HomeMy WebLinkAbout2503 LA MACARENA AVE; ; CB941251; PermitB U I L D I N G
10/05/94 10:11
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Job Address: 2503 LA MACERENA AV
Permit Type: PLUMBING
Parcel No: 223-291-37-00
Valuation: O
Construction Type: NEW
P E R M I T
Suite :
Lot#:
Permit No: CB941251
Project No: A9401786
Development No:
8943 10/05/94 0001 01
C-PRHT
02
27-00
Occupancy Group: Reference#: Status: ISSUED
06/29/93
10/05/94
DC
Description: WATER HEATER REPLACEMENT
Appl/Ownr : FOSTER, A & J
2819 CENTRAL AVENUE
SPRING VALLEY, CA 91977
**.'. Fees Required *** **1'
Fees:
AdJustments :
Total Fees:
Fee description
Enter "Y" for Plumbh1g Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
Applied:
Apr/Issue:
619
Entered By:
697-4151
Fees Cc,l.lected & Credi ts
Total credits:
Total Payrnvnts:
Balance L1ue:
.00
.00
27.00
**I<
Units Fee~Un1t Ext fee Data
20.00 Y
7.00
27.00
PROVAL
INSP. '""-""'.t...:../....--DATE 10/?r
CLEARA CE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PF,RMl"f Al'PUCATION PLAN CHECK NO. q r/-1 ~.5-/
City of Carlsbad Building Departlllent
2075 Las PalES Dr., carlsbad, CA 92009 (619) 438-1161
I. PPJlMII IYP£
From Llst l (see back) give code of Permit-Type: ___________ _ l
:t.v~DEPOSIT _______ _
VAIID. BY __________ _
DATE
For Residential Projects Only: From Llsc 2 (see back) give
Code of Structure-Type: ________ SFR ____________ _
Net Loss/Gain of Dwelling Units
2. PROJF.CT INFORMATION FOR OFFICE USE ONLY
Address 2503 La Macarena Ave. Butldmg or Suite No.
Nearest Cross Street
LEGAL DESCRIP I ION Lot No. Subd1V1s1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEJ, ~s11~ u~ DESCRIPTION OF WORK wa Let neater Rep1ace1tlloii Gas PROPOSED USE
SQ. IT. # OF STORIES # OF BEDROOMS # OF BAlHROOMS
3. 00N IACI PERSON (11,illlr.i@nt;ftom a6iii1ca'l't:i NAME (last name firstJl'tCnan.cey, ·wi.c am ADDRESS 2503 La Macarena Ave.
Ct1Y Carlsbad, STATE CA ZIPCODE92009 DAYTELEPHONE 436-1138
4. APPUCANI O WNXMCIOR flAGEN I FOR CON IRACIUR28uow:N££r QM;£N I FUR OWNER
NAME (last name firstJKristy Foster ADDRESS .L~ central Ave.
CI1Y Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHON!P97-4151
S. PROPEkfY OWNER . , NAME (last name first) William McHanley ADDRESS 2503 La Macarena Ave.
CI1Y Carlsbad, STATE CA. ZIP CODE 92009 DAY TELEPHONIP26-1138
6. WNIRACIOR A & J NAME (last name first) Foster, Inc. ADDRESS 2819 Central Ave.
CI1Y Spring Valley STATE CA ZIP CODE 91977 DAYTELEPHONE 697-4151
STATE IJC. # 630120 IJCENSE CLASS C-36 Cl1Y BUSINESS IJC. # 1200354
DESIGNER NAME (last name hrst) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. #
7. WuRkEkS' wMPENSX:liuN
Workers' Compensation Declarat1on: I hereby affmn that I have a ceruhcate of consent to self-msure issued by the Director of 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).
I
INSURANCE COMPANY Republic Indemnity POIJCY NO. PC949585 EXPIRATION DATE 5-1-95
Cert1hcate of Exemption: I certify that m the peflormance of the work for which this penrnt 1s issued, I shall not employ any person m any manner
so as \O l>f;come subject to the Workers' Compensation laws of California. '11 ~II'), .,.J , .. , .r;· ,~,i SIGNATURE f YV(.{j /~TE 1( .. ::)-/1 8. OWNER-BUllD£k DECOOtA:110N
□
□
□
Uwner-BuUder Declaration: I hereby afhrm that I am exempt from the Confradofs Llcense Law for the ioiiowmg 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 Llcense 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 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]).
SIGNATIIRE DATE
COMPQ:IE IAiS SECIION FOR NON-RESIDENIIAL BUILDING PEkMll's 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?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF Tiffi ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLESS Tiffi APPUCANT
HAS MET OR JS MEIITING Tiffi REQUIREMENTS OF Tiffi OFFICE OF EMERGENCY SERVICES AND Tiffi AIR POLLUTION ffiNTitOL DISfRICT.
9. WNSIRUClldN LP.NDING AGENCY
I hereby afhrm that there ts a construction lendmg agency for the performance of the work for which thlS permit ts 1SSued (Sec 3097(t) ClVli Ccxle).
LENDER'S NAME None LENDER'S ADDRESS
JO. APPIJCANI CEkliPICAIION
I certify that I have read the appUcat1.on and stale that the above mformat1on 1s correct. I agree lo comply with ail City ordmances 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 AU,() AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS Tiffi 01Y OF CARISBAD AGAINSf AIL LlAlllUTIF.S, JUDGMENTS, CXJSfS
AND EXPENSES WlllCH MAY IN ANY WAY =IJE AGAINSf SAID 01Y IN OONSEQIJENCE OF Tiffi GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit 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 permit is suspended or t1bandoned at ally time after the w~~~~mmenced for a period of 180 days (Section 303(d) Uniform Buildjl)I ~e)r;-,LJ
APPIJCANTS SIGNATURE'--... 1 hl ~ f /,1.__p C/...,cA a._ DATE: t U J'.) · l 7
WI-IlTE: F" e YELLOW: App icant PINK: Finance
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB941251 FOR 10/12/94
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
JOB ADDRESS: 2503 LA MACERENA AV
APPLICANT: FOSTER, A & J
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB941251
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 697-4151
REMARKS: MW/WILLIAM/436-1138
SPECIAL INSTRUCT: PLEASE CALL WITH TIME
TOTAL TIME:
INSPECTOR-:-.-,-·.,___ ______ _
CD
25
DATE
LVL DESCRIPTION ACT COMMENTS
PL Water Heater/Vents £ 0 M_ --------+'--"';=q-a~----1¥--
***** INSPECTION HISTORY*****
DESCRIPTION ACT INSP COMMENTS