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Home My WebLink About2371 CARINGA WAY; J; CB960099; Permit«>C / £ BUILDING PERMIT 01/18/96 08:48 Page 1 of 1 Job Address: 2371 CARINGA WY Permit Type: PLUMBING Parcel No: 215-240-42-00 Valuation.: 0 Occupancy Group: Description: REPAIR GAS LINE Suite: J Lot#: Reference*: Permit No: CB960099 Project No: A9600166 Development No: Appl/Ownr : MESTLER, PHILIP 2385 CARINGA WY CARLSBAD, CA 92009 *** Fees Required *** Construction Type: NEW Status: ISSUED Applied: 01/18/96 Apr/Issue: 01/18/96 Entered By: RMA 619-431-7575 ffcfctollected & Credits * * * Fees : Adjustments : Total Fees: Fee description Total Cjr»«f i-fca ; &ta'l Payment a * -». Ba 1 ance , Due t ^ Units . 00 .00 27.00 Ext fee Data Enter "Y" for Plum! Gas Piping System *- PLUMBING TOTAL •Issue Pee 20.00 Y 7. 00 27. 00 'APPROVAL HATF LEARANCE /- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION City of Carlsbad Buildina Depart»ent 2075 Las PaUaas Dr., Carlsbad. CA 92009 (619) 438-1161 I. 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 . 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLANCK DEPOSIT VALTD. BY DATE ~j~J FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs Q 2 Structural Gales O 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.# OF STORIES # OF BEDROOMS # OF BATHROOMS NAME (last name first) -^7 ^A^^ C rT$ I. CITY y 4. APPLICANT LI CON \v NAME (last name first) (.if ditierent irom applicant; STATE ADDRESS ZIP CODE DAY TELEPHONE U CUN TKACIUK UAGENT FORTCONTRACTOR U OWNER tpn\L.\f> ADDRESS 2.5^5" c AGENT FOR OWNtH !>. 6. 7. CITY C.A/Z-use.Ark FKUFKKIT OWNER NAME (last name first) T"'"* QTY t><_\ rt^r STATE t*fv Ow\o V.'t*. STATE ^A dUN'mAciUK SA/N t>i'e«io N «-*•'«NAME (last name first) T<,<*. NVcWol o-b CITY STATE STATE LIC. # ^V3.iA DESIGNER NAME (last name first) CITY WORKERS1 COMPENSATION STATE ZIP CODE ^ <_4A. ZIP CODE ^Xoo^ DAY TELEPHONE pW) HStO57S" ADDRESS 1 44 *- CLo^U. fca-\ m^ *2-O *? Z^M M DAY TELEPHONE "~ '"3 ADDRESS ZIP CODE DAY TELEPHONE f LICENSE CLASS CITY BUSINESS LIC. # ZIP CODE ADDRESS DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby attirm that I have a certificate ot consent to self-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 POLICY NO.EXPIRATION DATE CerfiticateoT Exemption: I certify that in the performance of the work tor 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 uwner-Buuder Declaration: 1 nereoy attirm tnat 1 am exempt trom tne contractors License taw tor tne touowmg 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 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.). U I, aspwner^ofthe 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). 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 repairany 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 appIicaTtMo a civil penalty of not more than five hundred dollars [$500]). SIGNATURED "1^==^-- =- /U— J- for A^^~ DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMl'rS 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? D YES D NOIs 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. y.LENDING T hereby affirm that there is a construction lending agency tor tne performance ot tne worK tor wnicn tnis permit is issued isec joy/iu uvu v^oue;. LENDER'S NAME LENDER'S ADDRESS 1O. AfyUCAHT CEKTirmVTHJfl 1 certify that 1 nave read the application and state tnat the aoove information is correct. I agree to comply witn 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 UABnJTIES, 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aband^nedUatany rime afterqljc wuik u luiiiiiienced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE-—^ z /? DATE: /-if-? I, ^ i^3" WHITE: File YELLX>W: Applicant PINK: Finance City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ i\o _ . 2. I (have/have not) na-oe. — _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 5>«^s "v^-c^o AJa-j-me- i^^Vifya - T-c^L M<Aol*.b Address _ City _ Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _ ^" _ Address ^<^ City Pheffe Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner (^~~~^ /£y-g«.<t- f*s 0*-~. Date: /->t-1t> 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1576 • (619) 438-1161