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HomeMy WebLinkAbout2327 CARINGA WAY; 2; CB973029; PermitBUILDING P E'R M I T 10/14/97 08:51 Pacre 1 of 1 Suite- 2Job Address: 2327 CARINGA W* Suite. Permit Type: PLUMBING rot#- Parcel No: 215-240-27-02 Lotff- Valuation: 0 Reference*: Orcuoancv oroup: Description: WATER HEATER REPLACEMENT Permit No: CB973029 Project No: A970385/ Development No: StABW ISSUEW-00 Applied: 10/14/97 Apr/Issue: 10/14/97 Entered By: JM Appl/Ownr : MONTES BONNIEPP 2327 CARINGA WAY #2 CARLSBAD, CA 92009 *** Fees Required *** ***- 76° * 38-4418 Collected & Credits 27,00 ,00 27.00 Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plumbing Issue Fee ^ Each Water Heater and/or Vent > * PLUMBING TOTAL Total Total Payments: Balance Dtt^.s -Units Fee/Uftit 7.0O . 00 . 00 27. 00 Ext fee Data 20.00 Y 7. 00 27. 00 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 rarinaa Way #2 FOR OFFICE USE 0 PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bidg/Suite »)Business Nama (at this address) Legs! Description Lot No. SubdlvWon Name/Number SFR Unit No.Phil* No.Total I ol unltf Asittsor'i Parcal f Exlatlng Uaa Propoaad Uaa Daseription of Work SO. FT.'of Stortai t of Badroomi * of Bathrooms ^ ._ Montes, Bonnie 2327 Caringa Way Nama Addreii .SHELLY JOiaKjON/KOISTY FOSTER.name /wore ~BOnfHfe (Sac. 7031.5 Buainaaa and Profaaaiona Coda: Any City or County which raqulra* a permit to construct, altar. Improve, damollah or rapalr any atructura, prior to Its issuance, also raquiras tha applicant for such parmlt to flla a signed atatamant that ha la licensed pursuant to the provisions of the Contractor's License Law IChaptsr 9, commanding with Section 7000 of Division 3 of the Business and Professions Codal or that ha Is exempt therafrom, and tha basis for tha alleged exemption. Any violation of Section 7031.6 by any applicant for a parmlt subjects tha applicant to a civil penalty of not more than flva hundred dollara 1*6001). „ ^,,^ TIT /-iTv TOM r*a Q9fl?1 3QO—4477AdaVeOrv—B HWr o BUS. CA. 92009 760-438- j POSTER State License f PLUMBlsi CAJON License Class •€-36- State/Ztp Telephone 1 City Business License f 1200354 Designer Nama State Ucenae f Address City State/Zip Telephone msm^ismmimnmimmmmsm Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tha following declarations: O I have and wUI maintain a certificate of consent to self-insure for workers' compensation aa provided by Section 3700 of the Labor Code, for the performance of the work tor which this permit la Issued. Q I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is ^ssued. My worker's compensation Insurance carrier and policy number ere: Insurance Company trj.Ux.~F ' PolicyNo. M2007 56-51 Explretlon DateCDNTINUOUS (THIS SECTION NEED li^T^C^PI^Trol^T^ ONE HUNDRED DOLLARS 1*1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit le Issusd, I shall not employ eny peraon In any manner ao as to become subject to the Workers' Compensstion Laws of California. WARNING: Failure to secure-workers' compensation coverage le unlawful, and shad subject en employer to criminal penalties and dvH fines up to one hundred thousand dollara 1*100,000), hi addition to the coat of compensetlon. damages as provided for In Section 3706 of the Lebo/ code. Interest end ettomey's feea. SIGNATURE. ._ DATE. 7. 'OWNER-BUILDER DECLARATION S 1 hereby affirm that I am exempt from the Contractor's License Lew lor the following reeson: O I. ** owner of the property or my employees with wsges as their sole compensation, will do the work end the structure Is not Intended or offered for ssle (Sec. 7044. Business end Professions Code: The Contractor's License Law doea not apply to an owner of property who builds or Improves thereon, end who does such work himself or through his own employees, provided that auch Improvements ere not Intended or offered for eele. If, however, the building or Improvement Is sold within one year of completion, the owner-builder win have the burden of proving that he did not build or Improve for the purpose of eele). Q I. es owner of the property, em exclusively contracting with licensed contractora to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law doea not apply to en owner of property who builds or improves thereon, and contracta for auch projecte with contractors) licensed pursusnt to the Contractor's License Lew). Q I am exempt under Section Business end Professions Code for this reason: 1. I personally plan to provide tha major labor and materials for construction of tha proposed property Improvement. O YES ONO 2. I (have / have not) signed an application for a building permit (or the proposed work; 3. I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contrectors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervlae and provide the major work (include name / address / phone number / contractora license number): 5. I wiN provide some of the work, but I hsve contrsctsd (hired) the following persons to provide the work indicated (Include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE . JCOMIiUaiijrWiSECTO DATE Sira .:«.•].. .MISfti- Is the applicant or future building occupant required to submit e business plsn, acutely hazardous materials registration form or riak management and prevention program under Sections 26606, 25533 or 26634 of the Presley-Tenner Hazardous Substance Account Act? Q YES O NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality manegement district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school site? O YES O 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. •^coNaTfftuctioNi^^ : ' I hereby affirm that there is a construction lending agency for the performance of tha work for which this parmlt Is Issued (Sac. 3097(1) Civil Coda). LENDER'S NAME LENDER'S ADDRESS *:,;> AmiCJW#BKnnCfVN^^ W**' • •>' 1 certify that I have read the application and state thst the above Information Is correct end that tha Information on the plena Is sccurata. I egrea to comply with all Cltv ordinances and State lews relating to building construction. I hereby authorize representatives of the City of Carlabad to enter upon the above mentioned property lor 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over S'O" 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 end void if the building or work authorized by such permit Is not commenced within 366 deys from the date of auch permit or If the building or work authorized by such parmlt is suspended or abandoned at any time after/the work to commenced for e period of 1J30 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE (^{D/\ A\$j< \frf hl$\PJ£-> DATE WHITE: FHe YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB973029 FOR 12/05/97 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 2327 CARINGA WY APPLICANT: MONIES BONNIE CONTRACTOR: OWNER: REMARKS: C/BONNIE/438-4418 SPECIAL INSTRUCT: AFTER 1PM PLEASE. INSPECTOR AREA PLANCK* CB973029 OCC GRP CONSTR. TYPE NEW STE: 2 LOT: PHONE: 760 438-4418 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT 1NSP COMMENTS ft J» AGENCY Name ' ALLAN MENDOZA & * 8880 RIO SAN DIEGO OR. #700 Address ' SAN DIEGO, CA 92108 COMMERCIAL CERTIFICATE OF INSURANCE Issue Dale (MM/OO/YY) This certificate is issued as a matter of information only and confers no rightsupon (he certificate holder. This certificate does not amend, extend or alter thecoverage afforded by the policies shown below. COMMM1ES PROVIDING COVERAGE: ST. qq niST 51 AGENT 17fi MSURED Name * A&J FOSTER INC. 1 ' 13706 B HOT 8 BUSINESS Address ' EL CAJON, CA 92021 « S"tT A TRUCK INSURANCE EXCHANGE OOMMMTunn B FARMERS INSURANCE EXCHANGE COMMIff unn C MID-CENTURY INSURANCE COMPANY sssr „ OVERAGES SS5L° SfESK ^ITSf Ki^?«f?l5/^tSK9,SELOWM!S(lBEEN ISSUEO TO ** "a**0 N*1*0 *80VE «" 1* **** TO"00 INDICATED. NOTWITHSTANDINGANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAK) CLAIMS. TYPE OF INSURANCE • fifflfHAI UAttfTY COMMERCIAL GENERAL UAMJTY -OCCURRENCE VERSION CONTRACTUAL • MCOENTAL ONLY OWNERS & CONTRACTORS POT. MIMmUUUUTT ALL OWNED COMMERCIAL AUTOS SCHEDULED AUTOS HREO AUTOS UNOWNED AUTOS GARAGE LUBUIY OMMELUUAMJTT WORKERS' CMVUttTlM UD omomruuuTT POLICY NUMBER N2007-56-51 POLICY EFFECTIVEDATE (MM/DOW) . 5-1-97 POUCY EXPIRATION DATE (MMAXVYY) jMjwi* T MiJvjU0 UNTIL . POLICY UMTS GENERALAGGREGATE PROOUCTSCOMP/OPSAGGREGATE PERSONA! & MVERTBMMJURY EACH OCCURRENCE FK DAMAGE (ta»« fin) MBDCAl EXPENSE .COMBWEO SMGULMT eODLYMJURY (PER PERSON) BQOLYHJURY (PERACCDENT) PROPERTY MttAGE GARAGE AGGREGATE HIT SUIiTMl EACHACCOENT DSEASE-EACH EMPLOYEE DBEASE-POUCYIMT $ $ $s $ $ $ $ $$ $- $ 1 ,000,000 $1 ,000,000 S1, 000. 000 RE: ALL OPERATIONS RT.F1CATE HOLDER lame • dTY OF -SftN & • BUUJ5ING DEPT \ddress • 9601 RIDGEHAVEN CT 2ND FLOOR • SAN DIEGO, CA 92123 SHOULD ANY OF THE ABOVE OESCRBEO POUOES BE CANCEtlEO BEF«KTHEEXPW«WIOATETH3Wf. WE GSUWG COMPANY WLL ENDEAVOR TO MAI 30 DAYS WBI1EH NOTCE TO THE CERTfCAIE HOLDER NAMED TO THE LEFT. BUT FAUflE TO MAI SUCH NOTICE SHALL NPOSE NO OBUGATONORLWaUTf Of ANY KMO UPOH THE COMPANY. ITS AGENTS OR REPRESENTATIVES. I 444 19S1 1351 OCT-13-97 HON 08:30 AM DRIVER JOHNSON UNIT FAX NO, 619 699 1344 P. 01 PRODUCER ROBERT F. DRIVER COMPANY, INC, 1620 FIFTH AVENUE SAN DIEGO, CA92101 Prestige Concrete 1335 07 Midland Road Poway CA 92064 Tins ownncvre is ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFERS MO Rjcirrs UPON TOE CERTIFICATE HOLDER. THIS CERTIFICATE DO«S NOT AMEND. EXTKNB OR ALTER THE COVERAGE AFFORDED D V THfi POLICffiS BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER A SAFECO INSURANCE COMPANY COMPANY LOTTR COMPANY LETTER I. COMPANY LETTER D COMPANYLETTER THIS IS TO CERTWY THAT THE POUCIKS OF INSURANCE LISTED ttt.LOW HAW BEEN I&SVED TO TUB INSUM.D NAMED ABOVE TOR THE POLICY PERIOD INDICATED. NOTWm(STANDING ANY MQUIREMlNt. TEBM OR CONDltJON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPBCT TO WHICH TIBS EXCLUSIONS AND CONDITIONS OF STICII rouctKS. LIMITS SHOWN MAY IIAVB BEEN REDUCED vt JAID CLAMS. TYVt OF INSURANCE rOLICY NUMBER POLICY BIT, DATE (MM/DD/YY) rOLTCYEXP. DATE (MM/DDfYY)LIMITS GENERAL LIABILITY SL2308457A 10/27/S6 10/27/87 GENERAL AGGREGATE COMM. GENERAL UADIUTY "1 CLAIMS MADE [_^JOC OWNKX'S A CON1RACTS TROT MRS. It AOV, INJURY EACROCCURKENCK nw DAMAGE<OM nn> T. (Oatl-trt 2000000 1000000 1000000 1000000 50000 5000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNKU AUTOS SCHEDULED AUTOS IllRKD AUTOS MONXMVNKD AUTOS CARAO.t: UAB1UTY COMBINED SINGLE LIM)T BODILY INJURY BODltY INJURY EXCESS LIABIT.ITYnVMDRCLLA FORM OT1IKR TUAN VM&REU.A FORM EACH OCCURRENCE ACCREGATK STATUTORY LIMITS ' COMPENSATION AND EMPLOYER'S LIABILITY EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH RMF. OTIIKR CATIONS/VEIKCI" NAMED AS NAL INSURED. v%i,..,a*•!•/;<;••:.Itf*: CITY OF CARLSBAD 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009 SHOULt) ANY Of THE AVOVB DBSCJUnHD FOL1C1KS BE CANCilXED OEFORB TUG EXPIRATION BATS THEREOf, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL JQ DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMRB TO THE LEFT, BUT FAILURE TO MAIL SUCH NOT1CV, SHALL IMPOSE NO OBLIGATION OR UMIUTY OF ANY KIND UMN T«E COMPANY, ITS AGENTS OR RKVRESENTATIVBS,