HomeMy WebLinkAbout2878 SANFORD LN; ; CB960237; PermitB U 1 L D 1 N G P E R M 1 T
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1,Job Addre::::;: 2878 SANFORD LN
Pe1m1t Type : PLUMBING
P~rcel Nu : 167-472-28-UO
Valuation: 0
Suite:
Lot#:
occupancy Group: Reference#:
Description: REPLACE WATER HEA'ER
Permit N ,: CB960231
ProJect No: A9600349
Development. No:
~9B4 02113/9t ooc_ 1
C-'·MT
Construction Type : NEW
Status : ISSUED
Applied: 02/13/9b
Apr/Issue: 02/13/96
Enterel] By : DC
Appl/Ownr : TORREY PINES PLUMBING
8580 PRODUCTION AVENUE
SAN DIEGO, CA 92121
619 566-4~1.33
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter 'Y" for Plumbing IS!:iUe Fee
Each Water Heater an /or Vent
-1< PLUMBING TOTAL
CITY OF CARLSBAD
2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161
.OU
,00
27,00
Ext fee Data
20.00 Y
7 .00
27.00
J:, ~1t(:tJ12f
}PERMIT APPLICATION PLAN CHECK NO.
City of tarlsbad Building DepartRnt
2075 Las Palms Dr., tarlsbad, CA 920D9 (619) 438-1161 ESf. VAL. __________ _
1. PEiiMII i"YPE (2e,S sh 1\$\u.AM ¼) "? PIAN CK DEPOSIT _______ _
VAIID.BY __________ _
DATI!
From Llst 1 (see back) give code of Permit-Type: ___________ _
---------------------------------------------------------
For Residential Projects Only: From Llst 2 (see back) give
Code of Strucrure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2-PRUIF.Cf INFORMATION FOR OFFICE USE ONLY
Address J g-7 f 51'-tJ=t;c( q2oo(d)
Nearest Cross Street
LEGAL DESCRIMION IDrNo. Subchvtston Name/Number Omt No. Phase No.
CHECK BEWW IP SOBMII I Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PABCEI, EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
# OF STORIES # OF BEDROOMS # OF BA TIJROOMS
rom ~1can
f-= Q.e.vM f\-tJ ADDRESS ~(t--/NJ
CI1Y STATE DAY TELEPHONE
w', ~ U MADDREss t5510 ~oc\u.L-4--\ (}{\ ~
C ZIP CODE ( z I DAY TELEPHONE (J 51,, -L SJ >
NAME (last name first) ADDRESS
Cl1Y STATE ZIP CODE DAY TELEPHONE
6-~~i~mefin;c)lll~ p~N_,') ?\~~DRESS S':iID ?Roduc-J,~ A-v-Z---,,
CI1Y 5/t-f'-J ~ I 'y O STATE Cf't ZIP CODE 9 C I 2.., I DAY TELEPHONE 51.o (y.. -I.{ c; ~ 5
STATE LlC. # (o'3O7f/"0ucENSE CLASS C -3(.J CI1Y BUSINESS LlC. # 16$0 / 0 0
DESIGNER NAME (last name hrst) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LlC. #
7. WORKEltS' OOMPF.NSAliUN Workers' Compensation beclaratmn: I hereby afhrm that I have a cert1hcate of consent to self-msure 1SSued by the Director of lndusmal
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).
INSURANCE COMPANY /--i buz_ u.-\--U.. POLlCY NO. tJC 2 Ill,\ 0-:, ~ffAi?ciN(_pDATE 7
□
□
□
rt.I 1cate o xemptton: cert1 e war or w
so as to become subjec he Workers' Compensati · ·
not emp oy any person m any manner
er e ya I a am exemp ram e n e o owmg reason:
I, as owner of the property or m emplo with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 70441 Busin and P fessions Code: The Contractor's Llcense 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 C.Ontractor'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 C.Ounty which requires a permit 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 C.Ontractor'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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIIRE DATE
WMPLEIE IHIS S£CIION FOR NON-RESIOEN IIAL BUILDING PERMit's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form 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 permit 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 TilE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE Jl?SllED AFl1lR JULY 1, 1989 UN1J!SS TilE APPLlCANT
HAS MET OR IS MEETING TilE RF.QUIREMENTS OF TilE OFFICE OF EMERGENCY SERVICES AND TilE AIR POLLUTION CX>NTIIOL DISl1UCT.
9. WNSIRUCIIUN IENDINGXGENCY
I hereby athrm that there ts a construction lendmg agency for the perfonnance of the work for which thts penmt ts tsSued (Sec 3097(1) C1VII Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPilCAN i C£klll'Jt!AliUN
I certify that 1 have read the apphcauon and state that the above mformat1on ts correct. I agree to comply with 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 Al.'iO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TilE crIY OF CAR1SBAD AGAINSf AIL IJABII.ITIES, JUDGMENTS, CDSTS
AND EXPENSES WlUCH MAY IN ANY WAY ACDlUE AGAINSf SAID crIY IN CX>NSEQ\IENCE OF TilE GRANTING OF TIDS 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 permit 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 pennic is suspended or abandoned at any time after thew is c menced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLlCANT'S SIGNATURE DATE:
0
J CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960237 FOR 04/12/96
DESCRIPTION: REPLACE WATER HEATER
TYPE: PLUM
INSPECTOR AREA
PLANCK# CB960237
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2878 SANFORD LN
APPLICANT: TORREY PINES PLUMBING
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: BJN/DEBBIE/729-1344
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE: 619 566-4533
PHONE:
PHONE:
INSPECTOR -?i;:......,.~?---------
-
CD--LV_L __ D_E_S-CR-IPT_I_O_N _________ ; CO~ 25 PL Water Heater/Vents ~
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS