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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