HomeMy WebLinkAbout2652 VANCOUVER ST; ; CB941699; PermitB U I L D I N G
12/28/94 09:46
E-·age 1 of 1
Job A~Jress: 2652 VANCOUVER ST
Permit Type : PLUMBING
Parcel No: 223-291-37-00
Valuation: 0
Con~truction Type : NEW
P E R M I T
Suite:
Lot#:
Permit N0 : CB941G9Y
Project N(•: A9402506
Development No:
0106 12/28/94 0001 01
C-PRMT 02
27-00
Occupanc y Group: Reference#: Status: ISSUED
Appl1e~: Ub/29/93
Apr/Issue: 12/28/~4
Entered By: DC
Description : WATER HEATER REPLACEMENT
Appl/Ownr : FOSTER, A & J
2b19 CENTRAL AVENUE
SPRING VALLEY , CA ·1q77
Fees Required
Fees:
Ad Justments :
Total f'ees :
f'ee description
Enter "Y" f or Plumbing Issue Fee
Each Water Heater and/ r Vent
~ PLUMBING 'I'OTAL
619 697-4151
1otal Credits:
Total Payments:
Ba lance Due:
Fee/Un:i:t
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.no
27.00
Ext fee Data
20 .lU Y
7.UU
27.00
.. . PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 ESf.VAL. __________ _
t. PERM1"1' IYPE
PLAN CK DEPOSIT, _______ _
VALID.BY ___________ _
DATE
From List l (see back) give code of Pennit-Type: ____________ _
··-··--·-----------···-·-·---··--······-·-··---·--------·
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ---------=S:..:FR=.:. __________ _
Net Loss/Gain of Dwelling Units
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address 2652 Vancouver St. Building or Suite No.
Nearest Cross Streecconcord St .
Unit No. Phase No. LEGAL DESCRIPTION Lot No. SubchV1s1on Name/Number
CHECK BEWW IP S0SMll iEO:
□ 2 Energy caJcs □ 2 Structural calcs □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE
DESCRIPTION OF WORK Water He ater Replacement 40 Gallon
PROPOSED USE
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WN IACI PEitsON (1f duierent from i!PPhcan[)
NAME (last name first)Rarnirez, Salvador ADDRESS 2652 Vancouver St.
CllY car ls bad
4. APPUCAN I D tof.l IRACIOR
STATE CA ZIP CODE 92008 DAY TELEPHONE 434-6413
fiAGENI FORcONIRACIOR DOWNER DAGEN! FOR OWNER
Foster ADDRESS 2819 Central Ave.
STATE CA ZIP CODE 91977 DAY TELEPHONI697-4151
NAME (last name first) Kristy
CI1Y S~r i~ Valle y
S. PROPER7' o NEil
NAME (last name first) Ramire z , Salvador ADDRESS 2652 Vancouver St.
CllY carlsbad, STATE CA. ZIP CODE 92008 DAY TELEPHONF434-6413
6. OON't1tAcluk NAME (last name first)A & J Foster, Inc. ADDRESS 2819 Central Ave .
CllY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151
STATE UC.# 63QJ 20 UCENSE ClASS (' 3 6 CllY BUSINESS UC.# ] 200354
DESIGNER NAME (last name hrst) ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. Wokk£1!s' 00MPENSAl1oN
Workers' Compensauon Oeclarauon: I hereby alhrm that I have a ceruhcace of consent co self-insure issued by the Director of Industnal
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 califomia.
A. s:r;~~~1rk ~ATE vi.Jt,~ .,qy
Owner-Butlder Declaration: I hereby afltnn that I am exempt from the Confractor's License Law ior the iollowing 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SlGNATURE DATE
COMPLETE fAIS SECllON FOR NON-RESIDEN IIAL BUILDING PERMITS 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 ONO
Is the applicant or future building occupant required to obtain a pennit 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 ONO
IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CER1IBCATE OF oa::uPANCY MAY NOf BE ~UED AFTER.JULY 1, 1989 UNLF.SS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION OONTilOL DJSilUCT.
9. OONS'I R0cnoN 1£ND1NG AG£NC.-Y
I hereby alhnn that there IS a construcuon lending agency for the perionnance of the work for which this penntt ts issued (Sec 3097(1) CtVII code).
LENDER'S NAME None LENDER'S ADDRESS
10. APPUCAN 1 C£1ttlFICAIION
I certify that I have read the apphcatton and state that the above inlormauon 1s correct. I agree to comply with all Caty 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 AI.SO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLFS5 THE CITY OF CARISBAD AGAINST AIL UABilITIFS, JUDGMENTS, CDSTS
AND EXPENSE.5 wmrn MAY IN ANY WAY Acx:RUE AGAINST SAID Cl1Y IN OONSF.QUENCE OF THE GRANTING OF 11-IlS 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 pennit 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pennit is suspended or abando ed at any time fter•the work is commenced for a period of 180 days (Section 303(d) Unifonn BuildJt~t
APPUCANTS SIGNATURE DATE: •
0