HomeMy WebLinkAbout2283 LINDSAY DR; ; CB951595; Permit@;__ /k I 'J._O 3 /
11/01/95 09:26
Page 1 of 1
B U I L D I N G
Job Address: 2283 LINDSAY DR
Permit Type: PLUMBING
Parcel No: 212-101-63-U0
Valuation: O
P E R M I T
Suite:
Lot#:
Permit No: CB951595
Project No: A9502324
Development No:
4437 11/01/17., 0001 ◊1
C P":1T Construction Type:
...
Occupancy Group: Reference#: Status :
VN
ISSUED
11/01/95
11/01/95
MDP
Description: WATER HEATER REPLACEMENT
Appl/Ownr : A&J FOSTER INC.
13706 HIGHWAY 8 #B
EL CAJON, CA. 91977
* * * Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plum
Each Water Heater
* PLUMBING TOTAL
Al<'A
27.IJO
.O U
27 .00
)
>
Applied:
Apr/Issue :
619
Entered By:
390-4477
Fees Collected & Credits
Total Credi .s:
Total Payments:
Balc:1nCe Due:
.00
.00
27.00
* •. *
Units F:ee/Unit Ext fee Data
1
20.00 Y
7.00
27.00
F NAL AP PRO"" I
) /Jv _ DAl[h./0,.r
.Rtt f ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION Pl.AN CHECK NO.
City of Carlsbad Building D-rt-,t
2075 Las Palaas Dr., Carlsbad, CA 92D09 (619) 438-1161
1. PkkMI I fiPR
PLAN CIC DEPOSIT _______ _
I
F.ST. VAL
VAUD. BY ___________ _
From Llst 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------"~'------------
Nee Loss/Gain of Dwelling Units
DATI!
2. PRCllF.Cf INFORMATION FOR OFFICE USE ONLY
Address ~~S' 3 Lindsa.y Bu1idmg or Suite No.
Nearest Cross Street
LEGAL DEstRIP I ION Loe No. Subd1V1s1on Name/Number 0mt No. Phase No.
CHECK BEWW IF S0BMIIIED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK Water Heater Replacement '-/ 0 Gallon
SQ. IT. # OF STIJRIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PEJlSON (II duferenf from appUcanO
NAME (last name first) ADDRESS
CITY (' r) h-id STATE ZIP CODE DAY TELEPHONE
4. APPllC.!AN'f &uN'IRACIOR OAGEfrl,.□kCONIRACIOR uuvvNt.tt. UAGENI FOR OWNER
NAME Oast name first) Carol F3ster ADDRESS 13706 Highway 8 Business, Suite B
CITY ~ &ii~~ STATE CA ZIP CODE 9202) DAY TELEPHONE J!i)Q 4477 s. ~ , h ---' NAME (last name first) P,,c J J:r-(.)if""l_g ADDRESS .;2..::2.8.3 L.1nc,,,.5a..y .J)r;<Je.
CITY Co...-1s b<=td sTATE CA. ZIP cooE q,;i.005 DAY TELEPHONE '-I 3 'i?-75 81
6. WNIRACIOR
NAME (last name first) A & J Foster, Inc. ADDRESS 13706 Highway 8 Business, Suite B
CITY El Cajon STATE CA ZIP CODE 91977 DAY TELEPHONE 390-44 77
STATE LIC. #
DESIGNER NAME (last name llrst)
()Q];,lQ LICENSE CLASS ~ESS
CITY BUSINESS LIC. # 1266354
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WoltkRks' OOM'.PP.NSA'hON
Workers1 Compensanon Oeclarat1on: I hereby affirm that I have a cernhcate of consent to self-msure issued by ilie btrector of 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 filed with the Building Inspection Department (Section 3800, Lab. C).
EXPIRATION DATE
1t 1s issue , s a not person m any manner
SIGNATURE DATE
8. OWNER-B0llD£R. DECiAkAIIUN
Owner-Builder UeclaraClon: I hereby afhnn that I am exempt from fie Contractor's license Law for the foiiowmg 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 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.).
□ 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 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JRI! DATI!
COMPLl::IE IRIS SECIION FOR NON-RESIDENIIAL B0IIDING PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit 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 □ NO
IF ANY OF TIIE ANSWERS ARE YFS, A FINAL CERTIFICATI! OF oa:IJPANCY MAY NOf BE JSSllED AF11!R JULY I, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEtmNG TIIE REQUIREMl!NTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLI1JTION CONTilOL DISfRICT.
9. WNSIR0CIION LENDING XGJ.:Nct
I hereby afhrm ihat there ts a construchon lendmg agency for the perlonnance of the work for which ih1s penn1t 1s issued (Sec 3097(1) CiVII Code).
LENDER'S NAME Nonit LENDER'S ADDRESS
10. XPPDCANI CERIO'ICA
I certify that I have read the apphcat1on and stale that the above mformat1on 1s correct. I agree to comply w1ih all City ordmances 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 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE crJY OF CARJSBAD AGAINSf All. LIABIUTIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACXJUJE AGAINST SAID crJY IN CONSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 aban_Aoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code§
APPLICAN1"S SIGNATURE c,~~ j DATI!: //-/ -?
Wl-IlTE: File YE.LLOW: Applicant PINK: Finance
--~~p==~as--i·~,z,~4"'&..-:;i===~:::..._ tL,ec .J. t~ ½-fttci~ITY OF CARLSBAD V --------------
INSPECTION REQUEST
PERMIT# CB951595 FOR 11/14/95
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM STE:
INSPECTOR AREA
PLANCK# CB951595
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2283 LINDSAY DR
APPLICANT: A&J FOSTER INC,
CONTRACTOR:
PHONE: 619 390-4477
PHONE:
OWNER:
REMARKS: MW/IRVING RICH-~
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
25 PL water Heater/Vents
-----------------------------------------------------
PHONE:
INSPECTOR_j)O:C....C-'------------
ACT COMMENTS
Al-----
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
~ '!!6 8:30