HomeMy WebLinkAbout2871 SANFORD LN; ; CB950339; PermitB U I L D I N G P E R M I T Permit No: CB950339
Project No : A95U0479
Development No :
03/08/95 16:06
Page 1 of 1
Job Address: 2871 SANFORD LN Suite:
Permit Type: PLUMBING 0992 03/09/95 0001 01 02
Parcel No: 167-472-44-00 Lot~: C-PRMT 27 -00
Valuation: O
Construction Type: NEW
OccupRncy Group: Reference#: Status: I~,SUED
Applied: 03/08/95
Ape/Issue: 03/08/95
Entered By: MDP
Description: WATER HEATER REPLACEME~T
Appl/Own~ : DRAIN PATROL
P.O . 81621
SAN DIEGO , CA.
**A Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbing I
Each Water Heater n /or
* PLUMBING TOTAL
619 560-1137
llected & Credits
Total Credi 'c:
Total Paymenrs :
Balance Du :
Fe€/Unit. -7.00
.00
.00
27.00
Ext fee Data
20.00 Y
7.00
27.00
\ OVAL
\!NSP. OATE
fLEARANCE -----1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950339 FOR 03/10/95 INSPECTOR AREA
PLANCK# CB950339
OCC GRP
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
JOB ADDRESS: 2871 SANFORD LN
APPLICANT: DRAIN PATROL
CONTRACTOR:
OWNER:
REMARKS: MW/STEVE/434-8503
SPECIAL INSTRUCT: GROUND FLOOR STG RM
TOTAL TIME:
CD LVL DESCRIPTION
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 560-1137
PHONE:
PHONE: f, ~
INSPECTOR ~{lv\.=-=--•---=-"(,,--------
AM BETWEEN 8 AND 12
ACT COMMENTS
25 PL Water Heater/Vents ~----------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
_PERMIT APPLICATION PLAN CHECK NO. q ~ )) '1
City of Carlsbad Building Depart-,t
I
FST. VAL 2075 Las Pal•s Dr., tarlsbed, CA 92009 (619) 438-1161
I. PkRMt I fiPR
PUN CK DEPOSIT _______ _
VALID. BY ___________ _
DATE From Ust l (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From list 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PRCllECT INFORMATION FOR OFFICE USE ONLY
Address 2 8 f/ 51:;,iford Zn, BuUdmg or Suue No.
Nearest Cross Street V~(~J~ LEGAL DESCRIP l'ION ubd1V1s10n Name/Number Unit No. Phase No.
CHECK BEWW 1F SOBMlJ 1£D:
□ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ J Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK lvo. ~ u--\,( ....,_{.er p~e.. ....... ""+ PROPOSED USE
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATI!ROOMS
3. WN JAL[ PERSON (II dnterenf from applicant)
NAME (last name first) ADDRESS
ZIP CODE Cl1Y STATE DAY TELEPHONE
4. Al-'l'lJlANI UWNIRACIOk DAGEN I FOR WNIRACiUR
ADDRESS
DOWNER DAGEN I FOR OWNER
NAME (last name first)
CI1Y STATE ZIP CODE DAY TELEPHONE
S. PkuPEkfi OWNER
NAME (last name first) ::ra.0/:,5 ADDREss L~T I Sc.,,,ftrd lrJ.
CI1Y ~d. STATE CA-ZIPCODE Cj?rp){
6. WNI
DAY TELEPHONE
}),-,::,,-,, ;?q -f/0 / ADDRESS P-0 f!o.( 8162 I NAME (last name first)
CI1Y 5,fN PJ:E§O STATE ct ZIPCODE 'tZ/3'6 DAYTELEPHoJ-et9Js6o 1137
STATE UC.# l./Zt./36 UCENSE CLASS CI1Y BUSINESS UC.# / l9'f05".;?._
DESIGNER NAME (last name hrst) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WukkP.kS' WMPENSAliuN
Workers' Compensation beclarat1on: I hereby afhrm that I have a cemhcate of consent to seit-msure issued by the 01recror of lnduscnal
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 POUCYNO. EXPIRATION DATE
Ceruhcate of Exemption: I certlIY that m the perfonnance of the work for which ibis pernut 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNFlt-B0llDltil DECOOlA:hON
□
□
□
Owner-BuiJder Declaration: I hereby amrm ffiaf 1 am exempt from the Contractors license Law for the ioilowmg reason:
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 Llcense Law does not apply to an owner of property who builds
or improves thereon1 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 permit to construct, alter, improve, demolish, or repair
any structure1 prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions or 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIJRE DATE
WMPLEIE i'HIS SECI10N FOR NON-RESIDEN IIAL BUILblNG PERMIIS 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?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANYOFTIIE ANSWERS AREYES, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE l!iSffi!DAFI1!RJULY 1, 1989 UNLESS TIIEAPPUCANT
HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POIJ.UTION OONTIIOL DJSTIUCT.
9. WNSIK0CIION LENDING AGMct
I hereby aUlrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1J CaVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPDCANI l!EkiWICA'iiON
I certUY ilia[ I have read ilie application and state that the above mformat1on 1s correct. I agree to comply with all Gty 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 1U SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTlY OF CARISBAD AGAINST AIL LIABlllTIES, JUDGMENTS, <DSfS
AND EXPENSES WlllCH MAY IN ANY WAY Mx:IUJE AGAINST SAID CTlY IN OONSEQUENCE OF TIIE GRANTING OF TI-US PERMIT.
OSHA: An OSHA permit is required for excavations over 5'011 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 comm within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any · rwork is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPUCANT'S SIGNATURE ,;_;; DATE: ___ _
PINK: Fmance
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