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Home My WebLink About2315 CARINGA WAY; 53; CB960990; PermitPermit No: CB960990 Project No: A9601423 Development No: B U I L D I N G PERMIT 06/04/96 13:48 Page I of. 1 I Job Address: 2315 CARINGA WY Suite: Permit Type: PLUMBING Parcel No: 215-240-27-47 Lot#:jf^ ?882 06/05/96 0001 Valuation: 0 Construction Typ>?? Occupancy Group: Reference*: Status: ISSUED Description: WATER HEATER REPLACEMENT Applied: 06/04/96 : Apr/Issue: 06/04/96 Entered By: MDP Appl/Ownr : TEFFT, ROSS 619 930-9000 231.5 CARINGA WAY #53 CARLSBAD, CA. 92009 *** Fees Required •*** ~ "ii Fees: Adjustments: T°tal FeeS: _Fee description Enter "Y" for Each Water Heater * PLUMBING TOTAL & Credits *** ' ° ° •°°liir 27.00 IT Extfee Data 20.00 Y: X >^::5;:>" X 7.oo N 4> / ^-^ p FINAL APPROVAL DATE _ ^CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Departaent 2075 Las PaI PBS Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: SFR Net Loss/Gain of Dwelling Units . 2. PROJECT INFORMATION PLAN CHECK NO. Of '^ Q EST.VAL PLANCK DEPOSIT. VALID. BY i r DATE fa /S/ ft FOR OFFICE USE ONLY Wav 4^3 building or buite No. Nearest Cross Street LEGAL UEbCKlPIION Subdivision Name/Number Phase No. CHECK BELOW IF SUBMIITEIJ: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report CD 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USEDESCRIPTION OF WORK water Heater Replacement 50 Gallon SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS UUIMTAur pEKikUN ut different from appiicantj NAME (last name first) Tefft, ROSS CITY ADDRESS 2315 Caringa Way #53 STATE ra ZIP CODE 92009 DAY TELEPHONHj3fJ_900Q200'Lit 93Q-90QC JK OWNER4. APPLICANT a CONTKACTUK LTAGENT FORTX)NTRACTORU OWN EH QAGENT r'OK OWNEH NAME (last name first) carol Foster ADDRESS 13706 Highway 8 Business, Suite B CITY -Rl Ha-inn STATE CA ZIP CODE 92021 DAY TELEPHONE 390-4477ElPERT5. PROPERTY1 NAME (last name first) Tefft, ROSS CITY TCAC1UJ STATE ADDRESS2315 Caringa Way #53 ZIP CODE92QQ9 DAY TELEPHONHj3Q_9QQQ O. CONTRACTORNAME (last name first) A & J Foster, Inc. ADDRESS 13706 Highway 8 Business, Suite B CITY El Cajon STATE CA ZIP CODE 91977 DAY TELEPHONE 390-4477 STATE LIC. #_com_on LICENSE CLASS r-_7£ CITY BUSINESS LIC. # 1 DESIGNER NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKER:? COMPENbAllON Workers' Compensation Declaration: I hereby attirm that! have a certificate ot consent to selt-insure issued by the Director ot 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 POLICY NO. rc3f)f)7_cjfi_caXPIRATION DATE _-| ,97 Certificate of Exemption: 1 certify that in the performance ot 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. SIGNATURE!DATE 8. OWNER-BUI Uwner-Builder DeciarationTThereDy attirm that I am exempt from tne contractors License Law tor the tollowing 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-RESIDENTIAL mJimiNG PERMITS 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? 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 ANSWERS 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. 9. UUNVmiKTllON LENDING AKENcY I hereby attirm that tnere is a construction lending agency tor the performance ot the work tor which this permit is issued ISec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CEKTU1 I certify that I have read the application and state that me above information is correct. 1 agree to comply witn all city ordinances and Mate laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO OTY 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 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buili" APPLICANTS SIGNATURE ^ ^,/n s_^y? ,, si, i^£ DATE: ' WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: i have and will maintain a certificate of consent to self-insure for1 A. workers' compensation as provided by.section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation, as required by section 3700 1 B. of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO, EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 Uie..-' • C. workers compensation laws of California. * • * " . . » Signature ^JYl. ^f^^-L KM Date *S 1*5 fats ,sv Warning: Failure to secure workers' compensation coverage is unlawful, and shall be. .,, subject an employer to criminal penalties end 'civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damad/es as provided for' in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2075 Lag Palmas Dr. • Corlshod. CA n?OO9-157« • (O19) ann-1im • FAX (fiin) 'inn nn<M