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Home My WebLink About2371 CARINGA WAY; I; CB970643; PermitBUILDING PERMIT 03/24/9f 11:46 Page 1 of 1 Job Address: 2371 CARINGA WY Permit Type: PLUMBING Parcel No: 215-240-42-00 Valuation: 0 Occupancy Group: Description: 3' GAS RISER Suite: Lot#: Reference*; Permit No: CB970643 Project No: A9700832 Development No: Appl/Ownr : JA BRIEN PLUMBING 3408 MISSION BLVD SAN DIEGO, CA 92109 *** Fees Required *** *. Fees : Adjustments: Total Fees : Fee description 3528 03/24/97 0001 01 02 Construction Type^EW 27'°° Status: ISSUED Applied: 03/24/97 Apr/Issue: 03/24/97 Entered By: JM 619 488-2780 Collected & Credits Enter "Y" for Plumbi Gas Piping System * PLUMBING TOTAL *** .00 . 00 27. 00 Ext fee Data 20.00 Y 7". 00 27.00 FINAL APPROVAL wsp._2k*j/ DATE W-EARANGE^i^/r/ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION * CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619)438-1161 FOR OFFICE USE ONL PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By. Date AddraM (include Bldg/Suita «>Business Nam* (at thia address) Legal Description Lot No.Subdivision Nama/Numbar Unit No.Phase No.Total * of units Assessor's Parcal *Existing Use Proposed Use SQ.FT.tof Stories f of Bedrooms * of Bathrooms Telephone* PB_»i-4£nn) Name (Sec. 7031.5 Business and Professions Code: Any City or County which requires e permit to construct, altar, 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he *s exempt therefrom, and the basis for the alleged violation of Section 7031.5 by any appfcant for a permiraubjects the applicant to a.civil penalty of not more than five hundred dollarsJtSOQJ).c, &. Name State License * ^/ A--V6 Designer Name State License * Address =5V*'? M 1 -5i/"»l 1 C/ j License Class C^"?*&? Address i" City CHyBusmei City State/Zip is License* State/Zip Telephone* ~ Telephone Wi ompensation 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 workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. ,0(have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for-which this permit is My worker's i Insurance Company, i insurance r number are: Policy No.Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESSI O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thia permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: FaBujato secure- workers' compensation coverage is unlawful, and shal subject an employer to criminal penalties and dvi fines up to one hundred thousand do«a«i(flfcp4000)j£addltion to, the cost of compensation, damages aa provided for In Section 3708 of the Lebo/ code. Interest and attorney's fees. SIGNATURE V-Jx!P^— • - — _ DATE "2. /} <// G \ DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). 0 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 comractorls) licensed pursuant to the Contractor's License Law). D I am exempt under Section _ Business and Professions Code for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property Improvement. O YES DNO 2. I (have / have not) 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 (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): • 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE US: Is tha applicant or future building occupant required to *ubinit a bu*ineu pian, acutely hazardoua materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or f uture building occupant required to obtain a permit from tr» air poHution control district Of air qualtty management district? O YES O NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school she? O YES O NO V ANY OF THE ANSWERS ARE YES. A FINAL CERTWCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. : I hereby affirm that there is a construction lending agency for the performance of the work for which thia permit is issued (Sec. 30970) Civil Code). LENDER'S ADDRESSLENDER'S NAME ^ APHJCANTCERTIFICATION - jf-t. , , I certify that I have read the application and state that tha above Information is correct and that the information on the plena is accurate. 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 LIABILITIES, 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 B'Q" deep end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued'bV the Buildino^Wicial under the provisions of this Coda shell expire by limitation and become null and void if the building or work authorized by such permit/is not cemmencen^thin 366>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 wVtf> cojjfcfenc^dJCT a period of 180_days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance ^f DATE 3/•?<//<? 7 INSPECTOR PERMIT * JOB ADDRESS DESCRIPTION PLAN CHECK* TIME ARRIVE:TIME CODE DESCRIPTION ACT COMMENTS Feb-1-4-97 1O.-15 HARTLEY SCOTT KNIERI P.O1 iARTLEY SCOTT & ?.O. BOX 4068 SAN DIEGO CA 92164 INSURED 1RIEN PLUMBING CO. TERRY BRIEN 3408 MISSION BLVD. 5AN DIEGO, CA 92109 ACOKII. CERTIFICATE OF INSURANCE 04793 tSWTMIE KNIERIM •JNFOMU7 4MM/DO/TY) 02/14/97 THW CEffUFICATE IB ISSUED AS * MATTER Of HfOHHJkTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCTE8 BELOW. COMPANIES AFFORDING COVERAGE COMPANY IMIhM GOLDEN EAGLE INSURANCE COMPANY LfcllfeM B COMPANY LETTER COMPANY U-iiui COMPANY 1FTTFR COVERAGES TH» W TO GEKTVFY TWT 1INOICATFD. N -------wmr*c*OCCLUSIO IWTFO BELOM IMWE BE£Hr. i I.HM ort CONQITION OF ANY AND i ANY REOUIREMCNr. 11 MM Ort CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTA MAY nERTAMI THE IWUfWNCL Af-fOWtU OV THf POl^JFS OFSCftWFD HfWlN « SU8JFCT TO AltOF SUCH POUClES. LIMITS SHOWN MAVIUWf. IJt»-N HHJUCI-I3 MY l»Ad3 a AIMS. . POLICY VUTOOTO WHICH THIS- IVPEOFmSWMMCC MM.ICVNUM8ER MIC <VMIWDO/Yn DATE OMM/DIVYV) fiCMCRALUABUTY RCIAL GCNERAUJAWLIIY AMSMADC | JOCCUR HI-NH4AI AtittHftiATF COMP/OPAOO PbHSONALftAUV INJUHV gwivf ft-s « coMnucTon-s mor me OAMACC (Any wi« Hie) MFO.FXP (Any one penon) AUTOHOBItE UABRITT ANY AUTO Ml OWNFD AUTOS rXXMHmHI 1 HINHI f- BODILY INJURY (Per nelson) MM=n AUTOS >«ON-(HVNI-I J AUTOS DOD1LYINJUTTY excel* IMMUTX UM0WUJ* I-UHM OTHER THAN UW8NUXA K)KU AUtiAFBATf WOMUH » COI»B>«»TIOK NWC22343B04 02/03/97 02/03/98 STATUTOnYUMITS EACHACCIOCNT « l.OOO.OQC DOCASE-FOLCY UMn * i.ooo:ooc DCCASC-CACH CMTLOYCC l.OOO.OOC OTMCR DESCMrnOM Of O»eMTNMIC/I.OeATIOW/VIHICtM/«MCIAL ITOM LICENSE NO. 424041 10 DAYS NOTICE APPLIES FOR NON PAYMENT OF PREMIUM CANCELLATION CERTIFICATE HOLDER CITY OF SAN DIEGO BLDG. SAFETY DEPT. 1222 FIRST AVE SAN DIEGO CA 92101 CANCELLATION SHOULD ANY Oh fME ABOVE DESCRIBED POLICIES BE CANCCUCD OCrORT HIT EXPIRATION DATE THEREOF. TIC ISSUING COMPANY WHI KNOfcAVOM IO MAIL 10 DAYSWHITTCNNOllCt IO IMh CHrt'lFlCATF HOI OER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMHOSI NO OHIIGAIION OH LIABILITY OF ANY KIND UPON THE COMPANY. IIS AGf.NIS OMHt-(*lt St-NIAIM-S ACOAD 2&4 (7/90)C.ACOHD CORPORATION IHO