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HomeMy WebLinkAbout1716 CATALPA RD; ; CB941096; PermitBUILDING PERMIT 08/24/94 11:04 Page 1 of 1 Job Address 1716 CATALPA RD Suite Permit Type: PLUMBING Parcel No: 223-291-37-00 ' Lot#: Valuation: 0 Construction Type. NEW Occupancy Group: Referenced. Description: WATER HEATER REPLACEMENT Appl/Ownr : FOSTER, A & J 2819 CENTRAL AVENUE SPRING VALLEY, CA 9r977 /' ,-*** Fees Required ***// (' *** Permit No CB941096 Project No: A9401534 Development No 8347 08/24/94 0001 01 02 C-PRMT 27-00 Status. ISSUED Applied: 06/29/93 Apr/Issue: 08/24/94 Entered By. DC 619 697-4151 * * *— — - — •* — — — *— *— m — "* *_» ™ — — , — — _^_ **#» — • /• _ ^. _4, __ ___ __ __ t"^./ * , ^ ' v Fees. 27 .00 x,v- - / Adnustments : * C\00 ^ '/"'vv/\V s * / fTotal Fees. / 2^7.00 / '/-/x. 1 !''-"" ^ * * Fee description , "- // / rv,s.. ^- - - — - ' - J v "" ^.; ~1 VEnter "Y" for Plumbing Issue Fee\> ( Each Water Heater atid^oiS^Vent rt />\ 'X * PLUMBING TOTAL xN_ /]/'; ^ ', —^—•'- — ———«•*— x— . — ^-*— "^ '~? ^Total Payment's v^^ Balance Dutex i;_Uni^ts,y Fee/- „ f •i'"1' /^ / 4.#>~ // T^_ j» // ,J f !'"* / x 1 / v- ! 7x j. ^ /, . ^ ^ / " *~ , 7 I >-,. f r ,"\V. , \ \\ '= \< * v .Unit'^ s' «^ »*, .- l /do , 00 00 27 00 Ext fee Data 20 00 Y 7.00 27. 00 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PEJIMTT APPLICATIONt City of Carlsbad Building Department 3075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1 PKKMiT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type SFR Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST VAL PLAN CK DEPOSIT, VALID BY DATE 2. PROJECT LNFORMAIION FOR OFFICE USE ONLY Address 1716 Catalpa Rd. Nearest Cross StreeColumbine Dr . Building or Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHLCK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Water Heater Replacement 40 Gallon SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS uuwiAUl PtKbUM (.11 tlitterent trom applicant; NAME (last name first)Clf arelll, Don CITY Carlsbad,STATE CA ADDRESS 1716 Catalpa Rd. ZIPCODE92009 DAY TELEPHONE 931-5740 4 APPLICANT P CON FRACTOR ,U AGENTTOR CONTRACTOR 13 OWNER Q AGENT FOR OWNER NAME (last name first)Kristy Fosrer ADDRESS2819 Central Ave. CITY Spring Valley STATE CA zipcoDE91977 DAY TELEPHONi697-4151 5. PROPERTY OWNER NAME (last name first) Don Clf arelli CITY Carlsbad ADDRESS 1716 Catalpa Rd. STATE CA ZIPCODE92009 DAYTELEPHONEJ31-5740 6. CONrRACTOR _„ nNAME (last name first)A & J Fosrer, Inc. ADDREss28l9 Central Ave. CITY spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 Ifi CITY BUSINESS LIC # 1 200^^4STATE LIC #LICENSE CLASS DESIGNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7. WORKEIlS1 COMPENSATION Workers Compensation Declaration I hereby affirm that I nave a certificate of consent to sell- insure issued by the Director of Industrial 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) INSURANCE COMPANY Republic Indemnity POLICY NO PC949585 EXPIRATION DATE s_x_95 Certificate of Exemption I certify that in the performance of the work Tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California ..8 ONER-BUILPER DtOARATlON Owner-Builder jeclaration I nereDy affirm tat I am exempt (ram trie contractor's License Law lor the Jollowing reason D 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 ) D 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) D 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 COMPLETE THIS SECTION FOR NON-RESIDENtTAL BUILDING PERMITS ONLV Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO _ IF ANY OF THE ANSWLRS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LEADING AGCNCV - ' I hereby affirm that there is a construction lending agency for the performance ot the work fo'Fwhich this permit/is issued (Sec 3097(i) Civil'Code) LENDER'S NAME None LENDER'S ADDRESS APPLICANT CKRJTHCA'I IUN __ 1 certify that I have^read the application and state that the above information is correct I agree to comply with all (Jity 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA, An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 abandoned, at any time after the work is commenced fora penod of 180 days (Section 303(d) Uniform Building Code) APPLICANT'S SIGNATURED—2^< . / /L , -/-* /> .DATE jt_A "*"** WHITE:/YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT^ CB941096 FOR 08/30/94 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 1716 CATALPA RD APPLICANT: FOSTER, A & J PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB941096 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 697-4151 REMARKS: MW/931-5740 INSPECT SPECIAL INSTRUCT: PLS CONTACT HIM FOR APPT TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT CO DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS