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HomeMy WebLinkAbout2012 SUBIDA TER; ; CB981131; Permit04/21/98 11:17 Page 1 of 1 B U I L D I N G Job Address: 2012 SUBIDA TERRACE Permit Type: PLUMBING Parcel No: 216-481-08-00 Valuation: 0 P E R M I T Suite : Lot#: Permit No: CB981131 ProJect No: A9801501 Development No: 6313 0-4/22/98 0001 01 02 C-PRMT Construction Type: NEW 27-00 Occupancy Group: Reference#: Status: ISSUED Applied: 04/21/98 Apr/Issue : 04/21/98 Entered By: JM 436-5179 Description: WATER HEATER REPLACEMENT Appl/Ownr : EZ WAY GOLF 2012 SUBIDA TERRACE CARLSBAD CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumb:i,ng Each Water Heater a d *** 760 **A .00 f Fl~I\; APPROVAL 1 ,N~d _k_ oATE I 2-1 -1 r I I C, '.A...,!\ c-L..: ,r." t: __________ _ ----- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ·PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. 9 ?J/ JI ..• CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 4 38-11 6 1 Plan Ck. Deposit ____ ~---,.-=---- ~:~:_a_te_d_s_v~-=--=--=-?4-=-:·z:i---=_-=-;;;;di=~:-:~-?-~~---_-_-_ ii,;.a,U,AQJEC:'t.JNF.ONMii.OH~.D 2 01 2 Subida Terrace Addreu Uncludt Bldg/Suite II ,t. Bualneu Name (at thle addreul Leg,I DucrlpUon Lot No, Subdivision Neme/Numbar SFR . Unit No. Phase No. Total I of units fuuuor'a Percol I Existing Un Propoaed Uu Doscrlptlon of Work SQ, FT, lot Storl11 I ot Bodrooms I of Bathrooms ~:,n co· ~~a~,M .BJ.l,',L.l,~~f:l:!Ulll!rlr:.'l\,,rr,~~,11 .. ,ni'.Ul'W...':ll;"it\!'\IU· " .( HT.A ~, . . . !t(~.,11i.Q°t\il'f'1!P. ~ Ullll.lliJili.Jll'.llilliilli~UMIIJ;Jl!lt,l!'ll;ii11'G:illlU EZ Way Golf Systems 2012 Sub ida Terrace itll.'.,m11~ ' ·in,~--. , ~ 'f · 'Zt)'~1~1 ',·~-':) 6-:S-17 9 N1m1 Addre■s City State/Zip Telephone I Fox I ·;t,"?oM° .. UCANT. j,iJO~c . ii' y•;~l:"'ITP•"'·-·,;,rr.:>'i::' '"[ll~';•·,l""JllG)lQ!!!.1~lrll•lr:,::m,·•·•·Fm~~~:T,"'•I'" ~ru 'ntw:•'~~t':J:1~ '-''t''•.f .-·•·•··•·1 .. .. . ,:oc •. !:r... . . .. !1(1 Jl!,.O "''"' lllQ.t, ... olil .. o.n ....,p__ .rwir,..-~g~o., M,1'1IL. ___ ;Ii -·-'9'zozr'·'~·''" 39(}'!1ll,:r477 S REJ.J.Y ,JOHNSON/KRISTY FOSTER 137 06-B HWY 8 BU • , • - N,m, Addre11 City Stete/Z.lp Telephone t ~f~CPli.TAAc.tOil~co_MeANIDiAM ~~lii'~W .. ISec. 7031.5 Business and Prol111lona Code: Any City or County which 11qulr11 I permit to construct, alter, Improve, demolish or repair any 11ructure, prior to Its lssu1nc1, also requires the applicant for such permit to Ille I signed 1t1t1m1nt that he la llc1n11d purauant to the provisions of the Contractor's Ucenae Law ICh1pu, 9, commending with Section 7000 of Division 3 of the Business end Prof111lons Cod,) or that h, I• exempt therefrom, and the basis for the alleged exemption. Any vlolllion of Section 7031.6 by any applicant tor• permit 1_ub]1ct1 the 1ppllc1nt to• clvll penalty ol not more than lh',-1:l_U{ldred ,~'6• '!'if7'~· A & .J EDSTER PTJJMBI NG 1370 6-B HWY 8 BUS. · EL CAJON CA. 9LULl. - Nam, Addru, City State/Zip 12octirsl]fne , Stott Uc1nse I 630120 Ucenn Cla11 C -36 . City Bu1ln111 Llc1n11 I -------- Designar Name Address City State/Zip Telephone St111 Uc1n11 I NIA :eSii'.W.6RK.ERS~·.C0Mi>ENS4 JI0N.ili~.WJ.mr1,m~Jli:lliilmiJmM',r~~;lll\l1~il'll'illWt I~~-~Bt:tr~liil:U!:\ll'lii11:ii~Vii& •Vif.'itl\Y:,' .... : · \•, Worktr1' Compenutlon Decloretlon: I horeby 1Hlrm under penelty of perjury one ol the following .decleratlona: 0 I hav, and will maintain • certificate ol conHnt to 1111-lnaure for work111' comp1n11tlon II provided by Section 3700 ol the Labo, Code, for the performance ol the WOfk tor which this p■rmlt Is l11u1d. [k I h1v1 and wlfl m1lnt1ln workers' comp1n11tlon, II require~ by StcUon 3700 of'tht Labor Code, for the performance of the work for which this permit Is Issued. My WOfker's compensation Insurance c■rrler and policy number 111: CONTINUOUS huu,1nc1 Company FARMER INSURANCE · Polley No. N2007-56 -Sl Expiration Dote ______ _ (THIS SECTION NEED NOT BE C~MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS U100J OR lESBJ 0 CERTIFICATE OF EXEMPTION: I c1rtlly that In the p1rform1nc1 of the work for which thla p■rmlt 11 l11u1d, I ■hall not employ any person In 111y manner ao as to become subject to the Work■rs' Compensation Laws of C111fornl1. · WARNING: Fanuro to ncu11•w0tk1ra' comp1n11tlon covar•g• la unlawful, and shall subject tn employer to criminal pt nallln and civil fines uri to one hundred thousand dollara lt100,000J, In addition lo Iha coat of comp1n11Uon, d1mag11 H provided for In Sactlon 3706 of tha Lab~ code, lntereat and attorney's tau . SIGNATURE ________________________ -'--------DATE ________ _ 1. ,.r.owNER-eu1LDEJI DEc;lARAJ1oij\i,/~~w;rfl.lW.!i;-~•~\1ri~i:ttifli~'i,:1®.*.if~m~11•.W&1~r~w~:\W,i'..;~hf.\•.:>~i11r;:;.::,'..:,\1';,. • I heroby offirm that I am exempt from the Contractor'• License Law for th, following 11110n: 0 I, 11 owner ol the property or my employees with wage■ 11 their 1011 comp1n11tlon, will do the work and the structure Is not intended or offered tor sale !Sec. 7044, Business end Prol111lon1 Code: The Contractor'• Llc1n11 Law do11 not epply to an owner of property who build, or Improves thereon, and who does such work hlmu tr or through his own employees, provided that euch (mprov1m1nt1 are not Intended or of1111d for 1111. II, howev■r, the building or Improvement la sold within one yur ol complatlon, the own■r-bullder will have the burden of proving that he did not build or Improve for th• purpo11 of u lt ), 0 I, 11 ownor of th• property, •m exclu1lv1fy contracting with llc1na1d oontr1cto11 to conatrucf th• pro]ect ISec. 7044, Bu1ln111 and Prol11slon1 Codi : Tho Contractor's Ucann Law do11 not apply to an owner of propeny who bulld1. or lmp1ov11 thereon, and conl11ct1 for auch proj1ct1 with contractor(a) llconstd pursuant to the Contractor's Uc1n11 LawJ, · 0 I am exempt und■r Sactlon ______ Bu1ln111 and Profusions Cod, for this rauon: 1, I p111on1lly plan to provide the major labor and materials tor construction of tho propond property lmprovem,nt. 0 YES ONO 2. I (have / h1v1 notJ 1lgn1d an application for a building p■rmlt for the propond work: 3. I h1v1 contract,d with tht following person lflrmJ t!) provide th• propond construction Uncluda n1m1 / addrau / phone number / contrec1011 license number): 4, I plan to provide portions of the work, bul I have hired the followlng p111on to coordinate, 1upervl11 end provld1 the major work !Include name / address / phone number / contractors licenn number!:. ____________________________________________ _ 5. I will provide some ol the work, but I have contracted (hlredJ the following p111on1 to provide the work Indicated (Include name / address / phone number / typa al workl .. ·_ ------------------------------------------------------ PROPERTY OWNER SIGNATURE----------------;-:----=~--=:-----::-DATE _________ _ ~co~-.iH1s,-sEcno~;,.QR.N.oN.'