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HomeMy WebLinkAbout2881 SANFORD LN; ; CB971443; Permit5592 t # E · ;Jl~AL APPROVAL INS~DATE J-ls-f CL~ARANCE ------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 lt;alP,RoJ_EC:ruHF.O~tlQN~~vai 2881 Sanford Ln Addren (Include Bldg/Suite I) J FOR OFFICE USE 0~ Y PLAN CHECK NO. t7/f~3 EST. VAL ---,.-~"'"";a-+--- Bualneu Name lat thla addreu) legal Ducriptlon Lot No. Subdivision Nama/Nu'!'ber Unit No. Total I of units SFR Au■11or' 1 Parcel I Existing U11 Propo11d UH Daacriptlon of Work SO. FT. lof Storl11 I of Bedrooms I of Bathrooms lI~A~ il}ft;f..~~ir~Bm~~JlJj?f:,it-.l't,\a!}~~~liiY.f.ml;'~~~~·f.l'!i;}~;1,;0:r, Pbi 11 ips. Sylv i a 2881 San ford Ln ,, • Nam, Addre11 City State/Zip Telephone I Fex I :,. ;;;•· .·...,; 'CANT'!•'' 0· :'C ,i '.I u •r;;n1.· , .. ': i r..:uio.wn·rr ff"..nir,,,;.w.l.~lli1J111.o.' ·a/it 'f'.!i.'!~..,..,,ef":'t!~tr~Aii~J>"'~a(S'j."1'.1-\"."' • . ~ _,jifnr..,1;"" ... H J •. !!11Hil"'or.a.,n1JUli'lll.W<W1t~-9Je!.:JIUll.=•~--w Jr.,g ___ -1-wc1L:.u __ --cA_:--_"92UZr---:3~~~-4'·rrJruu-s~~ JOHNSON/KRISTY EDSTER 13706-B HWY 8 BUS. EL CAJON, • - am, Addfeu City Stete/Zlp Telephone I ~1.QIJYiQWH~R.\~~--►wwmnc:-rtuAMY "'fff-'t~'tl~~~~,, PlWips, Sylvia 28~lre;:oford I,n ~~BAD CAs~ate/~;008 Telephone, ~~i'1i®mBAc.'tDilttOMtMWWA ~" (Sec. 7031.6 Buslneu and Prole11lon1 Code: Any City or County which requires• permit to construct, 1lt■r, lmpl'ove, demolish or repelr any 1tructur■• prior to Its lssuanc1, also requires the applicant lo, such permit to Ille • signed statement that he Is Cleansed pur1uant to the provl1ion1 of the Contractor'• Ucense law !Chapter 9, commending with Section 7000 of Division 3 ol the Buslnen ■nd Profe11lon1 Code) or that he 11 exempt therefrom, and the besls for the alleged exemption. Any violation of Section 7031.6 by any applicant for• permit subjects the appllcant to• civil penalty ol not moH than five hundred doll1r1 lt600II. A ffinil POffi'BR PLl.JHBINC lJZ£6 B HWY 8 BUS 'EL CAJON CA. 92021 390-44 77 dress City St■te/Zl~ Telephone I St1t1 Ucm11 '6:30] ?Q Ucenaa ClasaC-36 City Bu1ln■11 LlcenH I 1 200354 0uign■r Name Address City State/Zip Telephone Stitt Uc■NI I °t~ Ip · . . .. ._ re:\·,,i)V.ORKW1•,ct>r.iPENS4'.rlON..iiN£i1J');mmfi~!f&IV{ru.t.i-fM:~).'HU~n X Workers' CompeM■tlon Declar■tlon: I hereby affirm und11 penelty ol perJury on■ of the followlng.d■cla,atlons: O I have 1nd wtn maintain • c■rtlllcat• of consent to 1111-ln,ure for worker■' compen1■tlon H provided by Section 3700 of the labor Code, for the performanc, ol the work lor which this permit I■ l11uad. 0 I hav1 and wtn maintain worker,• compensation, 11 required by Section 3700 of the Labor Code, for the performance of th• ~ork for which this permit Is l11ued. My work11'1 compensation ln1urenc1 carrier and policy number era: lnluranc, Compan~R 1:wsr:mw:E Polley NoN2007-56-5 1 Explretlon w,JTINUDUS ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certlly that In the performance ol the work for which thl1 permit l1 l11u1d, I 1hall not employ any person In eny manner so.,. to become aubJect to th• Workers' Comp1nsatlon laws of Calilornla, WARNING: Fellure to Hcure•w0tk■rs' compen1■tlon coverage I• unlawful, end shell 1ubJect an 1mployar to crlmlnel pen■ltl111 end dvll llnH up to one hundred thousand doftars It 100,0001, In addition to th, coat of comp1n1■tlon, d■mag11 H provided for In S1ctlon 370B of the la~ code, lnt1r■1t end ■ttomey'1 fe■1. SIGNATURE _______________________ _,;,, ______ DATE _________ _ 7. •·"oWNER-BUILDEJI DE CLARA Ttokli:~g:;:1:f;.~l,/4f~?$~fl: ... .;?~ it~. 'i.Jrtrn~t{ffl~~'m.iilllillll~f~l~'UI~~1&(;,:i•i.~ f: ·, I hereby 1lllrm that I am ■><empt lrom th1 Contrector's License Law for the following reason: 0 I. as owner ol the property or my employ111 with wages II th1ir sole compensation, wlll do the work end th• 1tructur1 la not Intended o, offered for aele (Sec. 7044, Busineu and Prol■11ion1 Code: The Contrscto,'1 LlcenH Lew do11 not apply to an owner of property who builds o, Improves thereon, and who does such work hlmaell or through his own employeH, PfOVlded that such Improvements era not Intended or offt1ed for HII, II, however, tha building or lml)fov1ment Is sold within on1 yHr ol completlon, the owner-builder wlN have the burden ol proving that he did not build or Improve for the purpoae of ■1111. 0 I, ■1 owner of th• PfOp1rty, am 1xclualv1ly contracting with llc■n1ed contractors to con1truct' th, pl'oject IS■c. 7044, 8111ln111 and Profe11lon1 Code: Th• Cont,■ctor'1 Uc■nH law do•• not apply to an owner of property who builds or lmprov11 thereon, ind contracts for euch IJl'O)■ct1 with contractorl•I Hcensed pur1u1nt to th• Contr■ctor'1 Ucan11 Law). · 0 I am 1x1mpt und11 Section _____ Bu1ln111 and Prof111lon1 Cod, for this reason: 1 . I per1on1lly plan to p,ovld1 th• major labor end materlals lor construction of the propo11d property lmpl'ovement. 0 YES ONO 2. I lhav1 / hav1 notl 1lgn1d an appllc1tlon to, • building permit for the propo11d work; 3. I hav, contracted with the following person lfirml t!) provide the propoHd con1truc1lon (Include name / 1ddr111 / phone number / contractors llcen11 numberl: 4. I plan to provide portions of the work, but I hav, hired the following person to coordlnat,, supervise and pl'Ovlde the major work (Include name / ■ddre11 / phone numbar / contractors license number):. __________________________________________ _ 5. I wlN provld1 1om1 ol th1 work, but I have cont11cted (hired) th, following persona to provide the work Indicated (Include name/ addrea, / phone number / type ol work): ___________________________________________________ _ PROPERTY OWNER SIGNATURE ~to~tt1s,'sECTJoN,1.0R.t1:_P/J; __ ~---.$JP.-'Pi.-.tWI.-.. -'..-!Yll.P.-.-tiftl-G-iR-,lllM-m-,1'l-n.,..L11_1W ___ 'l_'M-,a-111-,.- 1a the applicant Of lutur• building occupant required to 1ubmlt • bualneu plan, acutely hezardou• m■terl•I• reglatratlon form or risk management and prevention program under Sections 26606, 25633 or 25634 of the Pf11Cey•T■nner Haurdou1 Substance Account Actl O YES O NO Is the 1ppHcant or future building occupant requlrad to obtain • permit from th, air pollution control district or elr quality management district 7 0 YES O NO la Iha fdtv to be constructed within 1,000 fHt of the outer boundary of a ,chool site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. a •. , ;1: CONSTRUCTION LENDING' AO ENCY· ~i~~l~'#iltlii~·, . 'IL !~li1~,,m:i1~1tiff~~~~i{i~iiI~-~i$~-i,'1:,r~r1.,:: f ::it·; I hereby ,111,m th,t the11 is • construction lending agency for th• p11lorm■nce ol th1 work lor which this permit 11 l11ued IS■c. 3097111 Civil Codel. LENDER'S NAME ________ .,._ ____ _ LENDER'S AOORESS ______________________ _ ;I; .. ( .Affl.\CANT;CE"l'f'c~not1J1 ,0' -~-~W-'i .~;~.~~i,?-rll'i•l l/;!ill\-~•ii\'i~tr"-',~:li'tit,f~~~,il.~J1n~~'Jlli{f"~~1tm·::~&~;. · i{.H? ;\1:;.-·.,· • , • I certify that I have read the application and state that the above lnlo,matlon 11 correct and that the Information on the plans Is accurete. I 1g,ee to comply with •II City ordln1nc11 and State laws 11latlng to building construction. I hereby euthorlze 11pr■Hntatlv■1 ol the City of Cerl1bsd to enter upon the above mentioned property for Inspection purposea. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP .HARMLESS THE CITY OF CARLSBAD AGI\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA p11mit la required for e11;cavatlon1 over 6'0" deap and d1molltlon or construction of 1tructur■1 over 3 1torles In height. EXPIRATION: Every permit Issued by the Bull ding Official under the provl1lon1 of this Code 1hall expire by llmltatlon and become null and void II the building or work 1uthorlHd by such permit 11 not commenc1d within 386 days from the date of such permit or U the building or work 1uthorlHd by such permit 11 suspended or abandoned at any tlm1 aft , , work 11 commenced fo erlod of 180 d•~ Section 108.4.4 Uniform Building Codell!' \nt J /l AP1'\.ICANT'S SIGNATURE ...l.,o~:.V,...Ll.-'ll,&.d,Q..,~-'-::;,l,,~"""a.,.1~-JA-L-------DATE 1J?. ~ l ~:1: WHITE: FIie YELLOW: Applicant PINK: Flnence , PERMIT# CB971443 DESCRIPTION: WATER HEATER TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 07 /22/97 REPLACEMNT STE: INSPECTOR AREA PLANCK# CB971443 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: 2881 SANFORD LN PHILLIPS, SYLVIA PHONE: 760 434-8304 j CONTRACTOR: OWNER: REMARKS: C/SYLVIA/434-8304 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ~:~:~: /21~ INSPECT~~~"£.:.~~~::::=== ACT COMMENTS _2_5 __ P_L _w_a_t_e_r_H_e_a_t_e_r_;_v_e_n_t_s ______ f--------------- -------------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS