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,