HomeMy WebLinkAbout2379 CARINGA WAY; A | B; CB910814; Permit05/23/91 13:58 BUILDING PERMIT
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Job Address: 2379 CARINGA WY
Permit Type: PLUMBING
Parcel No: 215-240-42-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code•
Description: 2 GAS REPAIRS UNIT A & B
Appl/Ownr : BROWN, GREGG
2379 CARINGA WAY
CARLSBAD, CA
*** Fees Required **#,
Str:
Permit No: CB910814
Project No: A9100985
Development No:
2545 05/23/9ieoOOi 01 (P
C-PRHT 13-00
Status: ISSUED
Applied: 05/23/91
Apr/Issue: 05/23/91
Validated By: DC
619 281-9264
cted & Credits ** *Fees:
Adjustments :
Total Fees:
Enter "Y" for
Each Plumbing F
* PLUMBING TOTAL 2.00,1, ,2VpJt
•* ; " ' "* '* ~&?l
*.s *" * i " **M»-<*f'^lL— ^ * ^ * * " *.SUA*^? . -j^, * * aS*^^®A *, .
' *;
,00
.00
13. 00
Ext fee Data
7.50 Y
5 . 00
13.00
APPROVAL
INSP. /M^
CLEAfUNCE
DATE £& t>
CfTY OF CARLSBAD
2075 Las Palmas Dr., Caiisbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (eis) 438-nei
1. PERMIT TYPE_ IA - Q COMMERCIAL QNEWQTENANT IMPROVEMENT
B - D INDUSTRIAL QNEW nTEN*NT IMPROVEMENT
C - nRESIDEKTIAL DAPARTMENT QCONDO QslNGLE FAMILY DWELLING DAM1TION/ALTERATION
DDUPLEX QDEMOLITION DISLOCATION OMOBILE HOME QELECTRICAL (^PLUMBING
n*ECHANICAL QfCOL QSPA DETAINING WALL DSOIAR (BOTHER , .•
f^ft (/^ f f^f
2. PROJECT INFORMATION PLAN CHECK No. *~f/~* A / *f
Addr •BuTidT3£
EST. VAL
PLAN OC DEPOSIT.
VALID. BT
DATE ^^"^
FOR OFFICE USE OMI Yress
Nearest Cross Streets
n >r Sute
LEGAL DESCRIPTION 1 iubdivisiorf Name/NumBerLot Unit No.Phase No.
CHECK BELOW IF SUBMITTED:
Q2 Energy Calcs D2 Structural Calcs D; Soils Report 1 Addressed Envelope
ASSESSOR'S PARCELDESCRIPTION OF
EXISTING USE PROPOSED USE
'SO. FTG.# OF STORIES
3. CONTACT PERSON
ADDRESS
4.
5.
6.
CITY
SIGNATURE
APPLICANT D CONTRACTOR
NAME
CITY
PROPERTY OWNER-, ^
CITY ^•'•jij
CONTRACTOR
NAME
CITY
STATE
D AGENT
STATE
OWNER
STATE
STATE
ZIP CODE
FOR CONTRACTOR D OWNER
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
DAY TELEPHONE C~-]f ' / *— «* 7
Ij^AGENT FOR OWNER
DAY TELEPHONE
DLESSEE QTENANT
DAY TELEPHONE
DAY TELEPHONE
STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. *
SIGNATURE TITLE DATE
DESIGNER NAME
CITY STATE DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATIONWorkers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of 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 o»Exemption: 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 be/$me sjjbject to/ie Workers' Compensation Laws of California.
SIGNATU DATE
8. OWNERcBlMLDE ELARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:r-BuTSIe^DeclaraT
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.).
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).
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
COMPLETE THIS SECTION FOR 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 "0
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES DNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES QNO
IF ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE"l certify tha7 I have read the 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 180 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).
APPLICANT'S SIGNATURE ) OWNER Q CONTRACTOR PHONE APPROVED en
DATE:
WHITE: File YELLOW: Applicant PINK: Finance