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