The URL can be used to link to this page

Home My WebLink About2371 CARINGA WAY; E; CB962275; Permit,,, ,-c , BUILDING PE11/26/9612:19 Page 1 of 1 Job Address: 2371 CARINGA WY Permit Type: PLUMBING Parcel No: 2.15-240-42-00 r Valuation: 0 Occupancy Group: Referenced: Description: REPAIR EXISTING GAS LINE Appl/Ownr : NICHOLAS, TED 1019 AGATE STREET #D SAN DIEGO, CA. 92109 *** Fees Required *** R M I T Permit No: CB962275 Project No: A9603237 Development. No: Suite: E 1231 11/26/96 3001 01 02ot#: C-PRMT 27-00 Construction Type: VN Status: ISSUED Applied: 11/26/96 Apr/Issue: 11/26/96 Entered By: MDP 619 595-2403 cted & Credits * * *Fees : Adjustments : Total Fees: Fee description t"\.-. Enter "Y" for Plumbin«J?dfWFe# > Gas Piping System «W,., .^ * PLUMBING TOTAL FiNAPPROVAL ri f= AR AMHF / CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Buildii* Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 1. FtKMll ITFE From List 1 (see back) jrive code of Permit-Type: For Residenrial Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units CHI 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN OC DEPOSIT. VALID. BY DATE FOR OFFICE USE ONLY Address .*> *> si it.3-t( Nearest Cross Street Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit NoT Phase No. CHECK BELOW IF SUBMITTED: Q2 Energy Calcs D 2 Structural Gales D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.rT. £>U # OF STORIES <?-/r5<-/A/<F <&> # OF BEDROOMS # OF BATHROOMS NAME (last name CITY _ / pucant; A STATE ADDRESS ZIP CODE i,../\tj\.( DAY TELEPHONE NAME (last name first) U lAJN 1 HAL. 1 L)H U AuhlM 1 rUK UJN1 HAL 1UK LJUWNtH U AUtN 1 rUK UWNfcK STATE ADDRESS ZIP CODE DAY TELEPHONE 408- CITY To-RRc^; STATE s T&O ADDRESS ZIP CODE DAY TELEPHONE D. CUNTRACIUR NAME (last name first) CITY ADDRESS ZIP CODE Q2.IOQ DAY TELEPHONE S~~9 S~ - LICENSE CLASS (LS(s> CITY BUSINESS LIC. DESIGNERTNAME (last name tirstj CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKEHg Workers' CompensationDeclaration: I hereby alnrm that I have a certificate 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 POLICY NO.EXPIRATION DATE Certificate of so as to SIGNATU: ertify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner Workers' Compensation Laws of California. DATEisr'^—*' ' v IMI rr8. UWNEH-BU uwnen-Bunoer Declaration: Thereby altirmTnalT am exempt from tne vjontraclops^^llcenseTaWToiruielolloWihg reason: D I, as owner of tne 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). Q 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 l-l> 5EUT1UN FOR NON-RESHJENTtAL 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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 OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UUNbTHmjUUN LENDING AUfcNUf I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(ij civil code.). LENDER'S NAME LENDER'S ADDRESS 1U. AWLUJANTUiKm'lCA'riUN I certify that I have read the application and state that the above information is correct, i agree to comply with all uty ordinances ana 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 OTY OF CARLSBAD AGAINST AIJ, UABOmES, 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 S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Offici building or work authorized by suchypermit is such permit is suspended or abandoned at air APPLICANTS SIGNATURE // U the provisions of this Code shall expire by limitation and become null and void if the 'ithin 365 days from the date of such permit or if the building or work authorized by is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: WHT ,OW: Applicant PINK: Finance DATE 7/-c2 PERMIT JOB ADDRESS DESCRIPTION INSPECTOR PLAN CHECK* -7 /// TIME ARRIVE:TIME CODE DESCRIPTION ACT 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 B. of 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 COMPLETED IF 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 //-?6- 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 92009-1576 • (619) 438-1161 • FAX (619) 438-0894