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Home My WebLink About2352 CARINGA WAY; BLDG J; CB951191; PermitBUILDING PERMIT 09/01/95 12:15 Page 1 of 1 Job Address: 2352 CARINGA WY Suite: Permit Type: PLUMBING Parcel No: 215-240-29-28 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Description: REPAIR BROKEN SEWER LINE-FRONT : OF HOUSE Appl/Ownr DRAIN PATROL 7764 ARJONS DR SAN DIEGO, CA *** Fees Required **M Fees: Adjustments: Total Fees: Fee description -ffi* !/-".«0 35.00 Enter "Y" for Each Building * PLUMBING TOTAL I«sue Fee Permit No: CB951191 Project No: A9501766 Development No: 3478 09/01/95 0001 01 02 C-PRMT 35»00 Status: ISSUED Applied: 09/01/95 Apr/Issue: 09/01/95 Entered By: RMA 619-560-1137 , 'PteS-.^O^iected & Credits _ ' *_'iiik * _ ___ ___ _ *** • 'Total .Cfedftfn Total P«yntent»jt' Balance DtM%i, - Units Fee/tfijklt , IS.fd .00 .00 35.00 Ext fee Data 20.00 Y 15.00 35.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT-APPLICATION City of Carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PfcKMir TYPE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL_ PLANCK VALID. BY DATE FOR OFFICE USE ONLY Building or Suite No. Nearest Cross Street I LbCiAL DESCRIPTION Subdivision Name/Number Unit No.Phase No. CHtCK BhlJUW If bUBMH ILD: D 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE 3EQSED USE DESCRIPTION OF WORK SQ.FT.£*cOF STORIES # OF BEDROOMS # OF BATHROOMSULUM IAL.I FtHi*JN (.it qifterent.troniLappucan NAME (last name first) CrvK, (r CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. AFFUUANT U CONTRACTOR D AGENT r OR CONTRACTOR UOWNLK PAGENT KJK OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE 6. CONTRACTORNAME (last name first)l<\ SrVlttA ADDRESS 77 6^ CITY-OC*Y\ UlCOO STATE Cf/T ZIP CODE <^p> )C1^ DAY TELEPHONE S^6O~ STATE LIC. »^32J36 LICENSE CLASS CITY BUSINESS LIC. # / / *? *7/9 DESIGNER NAMK (last name first) CITY STATE ^ADDRESS ZIP CODE DAY TELEPHONE STATE LJC. # 7. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby attirm that I have a certificate or consent to selt-insure issued by the Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY ccyTpy,iifyfthat in the RATION DATE Certificate ot Exerpption: 1 certirrf that in the performance ot the work For^whn so as tojjecome subjecCsto^die Workers' Compensation Laws of California.*' IATE. is permit is issued, 1 shall not errfploy any person in any manner 8. UWNER-] uwner-uuimer ueciaraaon: 1 nereoy attirm tnat i am exempt trom me oontractors License Law tor Ine lollowmg reason: D 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 oroffered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildsor 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.). D 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^) licensed pursuant to the Contractor's License Law). D I am exempt under Section _ Business and Professions Code for this reason: (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, commencing with Section 7000 of Division 3 of the Business and Professions Code)or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE 1 a SEL.TIUN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? D 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? