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HomeMy WebLinkAbout2311 CARINGA WAY; 43; CB981259; PermitP e r m i t N o : C B 9 8 1 2 5 9 Project. No: A9801661 Development No: BUILDING PERMIT 04/28/98 14:13 Page 1 of 1 Job Address: 2311 CARINGA WY Suite: Permit Type: PLUMBING Parcel No: 215-240-27-41 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Status: ISSUED Description: WATER HEATER REPLACE Applied: 04/28/98 : Apr/Issue: 04/28/98 Entered By: BT Appl/Ownr : SULLIVAN, MARTHA 438-3649 2311 CARINGA WY CARLSBAD, CA 92009 *** Fees Required *** & Credits *** Fees Adjustments Total Fees -,,-,,„,.04/29/98 WITH U.B& 00 02 i. f * vv DATE FINAL APPROVAL INSP.DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619)438-1161 i. icpj*rBJc/iaMjiA'W^^-m***f&f*'l*v!F!'i*vtKf'j*nTV'i**triJ***^t*^fM*"***2311 Caringa Way #43 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite »)Buslntu Nam* (it this •ddrasa) Legal Description Lot No.Subdivision Name/Number SFR Unit No.Phase No.Total I of units Assessor's Parcel *Existing Use Proposed Use Description of Work WATER HEATER REPLACEMENT-ArcTPERSoNflfaflei^t-JrorttapplJc^Uia Sullivan, Martha 2313 SO. FT.lot Stories t of Bedrooms I of Bathrooms Nima Address State/Zip Telephone H Fax I SHELLY JOHNSON/KRISTY FOSTER Nsme Address City State/Zip Telephone * 11 i van . Martha 2311 Carinqa Way #43 CARLSBAD CAT. Address City State/Zip Telephone >Name (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, liter. Improve, demolish or repair eny structure, prior to Its Issuance, also requires the applicant tor such permit to (He a signed statement that he Is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that hi li exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 1 .5 by any applicant for • permit eubjecta the applicant to i civil penalty of not more than jUvfrhundred dejfeu I tcoeihCAJOti (S. 92021 3<W-«77A R .T FOSTER PLUMBING 13706-B HWY 8 BUS.EL Name State License t 630120 Address License Class _C-36 City State/Zip ]_2CWSR$9" * .City Business License I Designer Name Stale Ueenae *N/A Address City State/Zip Telephone MWI«^ Workers' Compensation Decleratlon: I hereby affirm under penalty of perjury one of the following .declarations: Q I have and will meintaln a certificate of consent to self-Insure for workers' compensation ea provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. Ox ' n(v( and W|H rnsinteln workers' compensation, as required by Section 3700 of'the Labor Code, for the performance of the work for which thla permit Is issued. My worker's compensation Insurance carrier and policy number are: ODD"? ^£ Rl CONTINUOUS Insurance Company FARMER INSURANCE Policy No. N2UU/-bb-51 Explr.tion Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l»100) OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for 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. WARNING: Failure to secure-workera' compensation coverage Is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars 1)100,000), hi addition to the cost of compensation, damages as provided for In Section 3706 of the Labo/ code. Interest and attorney's tees. SIGNATURE_ . DATE 7, ' OWNER.BUILDEB DH3MMWW8M^^ I hereby effirm that I em exempt from the Contractor's Ueenae Law for the following reeaon: Q I, as owner of the proptrty or my employees with wagea aa their sole compensetlon, will do the work and the structure Is not intended or offered for sals (Sec. 7044, Business end 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 ofleiad for aale. 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 purpoea of sale). D I, es owner of the property, am exclusively contracting with licensed contractors xo construct'the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doea not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contrsctor(a) licensed purauant to the Contractor's License Law). ' • Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the propoaed property Improvement. Q YES QNO 2. I (heve / have not) signed an application for a building permit for thi proposed work; 3. I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work (include name / address / phone number / contrsctors license number): 5. I will provide some of the work, but I heve contracted (hired) the following piraons to provide the work Indicated (Include name / address / phone number / type of workl: PROPERTY OWNER SIGNATURE DATE t'-S;',;M M.t^wM-v,* •-''"' «.1!-' iWt!, Is the applicant or future building occupant required to lubmlt e business plan, acutely hazardoua materials registration form or risk management and prevention program under Sections 25605, 25533 or 26634 of thi Presley-Tenner Hazardoua Subsunce Account Act? Q YES Q NO Is the applicant or future budding occupant required to obtain • permit from the sir pollution control district of sir quality mintgement district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school alter Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that theie Is e construction lending egency. for the performance of the work for which thla permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I hsvn read the application end state that the ibove Inlormitlon Is correct and that thi Information on thi plans Is accurate. I agree to comply with all City ordinances »nd Slati laws relating to building construction. I hereby authorial representatives of the City of Carlsbad to enter upon the ebove mentioned property for injpectlon 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is requlrid for ixcivatlons ovir 6'0" deep end demolition or construction of structures over 3 stories In height. EXPIRATION: Every pirmlt issued by thi Building Otliclel under the provisions of this Code shill expire by Umltitlon and become null and void if the building or work authorizad by sud, pirmlt Is not commenced within 386 deys from thi dsti of such permit or If the building or work authored by such permit Is suspended of abandoned « any time after thevwoik Is commenced tara period of 180 dan (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ^7\fv^f(l^A I'^/UvU \ I J*— DATE _ WHITE: File YELLOW: Applicant PINK: Finance I COMMERCIAL CERTIFICATE i GENCY || • arm ' &LTJAN MENDOZA & ' JB880 RIO SAN DIEGO CR. #700 This cert* Mress ' SAfl DIEGO, CA 92108 HESS1 • • '•h-iy CuVcfdyc f QQ DIST *1 AGFNT VIR SURED we • A&J POSTER INC 4 ' 13706 B HWY 8 jdress * EL CAJON, CA 1 BUSINESS 92021 9F 1NSURAN( tale is issued as a i srtificale holder. TWafforded by the po* 0 SSBT ATB OWMMTttflM |fe tl•*»vn _ | f «n» g Ml uira p ^E Issue Dale (MM/DD/YY) 4*3* -I? nailer ol information only and confers no rightss .certificate does not amend, extend or alter thecies shown below. MNUHES numoniG COVERAGE: UCK INSURANCE EXCHANGE RMERS INSURANCE EXCHANGE D-CENTURY INSURANCE COMPANY WAGES ^sl°B^M.^£&^£J?&^ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TMS CERTWCATE MAY BE ISSUED OR MAY PERTAM. THE INSURANCE AFFORDED BY THE POUCHES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS Of SUCH POLICE* LIMITS SHOWN MAY 'HAVE BEENflEOUCEOBY PAID CLAIMS. TYPE OF INSURANCE • CBHUIUUUIY COMMERCW.GENERN.UABUTY - OCCURRENCE VERSUN CONTMCTUN. • WCCENML ONLY OWNERS 4 CONTRACTORS PROT. AnWMMfUAMJn ALL OWNED COMMEBCW. AUTOS SCHEDULED AUTOS HRED AUTOS NONOWNEO AUTOS GARAGE UABUTY MMBUUUUTT AH EHPLOYUrUAlUn POLICY NUMBER N2007-56-51 POLICY EFFECTIVEOATEtMWnWY) . 5-1-97 POLICY EXPMATIONDATE (MM/DD/YY) UOt/ilJLML)OUS UNTIL CANGFTJJT1 . POLICY UiTS FDOOUCTSCOMnOPS AGGREGATE MNERnSMMJURY EACH OCCURRENCE FK DAMAGE (tar em Hra) MEOCAL EXPENSE .COMBMEOSMGULMT eODLYKJURYfER PERSON) MDLYNJURYrtRAcawT) WOPEWY DAMAGE GARAGE AGGREGATE LMT mntnf EKHAOCBENT DISEASE-EACH EMPLOYEE OCEASE-POUCYLMT $ S $s s $ $ $ $$ $ $ 1 ,000,000 $1,000,000 $1 ,000,000 BE: ALL OPERATIONS TlCIPATC UAIflCB s\ * I*A1M*KII HVtAM1 IfllwA 1 C IH^LUCn / f /> +\ \ v_. (1 VflHvCiMjIl 1 Rill ,n«i . CTTV nriftN B^R^ SHOULD ANY OF MA8(MO£SCaBEIIPOUtK BE CANCELED BEFOIfMEXPWime <-J.rY t» -a«N ttXXXr IKBSUM6COMP/IIY¥«UEND«VO«TOM*l300AYSWBmNNOT«TOTHECH^ S, . BUILDING DEPT NAMED TO THE lEFT. BUT FAUJHE TO MM. SUCH NOTICE SHAaMWNO«UGATnNOflUA«inY(lF kliess ' 9601 RIDGEHAVEN CT 2ND FLOOR AW »««W THE OJMP^. ITS AGENTS OR KPflESEWATWES. SAN DIEGO, CA 92123