HomeMy WebLinkAbout2075 PLAYA RD; ; CB980796; PermitB U I L D I N G PERMIT Permit No: CB980796
Project No: A9801052
Development No :
03/18/98 10:38
Page 1 of 1
Job Address: 2075 PLAYA RD
Permit Type: PLUMBING
Parcel No: 215-140-23-00
Valuation: 0
Suite :
Lot#:
Occupancy Group: Reference#:
Description: WATER HEATER REPLACEMENT
Appl/Ownr : ROSTIN IRV
2075 PLAYA ROAD
CARLSBAD CA 92009
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plum 1
Each Water Heater an
***
760
CITY OF CARLSBAD
Construction Type:
Status :
Applied :
Apr/Issue:
Entered By:
438-1123
NEW
ISSUED
03/18/98
03/18/98
JM
20.00 Y
7.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
FOR OFFICE USE O~~
PLAN CHECK No.0]1b
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
it;.iielPAOJECt'INEORJMiiQH~S
2075 Pl aya Rd.
Add1111 llncludt Bldg/Suite II
Legel DucrlptJon
Autuo,'1 Parcel I
Dttcrlptlon of Work
,t Bualneu Nim• Ill lh11 1dd1eu)
Lot No. Subdlvlalon N1m1/Numb1r SFR . Unit No. Phou No. T 0111 I of units
Eld1tlng Un Propoaed Un
SO. FT. lol 6torl11 I or Bedroom, I of B1th1oom,
Namt Addreu City St1te/Zlp Telephone I
~B9..f.E11D'~o.w..~.f.ll"®'r'a~~ iW!PIWM!,r.~j'~J.fi~1-;,~.
Roctin, Irving 2075 Playa Rd. CARLSBAD •
Ntmt Add,111 City 6t1t1/Zlp Telephona I
ifl.1rt.t>HlAACXOB~C0_MUff .. 11, "c-..,_,-,.t,r•1"f,,'!",.,. -,·r•.:.••.·~-,.1_,.,,~.,;J",\:,•1.:1,r•!P ~ · ,,.,., .. , .. ~-,•··~·-•-••·•t•' .. !'.'',.-,!tf ~i'Aij )ii •
!Sec. 7031.6 Busln111 end Pror111lona Code: Any City or County which r1qultH • p1,mlt to construct, •lte,, lmp,ov1, d1moll,h o, repair any structure, prior to lta
luu1nc1, also requlr11 th• 1ppllcant lo, such ptrmlt to Illa a signed 1t1ttm1nt that ht la llctnnd purauant to tht provisions ol the Cont11ctor'1 Ucenn Law
!Chapter 9, commending with Section 7000 ol Division 3 ol the Buslntu and P,olaulona Coda) or that h• la tx1mpt therefrom, and the basis for the 11leged
exemption. Any vlol1tlon ol Section 7031.6 by any tppllcant lo, a ptrmlt 1ubJ1ct1 the applicant to I civil ptn■!ty or not more than ~1~'.ldred dj~'6.!..',f ~0J?
A & ,J FOSTER PUJMBJNG 13706-B HWY 8 BUS . · EL CAJON CA.
Nome Add1H1 City Stele/Zip 12cf d~!f• I
St11, License I 630120 UctnH Cl111 C-36 City Bu1lnH1 Uc1n11 I _______ _
Designer N1m1 Addraas City State/Zip Telephone
St111 Uc1n11 I N /'A
141;1 j(~6RKEM~·.COMPEHS4 'tt<iN.ii'/~.'W).;.{£,iJ,~~l~ffB:i'Joll{eiW'~li'.lttll'l,'\ltWlllQ1111M'r~™~'l/;\)\~!ii1i\'li,;; '\,1)/~ll:,7l ... ~: '·',
Worker■' Compenutlon 01cl11atlon: I h■rtby alllrm under p■nalty or p11Ju,y ont ol tht lollowlng .daclaretlona:
0 I have and wlll maintain I c1rtlllc1t1 of conunt to 11ll-lnaure lo, work■r1' comp1nutlon H provided by Section 3700 or 1h1 Labor Code, lor the performance
or tho wo,k for which this pormlt la l11u1d.
Dy I have and wlll m1lnt1ln work111' comp1n11tlon, H raqulra~ by S1ctlon 3700 of'tht Labo, Code, for the p11lorm1nce of th• work ror which thl1 permit la
luO"l. My w0<k11'1 compensation ln1uranc1 curler and policy number 111: CONTINUOUS
lnsunnc• Comp1ny FARMER INSURANCE · Polley No. N200?-S6-Sl Expiration Om ______ _
ITHIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONI! HUNDRED DOLl.ARS lt100J OR LESS)
0 CERTIFICATE OF EXEMPTION: I c1rilly th1t In th• p1rform1nc1 ol tht work for which thla pormlt la l11u1d, I ahall not employ any person In any manner 10 u
to btcomt 1ubject to th, Worktra' Compensation L1w1 ol Calllornla,
WARNING: F1nur1 to 11curt•worktt1' comp1n11tlon coverage la unlawful, and shall aubjact an 1mploy1r to criminal p1n1ltl•• and civil tines Ufl to one hundred
thouund dollars lt100,000), In addition to tht coat ol comp1n11tlon, d1m1g11 H provided fo, In Section 3708 of th• Labcv code, lnlereat and a\\orney'1 lau.
SIGNATURE________________________________ DATE _________ _
7, ,-"-OWNER-BUILDER DEqLARAJIOijli-/m.i;ri~;.'fi.~·~~~ifi.~~~~.lr.~UA~Hl~!li~:iib1'.:&'.\'Jf~6i:1,'!·1!;,?r;1I:.'..:,\11;
I hereby affirm 1h11 I am exempt lrom tha Contrector'1 UctnH Law for th• lollowlng r11aon:
0 I, u owner ol the property or my tmployeH with wagea H their 1011 comp1n11tlon, will do the work and the atructu11 Is not intended or offered for sele
IStc. 7044, Busineas and Pror111lons Cod,: The Contractor's Uc1n11 Law dots not tpply to an owner ol p,op1,ty who bullda or lmprovu \hereon, end who does
such work hlmulf or through hit own 1mploy111, p,ovldtd that such lmp,ovamtnta er• not lnttndtd o, olltrtd lo, 1111. II, howev■r, the building or lmprov■ment 11
,old within on• yHr of compl■tlon, the owner-builder wlll have the burden ol proving that he dld not build o, lmp,ovt for tht purpou or 1111).
0 I, 11 owner of the property, am txclu1lv1ly contracting with llctnatd contreclora to con■truct' th• p,oj■ct \Ste, 7044, Bu1lnu1 ind Prol,ulona Code: The
Contr■cto,•, Ucenn Law doH not apply to an owner ol proptny who bullda or lmprov11 tharton, and contract■ for auch proJ1c11 with contr■ctorl1l llc,nud
punu■nt to the Contractor'■ Ucanaa Law). '
0 I 1m exempt undtr Section ______ Bu1ln111 and Pror111lona Coda for thl• 11110n:
1. I p1raon1lly plan to provide tht maJo, l1bor and mat11l1l1 for con■tructlon of th, p,opoud p,op1,ty lmprov1m1nt. 0 YES ONO
2, I (have / h1v1 no\l signed an appllcatlon for a building permit for tha p,opo11d work:
3. I have contr■cttd with \ht lollowlng p111on \firm) l!) p,ovldt the propond conl\ruc\lon Uncludt nama / 1dd1111 / phone numbtr / conlractors llc,nse number):
4. I pl1n to provide portions ol the work, but I have hired the following person to coordln111, 1upervl11 and provldt th• m,Jor work llnclude name / addrtss / phone number/ conu1cto11 licenu numbtr): ____________________________________________ _
5. I will provide 1om1 of tha work, but I hove contr■cted lhiredl the rollowlng p111ona to provide the work Indicated !Include neme /address / phone number / type
or work): _____________________________________________________ _
PROPERTY OWNER SIGNATURE--------------,-----------DATE _________ _
~co~.:rn1s:-sec1:1or,1.F.OR.tJ.oN:&'.W.E./V.1M.ti:ii.lJJCQ.iNQ,B~IDTtl"Nii~J.~~.,::~r;.t.lfc~~'.;.,r~1ti .!H'.~W!,,;', ,i.1 ,
II tht 1ppllc1nt Of luture bulldlng occup1nt raqulrad to aubmlt a bualn,11 pl1n, acutely huardoua materlala 11gl1tr1tlon form or risk management and prevention
prog,1m und11 Sactl0n1 26606, 25633 o, 26634 ol tht Prttl■y-Taooar Huerdoua Sub111nc1 Account Act1 0 YES O NO
11 tht applicant o, futurt building occupant raqulrad to ob11ln • permit from th• air pollution control dl1trlct Of air qu,llty management distdct7 0 YES O NO
la the r1clllty to bt constn,c;ted within 1,000 l11t of th• outar boundary of ■ 1chool altt1 0 YES O NO
IF MY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT Ill! ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
a,: ~:coNSTRUCTION LENDING'AoENCY~f~-tWil%JJl.~mt2'J~,t~'\!;.:i'fl~Mli~l~'.WWJ.i/lf!"a;i\it:.~;1:';·.~-. , ·,.
I hereby 11firm th1t thort la I conotructlon lending 1g1ncv. for tht p11rorm1nc1 ol tht work for which thla ptrmlt 11 luued (Ste. 3097111 Clvll Codel.
LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _
1 certlly th1t I have rnd tht 1ppllcatlon end 1t1\1 that th• above lnform,tlon la corrtct end that tha Information on the plans ls 1ccu11te. I agree to comply with all
City ordinances and Stat• law, 11l1tlng to building conatruction. I hereby authorlit ,apr111ntttlv11 ol tht City ol C11l1bod to enter upon the above mentioned
property ror inspection purpo11s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLSBl\0 AGI\INST ALL LIABILITIES,
JUDGMEIHS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT .
OSHA: An OSHA permit la required for txcavatlont over 6'0" d11p end damolltlon or conatluctlon ol 1t1uctur11 over 3 alorlea In height.
EXPtRA TION: Evt,Y ptrmlt l11u1d by th• Bulfdlng Olflclal under the p,ovlalona ol thla Coda ahtll 111pl11 by limitation and become null and void II the building or
work authoriud by such ptrmlt la not commancad within 386 daya lrom tha dat• ol auch parmlt or II th• building or work 1uthorlud by such porrnlt Is suspended
or abandoned II any tlm, elter the work comm1nc1d for per d of 180 day, !Se on 108.4.4 Uniform Bulldin:A~oEdel. 3 ,,_17--CJ t
APPLICANT'S SIGNATURE _
PINK: Finance
I
PERMIT# CB980796
DESCRIPTION: WATER HEATER
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/26/98
REPLACEMENT
STE:
INSPECTOR AREA
PLANCK# CB980796
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2075 PLAYA RD
APPLICANT: ROSTIN IRV
CONTRACTOR:
OWNER:
REMARKS: C/MR ROSTON/438-1123 AM PLEASE
SPECIAL INSTRUCT:
PHONE:
:;::g:: ''' .,,_,~
INSPECTO~~
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
25 PL Water Heater/Vents t---
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS