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Home My WebLink About2352 CARINGA WAY; A; CB043007; Permit08-03-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB043007 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2352 CARINGA WY CBAD St: A PLUM 2152402924 Lot #: 0 Construction Type: NEW RODARTE RESIDENCE WATER HEATER REPLACEMENT Status: ISSUED Applied: 08/03/2004 Entered By: MDP Plan Approved: 08/03/2004 Issued: 08/03/2004 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: RODARTE CECILIA 2376 ALTISMA WAY #K 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 TOTAL PERMIT 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 $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 8075 08/04/04 0002 01 02 CGP 27«00 PERMIT!- SECTION i 'RED IN ACCORDANCE WITH U.3.C SIGNATURE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE OE$LY PLAN CHECK NO/ Jl) ft V )//) T1-^ ./ c^*" f EST. VAL. Plan Ck. Deposit Validated By Date_ Address (include Bldg/Suite »)Business Name lat this address) Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units (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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged emption. Any violation of Section 7031 .5 by any applicant foe a permit subjectsJthe applicant to a civil penalty of not more than five hundred dollars (i5.fi\cn ' e usness an roessons oe or a e a permit subjectsJthe applicant to a civil pefeou f piX. £\(a\ * * fJ / City JName State License # Address License Class City J Stati City Business License # Address City State/Zip TelephoneDesigner Name State License # 'fi'V& 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 performance of tjje work for which this permit is issued. jSl I have and will 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'segropensatloninsurarj^e carrier and policy number are: ' •—•) -jt f"V-^—jr *•••* t Insurance Company \}\Cj^\^^> V\^Mi\^A Policy No. J ./ JC7>J J\0'~\j'*~\ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] OR LESS) CD CERTIFICATE OF EXEMPTION: 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 the Workers' Compensation Laws of California. WARNING: Failure to- secure w|ylii!rk'compensatigji coverff&f unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10Q.OOQ)^n^ddiwrto tjieyffoi comp^tsiitlgyfj)«^'»""« as provided for in Section 3706 of thej.afor codjt.jnjereft and attorney's fees. SIGNATURE X\-.tt i"**' * nich this permit is 4/05. I hereby affirm that I am exempt from the Contractors License Law for the following reason: n 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). f~l 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). . |~1 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. l~l YES f~lNO 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. l~l YES I (have / have not) signed an application for a building permit for the proposed work. 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 / contractors license number): 5. 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 SllinfflsjssBJHssg^^ 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? O YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school site? Q YES Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS_ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit> of Carlsbad to enter upon the above mentioned 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 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 180 days from the date of such permit or if the building or work authorized by^uch permit Is suspended or abandoned at any time alter the work Is commencedfapi^yriod of 180 dajjs (Sec%r^^b.4.4 Uniform Building Code). APPLICANT'S SIGNATURE JT^S* ^LmJt ^1 . , , j' ~f DATE YELLOW: Applicant PINK: Finance COMPENSATION INSURANCE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 CERTIFICATE OP WORKERS' COMPENSATION INSURANCE POLICY NUMBER. 173S576 - CERTIFICATE EXPIRES: 4-J - 0? r • CITY QF 1&35 $EP$RTMEMT JOB; fill OPERATIONS This is to Certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. 38 This policy is not subject to cancellation by the Fund except upon $$ days' advance written notice to the employer. We will also give you "jjt^l •days'1 advance notice should this policy be cancelled prior to its normal expiration. ~ > ^ '*> • * , * 'This certificate of insurance, is not an insurance pokey and does not amend, extend or, -alter the coverage afforded by the policies listed herein. Notwfthstanding arty Requirement^ term, or condition of any contract' or other document with respect to'-swnjch Ihis certificate 'of insurance 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. . | 3 LIABILITY LINfT UMXU&INB DEFENSE 'cOStS s tJ? " \ ' / ENDORSEMENT #£065 ENTITLE0 *CERTfrICftTE HOLDERS'^NDTICE EFFECTIVE IS ATTACHED TO i^NQ-FOflMS A PflRT OF THIS POLICY. ' PRftSlbENT PER OCCURRENCE: EMPLOYER •~"~~"—^., r A t 1 JEEV. 5-03! SCIF 1026? (REV 5-01)