HomeMy WebLinkAbout2371 CARINGA WAY; G; CB950124; PermitBUILDING
01/19/95 11:29
Page 1 of 1
Job Address: 2371 CARINGA WY
Permit Type: PLUMBING
Parcel No: 215-240-42-00
Valuation: 0
Construction Type: NEW
Occupancy Group:
Description: GAS REPAIR
PERMIT
Suite: G
Lot#:
Reference*;
AppL/Ownr : EAST COUNTY PLUMBING
2385 CARINGA WAY
CARLSBAD, CA. 920
*** Fees Required **
Fees :
Adjustments:
Total Fees:
Fee description
619 561-3860
Permit No: CB950124
Project No: A9500162
Development No:
0361 01/19/95 0001 01 02
C-PRMT 27-00
Status: ISSUED
Applied: 01/19/95
Apr/Issue: 01/19/95
Entered By: MDP
Enter "Y" for PI
Gas Piping System
* PLUMBING TOTAL
& Credits ***
.00
.00
27.00
Ext fee Data
20 . 00 Y
7. 00
27. 00
PROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Raises Dr.. Carlsbad, CA 92009 (619) 438-1161
1. PERMIT 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.
PLAN CHECK NO.
EST.VAL
PLANCK DEPOSIT,
VALID. BY ~
DATE
Z PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2,37/
Nearest Cross Street ftLf
Wy Building or suite No.
LEGAL DESCRIPTION Lot Subdivision Name/Number Phase No.
CHECK BELOW IF SUBM1ITED:
O 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
SQ.FT.
£epA,ir 9«-$ /
# OF STORIES
EXISTING USE
# OF BEDROOMS
PROPOSED USE
»r«4-
# OF BATHROOMS3. UUNTAC.I PERSON (.u oilterent trom applicant]
NAME Oast name first)
CITY STATE
ADDRESS
ZIP CODE
CA4->fil*fir
DAY TELEPHONE
4, APPLICANT U CON IKACTOR Q AGENT rOF
NAME (last name first) fK&>V-&*-
CITY C**Ci4A Ar4A STATE
CONTRACTOR
ADDRESS
ZIP CODE
D OWNER BCVGENT rOR OWNER
DAY TELEPHONE ^7 S"? j""
3. PROPERTY OWNER
NAME (last name first)
OTY
ADDRESS £>t.
STATE ZIP CODE DAYTELEPHONE
O, CONTRACTOR /
NAME (last name first)ADDRESS
CITY STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
DAYTELEPHONE
CITY BUSINESS UC. #
NAME (.last name rirstj ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7rwORKEHS" COMPENSATION
Workers Compensation Declaration: I hereby affirm mat I have a certificate or consent to self-insure issued by the Director of 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 POLICY NO.EXPIRATION DATE
Certificate of Exemption: I certify that in the performance or 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.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
owner-minder Declaration: 1 hereby attirm that I am exempt trom the contractors License Law tor the following reason:
O 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 intendedor 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.).
O 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 theprovisions 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
COMfLUTE TiM SECTION 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 NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D 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 APPIJCANT
HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT,
ft. CONbiHUUllON LENDING AGENCY
1 hereby attirm that mere is a construction lending agency tor the performance ot the work tor which this permit is issued ibec 309710 civil codej.
LENDER'S NAME LENDER'S ADDRESS
1U. APNJUINT
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and state laws
relating 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 UABIUTDES, 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 I
building or work authorized bfsuch permit isj
such permit is suspended o/ab
APPLICANTS SIGI*
I under the provisions of this Code shall expire by limitation and become null and void if the
ommenced within 365 days from the date of such permit or if the building or work authorized by
-. nfrrr the iynrk ii rnniini in i il fur a period of 180 days (Section 303(d) Uniform Building Code)
DATE: l-/1
WHITE: Ffle YELLOW: Applicant PINK: Finance