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. (JUNSTKUCJllUN LENDING AGENCY I hereby attirm tnat mere is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(i; Civil Code). LENDER'S NAME LENDER'S ADDRESS ID. APP14UVN I U&K'lll'UJA'llUN I certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and btate lawsrelating to building construction. I hereby authorize representatives of the City 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 UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 thebuilding or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform DATE:V WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB951191 FOR 09/05/95 INSPECTOR AREA DESCRIPTION: REPAIR BROKEN SEWER LINE-FRONT PLANCK* CB951191 OF HOUSE OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2352 CARINGA WY STE: LOT: APPLICANT: DRAIN PATROL PHONE: 619-560-1137 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/ALEX/741-7503 SPECIAL INSTRUCT: PM PLS TOTAL TIME: CD LVL DESCRIPTION 22 PL Sewer/Water Service INSPECTOR ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by section 3700 f the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO.EXPIRATION DATE: --- (THIS SECTION NEED NOT BE COMPLETEFIF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 *• C. .workers compensation laws of California. Signature Date ' ' Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2O75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 - (619) 438-1161 • FAX (619) 438-0894 AOOIUt. CERTIFICATE OF INSURANCE FRODt'CtR , Warren u. bender Co. 4550 Auburn Blvd. #100 P.O. Box 417<5fi Sacramento CA 9S8/t 1-7458 916-ASA-112y CSR CR DRAIN-) DAlEfMM/bDttY 07/03/95 THIS CERTIFICATE IS ISSUED AS A NUTTER OF INFORMATION" ONLY AND CONFERS NO RIGHTS UPON TILE CEIttiriCAlE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFTORJ/ED BV TKK POLICIES BELOW. COMMKIES AFFORDING COVIJIUCF. COMPANY A California Compensation INSURED American Alliance Always Available DBA: Drain Patrol 2AOO LindbQJ-gh Street Auburn CA 95602 COMPANY B Vail try Insurance COMPANY COMPANY D COVERAGES THIS IS TO CERT 1PY THAT TUB POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOWniSTAKDIHG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIScr.Ri ipicATfi MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO AIL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH rOLIOES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. CO Lin B 8 .. — „ A rvrs or 1WHANCE riwcv M Mnrn | CEh'EIUf, I..I/HIH.ITV X| COMMERCIAL CiEHRllAJL. UAB(UT> i_ , | CLAIMS MADE fx~| OCCUR 1 I OWNER'S & CONTRACT CfR'S FRCT i 1 AnQMOBILELIABILITV XI ANY AUTO X X AlLOWNBOAlrfOS SCHEDULED AUTOS WRCD AUTOS NON-OWN6D AUTQS CAlucetiARiunr Af<Y AUTO EXCESS J.UB1UTY UMMEtU FORM OTHE* TR\N OM6REI.LA FORM WORKEnS COMPENSATION EMrtOYEW HAPlLin- THB rRorRUETOP,' FAPTKERS /EXECUTIVE Of f ICERS AHE: OTWT.R AM> INCL EXCt, CP1J920 CP139ZO W94700521 I'OLICV EWECf |VE PATE (MM/VD/1'VI 07/01/95 07/01/95 07/01/95 rOLICV EXridATlON . „.„. PATl 0*tNIrtJD/VY| | '''' "T* 07/01/96 07/01/96 07/01/96 GENERAL AGGREGATE 1,000,000 ritODUcrs . CQHHW AOG rERSOHALAADVIWURY EACHOCC^KENCB FIRJE OAMAOE (AVOW t>") MED BXr (Any CM p«non) COMBINED SINGLE LIMIT BODILY INJURY (Per pcrwnl BOWLY (MJURY(Ftr McMf no CROfEftTy DAMACt AUTO OMLY - BA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIPEOT AGCREQATE EACH OCCOWENCE AOQnEQATB STATUTORY LlMtTt EACH ACCIDENT pisEASE-roucTUMrr W«AfE-EACHeMPL9VEE 1,000.000 1,000,000 1,000,000 50.000 3,000 t 1,000,000 I t » I 1 1 I s J t 1,000, QOO I 1.000.000 t 1,000,000 UESCR.IJTT1ON OF QPERATlONSA-OtATlOXSA EH1CL1S/SPECUUITCMS Re: All California OperationsAdditional Insured-Genera I Uatbillty-Per attached endorsement CG 2010 1185It i< agreed that the policy contain? a Waiver of Subrogation in favor ofcity of San Diego :ERTIFICATE HOLDER SANDIEG City of San Diego 1ZZP Cirst AVQHUC, MS301 San Di«>BO, CA 92101 ACORI) -25- CANCELLATION SHOULD AKY Of TH£ ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE tXFlRATlON DATE THEREOF, THE ISSIWC COMPANY WltL MAIL JP__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.