HomeMy WebLinkAbout2728 OLYMPIA DR; ; CB991813; PermitCity of Carlsbad
05/10/1999 Plumbing Permit Permit No:CB991813
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
2728 OLYMPIA DR CBAD
PLUM
Parcel No: 167 4323200 Lot #: 0
Construction Type: NEW
Reference #:
Project Title: WATER HEATER REPLACEMENT
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
Total Fees: $27.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
Inspector: 5P
FINAL APPROVAL
~-/8-9q Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Clearance:
ISSUED
05/10/1999
DT
05/10/1999
05/10/1999
0.00
0.00
0.00
0.00
. $0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$27.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your r~ht to protest the specffied fees/exactions DOES NOT APPLY to water and sewer connection fees and capaciy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otheiwise exnired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
·PERMiT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
Addreaa !Include Bldg/Suite II
Lot No.
Auuaor'1 Parcel I blatlng u ..
SQ. FT.
FOR OFFICE USE ONLY
PLAN CHECK No.CD99i8L3
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date. ______________ _
11u11ne .. Name lit thlll lddr ... l
Unit No. Phu• No. Total I ol unlU
Propoaed UH
lot 6t0flll I of Bedrooms I of Bathrooms
Name Addr... City St1te/Zlp Telephone I Fu I
~~~~~~~ijl-~~~f 1AJ>~M"J·~-¼14 77
Name Addtua City 6t1te/Zlp Telaphona I
~~P.WH1'&.B~~iffit?Bill"8*Wf*MM~li@l9S~M~·•11.~1~►-· Jacobson, Roy ympia r . r--'!l":5'~~'57',~cr-
Name Addteu City 6.t ate/Zlp Talaphone I
~~~ffll'IDWl:-PNtittWwlDP:JCtdftf PWi DIM NWIIW5HIN"91il\'f,i1iW.~
CSec. 7031.15 Butln111 end Profenlona CocM: Any City or County which requl,M • permit to ~truct, alter, lmprova, demolish or repair 1ny ■tructure, p<lor to It•
l11u1nce, also raqultu the applicant for 1uch permit to fM1 • llgnad 1tatemant that hi la P-ed purauant to the provl■ions of tha Contractor'■ UctnH Law
(Chapter 9, commending with Section 7000 or Dlvl1lon 3 ol th■ Bualn,u ,nd Prol111l0111 Cod•I or that he 11 ,x,mpt therefrom, and the basis for the all1g1d A•mt~· iffis~onP~T£31.& b1_•j"7tfg"~tl\\W•{f"'~~ta the -~~o ~tv or ~-°'' t~{Y~h~t,:l<J,'3~~!..64>~~7
C-36 Nama
630120 State Uc1nae ,. ________ _
AddtHI
Uc,na, ~111 ________ _
City State/Zip 1200.31:,ltPhOnl ,
. City Bualnau Uc-• I ______ _
011igntt Nam,
Stall Uc-• I __ N_/_A _____ _
Addt111 City Stllt/Zlp Talaphone
-~~·;;,:~OJUtlUi,;coM;ENM.'nQk~!
'I
wo,1,.,.• Compenutlon Ded■retlon: I hweby 1Ulfm undw .,_tty of pa,Jurv-of the follawlng.dlclet1tlona:
0 I hive end wUI maintain• certlficlta of cona111t to 1elf-lnaur1 fo, workwe' com.,.w1tlon II provided by S■ctlon 3700 ol tha Labor Code, for the parlo1m1nc1
of tha worlt for which tNI pwmlt Ca laeued.
XO I haVI Ind will maintain work .. ' compenaatlon, 11 required by Section 3.700 ol'the Labor Coda, for 1111 parform,nce ol th, work tor which thla permit la
-luuacl. My workw'a ~~ind policy numlier_ 111: N200 7-5 6 -51 CONTINUOUS
lneur111C11 Company . PoPcy No,,___________ Expiration Date ______ _
cnu HCTION NUD NOT H CC?MPLETlD If TH£ PERMIT II FOil OHi HUNDRED DOLLAlll l.1001 Oil LUii
0 CUTIFICATI! 01' EXEMPTION: I certify that In the pwformenc:a of tha work for which thl1 permit la lllutd, I lhlU not employ any person In any manner 10 u
to bacoml tubject to the Work1n' Compensation Lawe ol C1lllornla. ·
WARNING: Fallura to 11cvr1•worker1' compensation cov age la unlawful, Ind ahlll 1ubjtct III employer to cdmlnll p1nlltlea ind clvH llnu ur, to ona hundred
tmuund dbllta lt100 •. ldltlpn t COl.t o • lion, dmug11 u provided fo, In Section 3701 of \hi Llbqr code, lntarHt and 1t\orn1y'1 f111.
SIGNATUIIE V' . D~
7, ~".;OWNER,BUILDEII DE~Tio~·~t 1 --~~1WSJ'ltNl¥$11~/1~\\~\-,~~'lf.tm;,::,'!j',;i• '
I hereby 1Ultm that I 1m exempt from th• C 1ctor'1 Ucena, Law fo, \hi following reuon:
0 I, 11 ownar of th• property or my 1mployH1 with wagH u thelf 1ol1 compenaatlon, will do th• -k 111d th• structure la not intended or oller1d tor nla
cs,c. 7044. Busin111 end Profnalona Codi: Thi Contractor'• Ucen11 Law doll not apply to Ill owner of property who build■ or lmprov11 thereon, and who does
such -Ii hlmaaU or through hla own 1,nployau, provldad that auch lmprovamtnta ■r, not Intended or 0U111d for 111,. If, however, the building or lmprov■ment I■
■old within on• YHI of completion, the owner-builder wll have \hi burden of proving that hi did not build Of Improve fo, th• purpott ol ■ala).
0 I, 11 owner of the property, 1m ·,xclullvely contrlctlng with IIClnMCI contractor, to CONtruct'\hl project (Sec. 70.«, Bualn111 ind Profa11lon1 Coda: Th,
Contr1ctor'1 Uc,na, Law do11 not epply to 1n ownar ol property who bullck or lmprov11 \hereon, and contrlCtl for 1uch proJ1cu with contractor(,) llc1n11d
pur1uent to the Contr1ctor'1 u-, Law). ·
0 11m 11t1mpt unc:111 Section _____ Bualn, .. Ind Prof111lona Code for thll r111on:
t . I par1or,aUy plan to provide the m•Jor labor end materlala for construction of the propo11d property Improvement. 0 YES O NO
2. I Chive / hav1 notl algnad an 1ppllc■tlon for • building permit for \hi proPOaad work;
3. I have cont11ct1d with the following parson (1km) t!) provide th• propo11d conatructlon (Include name/ 1ddt111 / phone number / contr1cto11 llcenn number!:
4. I plan to provldl portions of thl WOfk, but I hav• hired th• foPowlng paraon to coordlnlt,, 1uparvla1 Ind provide th• major work (Include name / 1ddr111 / phone numbat I contr1c1ora llc1n11 numbatJ:, _________________________________________ _
15. I w■ provid■ ■om, of the work, but I have cont11ct1d (hlr1dl tha loPowlng p111ona to provide th• work lndlc1t1d (Include nam, I 1dd1ea1 / phone number / IVP• of work):, ___________________________________________________ _
l'I\Ol'EIITY OWNU SIGNATURE _____________________ _
~CO~J1Mel'.K>Ni.O.~~,l!bM4rfC4N'
II the appllc■nt or future buldlng occupant required to lubmlt I bualnul plen, acutely hautdoul rn1tlllall reglltretlon form or risk management and prevention
pro;,am under Sections 26605, 25&33 « 25&34 of the Praley-Tanner Heutdoul Subltanc1 Account Act? D YES O NO
la ·\hi applicant or future building ac:cupant required to obtain I permit from tha alt pollution control dlatrlc:t Of w quality m1nag1m1nt district 7 0 YES O NO
la the facllltv to bl conatNcted wltNn 1,000 fHt of the outlf boundary of I 1ohool alt1J O YES O NO
~'ANY o, THI! ANSWERS AR£ YEI, A FINAL ClllTIFICATI OF OCCUPANCY MAY NOT II IIIUl!D UN&in THE APPLICANT HAS MET OR IS MEETING THE
Rl!OUIRIMl!HTS 01' THE OFRCI OF EMERGENCY SERVICU AND THE AIR l'OU.UTION CONTROL DISTNCT •
.. n :co,mRUCTION I.ENOING1AGEN¢~~,:.wnrewm:n~r"™[~w1~.;:,:~-1~,!,. , ·;_!•: : : .....
I lilleby affirm thlt thtre 111 conatructlon landing 1g1ncy. for th• performanca of th1 -k for which thll permit la l11ued (Sac. 309711) Civil Cod■).
l.l!NOEft'S NAME_____________ LENDER'S ADORES& ______________________ _
:1.:..-'..Al'PUCAJ,rr,;a.RTIF\CA,l\O~'¼--;.~,'.~.~~S'°"..J/lfl\)~~~~l~~:;~;. ·~~,•,:.t · : -·T,, -... :-
I clrtlfy that I hav1 r11d Iha 1ppllc■tlon 1nd atata that the above Information la COfflCt 1nd that Iha Information on tha plan■ la accurate. I agrea to comply with all
City onlMnc:11 and Stell law1 ralltlng to building con1tructlon. I hereby 1uthorl11 rapr11111t1tlv11 of tha City of Cerl1bad to enter upon tha abov■ mentlonad
property fOf inspactlon purpoen. I ALSO AGREE TO SAVE. INDEMNIFY AND ltUP .HARMLESS TH£ CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTI AND EXPENSES WHICH MAY IN AMY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit la required lor ,xcav■O-over &•o• dHp ind demolition or conetructlon of 1tn1etur11 over 3 1torlea In height.
txPIRATION: Every parmit laautd by thl Building Ollldal under \hi provlalorw ol thl1 Code ahlll 111pk1 by Umltatlon and bacom, null and void if the building 01
work 11MOri11d by auch permit la not commenc:ed within 386 daya from \hi elate of auch permit or If the building or work auth~rli d b~WH' permit Is suspended
or abandoned II any time after thl work,__,.....,..,,.,enc:1d for I arlod 1 d1ya (Section 106.4.4 Unllorm Building Cod~A'1 1 1~~
APPLICANT'S SIGNATURE -~=--~,.2~./.__l.:)..:..-=:;~~z~~-------DATE ___________ _
PINK: Fln1nc1
City of Carlsbad Inspection Request
For: 6/ 15/99
Permit# CB991813
Title: WATER HEATER REPLACEMENT
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2728 OLYMPIA DR
Lot
APPLICANT A&J FOSTER, INC.
0
Owner: JACOBSON FAMILY TRUST 12-21-96
Inspector Assignment: SP ---
Phone: 0000000000
,c:O Inspector: /, -"--'----
Remarks: PM PLEASE-WILL STAY HOME AFTER 12 NOON
Total Time:
CD Description Act Comments
Requested By: NANCY
Entered By: CHRISTINE
25 Water HeaterNents .hf_ ____________ _
Inspection History
Date Description Act lnsp Comments
6/4/99 25 Water HeaterNents NR SP NO ONE HOME