HomeMy WebLinkAbout2086 PLAYA RD; ; CB981978; Permit. ~8
PERMIT APPLICATION L; JUN 2 2 1998
, .
. CITY OF CARLSBAD BUILDING DEPARTMENT · -~
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
., FOR OFFICE USE ~
PLAN CHECK No.m/fZB
EST. VAL. ________ _
Plan Ck, Deposit --""""'-++-----
Validated By ___ -":~~--r-J~,...,,r--
Date. ______ 4f,;¥.--":::::;.J~-=="'--
l~J\.liJECI&».~RIU.til1Y
2086. Playa Rd.
Addte11 (Include Bldg/Suite II )( lualneu Name lat 1h11 addrUII
Legel Duc:,lpllon Lot No, SubdMalon NamalNulJ'bll'
SFR
Unit No. PhaH No. T otel I ol units
A&HHO,'I Parcel , blallng UH PropoHd UH
D11cripllon of Work SQ, FT, lof llorlN , I ol Bedroom, I of Battvooms
~~C~~lf~~Li=~[a9~~~~LJ.~~(')'':..;.~9•;(.05.· Enners rud1 2086 Playa R . . • -! r--rou ~3 z:::1
Neme Addre11 , City State/Zip Telephone ;
1sec. 7031,6 Bualneaa and Profntl-Code: Any City o, Cll\ll\tY which raqulrn I pe,mlt to oonatruot. llltw, Improve, demollah or repelr any etructure, prior to Its
l11u1nce, 1110 rec1ulr11 \ht eppUc:ant for euch permit to fUt 1 1lgn1d atat11111nt lhlt hi II IIOlnHCI purauant to Iha provlllona of th, Contrector's Uc,nH Law
ICh1pt11 9, commanding with Section 7000 of Dlvl1lon 3 of \ht Bualnlu and Profltllona CodeJ or that hi la uampt thlralrom, and th• buls for the 1ll1g1d
exemption. Any vlolttlon of Section 7031.6 by any 1ppUc1nt lor I patmlt IUbJtota Iha applicant to I clvll penalty of not mo,, then llv, hundred doll1•1ll.li0OI).
A & J FOSTER PLUMBING 13706-B HWY 8 BUS. · EL CAJON CA. 92021 390-44//
N1m1 Addr•u C-
36
City . St1tt/Zlpl2 Q-0 3 STtflephon1 I
Stitt LlclNI I 630120 LlcenH !;IHI________ ._City 8Ulinell Lie-• I ______ _
011lgntr Ntmt Add/111 City Stilt/Zip Telephone
0 I hive end will m1lnt1ln • c1t1lllo1t1 of cona1nt to 1elf-ln1ur1 fo, work111' oompNUatlon u prllYlcled by S1etlon 3700, of lhe L•bor Cod,, lor lht perform1nc1
of th• wo,k for which \hll p11mlt la la1u1d. ·
X O I have and will maintain wo,ka,t' comptnt1Uon, u requltad by Stotlorl 3700 ofthl Labor Cod,, fo, tt.e pa,lo,manc, of \ht ~ork for which lhla permit Is
.1a,utc1. My w01kat'1 comp1n11Uon lnauranc, e111ltr and policy numtier 1111 . CONTINUOUS
1Nur1nc:e Company FARMER INSURANCE PolioV No, N2 00?-S6 -Sl Expiration Oat, -------(THIS SECTION NEED NOT IE C(?MPUTEO IF THl PERMIT II FOR ONI HUNDRED DOLL.ARI 1♦100J OR Wll
0 CERTIFICATE OF EXlMPTION: I c"1Jfy that In \hi performance ol lhl wo,k for which \hll p11mlt la illued, I lhaU not employ any p111on In 1ny m1nn11 10 11
to become subject to th, Wo,k111' Comp1N1tlon Law, of C1lllornl1. ·
WARNING: f.au,e to HCUfe•work,ra' compenaatlon coverage la unlawful, and 1h11 IUbJHt en amployet to aimlnll plllllUu and clvM llnu ur, 10 on• hundrtd
thoutend dob11 lt100,000J, In addition to the coa.l of compen .. Uon, IIMMg11 u provided for In Section 3701 of Iha Llbcf coda, lntarut and 1ttom1y'1 fau.
SIGNATURE. _____________________ _.______ DATE ________ _
7., ~'~:OWNER•IUILDEA DECL:AAA.Tioiji~~W~ B9't¥~!11\'~;0~Ni'° ...
I h11eby affirm that I ,m exempt from \ht Contrecto,'1 Lie-• Law lor Iha following rlllOI\I
0 I, u owntr ol tht property or my 1mploye11 with w1g11 11 lhllr aolt ~lion, will do tht wo,k and Iha 1truc:tur1 la not Intended or olfer1d for 1111
IS1c. 7044, Bu1in111· and Prof11alona Code: The Cont11ctor'1 Uc11111 Law doN not apply to an ownlt of property who build• or lmp,ovu thereon, end who dou
auch wo,k hlm111f or thlough hi• own 1mploy111, provided lhlt 1uch lmprovamenll 111 not Intended or offwad for HII, II, however, th• bulldl11g or lmprov1m1nt 11
sold within on, y11r of completion, the owner•bulld11 will have the burden ol proving lhlt hi did not build or lmpr.ove for the pu,poH of 11111.
0 I, 11 own11 of the property, am ·exc1ualv1ly cont11ctlng with lloenled oontraotor1 to oonetNGt'thl p(oJIClt (Sao, 7044, Bullnua and Prol111lon1 Code: The
Conuecto,'1 Uc1n11 Law dot■ not apply to ,n owner of property who bullclt or lmprov11 \hataon. and oontraoll for 1uch proJ1ct1 with cont11ctor(s) llc1n11d
pur1uant to th• Conu1ct01'1 Ue-• Lewi, · •
0 I 1m exempt und11 Section _____ 8u1ln111 and Prof1nlona Coda lot thla r111oni
1. I per1on1lly plan to provide \ht major labor end m1t11l1l1 lo, oonetruotlon ol lhl Pfopolad PfOPll'IY Improvement, 0 YES ONO
2. I (hive / hive notl 1lgned ,n 1ppUc1tlon fo, • bullcllng p11mlt for Iha propoaad work:
3. I hlYI cont11ct1d with \ha following p111on lllfml t~ piovldt the p,opo11d conat,uc;Uon Unclud• nam, / 1ddle11 / phone number/ contrectors license numbarl:
4. I plan to provide portlont of th• work, but I hlv1 h111d th, foUowlng p111on to coorcllnlt,, 1upa,vlt1 and provld1 th• major work llnclude name / 1dd11u / phone numbll / con111cto11 Nc1Ne number): _________________________________________ _
5. I wlA provide 1om1 of the work, but I h1v1 c:ont11ct1d lhl11dl thl following ptrlOI\I to provide \ha work lncllc1t1d llnclud• n,m, I addr111 / phone number / type of wo,kl: __________________________________________________ _
PROPERTY OWNER SIGNATURE_____________________ DATI ________ _
~1;o~..i•,'S1cuotu!<IR..~~.£NiUl.:~R oiJ¥,Ri,m"@N ~,.gn:~1::.1;;st'~~ .
la the 1ppllc1nt or future building occupant 11qulr1d to 1ubmlt • buelnlaa plan, acutllly ~cfoul matlllala raglatr1tlon form or rl1k m1n1g1m1nt and prevention
program under Section, %15015, %15153:J or %151534 or \ht P11t1,y•T-Hawcfoul lubltancl Account Aot1 □ YES □ NO
la the 1pplle1nt o, hltur, building occupant required to obttln e p11mlt from the lit pollutJon oont,ol diltrlot or air qullllty m1n1g1m1nt dlatrlct1 0 YES O NO
la the f1cllltv to be c:onatrvc:ttd within 1,0001111 of Iha outw bow,da,y of I IOhool litaJ □ YU □ N~
"AHY OF THE ANSWERS ARE YES, A FINAL CERTIFICATI OF occu,ANCY MAY NOT 11 IIIUID UHL.EU THI Al'f'UCANT HAI MU OR IS MEETING THE
RE0UIIWIEHTS OF THI OFFICE OF EMEAGEHCY SEAVICU AND THE AIR POLLUTION CONTROL DUITRICT,
1(·~~ CO.NSTRUCTI0N LENDING 'AGEHC'(~"1,lU"'Qflt~~---~'1irma~1~~•~-tl-,'\: :;. ·, : · : ,·. . "
I hereby tlllrm that there Is, conttruc:tlon lending agency. for th• perfo,-e of Iha work for whlah thlt permit la l11ued (Sec:. 30117111 Civil Codel.
LENDER'S NAME____________ LENDEA'I ADDRUI
:1.:..-'. .Affl.lCAHl'.;CERllflCA.TIOM..~J-.iiijljir~.~~~..iB@'fal
I certify \h11 I h1v1 rud the 1ppllcetlon and 1t1t1 that tht above lnlorm1tlon la corrtot and lhlt Iha Information on Iha pl1n1 11 1c:c:u11t1. I 1gr11 to comply with ,11
City o,dlnlnc11 Ind Stall law1 11l1tlng to building con1trucllon, f hateby 1u~lu rtpreHntallvtt ol lho City ol C11lab1d to 1nt11 upon the 1bov1 m1n1lon1d
property lor Inspection pu,po111. I Al.SO AGREE TO SAVE, INDEMNIFY AND KU, .HARMWI THI CITY OF CAALSaAO AGAINST ALL LIABILITIES,
JUDGMENTS, COITI AND EXPEHSU WHICH MAY IN ANY WAY ACCRUI AQAINIT SAID CITY IN CONllQUENCI OF THI GRANTING OF THIS PERMIT·
OSHA: An OSHA p11mlt la required fo, IJICIVltlOI\I ova, 15•0· dHp and damolltlorl or oonettuctlorl of atructufll over 3 atotlH In height.
EXPIRATION: Every permit la1uad by \ha Building Ofllclal undw \ha p,ovlalona of thil Code lhlll upl,1 by llmltltlon and b1com1 null and void H lht building or
work authorlud by ■udl permit la not commenced within 3116 deya f1om \ha dett of IUCh pormlt or If \ha building or wo,k 1uthorl&1d by auch permit Is 1usp1nd1d
or abandoned at any \Im, ~orlr.11 comm,nc,d fllf • p11lod of 180 d1ya \&"\Ion \01,4,4 Ulilotm Bulldlng Cocltl,
APPUCANT'S SIGNATURE PiJl1 j b ¼ c:;)<=OYVX Y) DATE l.{) 'z L ,q (("
. WHITE: FU1 YELL0W1 Ap ant PINK: Flnanoe ~~-~---_ -_ -~
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB981978 FOR 07/01/98
DESCRIPTION: WATER HEATER REPLACE
TYPE: PLUM
JOB ADDRESS: 2086 PLAYA RD
APPLICANT: A & J FOSTER PLUMBING
CONTRACTOR:
OWNER:
REMARKS: C/RUDY/930-9295
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB981978
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-390-4477
CD LVL DESCRIPTION ACT COMMENTS
Ii)'=> 25 PL Water Heater/Vents ~ ---------------I-------------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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