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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 • ,' , " "',' ^Pv^-'f", K-Cr:'. •'•{ "•• /-••«• ' -. 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. ':r'':|fci^CaWlfttorin&iHito '" '""x -*"-1.' ^'^i'^';;; . ,^'^v^'e Visa: |~~| Mastercard: [ | Other: | | Project Information : Homeowner Phone Number: aaHG*wsM.fi#*t*M(>. ca Paper P#T-^ ?-:^\V*:J^j^)||p|)Sjilp^ Attachments: WC [•] SCL \t/\ SASE [•] AA [•] CBL |_| CCA |_J Agent Authorization: ORG | | NOT. | | AAType: "Ageat AuthorizatioB"- By canapiirtai and istamiag Hie Jafotm itifecfise Net Cleric, fee, to tot as «i aggnt oa yoiar bcWft fi? WkamMMt® Cmcem: below, assectem <tfN*t®nk Inc. 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