HomeMy WebLinkAbout2372 CARINGA WAY; B; CB010637; Permit02/23/2001 '
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No:CB010637
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2372 CARINGA WY CBAD
PLUM
2152402908 Lot#: 0
Construction Type: NEW
LOSTUS RES/ NEW WATER HEATER
Status: ISSUED
Applied: 02/13/2001
Entered By: CB
Plan Approved: 02/13/2001
Issued: 02/13/2001
Inspect Area:
Applicant:
ALL STARS WATER HEATERS & PLUMBING
26867 PELHAM PL
HAYWARD CA 94542
510-583-1300
Owner:
GORMAN STEPHANIE E
2372 CARINGA WAY #D
CARLSBAD CA 92009
2554 02/26/01 0002 01 02
27.00
Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due: $27.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum RrpskprVdWUUIII LJI CCll\d
Other Plumbing Fees
0
0
0
0
1
0ov ^— •*•"""
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00$0.00
,— ^ $p!oo ~~ -^
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
EXPIRED i|RMIT
PERMIT HAS EXPIRED IN ACCORDANCE WirwTB.C,
SECTION 106.4.4 $27.00
SIGNATURE
Inspector:
FINAL APPROVAL
Date:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactbns." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suite #)
Legal Description
Business Name (at this address)
Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parr.pl «Existing Use Proposed Use
Description of Work SQ.FT.# of Stories # of Bedrooms # of Bathrooms
ST
Name Telephone #Fax*
Name Address City State/Zip Telephone #
(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, commending 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]).
All Star Water Heaters & Plumbing 26867 Pelham PL Hayward CA 94542 5105831300
Name
State License # 778156
Address
License Class c36
City State/Zip
City Business License #
ST
Telephone #
Designer Name Address City State/Zip Telephone
State Licence #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
LI I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the Performance
of the work for which this permit is issued.
l~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company n/a Policy No. exempt Expiration Date 12/31/2001
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
{£] CERTIFICATE OF EXEMPTION: I certify that m 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 Workers' Compenritiqg La/s of California.
WARNING: Failure to secure workers'
thousand dollars ($100,000), in additii
SIGNATURE
•age is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
nsation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
DATE 02/09/2001
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
l~l 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).
Q 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 threreon, 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:
YES NO1. I personally plan to provide the major labor and materials for construction of the proposed property improvement Fl
2. I (have / have not) signed an applicant 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):
<Name> <Address> <Work Phone> <State License>
4. I plan to provide portions of the work hut I have hired the fnllnwinn nerson to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number) <Name> <Address> <Work Phone> <State License>
5. I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name / address / phone number / type
of work): <Name> <Address> <Work Phone> <Work Type>
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials r
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
istration form or risk management and prevention
YES CD 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 Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of school site? D YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 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 this permit is issued (Sec. 3067(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans 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,
JUDGEMENTS.C
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
authorized by such permit is not commenced within 180
at any time after the work is commenced for a period
APPLICANT'S SIGNATURE
^provisions of this Code shall expire by limitation and become null and void if the building or work
date of such permit or if the building or work authorized by such permit is suspended or abandoned
~" ' L4.4 Uniform Building Code).
DATE 02/09/2001
720 Dubuque Ave., South San Francisco, Ca. 94080
Government Services: 888-330-1777
Fax: 877-846-5888
Permit
Application
Mail
TO: Carlsbad
Building
1635 Faraday Ave
Carlsbad
CA 92008
Phone: 760602271 8
Fax: 7606028558
Permit Handling Instructions
Mail
The approved permit will be mailed to you.
Additional Comments
' " * * , " ' '
Company: All Star Water Heaters & Plumbing
Address: 26867 Pelham PL.
City: Hayward
State / Zip: CA 94542
Phone: 5105831300
Fax: 5105831114
Email: arnoldlowenstein@msn.com
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Credit Card Number:
Expiration Date: /
Card Holder Name:
Homeowner Name:
Project Address: £ ~ 2732 &
Valuation:
Job Description:
Residential D Commercial L3
• ""•': :;"•",.'.•:-• .wiil-;1: *-"?'". '' . " ^jJIIMfA
Payment: YES
Permit Type: Check
Permit ID: 66105
"" Contractor Information . " :" '' \' -'•"'•"•' ••!?:•, '"--.
Worker's Comp Carrier: n/a
Worker's Comp: exempt Exp. 12/31/2001
State Contractor's License: 778156 Exp. 05/31/2002
License Class / Type:
Exp.
Exp.
Business License #: Exp.
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Visa: |~~|
Mastercard: [ |
Other: | |
Project Information :
Homeowner Phone Number:
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Paper
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Attachments: WC [•] SCL \t/\ SASE [•] AA [•] CBL |_| CCA |_J
Agent Authorization: ORG | | NOT. | |
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