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