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HomeMy WebLinkAbout2822 CAZADERO DR; ; CB960612; Permity BUILDING PERMI 04/02/96 18:42 Page 1 of 1 Job Address 2822 CAZADERO DR Suite Permit Type PLUMBING Parcel No. 215-320-38-01 Lot*- Valuation. 0 Occupancy Group- Reference* Description: REPLACE WATER HEATER Appl/Ownr SCHLIEP, DENNIS 2822 CAZADERO DR CARLSBAD CA 92009 * ** Fees Required Fees Adjustments; Total Fees Fee description Enter "Y" for Plumbi Each Water Heater an * PLUMBING TOTAL 619' T Permit No- CB960612 Project No: A96Q0856 Development No 6852 04/05/96 0001 01 02 C-PRMT 27,00 Construction Type- NEW Status ISSUED Applied 04/02/96 Apr/Issue- 04/02/96 Entered By RMA -431-8468 Credits * * A 00 00 27 00 Ext fee Data 20.00 Y 7 00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal«as Dr., Carlsbad. CA 92009 (619) 438-1161 i pmiirrvi'K rtom Ijsi 1 (we back) give code of Permit-1 ype For Residential Proieits Only From List 2 (see back) give Oxlr of Siructure-Typc SFR NCI loss/Gam of Dwelling Units PLAN CHECK NO. EST.VAL PIANCK DEPOSIT VAUD BY fJAr-. ^//-V/?/i / -^-M — t — » — ••• — ' 2. PROJECT INFORMATION FOR OFFICE USE ONLY Vddrcs5 2822 Cazadero Dr Nearest Cross Street Corintia St. building or Suiie"No~ lEGALDMUI'TION Lot No Subdivision Name/Number Unit'No 5Iiasc No CHECK HI- LOW IK SUBMITTED ~ D 2 Energy Gales Q 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope . ASSESSOR'S PARCEL FWSTINCUSE __DESCRIPTION OF WORK Water Heater Kepiacemenu 50 Gallon PROPOSED USE SQ FT J HJNTALI PkRSUN Ul Uillerent Uom aRDlicdnlj NAME (last name first) Schleip, Dennl # OF STORIES # OF BEDROOMS # OF BATHHOOMS CITY Carlsbad, ADDRESS 2822 Cazadero Dr. STATE CA ZIP CODE 92009 DAY TFtEPHONE 431-8468 4 APPUCANT UCONTRACTOH—L^EllT t-'UH CON 1 RACTOK Carol FosterNAME (last name first) CITY El Cajon ADDRESS Suite B STATE CA ZIP CODE 92021 I'HOPUKIV OWNLH DAYTEIXPHONE 390-4477 NAME (last name first) Schleip, Dennis ADDRESS CITY Carlsbad STATE CA Z1P CODE 92009 DAV JEJ FPHONE 2822 Cazadero Dr. 431-8468 6 CUNHtAC'lUH NAME (last name first)A & J ADDRESS 13706 Hignway 8 Business, suite & CITY El Cajon STATE CA ZiPCoDE 91977 DAY TELEPHONE STATE UC # 630120 LICENSE CLASS C-36 CITY BUSINESS LIC #1200354 DLSIGNLH NAME Hast name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # Workers' (Jompensatlon Declaration I hereby allirm that I have a certilicateol consent to sell insure issued by the Director oriridusirial 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 wuh the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY Republic Indemnity ppUCYNO pc3509422 EXPIRATION DATF S"1"96 Certiticale ot Exemption I certify that in the performance ot the work for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California >— SIGNATURE 8 UWNEH-BUI ULCLAKAriUN uwner builder Declaration I hereby alfirm that I am exempt Irom the Contractors License Law lor ffie 1 olio wing reason Q D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sS-ucture 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) 1, as owner of tHe property, am exclusively contracting with licensed contractors to construct the project (Set 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 l$500]) SIGNATURE DATE coMPlL'iK 'I HIS SECTION mfl NOrJ RESIDENTIAL BUILDING PERMITS ONLV Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO _ [F ANY OF Tlffi ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT (IAS MET OR IS MEETING THE REQUIREMENTS OF TTrE OFFICE OP EMERGENCY SERVICES AND THE AM PO1J UTION OONTHOI D15TnUCT 9 UUNymUL'I'KJN LENUtNU I hereby atlirm that there is a construction lending agency For the performance ot the" work" tor which this permit "is issued \bec 3097(i)JCivirUxlej NoneLENDER'S NAME LENDER'S ADDRESS _ t_r____ceiy that ("Rave read the application and state that the above^mfonnalionls correct I agree to comply with ail City ordinances and State laws relating to building construction I hereby authonze 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 CTTY 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 OSllA. An OSHA permit is required for excavations over 5*0" deep and demolition or construction of structures over 3 stones in height 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 budding or work authorized by such permit is not commenced within 365 days from the date of such permit ot If the building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS WJ I! City of Carlsbad ^T— IHBM^VV^MViMHBHIM^HB^I^^M^MH^Bi^HHiBuilding Department WORKERS' COMPENSATION DECLARATION 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 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. *" Signatur Date Warning: Failure to secure workers' compensation coverage is unlawful, ana* shall be subject an employer to criminal penalties and civil fines up to ono 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 2075 Las Palrnas Dr • Carlsbad. CA 92O09-1576 • (619) 438-1161 • FAX (619) 430-OR94