HomeMy WebLinkAbout2335 CARINGA WAY; 25; CB972931; PermitSuite: 25
BUILDING PERMIT
10/07/97 13:23
Page 1 of 1
Job Address: 2335 CARINGA WY
Permit Type: PLUMBING
Parcel No: 215-240-27-17 Lot# :
Valuation : 0
Occupancy Group: Referenced:
Description: WATER HEATER REPLACEMENT
Permit No:
Project No:
Development No:
CB972931
A9703746
Appl/Ownr
* **
MURRAY RICH
2335 CARINGA WAY #25
CARLSBAD, CA 92009
Fees Required *** **•*
Applied:
Apr/Issue:
Entered By:
ISSUEI?7'00
10/07/97
10/07/97
JM
760 929-0972
••Foes Collected & Credits ***
Fees: 27.00
Adjustments: ,00
Total Fees: 27.00
Fee description
Total Credits:
Total Payments.:
Balance Due$
Units Fee/Unit
. 00
. 00
27 . 00
Ext fee Data
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
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
2335-25 Caringa~Way~
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By_
Date
Address (include Bldg/Suite I)Button Name (at thl» address)
Legal Description Lot No.
SFR
Subdivision Name/Number Unit No.Phase No.Totel * of units
Assessor's Psrcsl *Existing Use Proposed Us*
Description of Work SO. FT.*of Stories f of Bedrooms * of Bathrooms
1H&iigBm£&&®*^
Name Addressm^mmmfam®SMmmmi>m. .
.Tr>HM.qnM/KR.ISTY FOSTER 13706-B HWY 8 BUS.
City State/Zip Telephone t Fax*
SHELLVName Address State/Zip Telephone 9
(Sec. 7031.6 Business end Proleesions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repelr eny structure, prior to Its
issusnce, elso requires the applicant for such permit to file e algnad statement that he la licensed pursuant to the provisions of the Contreclor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions CodeJ or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by eny applicant for a permit subjects the applicant to e civil penelty of not more than rive h.voM'»4,<)M*4» 1*5001).
FOSTER PUJM^Kre 1 ^t7nfi-R HWY 8 BUS. EL CAJON CA. 92021
State Ucenae<3Q12Q
Address
License Cls£-36
City Stati
.City Business License
Telephone t
X
Designer Name
Slate License fM/n
Address City State/Zip Telephone
Workers' Compensation Dadeiatlon: I hereby affirm under penalty of perjury one of the following declarations:
D I have and win maintain e certlfieete of consent to self-Insure for workers' compensation aa provided by Section 3700 of the Labor Coda, for the performance
of the work tor which this permit is Issued.
D I have and wW maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
Issued. My worker's compensation Insurance carrier and policy number are: ___„_,_ ,„,,-,
Insurance Cofnpa»ARMFTR INSURANCE _ - PoHcy NM2007-56-51 _ ExplratlonSSate
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit la laaued, I ahall not employ any parson In eny manner so ss
to become subject to the Workers' Compensation Laws of California.
WARNING: FeRure to secure-workers' compensation coverage la unlawful, and shad subject en employer to criminal peneltlea end cIvH fines up to one hundred
thousand dollars 1*100,000), In addition to the cost of compensation, damages as provided for In Section 370S of the Labo/ code, Interest and attorney's feea.
SIGNATURE. _ . _ DATE _
7. ' OWNER.BU.LDEfl DECUHATION^S
I hereby affirm that I am exempt from the Contrector's License Law for the following reason:
Q I, as owner of the property or my employees with wages as their sole compensation, wW do the work and the structure Is not intended or offered for sals
(Sec. 7044, Business end Professions Cods: The Contrector'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 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 purpose of sale).
0 I. es 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 doss not apply to an owner of property who builds, or Improve* thereon, end contracts for such pro|acta with contractor(s) Hcensed
pursuant to the Contrector'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 proposed property Improvement. Q YES QNO
2. I (have / have not) signed an application for i building permit for the 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 Nred the following person to coordinate, supervise end provide the major work (include name / address / phoni
number / contractors license number): _
5. I win provide some of the work, but I hsve contracted (hired) the following persons to provide the work indicsted (include name / address / phone number / typ
of work): _ _ _
PROPERTY OWNER SIGNATURE DATE
!&MjUffi&Hl*SECTO
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 25S06, ZS533 or 26634 of the Presley-Tenner Hazardous Substance Account Act? Q 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? O YES O NO
la 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there Is e construction lending egency. for the performence of the work for wNch this permit Is Issued (See. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
<&*& - -
I certify that I hsve read the application and Mate that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with al
City ordinances and State lews relating to building construction. I hereby euthorlie representatives of the City of Carlsbad to enter upon the above mentions.
property for 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 6'0* 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 end become null end void if the building <
work authorized by such permit Is not commenced within 365 deys from the dete of such permit or If the building or work authorized by such permit Is suspends
or abandoned at any time after the yotk to commenced (or • pertgd of 180 days tSeoJlon 108.4.4 Uniform Building Code). _ ^ f)—i
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB972931 FOR 10/30/97
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
JOB ADDRESS: 2335 CARINGA WY
APPLICANT: MURRAY RICH
CONTRACTOR:
OWNER:
REMARKS: C/RICH MURRAY/929-0972
SPECIAL INSTRUCT:
INSPECTOR AREA
PLANCK* CB972931
OCC GRP
CONSTR. TYPE NEW
STE: 25 LOT:
PHONE: 760 929-0972
PHONE:
PHONE:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
25 PL Water Heater/Vents
ACT COMMENTS
DATE DESCRIPTION
INSPECTION HISTORY *****
ACT INSP COMMENTS
. FROM : ftJFOSTB? INC FPX 461 5443 PHONE NO. :
COMMERCIAL CERTIRCATE OF INSURANCE
Sep. 08 1997 03:01PM PI
Issue Dale (MM/DD/YY)
GENCY
aim
&
ddress
ALLAN MEHDOZA
8880 RIO SAN DIEGO DR. #700
SAN DIEGO, CA 92108
MST 51.AGFMT
CURED
«m4
A&J POSTER INC*
13706 B HWT 8 BUSINESS
EL CAJON, CA 92021
This certffibate is Issued as a matter or information only and confers no rightsupon the certificate holder. This certificate does not amend, extend or aRer thecoverage afforded by the potities shown below.
COMPANIES raovnon COVERAGE:
urn" ft TRUCK INSURANCE EXCHANGE
I FARMERS INSURANCE EXCHANGE
C MID CENTURY INSURANCE COMPANY
ssr
VEMGB
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POUCT NUMBER
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RE: ALL OPERATIONS
IWICATE HOLDER
CITY OF SAN DIEGOame
&
ddress
BUILDING DEFT
9601 RIDGEHAVEN CT 2ND FLOOR
SAN DIEGO, CA 92123
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