HomeMy WebLinkAbout2673 SAUSALITO AVE; ; CB962353; Permit1 : 2
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[J veloiment No:
1440 12/11/96 0001 01 02
C-PRHT Constructi n y~ NEW
>rcupancy ~r up: Rf rence#: Statu : IS UED
Description: REPLACE WATER HEATER
Appl/ wnr : AVER ~L, WIN~FRED
2 7 SAl5AL ""CA
ARLSBAD CA i 0
Fee... Regu ire l
Fees :
A 3Justment::..:
otal Fee. :
Fee description
Et1ter 'Y for Plumb1
~ach Water Heater
* PLUMBING TO AL
019 434-943
A1 pli 1 1 '::I
Apr/ ssue: 12/11/~6
Entered. By: RMA
& ere ht
.00
.uo
27 .00
Ext fee Dat
2 . 00 Y
7 .0
27.00
FINAL APPROVAL
t
INS~/ S DATE /-17· 117
CLEARANCE ________ _
CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad, CA 92009 (619) 438-1161
Pl!RMIT t\PPUCATION PLAN CHECK NO.
City of tarlsbod luilding Deport_,t
201'5 LN P■l-Dr., tarlsbod, CA 92009 (619) 4311·1161
I. PFJIMII IYl'H
PST. VAi •. __________ _
Pl.AN ex llf.POsrr ______ --A-t.-
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v AIJll. DY __ -;--,_,---;-,;;-:---"'-"lf"
IIA11!
rur Hcsidcntlal rrujccu Only: From List 2 (5tt back) give
Code or Structure-Type: ________ ,eS::FR=-----------
Ncl 1055/Gain or Dwelling Units
2. PIIWFCT INmRMA'llON FOil OFFICE USll ONI.Y AJJrcs., 2673 Sausalito Ave. building or Suite No.
Nr;1rrs1 Cross S1reetpontiac r • 11(,Al btstllill I ION Lot No. suGJ1V1s1on Name/Number Onn No. Plmr,c No.
CiltCK Uf.ibW IF SOOMI I I 1::0:
D 2 Enrrgy <".ales D 2 Structural C".aks D 2 Soll, lleport □ I llddres.sed knvelope
ASSESSOR'S PARCEi, Jtl!l!i11f19 u~ OtSCltlPTION OF WORK Water Heater Reptacen4llon PHOPOSl-'11 USE
SQ. FT. # OF SlURIES
3. WN I XC I PERSON {U j;llcrclUf'fm ilwUlcai~f d NAME (lasl name lirs1) :ver1. , w1.n1. e
# OF BEDROOMS # OI' IIATI 11\00MS
ADDRESS 2673 Sausalito Ave.
CA 92008 DAY TEI.EPIIONi!34-7943
gh
CITY El Cajon STATE CA DAY TEI.EPIIONE
Suite B
390-4477
S. i'llOPEilltUWNl1t J>. ·11 w·ni'fred ?673 Sausalitio Ave. NMIE (last name fontrveri ' i ADDRESS"
CITY carlsbad STATE CA ZIP CODrlJ2008 DAY TEI.F.PIIONp4-7943
•· llJN IIW:IOR A & J Foster, Inc. 13 706 Highway 8 Business, NMIE (last name first) . . ADDI\ESS Sutte B
Cl·rv El CaJ·on s·r•i·E CA 91977 390-4477 " ZIP CODE DAY TELEPHONE
STATE I.IC. II 630l2 0 LICENSE Cl.ASS C-36
D£SIGNEH NAM£ (last name hrsi) ADDil£SS
1200354 CITY BUSINESS LIC. 11
•
CITY STATE ZIP CODE DAY TEI.F.PllONE STATE I.IC. # 7. WOHRfJls OOMPF.NSA I ION .
Workers' Compensauon Declara110n: I hereby alhrm 1ha1 I have a cerul1ca1e ol consent to sell-insure issued by the Director ol lnilu51rml
Relations, or a cenificale of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate t.hcrcor certified
1,y the Director or the Insurer thereof filed with the Ouildlng Inspection Deparqpent (Section 3800, Lab. C). "'
· Farmers N2007-56-51 5-1-97 INSURANCE-COMPANY l'OIJCY NO. EXPIRATION DATE
Gruhca1e ol hemptton: I cenily that m 1he peitonnance ol the work lor winch this pennlt II issued, I shall not employ any pc1son III any manner
so as to become subject lo the Worken' Compensation Law, o( California.
SIGNATURE DATE
8. OWNER-d0IIDfll U~liAAXliON
Uwner-Uu1@er DcclaraUon! I hereby aihnn ffial I am exempt irom me Corifraclori Ucense Law iur me luiiuwmg reason;
D I, as owner or the property or my employees with wages a11helr sole compensallon,.wlll do the work and t11f!' srructure Ill not inccnded or
offered for sale (Sec, 7044, Business and Pro(esslon1 Code: The Contractor's Ucense Law does not apply 10 an owner or property who builds
or Improves thereon, and who does such work hlmsel( or through hl1 own employees, provided that such lmprovemenlll are nol intended
or oHered (or sale. Ir, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the burden
or proving that he did not build or improve for the purpose of sale.).
D I, as owner ortJi~ property, am exclusively contracting with licensed contraclon lo construct the project (Sec. 7044, Dusincss and l'rofcs.••.ions
Code; The Contractor's Ucense Law does not apply lo an owner of property who builds or improves thereon, and contraclJ for such projccu: with contractor(s) licensed pursuant to the Contractor', Ucense Law).
D I am exempt under Section _______ Business and Prorcssions Code for this reason:
(Sec, 7031.5 Business and Pro(esslons Code: Any Oty or County which requires a pennil to construct, alter, Improve, demolish, or repair
any struclure, prior 10 iu: Issuance, also requires the applicant for such pennlt to me a signed statement that he Is licensed punuant to 1hc
provisions or the Contractor's Uccnse Law (Chapter 9, commencin1 with Section 7000 or Division 3 or tJte Business and l'rurcs.~ions Coe.le)
or that he Is exempt lhererrom, and the bails for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit
subjecu the applicant to a civil penalty of not more than five hundred dollars ($S00)).
~lGNATI/1\E DA11!
COMPLtlE IHIS SEC I ION FOR NON-HESIDENIIAL DUIWINC PEltMIIS ONLY:
Is the applicant or (uture building occupant required to submit a business plan, acutely har.ardous malerials registration form or risk management and
preveniion program under Sccllons 25S0S, 25533 or 25534 or the Presley .. Tanner llazardous Substance Account Act7 □YES □NO
ls 1he applicant or (urure building occupant required to obtain a pennit from the air pollutJon control dlstric1 or air quality management 1.fo1trict7
DYES □NO
Is the racility to be constructed whhin 1,000 reet or the outer boundary of a school site?
0 YES ONO
IF AlfY OP 11IE ANSWERS Al\£ YF.S, A PINAL CEl\11PICA11! OP OCDJPANCY MAY NC7f DH IS.WED Al'TER JULY I, 1989 UNIJSSS 11 IF. Al'l'IJC:IINT
IIAS MIIT on IS MEETING 111£ RF.QUUU!MENTS OP 11IE omCP. OF l!MEI\GP.NCY SEI\VICE.~ AND 111£ AIR l'OIJ.lfllON U)lflllOI. lllS'lltlCT.
9. CDNSIROCIIUN OJtuiNG AGENCY
l hereby all1rm OiAfdl\~e II a consuucfion l~ndmg agency ior U1e perlonnance ol Die work lur winch Uus pcnmt 1s wued (Si.-c 3097(1) CIVIi Co<lc).
LENDER'S NAME 1.F.NDER'S ADDRESS
10. KPIIUCXN l UllilFlCKllON
I cert1iy that I have read U1e apphcafion and slate lhal the ai.Mive mlormallon 11 correct. I agree lo comply wnh all U1y orJmances and State laws
relating to buildina construction. I hereby authorize representatives or the City or Carlsbad to enter upon the above mencioncd prorieny for inspection
purposes. I AISQ /\GREE TO SAVE INDEMNIFY AND llEEP IWIMIJ!SS 11ffi 0TY OP CAl\15111\D IIGAINSr AIJ, IJAllll.fllra<;, JutX;MENTS, UlSt:;
AND EXPENSES WIUOI MAY IN ANY WAY AU:RUR IIGAINSf SAU> OTY IN WNSl!QUENCP. OF nm GRAN"llNG OP 1111S PlmMIT.
a;tlA; An OSIIA pennil lS requlrcJ for excavations over S'O" deep and demolition or construction of structures over 3 stories in hcighl.
Expiration. Every pennit issued by the Building 0£ndal under the provisions of this Code shall expire by limitation and l,ccomc null and void if the
building or work authoritcd by such pennlt Is not commenced within 365 days from the date or such permit or If the buildinit or work authorized hy
such permit I, suspended or o"ban,iioned at any time after the work Is commenced for a period of 180 days (Section JOJ(d) Uniform lluildJl!g Cod\ Ii:)., ,,
I\PPUCANrs SIGNATUR"M C?):.}'fYY\..a O ('\ DATE: !.L l~--
CITY OF CARLSBAD
INSPECTION REQUEST
PErui'.IT# CB962353 FOR 01/17/97
DESCRIPTION: REPLACE WATER HEATER
TYPE: PLUM
JOB ADDRESS: 2673 SAUSALITO AV
APPLICANT: AVERILL, WINIFRED
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA DC
PLANCK# CB962353
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 434-7943
REMARKS: MW/WINIFRED/434-7943
SPECIAL INSTRUCT: INSPECTO~~-----------
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
25 PL Water Heater/Vents z1f_ r:, V4V J,
l/ ------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
011097 Water Heater/Vents
ACT INSP
CO DC
COMMENTS
T & P LEAKING