HomeMy WebLinkAbout2713 SOUTHAMPTON RD; ; CB950208; Permit8 U I L D I N G P E R M I T Permit No: CB950208
Project No: A95U02~1l
Development No:
02/0ts/95 11:38
Page 1 of l
Job Address: 2713 SOUTHAMPTON RD Suite :
Permit Type: PLUMBING
Parcel No: 208-154-10-0U Lot#: 0643 02/08/95 0001 01 02
C-PRMT 27-00 Valuation: o
Construction Type: VN
Occupancy Group: Reference#: Status: ISSUED
Applied: 02/08/95
Apr/Issue: 02/08/95
Entered By: MDP
Description: WATER HEATER
Appl/Ownr : AJ FOSTER INC.
2819 CENTRAL AVE
SPRING VALLEY, CA . 9 1 977
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plu b ig. Issue Fee
Each Water Heater a nd/6r Vent
* PLUMBING TOTAL
619 697-4151
*** ----------------------------
Total Cr ed i ts :
Total Paym'en.t""':
Balance Due:
Units Fee/Un it
.00
.00
27 .00
Ext fee Data
20.00 Y
7 .00
27 .00
11 PPROVAL
IN 1R .. ~ __ DATE Z·L y. 'I
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO. 1tj,.... z_c.'.)8
City of Carlsbad Building Department
2075 Las Pal,.,. Dr., CUrlsbad, CA 92DD9 (619) 438-1161 EST.VAL. __________ _
I. PERM1 I IYPE
PLAN CK DEPOSIT, ________ _
VAIID.BY, __________ _
DATE
From Llsc 1 (see back) give code of Pennit-Type: ____________ _
For Residential Projects Only: From Llsr 2 (see back) give
Code of Structure-Type: ________ ...c;u.c'cc· ":.;' ____________ _
Nee Loss/Gain of Dwelling Units
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address L. t Lj ~outh Hampton Hd. BuiJdmg or Suite No.
Nearest Cross StreetPontiac Dr •
LEGAL DESCRttYI ION Lot No. Subd1vis1on Name/Number Lime No. Phase No.
D 2 Energy Cales □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
A5SESSOR'S PARCEL DESCRIPTION OF WORK Water Heater Replacemen\.. PROPOSED USE
SQ, IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WNIACI PFJtSON (Ujjnferenf froil)..~ppnqmf)
NAME (last name fir.;t)KyIDSZa, ::;,:an.Ley ADDRESS 2 713 South Hampton Rd.
CITY Carlsbad, STATE CA ZIP CODE92008 DAY TELEPHONE 434-7573
4. APPl.ll!ANI OCONIRACIOR iJAGENI FORCONIRACIOR UUWNU{ DAGEN I FOR OWNER
NAME (last name firnt)Kristy Foster ADDRESS 2819 Central Ave.
CITY Spring Valley STATE CA ZIP CODE91977 DAY TELEPHONIP':!7-4151
. NAME (last name fir.;t) Stanley Rymsza ADDRESS 2713 South Ha'.tlfltOn Rd.
CITY carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONBl 3 4-7 5 7 3
. NAME (last name firnt)A & J Foster, Inc. ADDRESS 2819 Central Ave.
CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151
STATE IJC. # 630120 IJCENSE CIASS C-36 CITY BUSINESS IJC. # 1200]54
DESIGNER NAME (last name brst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. #
7. Wbkk£RS' WMPENSA.liON
Workers' Compensation Declarat1on: I hereby afbrm that I have a certlt1cate of consent to self-msure issued by the uirector ot tndusmal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
EXPIRATION DATE 5-1-95
xemptmn: cert.1 s a not emp oy any person many manner
so as to become ~ubject to the Workers' Compensation Laws of California.
SIGNATUR~ DATE /) -7-l/5
8. oWNffi-
□
□
□
Owner-Builder Ikclaration: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the foiiowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNATURE DATE
COMPLEIE IHIS SECIION FOR NON-RESIDEN IIAL BUILDING PERMI IS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANYOFTIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE ISSIJED AITERJIJLY 1, 1989 UNIBSS TIIEAPPIJCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POIJ.UTION CXJNTROL DIS1111CT.
9. WNSIRUCIION LENDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the perfonnance of the work for which this permit 1s issued (Sec 3097(1) C1V1i Code).
LENDER'S NAME None LENDER'S ADDRESS
10. APPUCAN I CERIIFICA:IION
i certify that I have read the apphcat1on and state that the above mformatlon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arJsbad to enter upon the above mentioned property for inspection
purpnses. I ALSO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARISBAD AGAINST ALL IJABILITIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACDI.UE AGAINST SAID CTIY IN CXJNSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abando ed at any time after the.,w~s commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPIJCANTS SIGNATU · ~lf / _ -C . · DATE:
WHl YELLOW: Applicant PINK: Finance
0
PERMIT# CB950208
DESCRIPTION: WATER HEATER
TYPE: PLUM
JOB ADDRESS:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/28/95
STE:
INSPECTOR AREA
PLANCK# CB950208
OCC GRP
CONSTR. TYPE VN
LOT:
APPLICANT: AJ
CONTRACTOR:
2713 SOUTHAMPTON RD
FOSTER INC. PHONE: 619 697-4151
PHONE:
OWNER:
REMARKS: MW/STANLEY/434-7573
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE: /,/~ /'JJ'i'
INSPECTO~_..:;_Jl~..:c..._.,_._~~'"""~""""-==;._--
-
CD--LVL--D-E-S-CR_I_PT_I_O_N _________ ;; C°?7:~ ~ 25 PL Water Heater/Vents _-ff-~~
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS