJAL □APARTMENT □CONDO ,rnNGLE FAMILY DWELLING OADDJT!0N/ALTERAT!0N
□DUPLEX □DEMOLITION □RELOCATION □MOBILE I\OME QELECTRJCAL □PLUMBING
□MECHANICAL □POOL □SPA QRETA!NJNG WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN F
3.
4.
Building or Suite No.
Unit No, Phase No.
Envelo
PROPOSED USE
tuahf lit. ohf ~a~
BLOG. SQ. FTG. # OF STORIES
CONTACT PERSON '''"/71 WO /JI (,..l/;?CWJ81 f:kal:zJ?J-i-,4..,c;._,, •• .,ss 4 333 -r,::-a_d..(_ I?/ CITYd w STATE{'/} ZIP CDDE tl,R/,;?u DAY TELEPHONE ~UJ •/.:1.:3U,
SIGNATURE
Cl TY
CO'-ITRACTOR
ADDRESS
OmmeR 0 AGENT FOR O',JNER
DAY TELEPHONE
6. CONTRACTOR ,/_ '_ ,! .. .AC. I /,)2-:2'2 -/. /),? ""' /J1 Cl.re> j7 / t:.uno-u/ fl., ~1 ff A . ,ooaess ,-, JJJ r ,n:>,a.R ,.._.., .. .-(
7.
8.
CITY Stl./7 w ~ u STATEC4'IP CDDE q,;;:? I ,;;:«J DAY TELEPHONE
ST TE LIC., ·34:35q 7 LICEHSE CLASS C-3t,
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' COIJl)E!nsation Declarat10n: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers• Compensation Insurance by an adnitted insurer, or an e)(act copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Bu.lding Inspection Department (Section JB00, Lab. C).
INSURANCE COMPANY POLICY NO. XPIRAT!ON DATE
Certificate o E11emption: I certify that in the performance of the work
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE
1 s issued, I sha l l not employ any person in any manner
O.iner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 !, 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).
0 J 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, cOlllll(!ncing 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 do l l ars [$500) ) .
SIGNATURE DATE
C(»,'IPLETE HUS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 □,o
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES □No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES o,o
IF ANY OF THE ANSWERS AIIE YES. A FINAL CERTIFICATE OF OCOJPANCY NAY NOT BE ISSUED AFTER JUt.Y 1, 1989 UNLESS THE APPLICANT HAS NET OR IS 111:ETING THE REQUIREMENTS
Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE ! certify that J 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 SAYE INDEMNIFY AND ICEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jl.OGMENTS, COSTS AND EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Sui\ding Official under the provisions of this Code shall e~pire by limitation and become null and void if the building
or work authorized by such permit is not coomenced within 180 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 coomenced for a period of 180 days (Section 303(d) Uniform Suilding Code).
APPROVED BY:
DATE:
,
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951411 FOR 10/12/95
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
JOB ADDRESS: 2057 PLAYA RD
APPLICANT: MAIO PLUMBING
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB951411
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 566-1234
REMARKS: MW/JACK/438-1832
SPECIAL INSTRUCT:
INSPECTOR ~P,c_L _________ _
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
------------------------------------------------------
ACT COMMENTS
4£_ _______ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS