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HomeMy WebLinkAbout2673 REGENT RD; ; CB970662; PermitFROM AJFOSTER INC FAX 461 5443 ,4, l)o ,,,,d"' ;c,f•t:::' V:oi,;"::--~•.': ~-·· C. h;rnr -"!) "' \hrC'Hn'-\ t,J9 own "!~ol,.~~• t-. ·• '• .~·J•,l 1•:.111 :•, e" ••~.h \: ;"I •: '.'. •;\',l~j•''!•i:,• , PERMIT AP~LICATION _;~_-... / CITY OF CARLSBAD BUILDING 'ti~P¼RTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 Mar. 24 1997 04:14PM P4 . ~-4'its-'it'ti,.,\.~ ~, .. ~ j ft>,i.-...-4 f,,, el'J! .... .. ~ ',-.. , ••(:• , ~., .. , . : •· .. :.r. :~ ,., ·. :·· POR"·OFFl'CE"OSi: '0~ Y flAN ~l;(E,9K No.V7f¼f>t,/ .• ·, :< ·•,.t,~~-· ... ·~ est.VA\.~ , -~-, Ph1rr Ck .. Deposit ----,-------Va II dated By __________ _ .Date _____________ .;.__ L~~RiUtUl.illi.Rl~au.~M'Willi'iiiiai!WW:'mr:m:ra 2673 Regent Rd. Addren !Include 81dg/Sulte f) Buslr,ea,, Name (el this eddrossl • ' ,_ --•••• , •• ~ ..... ...i .... , , • • , t .I.:: ' . ~··· ' ,.r:· . ~' ,, ,. ,i;.,. No. Name • . ' Addte.. City . Stale/lip Tel.phone I . .. . Fax I ;!i1°~.-;.;;.;;..·,-~-~•-,.r,:t,'r...,•/e~•;.:.;~,..:;r,;t~:1.,.-..;.;T•~'..t,:.,:IS'l,;/f3· r:,,:..,;,!..~Jit,r;:t11.~•il!..::.;f-i;.~;-..~~-0-:,,· • . ~-• · :;r;,;;;:.j~i:-t:J,\"i;!" · ••• i~~.!1c»1 1;;a1.,,.,,,., .• ..-1.-,,:. .• ,.i:::,!,'!!.,.~c,~""-'"· 1.,;:hMIIllllllf._i.:;:J,~. ,11\'iH·l'll>l'I-~,~'TT1&<>!1To,.-· SHEI.T.Y JOHN'SON/KRISTY FOSTER 1370 -B HWY 8 BUS. . EL ' , • . .. -. .. . -. Name Addre1t City St11te/Zlp Telephc,no # ~p_r~J;1.(0~i\"'ti.l\wi~¥HliPlf'N1 irifiiM___ ~~~, Hu:tii:iga Lain:ie 2673 B~nt Road CARLSBAD CA. 92008 · -5 "Teme I Address . City Slett/ZJp Teltlpt,one # ll~etciRilC.OWI.MUAtiiat•■ •-~ 1:i,••~ • •0•:'"1'•',. '•!, ' _.. . "''{,.i°;':.~•'\.'•".',.,tl. tSte. 7031.5 8utlmt•• and Pfofealona Codm MV Cltv or County which require, • p.,1ni1 to con11,uct, eller, Improve, demOllsh or n,p■lr 911y etl\ietur., DtlOf to i1i lnullf1ce, ,rso 1eQU!res tho 1i,s,t1cen1 !Of such permit to me • signed statement that ht, 15 lloen,...i oursuen1 to the PfoYlslonw ol the con1rector'■ Ue•"t1• Lew ICl•te>ler 9, commending whh St<:tlon 7000 of oMcion 3 of the Businaes and ProfOhicno Cade! or that he 11 exempt thereftom, end the basis for th• ■neged aumptlor,. Aoy vlot,tion of Section 7031.5 by any •1"'lla1n1 lo, 1 p111n,h 1ut>jects the epplteant to• clvtl pen111y of not mo,e than five hundred cf.ol••• lt500)1. A~ 1 iQS(['E:R PUJMBU,TG 1 3:Z06-B HWY 8 BUS. · EL CAJON CA. 92021 390-4477 1me Adch&s City St■te/.tm_ 4 Ttltphone I Su11 Lice~~• 1630120 llcen,o CtmC-36 City 811tlnt1t.Llcense.r_ l:.::0035 o,siontf t.i•m•. Address City Stitt/Zip Slate ~~~ .. i N/P. . . -~~i-i,W..O~;coMP,EN8i't1~i(/,ti';!@;,g,,~.1:,~fBffiW~~~~~,llltili;H~~.li:';.;1,, WorkClfl' ~ONIPfl"SBtl"" D,ecl■ratlqn: I hertby efllrm uridet .li•n■lty of perju,y Oft • .,f the fi>ffo,;,"19 dtlcl■r■tlont; - 0 I h•~~-i.fid ~!M rr.,1ntein e certlfi~ete ot con•ent to sell-lntllft for worktr■' cqmpen■nt!on •·• pte111ded by ·soctlon 3700 of th, Labo, Cod,; f~r the performance of the wo,k for which ttits pe,mlt 1, ~sued. X D I h■n and wMI rn■lnttln wo1it.,1' eompenHtlon, es requk-1d by Stctlon 3700 of the Leber Code, for the perlo.m1nct1 of the .;,.o,k IOI whlch mis permit i. lsJ;ll9d. My w0Jlt11'1 comp-11ion lnwrenc;e C.lfrler end polh:y numller we: · INuranc,Con,panyFARMER INSURANCE PolcyNo.N2007-5 6 -51 Elcolreilon ~ie._1_::..._9_7---,-~- ITHIS SECTION NEED NOT WE COMPLETED If TifE Pl!lltAIT I~ ,01>1 ONI! HUNDRED DOU.AAS lt1001 OR LEH) 0 CERTIFICATE 01' VtEMPTION: I ""'1lfy that In the pMformence of tho worlc for which thl• permit I■ luued, I thlll not employ ■ny pl!feon In tnv n,1,imr ao n ' to become eublecl to 1h11 Workllfa" Compens111.ion Law• of Cafflornla. WARNING: Fallure to tec11te·w0<ke<a' eompenaetlon cr,urag■ I• U111awful, end th1ll 111bj1ct an effll'IDY'er 10 erlmlnfl4 f1"1■lt!M 8'141 elvll 11fflts uii·~o 011■ hundred lhouuNI dollert 1$100,0001, In etldltlon 10 the COIi of eornptnattlon, d"""'9H •• ""'vltli,cl for In Ceotlon 31CNJ of the~ code, lnlffll■I Mid ■iiorney'.i , .. ,. SIGNATURe_____________________________ DATE ______ ,,,.,., ___ _ 1. ····,owNEM-11V1LD1:R DiCLARAT10~:,,.-;;-h· ·:{ti,~,:;_:\;\:;lf~:"~~if°~:;j~g~c:::Eic.-{i\!~~~AT~~-ffll'a.;'~~~-.:nti.i,::'.~. I h.,ebv atn,m th■t I ■m e,cemp1 fro,., the Cc>nlrwctor's license Law lot the following reason: 0 I, es ow~•• of the propenv or MY em1,loya,1 with wage• es their sole CA)fflpense1i1m, wNI do the work end the atruct\lfe le not Intended or offered fr,r sela ISec. 7044, 9uslnns and Proles,lor,s Code: The COfltractor'a UceM■ Lew does not epply ~o an owne, of property who butld1 or lmp,o'tft thereon, ■M w1to' c1o .. ~u<h work hlm•ell_ o, throvgh hi~!°!"" employeH, provld1il 1h1t 1uch ln,provementa ere not Intended or .,ff.,•d for nl•: II, however, the bull~no or lmprov.•~t t, sold wl1hln on1 veer of comtJletlon, ,1_1:: .~°'."n~•bollde, wltt heve '!he blllden of proving th■t he dllJ not bllll~_Cll' lmproyt f~ lht IIUtP.~~ ~( ,.i.~-. . ·, . i;;, .. , . 0 I, H own ... "' the orOpe,ty, em ,11clu~•vety annt,acllng wltt, lloensed con111ctors 10 conttnKt' th• project Ulec. 7044, etitfnili\1·-■nd l'role11loli1 ·Cllde:· The CO<l!flctor'I Uc•nM uw don not •SJPlv to an DMI., ~f propwty who build• o, lmprovtt thtrffl'I, 11'111 Cot1WIOII fo, tuch project9 with corrttecio,lt) n-d . Plll'IUlfll to.th■ Conlf•eto,'e Ur:-• LIW). · . . ., ·.:.h ' . . .,:.::·--.. 0 , .,,._•~empt under Section ______ 8111lnm end 1"1-ofmlOt1• Code lodhle rmon: ..• ·, • : ··,<. , ;:· · .. <• :'-:'I · •:,.: ·"J.\.t~~.:.:,; I. I oersonally plen to provide! the major lllbor and metatlah lo, cona1,uc1lon of the ~•pott, properw lmptovemllftt, Q -i:~~• QNO . . .. :_;.':(, ! ... · _· . .-;~'':"., ,.·. 'f?-,.:..1.lhav~-""v•~tl $1gned: e_11-8iJi;Trc.~"i;;,;-for til'utfdlr,g permit ,Di thti pri,p:c,,1\1, w.;,t :· ,. . ~-•. . 1 . · .• ,. ::~:. .• ·•;1,,•2-'l r}r·i"r;~..i.~.~-;:\;::~·: :;~~; ,!j,~v_!_~o~-~~~~~~ with the loUoy.lnv~P":~o~:~~ml to p,ovld-~ ~~• ~~-o~~~-c°,nn~uctl~J t~~J'~~ J.l"!~n I p~~~~!ij;r,rcenf;wt!il ;'.~~!~vlde i1011ions ti! !h,:~"oT~i:-.~,ut i n_t ve hlrlKI ttii foll".~''.'11 pe~lltl,j~coordln11e,-cupt11~11it'lttde-1t!! .. ~~~ ..,,., '.:; · · ,,_1 ·1~•ddr~1~1~ ,1Mlift.ber /~-:,~r•et~~~--~1;,ent~ ~(!\)it1I:~-.. •·· · . . · . ---~w . ··· ... ~, ~""-~ .""~ !.: .. ;. . ;,.,.,;~~ ·: •. · -.'~~•p,iivide,1qme o·f the wc,rl, tiiit . .l fie~ci-co~rected lhlredl tht followi~g p111ons to'pfofflot~\;,<;;:,r. i~t.cf. ,., '.~,; ::-c•.. ' ;J,\yp ·::err:~~,, ....... .-~-~---· .. · .... -::·.. __ : .. · .. ····~.: ___ ·~-_:;· . .-:.'.''.'.,'.:-7~~-· :··~::~i . •;:,-_:'4',:;.\.;.:-'ir--:.,11,l,i;t, ... . :J>ll~PERTY; q~ER &.IONATURE · -~ , ... • _... . .; •... · ':l);.¥~j~1hr~ .. , .. 11• ;~a... ··:-, .. :r:.i :'' \~~'e.fC1]0~.fQR,B$)1'~F.NIMl,liUlt,oJN11,~!I.$1 '. . , . . . . . · · . ~, '.)~h~ .. ii,,M~,nt uiTuiure bliftdlr19 oeoupem' flqw~d it> ·;u1,~•'i liuti,;,.~· ~itlv'hli;? ~-~■ta,l~ .. ~ t;~iion_:~ ~tv . ;..•:•~r#i!ffi Pl . on, '~~~~-s~, ze~o.s, 2'&1i33'vr 25li3<_1 of.1~:Pr•t1a~T1-H~~dov!J:~t~~•--~~~1 .. ~,;: !f:cs_ ~~t~t1~-f !· ··-,-~:~'.:··-· -~-- ;kt~.•~l'\ot fUM• ·11u11c1Jng-ocedj,■nt'.r'!'l"'r_ . ~d_'(o·~i· -~~:., ·,;:.;,m!t (r,;,111~ifi• al('iM.itlon'.~ ci1,1a+,~~1rt,b~-...,d<lt,. □-,;;-.a11··-: ·,: No..'. • I ' -... ,..._. _ -• ·;iit_••r'• •,,,~, I .. ~J'j•··•-:~•••"'• I • ~"'•~•~ '°r.~r '.-';~:r•~• "',:, ~f ~_.,.?'rn;♦• "''"• ·•-"•• , lj.i,_.,r"'°l, . ,t , , ls;~ fie~ ,o ~ ;.,;,.v,,cted ~~.,'i~. Q(/0, <~'.t~:F_ ~et'b~curl«if1.~_~ffi_ lit;; CJ : Y.l!S .:>Y · ~->< ¥1 :r.; .'°i~j,\~~l-''5~{.: :;~..,}.;(~; j\?,;it,; aw~fii;~ ANSM~i•ti~ . .,~;•;'« RNA'i: ci~,-~lin Of i:n:c~Piurc;~~i' ili;ssum' .·. ~ . ~~r~ ... ; f4€ti,~•i(tit;\'"''" I '·flEQVlifEMffii'~ '0FtJ1~,g;Fic~ or:~Q(Cl~~h!il'Jicu-~"D T~l!1AJA" POUUTION E:ONTROL1>1 . . ··. :' :--;:.-,, ,:r;'. ;, ~~ ~ ·; ·"'-•~ . 'L ";-;;-;"'.· . :;~~~r~~~m.,c:nqif.i.l1to1~o'~c~Ncy~'.~~~~1~-:~~7--~~'ii~·~~~~-~-.--· · · .;~·?J-t:~~.FVY.f.¾': ·_. .,I ~-r•v,,,fllrm_th■t .~hare 1,. eomtrycl!p{I lendl"9119,nijv'lo, th• performance of thew~•~ fo, wt;,ic~ ,i. . ~ued (flia . '~lJt)' :t .'i f' . . ,J,ij~,-r.,.~~f ., J,':•·r.-~ '•I· ... "i';,.;;•;._,-·t:!"1f?. ... ' -~· ,1o":1.;,. .r;.t'.-..,,1,,.t·~~,,, (" .... s·,,: ;1~ l 1t1.~\iJ ,. ... ~. :la,1'0EW~t0iM•! <. :1,, : •. ,, '&ft , ,-, ,:"( ··,. · lENt>Ell'S AQOfltSs"', ~; ~-.,;,.~.;:. .. ~ ~, · ,:."'t," ·'.; . ,, '--·, · .;_:~•.; ~~•-•.:. •.. , If . _ :O •t#~' :.••i,l~"l~~~'\,I•.~ :-. .._ • .,..,.,.;_·,t!_:,,-..:.. .. :, :,,,._. r,l~~~~ .,....,,.-1.·~• -t;~,-~APl'LI1:AHT,Ctfllff'ICATION.-. •, "'"1"·~ ).'.}.:;..,.i,;.,.,.: ~;(.,·;. ··;;:;;rs:li::·,.·,;,:,.;...,,..:,~,#t~-.:,1. ~~"l)1,......,,i'I c • ,,. .'.i}1,.i ,1. · • · ·!' f~rt,;~:-~•• 1 li.•ve ,,,~ th•.~?~c11(\infn:f 'ai11e _th!t the·,bo_\le lr,formfli~r:_ l•}~!!~illl{ld, ~~io.t~ ~&~~~-'.,tlfc,~:}. •. . · •~~11\bly with or •,;citv c,rdio•ncei en.r;s1e1, l•~••!•\■1tno:Jlo,~1.con.in.c1oon,r I hereby'euthoVto rer•ne11tet!'t•~Qf1,tl.~ , of'Y.I!; 'I"'! h ~~ menttonec ··pr\)ll,j,,y.ifa,;;in1oeclftl,ti,ul/>.;.iois: I "~QJ..qR~E:'.T~;saye; lt4D£MNiFY 'il.'iilo ~EEP HAliMLEtl' "TNE0 1-r 01' R• :.~ ' :-r-.'A"L;~IIIUTIES jtJUOGMEN~~._COSTS ... ,.0 E~~SE.9 ~~1_c~ MA'i. ~N ANY·~AY ACCflU~ AG!~ST .sAJ_D_C!;TT )N,f,ONS~~~~FJ.~H.' ~~e.~o~,?i.,~,.~T.,. ··1 :-.osHA:;,~.09_HA pat~ l~-•~q~•~d f~r:•:-c.~~atlon, ovtr s·o: ~,.p and d•~ollt~.o• c~~tf""'~'-f.,~tui~~,n .t!,li't ~1.tfA:lif/,·-:,1;.rtlf-: -·. . . . EXPIRATION: EV9<Y p,,m.t ,ssued by the !'lutldlng Oflldal under the ptO'tfltVfl• .otthtt •l,olJ• shll) e1<1>lr• b'f''~~t1on"11nd1\:~com1t 11~1 'nd yold Jf. tht building o wor\ autlioilied bv iui:li s,e,mit is ot commenced within 366 d■ys 'from the d•t• oi ,ucti 111rmlt or If tht bu~dlntj or werk'•uthorlnd .bf ii.ch permit Is susi,,nd"' o, abandoned at env time efttt t ork is commenced for P9!lod ol 180 day IS~_lon 1 oe :4.4 Uniform 9\llldlng Cod•I~ · / . APl'l.tCANT'S SIGNATUFI, . . OAlE ~ 11::,LtJ r CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970662 FOR 04/08/97 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM INSPECTOR AREA PLANCK# CB970662 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2673 REGENT RD APPLICANT: HASTINGS, LAURIE CONTRACTOR: STE: LOT: OWNER: REMARKS: RS/LORI/434-9553 SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL Water Heater/Vents ------------------------------------ ------------------ PHONE: 619 434-9553 PHONE: PHONE: INSPECTOR \ ------------ ACT COMMENTS t-tf cli /VA-~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS