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HomeMy WebLinkAbout2335 CARINGA WAY; 25; CB054197; Permit01-10-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB054197 Building inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2335 CARINGA WY CBAD St: 25 PLUM 2152402717 Lot#: 0 Construction Type: NEW MCKEOWN RES REPLACE H20 HEATER Status: Applied: Entered By: Plan Approved: issued: Inspect Area: ISSUED 12/09/2005 KG 12/09/2005 12/09/2005 Applicant: PACIFIC EXPRESS INSTALLATIONS 1315 PINE AV CARLSBAD CA 92008 760-421-0390 Owner: MAUCH IRMA 2335 CARINGA WAY #17 CARLSBAD CA 92009 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 Additional Fees 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 EXPIRED PERMIT Inspector: FINAL APPROVAL Date:Clearance: 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 Carlsbad 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 !l;;i;pROJECT INFORMATION FOK Of r-lCt USE PLAN CHECK NO EST. VAL. _/</?"-XX cX ' Plan Ck. Deposit Validated By Date T( f 0 Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #existing Uss Proposed Use Description of Work SOFT7 # of Stories # of Bedrooms # of Bathrooms ;2. , CONTACT PERSON (Jf different from applicant) Name Address .D Contractor ;: E3"^gent for Contractor City Owner State/Zip Telephone # D- Agent for Owner,-iff Ai^ Name Address City State/Zip Telephones Name Address City State/Zip Telephone ft (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 '.o the provisions of the Contractor's License Law [Chapter 9, commending witn Section 7000 of Division 3 of the Business and Professions Code] or thai he is exempt therefrom, and the basis ;or ths alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mote than five hundred dollars [$500]).11 m Wame State License # Address License Class Cily State/Zip City Business License #. Telephone # Designer Name State License # Address City State/Zip Telephone # 6,4: WORKER'S COMPENSATION • . . .,..-.-',- •••.•_••••'•:;•••'••.:• = ;• ;,•;•'= -H;': ' '• •'"•'.- '•• ;:''*.••.•" ' ' =•'.> . • Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfoimsnce of the work for wjiich this permit is issued. I have and will maintain worker's compensation, as required by Suction 37'OQ of the labor Code, for 'j~.e performance of tie work for wjiicn this permit is issued. My worker's compensation iflsuaance carriedaod policy-number are: rt—? D *0—'Insurance Company ilicvrcL Policy No._ <-Ll^Expiration Date S> 0 wbi / (TMS'SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Er CERTIFICATE OF EXEMPTION; I certify that in the performance of the work for whicn this permit is issued, I shall not employ any psrsor in any mannar so E.S to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' Ampensalion coverage Is unlawful, and shall subject »>i er.iployur to ciim'nal penaitios and civil tines up tc one hundred thousand dollara(S1 OO.OOO^j 'Kyuiirtiliun lu Itte cas/ojlcompen^tion, damages are provided for in Section 3706 ol the Labor CDbe, interest and attorney's fees. SIGNATURE ' / *^^ ^\^*\ ____________ DATE / 2--(~~ iT.r,;;;QWNER-BUILOER DECLARATION I hereby affirm that I am exempt from the Contra^'s License Law for the following reason: Q I. as owner of tt\e property or my employees with wages aa thoir sole compeusalior. wl d the work ami the strucure is not in'ier.ded cr offered icr sale (Sec. 7044, Business and Professions Code; The Contractor's License Law does not apply to an owner of property *ho auilcs or improves thertx>n, and who does suc.h work himself or through his own -employees, provided that such improvements are r.ot intended or offeieci for sale. ;f. however, the building or improvtsiy,i',iV, is i-tlrf within onu ye;.r of completion, the owner-builder will have the burden of proving that he did not build or improve for tha purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to ca'ibtruct the projoct (Sec. 7044, Business ana Profossions Code; The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts foe such projects with contractor(s) licensed pursuant to trie Contractor's License Law). G I am exerrpt under Section __ Business and Professions Code for thii; reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvemeit. D YES D NO 2. I (nave/have not) signed an application for a buildiny permit for i\:e 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 person to coordinate, supervise and provide the major work (include name / address / phone number,' /ontractors license number): 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance License Detail Page 1 of2 California Home Thursday, Decem License Detail Contractor License # 708355 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P.712.4J.). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P_7Q71J7, only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. * * * Extract Date: 12/08/2005 Business Information * * ALLSTAR KEMP APPLIANCE INSTALLATIONS 710 WASHINGTON STREET RAMONA, CA 92065 Business Phone Number: (760) 917-0151 Entity: Sole Ownership Issue Date: 06/16/1995 Expire Date: 06/30/2007 * * *License Status * * * This license is current and active. All information below should be reviewed. * * *Classifications * * Class. Description D34 PREFABRICATED EQUIPMENT £36'"PLUMBING C10 ELECTRICAL Bonding Information * * * http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 12/08/2005 License Detail Page 2 of2 CONTRACTOR'S BOND: This license filed Contractor's Bond number 6061152 in the arr $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC. Effective Date: 06/02/2004 Contractor's Bonding History Workers Compensation Information * * ** * * This license is exempt from having workers compensation insurance; they certified that the\ employees at this time. Effective Date: 08/29/2003 Expire Date: None Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Personnel List Other Licenses ILicense Number Request H Contractor Name Request •Personnel Name Request: ; 1 • — . m 1 • "'" " ------ _ • Salesperson. Request I Sajespe/_spn_N_ame Request 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 12/08/2005