HomeMy WebLinkAbout1716 CATALPA RD; ; CB941096; PermitBUILDING PERMIT
08/24/94 11:04
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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. ,
\
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.Unit'^ s' «^ »*,
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/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