HomeMy WebLinkAbout2657 SAUSALITO AVE; ; CB980023; PermitB U I L D I N G
01 /07/98 11:47
Page 1 of 1
Job Address: 2657 SAUSALITO AV
Permit Type: PLUMBING
Parcel No: 167-511-75-00
Valuation: O
P E R M I T
Suite :
Lot#:
Permit No : CB98002 3
Project No: A9800055
Development No:
2755 01/07/98 0001 01
Construction T-~w:
02
Occupancy Group: Reference#: Status:
NEW 27-00
ISSUED
01/07/98
01/07/98
JM
Description: WATER HEATER REPLACEMENT
Appl/Ownr : AALAND PETER
2657 SAUSILITO AVENUE
CARLSBAD CA 92008
*** Fees Required *** ***
Fees: 27 .00
Adjustments:
Total Fees:
Applied:
Apr/Issue:
760
Entered By:
720-1713
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
27.00
***
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Plumbittg Issue Fee >
Each Water Heater and/or Vent
o"ie.--------
7.00
20 .00 Y
7.00
I,._,-, ""TE
··• I ••--~--l ✓# \ ----
CLl::A~A; ~CE ______ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
-
PERMIT APPLICATION
J FOR OFFICE USE O~
PLAN CHECK NO. '1--ft{) 02 ;_J
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST. VAL. --------==1---+--;......-
Plan Ck. Deposit --'F----,""""'c....f,..,......_..,_,,,,
Validated By_.....,....c...,~:::,,r~~..-----
Oate ______ -l.'l_r-.+---t,--f----
li;;il.lPJWJECt.JNF.O~tlQH~~
2657 Sausal ito Ave Addreu (Include Bldg/Suite IJ :., Bualnna Nam, lat lhla eddreaaJ
Legel 0uc,lptlon Lot No, Subdlvlalon Nama/Nu'!'ber Unit No, Ph•H No, T 0111 I ol unit a
Aueuo,'1 Parcel I Exlatlng Un Propond Un
0aacriptlon of Work SQ, FT. lol StorlH I of Badroom1 I ol Bathfooms
:2$ilt~o~~lms~"'~1'ii~~ffi-S~t~~~i:ii\fml&l~1iiU2DJUi'li:ilBGA1iEl.t111lW.f.liWJ'J!!'/J2fi ;\ ~.,,r,;.L:•. ·
Aadland, Elaine 2657 Sausal ito Ave . CARISBAQ CA. 92008 760 720 1713
N■m• AddraH City State/Zip Telephone I Fax I
·:iJ'~'•A· .... ucAN -''-•. 171'(; · .1-"':i!rl,7."' r::·u-1.·•-._,. r /!i:;tl<' "ftI•"" "il''".nlr,';lfr,:l!.l."!::1?'"'11":1Ki 'ci'·' •·1m!C'f~:"'l',"'--,~ut1.ll!':ll~lfllfTll,-.xan;:'OTllU.!O:!ffilt\'!Ofl~l11''11'.r,• ,-'.•>jl·,,:;•1:,t;{ \ , • . . . ,ety.T, ..• J~JJ~ ... 1!11HJll1.\v .. ,ll\W1DlltAA;u,.11-1'<9fllU.9jQ __ ~ ..... -,.d1J11u.:..1l,xll(l!llJl~\/f-1'11!J • ..u ___ ,n __ ll'.I.L;)Jli,:o,vm' _,, ,'.111\i ·-·· •..
NamaSBET,T,Y ,JOHWSON/I<lUS!l'Y ~~ l:370G :a ~ e Sl:ISClty 1!:L CAJOW,State/g., (;l;jlq~~hon• 1390 4477
~.a.P.r~wP.w~~u~~-n:t1iilim J~1~-!im~~1~; ..
N■mi'\"ldl.and, ElaiRe Addr~~ 5 7 Sausalito Ave . City Cl .... 1LS~ State/gc.. 9 2 q~~phln~ Q 72 0 1713
ll.~it:C..Plf.m4c.'ftlilYl.co.MWiWMIJJ'O:WltlNilliitlll'DtPIFDWNf-6iftff Etf DltMdidtCIIK\~W-~
(Sec. 7031.5 Bu1ln111 and Prolualona Coda: Any City Of County which requlre1 • permit to conatruct, alter, Improve, d1moll1h or repair any atructure, prior to lt1
luuanca, also raqulraa the appllcent for such permit to Ill• • algnad atatemenl that he la llcenHd pureuant to the provlaiona ol the Contractor'a Uc■nae Law
(Chaptar 9, commending with Section 7000 ol Division 3 ol the Buslne11 and Prolenlona Cod•I Of that he 11 exempt therefrom, end the bHls for the alleged
exemption. Any vlolatlon of Section 7031.5 by any applicant for• permit aubJ1ct1 the eppllcant to• civil penalty of not mo,e than five hundred dollar• (t6001).
N A & J FO~~ PW4lHNG 1m1 Addt¼_poa B HWY s Bus. Cit EL CAJO~ S fiJ;i. 9 2 ~phone ~9 0 4 4 77 y tale p
State License I 6301 2Q UcenH Class __ _.C_-_3 .. 6._ __ _ . City Bualnln Ucenae I ___ .._] .,,?.,.Q.,_,Q,.._.3~5=4
Dtsigntr N1ma Addreu City State/Zip Telephone
State Ucena, I ISi (A · · ·
~:~·'i1:w.6RK.EAS~•;COMPEH84JION..li~.~{t;iJ.mPI~ff-WG[:;:.\~'?.Ja~~ffl?l'~~l~'M'~;v1~1e,;1,",i~,11•, .
Worker■' Companutlon Declaration: I hereby affirm under penalty of perjury one ol lhl following ,declaratlona:
0 I hive and will maintain • certificate of consent to Hll-ln1ura for workara' compensation H provided by Section 3700 of the Labor Cod,, for the p■rlormanc,
ol the wo,k for which thl1 pwmlt la laaued.
Ov-I have and wlU maintain wo,kara' compensation, H require~ b_y Section 3700 of ·the Labor Code, f_or the performance of th• ~ork for which thla permit 11
lu&d. My wo,ka,'1 compenaetlon lna1nnc:• carrl• and policy numtier 11a:
lnluranc• Company i;;~ INS1~7.WCli: PoUcy No. N2QQ7 58 51 Expiration Data CONTHRJOUS
(THIS SECTION NEED NOT IE C(?MPLETE0 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR WSI
D CERTIFICATE OF EXEMPTION: I certify that In the performanc, of the work for which this permit 11 laaued, I ahall not employ any per,on In any manner ao u ·
to become 1ubJ1cl to the Work111' Compensation Law, of California.
WARNING: Fenure to Hcure•wo,kara' compenaatlon coverage la unlawful, end 1h.U 1ubJect en employer to criminal penalllH end clvM flnH up to one hundred
thousand donara 1•100,0001.1n addition to the coat of companaatlon, damagaa H provided for In Section 3708 of the LIiie¥ code, lnlerHl end attorney'• IHa.
SIGNATURE _______________________________ DATE ________ _
1. ,--'.'owNER•au1LDEJ1 DE~LARA.r10Nli.;'~W.Wf~-iy;-w~1mim~'!f.11.1t~..::1tu~1usm~~\~t'llll!},1 ~;::,'II~;-··
I hereby affirm that I am exempt from th• Contractor', UcanH Law IOf the following 1H1on:
D I, 11 ownar of the property or my employeaa with wag11 u their 101• comp1naatlon, will do the work ind th• atructure la not Intended or offered for ule
ISec. 7044, Bustn,aa and Prolualona Coda: Th, Contractor'• Llcanaa Law dou not apply to an owner of property who bullda or lmprovu thereon, and who dou
such work hlmHII or through hi• own employau, provided that auch lmprovamanta are not Intended o, offered for Hie. If, how,var, the building or Improvement 11
aold within one yHr of completion, the owner-builder wlll hive th• burden of proving th1t he did not bulld Of Improve fo, th• purpoH of Hie),
D I, u owner of th, property, 1m exclualvely contracting with llcenaed cont11ctor1 to conatrucl' the project (Sic, 7044, Bualnau ind Prole11lon1 Code: The
Contracto,'1 Ucann Lew doaa not 1pply to an owner of property who bulld1. or lmprovaa thereon, and cont11cta for 1uch projecta with contractorl•J llc1n11d
purauant to the Contractor'• Ucan11 LawJ. ·
D I am exempt under Section ______ Bu1lnt11 and Prola11lon1 Code for this r,uon:
I peraonally plan to provide th• majo, labor and m1tarlal1 fo, con,1ructlon of th• propoud property-lm1HOVemeflto,•Q-¥£S --[]No""'~ ""
~ (hive '/'hM 'l'IOttllDflllriifi~'pnci'lfon foi"~liul@l'ng piimli ;;i the' jiiopoHd work;
3. I have contracttd with th1 lollowlng person lflrml t!) provide the propoaed conatructlon Unclude name / add1111 / phone number / contractora llcensa number):
4. I plan to provide portion• of th• work, but I have hired th1 following par■on to coordinate, 1upervlH and provide the m•Jor work llncluda name / addreu / phone number/ contractors lic1n11 number): ____________________________________________ _
5. I will provide aome of the work, but I have contracted lhirad) th, lollowlng p111on1 to provide th• work Indicated Unclud, name/ edd1111 / phone number / WP•
of work): ______________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _
~toMPJ.l:J:(.:rHIJ;'SEClJDNJ!J.R.B.ON~f#I.EN.iwl.B.WUliNP 1flu.MIJ:iJtl~~YftlDi'Jllijllli'ifiW
DATE _________ _
la the applicant or future bulldlng occupant required to aubmll • bualn111 plan, acutely hanrdoua malarlala regl1tratlon form or rlak management and prevention
progrem under Sections 25606, 25633 o, 26634 of the Pruley-TaMer Huardoua Subatance Account Act7 0 YES O NO
11 the 1ppHcent o, future bulldlng occupant required to obtain • permit from th1 air poUutlon control district o, •If qu1llty man1g1menl dl1trlct1 0 YES O NO
11 the laclNtv to be constructed within 1,000 IHl of the outw boundary of• school alte1 0 YES O NO
IF AHY OF THE AHSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT I! ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
,.; ·t ,CONSTRUCTION LENOING'AOENCY~W~l8'liJRU#..1~J1'.ll'l~r'.4iffl~~i.m¥'~i~1~;,.'{. .. ;.~:~ ·, ;.-: .-.,· . .-.-:
I hereby alli•m that there 11 • conuructlon lending agency. for th~ performance of the work for which thla s_,•_rmlt la l,aaued l!i•c. 3.097111 Clvll Codel. . '
I certify that I have 111d th• 1ppllcatlon end 1t1te that th• above Information la correct ind that the Information on th• plan, 11 1ccu11te. I agree to comply with all
City ordlnancH and St1t1 lawa relating to building con1tructlon. I hereby euthorlie repraaentatlvaa ol the City of Carlabad to enter upon the above mentioned
property for Inspection purpoHI, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP ,HARMLESS THE CITY OF CARLSBAD AG/\INST ALL LIABILITIES,
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit 11 required for ucavatlon1 over 6'0" dt1p and demolltlon or con1trucllon ol 1tructuraa over 3 atorlea In height.
EXPIRATION: Every permit laauad by t • Bulfdlng Ofllclal under th• p1ovlalona ol thla Coda ahall expire by limitation and become null ind void ii the building or
work authoriud by 1uch permit 11 not mmanced within 366 days from the date of such permit or II the building or work authorlud by such permit Is suspended
01 abandoned at 1ny time 1lt11 the o 11 comm need for I perlo of 180 d1y1 I cllon 10 , .4 Uniform Building Code I. / ~ _ 9 f
APPLICANT'S SIGNATURE __ .cj:::::1......l..~!.£::......l,.,,;2._..L,.;;;;:z~a::::=:..::::....:.-!:::;..:; _ __::::...___ DATE ____ ...;;.. __ ~----
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB980023
DESCRIPTION: WATER HEATER
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/02/98
REPLACEMENT
AV STE:
INSPECTOR AREA PD
PLANCK# CB980023
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2657 SAUSALITO
APPLICANT: AALAND PETER
CONTRACTOR:
PHONE: 760 720-1713
OWNER:
REMARKS: C/ELAINE/720-1713
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
------------------
------------------
------------------
~:~::: /7_L /\ ~dd.
INSPECT0~-'-"6~'-"~'-''"'--':.._----
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION
011698 Water Heater/Vents
ACT INSP
CO PD
COMMENTS
NO ONE HOME 11:00