HomeMy WebLinkAbout2371 CARINGA WAY; H; CB960185; Permit02/02/96 14:53
Permit Type: PLUMBING
Parcel No: 215-240-42-00
Valuation:
BUILDING PERMIT
Suite: /7
Lot#:
Reference*:
Permit No: CB960185
Project No: A9600288
Development No:
LINE REPMH
Appl/0wnr ,
CARLSBAD, CA. 92008
e<c##tt> r.
*** Fees Required ***
5858 02/02/96 OOOi 01 02
C-PRHT 27-Oy
Construction Type: VN
Status: ISSUED
Applied: 02/02/96
Apr/Issue: 02/02/96
Entered By: MDP
619 729-4914
Fees:
Adjustments:
Total Fees:
Fee description
~Enter "Y" for Plumbi
Gas Piping System
* PLUMBING TOTAL
27
& Credits ***
.00
.00
27.00
Ext fee Data
20.00 Y
7.00
27,00
FINAL APPROVAL
(NSP. 1> DATE y
CLEARANCE J-f-
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Pa(BBS Dr., Carlsbad. CA 92009 (619) 438-1161
1. FliKMlT TYKE
A - U Commercial U New Building U Tenant Improvement
B - D Industrial D New Building O Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation O Mobile Home O Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D SeterTrothet
s \ . / i
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT,
VALID. BY
DATE
2. PROJECT INFORMATION
D2 Energy Calcs
BMITTED:
D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL ^XISTJNGUSE.PROPOSED USE
DESCRIPTION OF WORK
SQ.FT.# OF STO
NAME
CITY
rKnaUN lit ditterent trom applicant]
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT
NAME
CITY
'new ri*f£ "r°}
t}/) I \d( STATE ZIP CODE DAY TELEPHONE
6. UUNTHAL.TUK
NAME
CrTTp STATE
STATE LIC. #^fipt
ADDRESS
ZIP CODE
fD LICENSE CLASS £
DAY TELEPHONE
3 b CITY BUSINESS LIC. #14 TOO
CITY
7, WUWU^CUMPKNSATIUN
STATE
AlJUKtbS
ZIP CODE DAY TELEPHONE STATE UC.
Workers' Compensation Declaration: I hereby affirm that I have a ceruncate of 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 EXPIRATION DATE
Ceruncate of Exemption: T certify that in the performance ot the worlc tor which
so as to become subject to the Workers' Compensation Laws of California.
us permit is issued, I snail not employ any person in any manner
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby attirm that I am exempt trom the Contractors License Law tor the following 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 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.).
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(s) licensed pursuant to the Contractor's License Law).
n 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
s ECTION »JR 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?
D YES n 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 UNUSS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
V. UUHSTKlHJrUJM LEHLHIMU AUENC.T
I hereby attirm that there is a construction lending agency tor the performance ot tne worlc for which this permit is issued (Sec 3O97W uvu (Jodej.
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that I have read tne 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 UABILTTIES, JUDGMENTS, COSTS
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 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE:
iW: Applicant PINK: Finance