HomeMy WebLinkAbout2690 SUTTER ST; ; CB951070; Permit08/09/95 09:34
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B U I L D I N G P E R M I T
Suite:
Lot#:
Permit No: CB951070
Project No: A9501567
Development No:
Job Address: 2690 SUTTER ST
Permit Type: PLUMBING
Parcel No: 167-512-08-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
08/09/95
08/09/95
RMA
Description: REPLACE WATER
: A & J FOSTER
HEATER
Appl/Ownr : CUMMINGS, DIANE
2690 SUTTER ST
CARLSBAD, CA 92008
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
27.00
.00
27,00
Enter "Y" for Plumbing Issue Fe~
Each Water Heater an /or Vent
* PLUMBING TOTAL
Applied:
Apr/Issue:
Entered By :
619-434-7587
Fees Collected & Credits
Total Credits :
Total Payments :
Balance Due :
.00
.00
27.00
***
Units Fee/ nit Ext fee Data
1 7 .00
20.00 Y
7.00
27,00
3086 08/09/95 0001 01 02
C-PRMT 27-00
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION PLAN CHECK NO.
City of Carlsbad BuildirG Department
2075 Las Pal111E1S Dr •• Carlsbad, CA 92009 (619) 438-1161 (.' r. [17 [) FSf_ VAL ~-· _
PLAN CK 1. PERMl'I TYPE VALID.BY _ _, _ _,__..,._,,_,,,,_ ___ _
From List 1 (see back) give ccxle of Permit-Type: ____________ _
DATE _________ -,....+-+---
For Residential Projects Only: From List 2 {see back) give
Ccxle of Structure-Type: --------~~X--------------
Net Loss/Gain of Dwelling Units __________________ _
2-PROJECr INFORMATION FOR OFFICE USE ONLY
Address 2690 Sutter St. Building or Suite No.
Nearest Cross Street
LEGAL DESCRIPTION Lot No. Subd1vis1on Name/Number 0nn No. Phase No.
CHECK BEIDW IF sOBMI'l'l'Eb:
D 2 Energy Gales D 2 Structural calcs □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK Water Heater Replacement 50 Gallon
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATI-IROOMS
3. WN [AC[ PERSON (n dllferent from applicant)
NAME 0asc name first) Olmmings, Diane ADDRESS 2690 Sutter St.
Cl1Y J ;:iliad STATE ZIP CODE DAY TELEPHONE
4. APP~ 'trcoN'IRACloR OA@fil½DR CON1HAC1&J?O~OWNER OAG£Nt FOR~i:,'p:587
NAME 0ast name first) Kristy F6ster ADDRESS 2819 Central Ave.
c~~iJ{aJ Jey STATE CA 5. PROP
ZIP CODE 9J 977 DAY TELEPHONE 697 4l5l
NAME (last name first) a.mmings , Diane ADDRESS 2690 Sutter St.
Cl1Y ~Jbad 6. WNl STATE CA• ZIP CODE g~QQg DAY TELEPHONE 434 7587
NAME (last name first) A & J Foster, Inc. ADDRESS 2819 Central Ave.
CI1Y Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697 _4151
LICENSE CLASS STATE UC.# (ii;;3Ql]@ DESIGNER NAME (last name hrst)
CITY BUSINESS UC.# 1200354
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. WoRkf'.RS' WMPENSA'ttoN
Workers' Compensauon Declaration: I hereby alhrrn that I have a cert1hcate of consent to sell-msure issued by the Director ot lndustnal
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).
y person m any manner
so as to become subject to the Workers' Compensation Laws of Galifornia.
SIGNATURE DATE
8. oWN1m-B0llDER bEcDJlAnON
□
□
□
uwner-tlut1e1er ueciarahon: I hereby afhrm that I am exempt from the Contractor's License Law !or the lol!owmg 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 Llcense 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 Llcense 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 [$S001).
ffiGNATIJRE DATE
COMPLETE '!'His stctioN FOR NON-RESIDENTIAL eUIIDING PERMl'i's oNLV:
ls 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 2S534 of the Presley-Tanner Hazardous Substance Account Act?
□ 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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TIIE ANSWERS ARE YF.S, A FINAL CFllTIFICATE OF OCCUPANCY MAY Nm BE ISSUED AFTER JULY 1, 1989 UNLF.SS 1llE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 1llE ADl POU.lfl10N <DNTROL DISTRICT.
9. WNS-IRUCliON 1£NOLNG XGRNCV I hereby aflmn iliac there ts a construction lending agency for ihe pedormance of the work for which thts permit ts issued (Sec 3097(1) Ctvtl Code).
LENDER'S NAME N~ LENDER'S ADDRESS
1 O. APPIJCAN I CIDt lit
I certify ihat I have read the apphcauon and state ihat the above mformauon 1s correct. 1 agree to comply wllh all Cuy ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 1llE CTIY OF CARIS8AD AGAINST AIL lJABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSF.S Wlll□f MAY [N ANY WAY Aa:RUE AGAINST SAID CTIY IN OONSEQUENCE OF 1llE GRANTING OF nns PERMIT-
OSHA: An OSHA permit is required for excavations over S'O" 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 dare of such pennit or if the building or work authorized by
such pennit is suspended or abandoned at any time after he work is commenced for a period of 180 days (Section 303(d) Unifonn Buil,Jwg Codi,),"-"'
APPLlCANTS SIGNATURE DATE: 'l$..;.~C/· 'i.:J
PINK: Finance
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