-8/!f/.llJ,k.1i,tG,1i.UJ(t)_lHQ,l!ltBMillit!Nii~l ~~~:i'.!;;t/ri;i~:;~ru1:~I1,,::;·, ,i,1 • Ls the 1ppflc1nt Of lutura building occupant raqulred to aubmlt a busln111 plan, acutely huardou■ m1terl1l1 regl1tratlon form or risk menagament and prevention 1><ognm under Sectloru 26606, 25633 or 26634 of th• Pruley-T1Mer H11ardou1 Sub1t1nc1 Account Act1 0 YES O NO 11 tht 1ppllc1nt Of lutu11 building occupant raqulrad to obtain a permit from th, air pollution c;ontrol district or air quality m1n1gem,nt district 7 0 YES O NO la Iha f1clllty to b• constructed within 1,000 fHI of the outar bouodery ol 11c.hool 1h11 0 YES O NO fF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT Bl! ISSUED UNLESS THE APPLICANT HAS MET on IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. s,:. ~:coNSTRUCTION LENDING'AOENC'(:'.~·r~l!ilNi~&\~-J.A'fj ~ii~WWl~~[R1.V'Fd,jl@V&':~;i;i:r_kl,. J ·,: : •• ·.": I h1rtby aflirm that thtre 11 • construction ltnding agency, tor the porlorm1nc1 ol the work for which thl1 p■rmlt la IHued (Soc. 30970) Clvll Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ . '' . ,. ~ I certify that I have r11d the 1pplic1tlon and at1t1 that the above Information Is correct and that tha Information on the pl1n1 Is accurate. I a9ree to comply with ell City ordinances and State l1w1 11l1tlng to building construction. I hereby authorlu repre11nt1tlv11 of the City of Carlsbad to enter upon the obove mentioned property tor inspection purpons. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP .HARMLESS THE CITY OF CARLS BAD AGAINST ALL LIABILITIES, JUDGMEIHS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA p■rmlt ls required for exc1v1t101111 over 6'0" d11p and demolition or construction ol ■llucturn over 3 stories In height. EXPIRATION: Every permit luued by the Building Olllclal under the provisions of thl, Code 1h11l expire by limitation and become null and void if the building or work authoriu d by such permit Is not commenced within 366 day■ from th• date of auch permit or II the building or work 1uthorlud by such po1mlt Is suspended or abandoned 11 any time alter t~nc1d JPj 1 ~erlod of 18°? (Section 106,4.4 UnHofm Building Code:' APPllCANT'SSIGNATURE ~i f/7l4J.MICJ1 DATE ~'ZJ4 8 . WHITE: FIie YELLOW: Appllcont PINK: Finance PERMIT# CB981131 DESCRIPTION: WATER HEATER TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 04/28/98 REPLACEMENT STE: INSPECTOR AREA PLANCK# CB981131 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: EZ CONTRACTOR: 2012 SUBIDA TERRACE WAY GOLF PHONE: 760 436-5179 OWNER: REMARKS: C/GERALD/436-5323 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE: 4 ,/}'~ INSPECTO~ik:_~Z:t:::_~1~1C!'.~~~:'.:::==:::::--- ACT COMMENTS _2_s __ P_L _w_a_t_e_r_H_e_a_t_e_r_;_v_e_n_t_s ______ f= ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS