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HomeMy WebLinkAbout2612 SOMBROSA ST; ; CB940681; PermitB U I L D I N G P E R M I T Permit No: CB940681 Project No: A9400945 Development No: 06/01/94 11:00 Page 1 of 1 1 Job Address: 2612 SOMBROSA ST Suite: Permit Type: PLUMBING Parcel No: ~23 291 37 00 Lot#: Valuation: o Construction Type: NEW Occupancy Group: Reference#: Description : WATER HEATER REPLACEMENT Appl/Ownr : FOSTER, A & J 2819 CENTRAL AVENUE SPRING VALLEY, CA 91977 619 697-4151 Status: ISSUED Applied: 06/29/93 Apr/Issue: 06/01/94 Entered By: DC Fees Required Fees Collected & Credits Fees: Adjustments: Total Fees: Fee description 27.00 .00 27.00 Enter "Y" for Plumbing Issue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL Total Credits : Total Payments: Balance Due: Units Fee/Unit 7.00 INSP. CLE CITY OF CARLSBAD 2075 Las Palmru; Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 27.00 Ext fee Data 20 .00 Y 7.00 27 .00 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL~---------- i. PmMI I IVPE PLJ\N CK DEPOSIT _______ _ VAIJD.BY __________ _ DATI! From List 1 (see back) give ccxle of Permit-Type: __ "S"FD-"--------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ______________________ _ Net Loss/Gain of Dwelling Units 2. PRC\JECf INFORMATION FOR OFFICE USE ONLY Address 2612 Sombrosa Bu1ldmg or Suite No. Nearest Cross Street UWAL DESCRWIION Lot Na. Su&l1V1s10n Name/Number 0mt No. Phase No. □ 2 Energy Cales D 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXlSTING USE PROPOSED USE DESCRIPTION OF WORK WATER HEATER REPLACEMENT SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PEJtSON (U duferent from apphcant) NAME Oast name first) Ron Finizio ADDRESS 2612 Sombrosa CITY Carlsbad STATE CA ZIP CODE 92009 DAY TELEPHONE 436-5154 4. APPUCANI OCONIRACJOR ¼.JACENI FORCONIRACIOR uuwNtK OAGENI FOkOWNEH NAME (last name first) Kristy Foster ADDRESS 2819 Central Ave. CITY Spring Valley.iTATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 NAME (last name first) Ron Finizio ADDRESS 2612 Sombrosa CITY Carlsbad STATE CA ZIP CODE 92009 DAY TELEPHONE 4 36 5] 54 6. OON iitACIUR NAME (last name first) A&J FOSTER INC. ADDRESS 2819 Central Ave. CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 STATE UC.# 63Ql 20 UCENSE CLASS C 36 CITY BUSINESS UC. # 0£SIGN£R NAME (last name llrst) ADDRESS 1290354 CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkRF.kS' dJMPENSA.l1UN WorK.ers' Compensauon lJecJarallon I hereby alhrm that l have a cert1f1cate of consent to selt-msure issued by the Director of Indusmal 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). so as to become subject to the Workers' Compensation Laws of c.alifomia. SIGNATU;~,riJATE »h' 'l 199,4 8. OWNER-H □ □ □ Owner-Bmlder Declaration: I hereby afhrm that I am exempt from the Contractor's License Law for the following 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 DAU! COMPLEJ E l'HIS SECI ION FUR NON-RESIDEN I IAL B0IWING PERM I JS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES □ NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO ls the facility to be cons1.ructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIBANSWERS ARE YES, A FINAL CERTIFICATE OF oa;m,ANCY MAY NOf BE~ AFTER JULY 1, 1989 UNLESS1HE APPUCANT HAS Mtrr OR 1S MEETING TIIB REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERV1CFS AND nm AIR POILUTION mNTROL DISI1UCT. 9. wNSIR0CIKJN mNUMG AGENCY 1 hereby affirm that there ts a construction lending agency for ffie performance of the work for which fills permit 1s issued {Sec 3097(1) CiYI] Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN I CERIJHCAIION I cerufy that I have read the appl1cat1on and state that the above mformat1on 1s correct. } agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS TIIB CITY OF CARlSBAD AGAINSf AIL LlABI.UllES, JUDGMENTS, aJSTS AND EXPENSES WIDCH MAY IN ANY WAY ACX:llUE AGAINSf SAID Cl1Y IN OONSEQUENCE OF TIIB GRANTING OF TillS PERMIT. OSHA: An OSHA pennit 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 pennit is suspended or abando-9ed at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATI;~ .::J:~r \' ,; ,, \~H DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940681 FOR 06/17/94 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 2612 SOMBROSA ST APPLICANT: FOSTER, A & J CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB940681 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 697-4151 REMARKS: BJN/RANDALL/436-5154 SPECIAL INSTRUCT: PLEASE CALL, LEAVE INSPECTOR 4 A MESSAGE AS TO TIME INSPECTION WILL BE MADE, DOESN'T WANT TO WAIT TOTAL TIME: CD 25 LVL DESCRIPTION ACT COMMENTS PL Water Heater/Vents J ND _______________ _ --------'f-i~; ,LL__r+'- -------------------- -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS