HomeMy WebLinkAbout2783 SOUTHAMPTON RD; ; CB962278; PermitJ3 U I .u D I N G ...
11/26/9b 14:39
Page of 1
1 Job Addre""s: 2783 SOUTHAMPTON RD
Permit Typ : PLUMBING
Parcel No: 208-140-17-00
Vdluat1on: O
E R M I T
Suite:
Lot#:
P m1t No: CB962278
Pr ect No: A960324
Development No:
1257 U 27/9 0001 01
C
Construct1 11 Type:
2
7 00
Occupcncy Group: Reference#: Status:
Applied:
VN
ISSUED
11/2l>/ 6
11/26/9
MDP
Description: WATER HEATER REPLACE~ENT
Appl/Ownr : DEMERY, KATHLEEN
2783 SOUTHAMPTON ROAD
CARLSBAD, CA. 92008
Feew Required
Fees:
AiJuctments:
Total Fees:
Fee descr::.ption
---------------------◄
Enter "Y foi: Plumb1
Each Wate1 Heater ar
* PLUMBING T TAL
619
Apr/Issue:
Entered By:
434-0044
.00
.00
27.00
Ext fee D ta
20 . 0 Y
7.00
27.00
FINAL APPROVAL
INSP J/i!Y DATF P,/4/¢
CLEARANCE _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
Pl!RMJT APPLICATION PLAN CHECK NO. C/6 J').__7?
City of Carlsbod luildlno Depart ... t
20n Ln •••-Dr., tarlllbod, CA 92009 (619) 438-1161
I. ffliMII IV Pl!.
F.'if. VAl.'====--------
PI.AH CK DEl'OSIT
VAIJD. DY --------
l>ATE rwm Us1 I (1tt back) aive cOt.le-o( Pennit-Type: ______ _.. ___ _
.. -....................... -. -.. -.. -..... -...... -.... -... .
for Ucsidcntlal rro)Ccu Only: from Ust 2 (see back) give
C1xle of S1ructure-l'ypc: ________ SccFR=-=-'-----------
Nct Loss/Gain of Dwelling Uniu
2. PRUIFCT INFORMJ\:llON POil Ol'l'ICJi USE ONIX
AJ<lrcss 2783 Southhampton Rd. fiuolJmg ur Sune No,
Nr,Ur.il Cross Slreel ' • LU,AL OtsCitlP I ION LDt No. SuiXhvas1on NamrJNumber 0m1 No. Phase No.
CiitCK nunw IF SUOMII IEU: ' □ 2 F.nergy Cales □ 2 Structural C".alcs □ 2 Soll, ltrport O I Addres.,ed ~nvelope
ASSESson-s PAHCtl, .. EXISTING USE DESCRIP110N OF WORK Water Hedtel RepidCBilE!ifC4ftf tidllwt rnorosrn us1;
SQ. FT. II OF SlURIES II OF BEDROOMS II Of llATlllllXJMS 3· ~~~~t!=~~;\R'lo/~1'K'l!'ffl'i!kn ADDRESS 2783 Southampton Rd.
CITI Carlsbad STATE CA ZIP CODE 92008 DAY TEI.EPII0~34-0044
4. XPl'IJCAN I □ WN I wit IOR 10 mt >OR WN I RAC IOR crowrmc;::mrt.Olr::t-.Oll<.lWNI]( , NAME (last name first) one.u. y uonnson ADDRESS l37Ul'.l n.1.'cluwa y o ous.cne:;:;, Suite B
CITI El Cajon STATE CA ZIP CODE 92021 DAY TEI.F.PllONF.39o-4477
S. l'ROPMIY OWNM IlP111Pry Kathleen n83 Southampton Rd. NM1E (last name firstr ____ ' ADDRESS"
CITI Carlsbad STATE CA ZIPCOoi\12008 DAYTEI.F.PlloN'P4-0044
6. ulNllW:luk A & J Foster, Inc. 13706 Highway 8 Business, Suite B NMIE (last name fint) ADDRESS
CITIEl Cajon . STATE CA ZIP CODE 91977 DAYTELEPIIONE 390-4477
STATE I.IC. II 630120 LICENSE CIJ\SS C-36 CllY DUSINF.SS UC. 11 1200354
0£SIGN£1{ NAME (last name hrsi) ADDllESS
CllY STATE ZIP CODE DAY TELEPHONE STATE I.IC.#
7. WOltki-Jts' WMJitJtSA I ION
Workers' Compensauon Uedarauon: I hereby alhrm lhat I have a cenaJlca1e ol consen1 lo sell-insure issued by 1he Director ol lndustnnl
Relations, or a certincate of Workers' C.OmpensatJon Insurance by an admitted Insurer, or an exact copy or duplicate thcrcor ccrtiricJ
by the Dir«tur of the Insurer thereof filed with the Ouildlng Inspection Depart/!lent (Section 3800, Lab. C). ,
. . Farmers N2007-56-51 5-1-97 INSURANCE-COMPANY l'OUCY NO. EXPIRATION DATE
Cert1hca1e oi lxempuon: I cenUy 1hat m 1he peHonnance oi 1he work lor which th11 penmt Is 1ssueJ, I shall not employ any person m any manner
so as 10 become aubject to the Worken' CompensatJon Law, ol C&liromia.
SIGNA11JRE DATE
8. OWNDt-UDiiDflt Otll.ARXiiON •
□
□
□
uwner•uu11uer ucc1arauon: I herebY alhrm ffial I am i!:xempl irom ffie Confracloh Uce:nie Law tor U.e ioii~Wmg reason:
I, as owner or the property or my employees with wages a, lhelr sole compen1&tlon, wlll do the work and the tlhlcture I, not Intended or
orrered for sale (Sec. 7044, Bu1lness and Profession, Code: The Contractor's Ucen,e Law does not apply lo an owner or property who builds
or Improves thereon, and who does such work htmsel( or through his own employees, provided that such Improvement, are not Intended
or offered for ,ale. If, however, tl1e building or Improvement Is sold within one year or completion, the owner-builder will have the burden
of proving that he did not build or Improve for the purpooe of sale.).
I, as owner ohH~ property, am exclusively contractlns with Hcensed contractors to construct the project (Sec. 7044, Business and l'roCes.!=ions
c.ode: The C.Ontractor's Ucense Law·does not apply to an owner or property who builds or Improves thereon, and contract, for such projects
with conlractor(s) licensed pursuant to the Contractor'• Ucense Law).
I am exempt under Seclion _______ Business and ProCessions Code Cor this reason:
(Sec. 7031.S Business and Prorwlons Coe.le: Any City or County which requires a pennit 10 construc1, aller, improve, demolish, or repair
any structure, prior to Its lasuance, also requires the applicant ror such permit to me a sifned statement that he Is licensed pursuant 10 lhc
provisions o( the Contractor's Ucense Law (Chapler 9, commencing wllh Section 7000 o Division 3 o( the Ousinesa and Pro(cs.·dons Code)
or that he Is exempt therefrom, and the basis for the allesed exemption. Any violation or Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty or not more than five hundred dollan ($5001).
~1GNl\1URE DATE
COMPlliE itliS S£CIIUN FOR fyON-ilE5lOEN(iN,.UOlWINC PtttMtlSONL'l:
Is the applicant or ru1ure buildlns: occupant required to submit I business plan, acutely hazardous materials registration Conn or risk management and
preven1lon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Actl
□ YES ONO
Is 1he applicant or Cuture bulldlns occupant required 10 obtain a pennlt Crom the a.ir pollution control district or air quality management tli!Hrict7
□ YES ONO Is the facility 10 be constructed within 1,000 Ceet or the outer boundary or a school slte7
□YES □NO IF AHY OF 111£ ANSWERS ARI! YF.S, A FtNi\L CF.R111'1CA11! OF OCX:UPANC"i MAY Hal' BE ISSUED AYfER JULY I, 1989 UNI.F.<;S lltE Al'l'IJC:IINT
IIAS MET OR IS MllETING TIIE RF.QUIREMENTS OP 1118 OFPICI! OP l!MERGF.NCY SERVICF.S AND TIIE AIR l'OIJ.lfllON UllfntOI. llt,llllCf.
9. WNSikUCIION D.NuiNC ACENCY
I hereby alhrm (MSfMre is a conslrUcfion l~ndmg agency lor me perionnance ol Ute work ior wiuch Uus penmt ts 1SSueJ (Sec 3097(1} C1v1i Coile).
LENDER'S NAME LENDER'S ADDRESS
10. XPPllCANl CEJtllFICKIION
I cenlly that I have read me appi,cation and slate that lhe aiiove 1nlormahon ts correci. I agree lo comply wnh ail Cuy ordinances and State laws
relating to building construction. I hc:reby authorize representatives of the Chy or Clrlsbad to enler upon the above mentioned pro1~r1y Cor inspeclion purposes. I IIISO /\GREE TO SI\Vl!'INDl!MNIFY AND KEEP IW\MLESS 111E CITY OP CIIRISDAD IIGI\INST AIJ. tJJ\IIIIJ"Of.'i, JutX;MElflN, CDSIS
AND EXPENSES WIUOI MAY IN ANY WAY NDlUI! IIGAIN!IT SAID CITY IN CDNSF.QUENCI! OP TIIE GRANTING OF 11IIS PERMIT.
OSllA: An OSIIA pennil is required for excavations over 5'0" deep !Ind demolition or construction or structures over 3 stories in heighl.
Expiralion. Every pennh issued by the Building Official under the provisions or thls Code shall expire by limitation and ~ome null and void iC the
building or work authorized by such permit Is not commena,d within 365 days from the date or such permit or If the building ~r work a_ut!1orl1.cd by
such permit Is suspended or aban~oned at any time after the work Is commenced for• period or 180 days (Section 303(d) Umlurm llud~\"8 Codc)n
APPUCAN"rS SIGNA11JRE'z"'\ V'~ Di\l'f.: .H.~.'.:7 (,,
PERMIT# CB962278
DESCRIPTION: WATER HEATER
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/11/96
REPLACEMENT
STE:
INSPECTOR AREA DC
PLANCK# CB962278
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2783
APPLICANT: DEMERY,
CONTRACTOR:
SOUTHAMPTON RD
KATHLEEN PHONE: 619 434-0044
PHONE:
OWNER:
REMARKS: MW/KATHRYN/434-3311
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
CB880448 POOL
CD
25 PL Water Heater/Vents
------------------------------------------------------------
PHONE:
INSPECTOR~--+-----------
STATUS
EXPIRED
ACT COMMENTS /4£ tifll1 v
***** INSPECTION HISTORY*****
DATE DESCRIPTION
120696 Water Heater/Vents
ACT INSP
CO DC
COMMENTS
LEAK AT T&P