The URL can be used to link to this page

Home My WebLink About1310 CHUPAROSA WAY; ; CB961113; Permit06/19/96 11 36 B U I L D I N G P E R M I Page 1 of 1 Job Address 1310 CHUPAROSA WY Suite Permit Type PLUMBING Parcel No 156-110-53-00 Lot# Valuation 0 Occupancy Group Reference* Description REPLACE WATER HEATER A & J FOSTER Appl/Ownr HAGLCR, JACK 1310 CHUPAROSA WY CARLSBAD CA 92008 Permit No Project No Development No Construction Type Status Applied Apr/Issue Entered By CB961113 A9601590 619-729-5726 NEW ISSUED Ob/19/96 06/19/96 RMA *** Fees Required ****'**'Fees S- Credits * A <r Fees Adjustments Total Fees (jjtoiiii^ T^\,&V .i?.*-, \1 »!> Enter "Y" for Plumbing Issue Fee'. > Gas Piping System ' • ••> * PLUMBING TOTAL 7 .GO-M 00 00 27 00 Ext fee Data 20 00 Y 7 00 27 00 8118 06'19/% OOOi OJS C2 C-PRrfT 27.00 DATE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 1 e &9&K ERMTT APPLICATION fiT^lJ City of Carlsbad Building Department mj %**M M75 Las PalM Or . Carlsbad, CA 92009 (619) 438-1161 ^qffipr 1 FrKMI 1 IYPE •> From Nst 1 (we Iwck) give code of Permit For Residential Proicits Only From List 2 C <xle of Structure Type Type (see back) give SFR Net loss/Gam of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO EST VAL PIAN CK DEPOSIT VALID BY_ ^ HATE FOR orncE use ONLY Address 1310 Chuparosa Wy Nearest Cross Street FloreS Dr Building or Suite No IFGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No C1IFCK BUXJW IF SUBMITTEDI 1 I \_>I\ LI I my »» II (JU UIT1I I I L.L/ . D 2 Enrrgy Gales D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL ^MSTW i USE_PROPOSED USEDESCRIPTION OF WORK Water Heater Replacement SQ FT # OF STORIES OF BEDROOMS # OFBATMIKXJMS 3 UJN l At.l FLH^JN u> uillerenllrom applicanNAME (last name first) Hagler, Jack CITY Carlsbad SAE , ,., n <->v,i-i^=T-/-,c3a TAK?ADDRESS 131° Chuparosa Wy Z'' 92008 4 APFUCANI UUJNIHALIUK UjAOhN I HJH NAME (last name first) Carol Foster SUlteB CITY El Cajon STATE CA ZIP CODE 92021 DAY TEI.EPHONE 390-4477 5 PHOPLH IT UWNLH• nwi &*i\ • • \-»*» i VL**. _ __ -I NAME (last name first) Hagler, JacK ADDRESS 1310 Chuparosa Wy CITY Carlsbad STATE CA ZIPCODE 92008 DAYTEIFPHONE729-5726 6 CJONTRACTOR NAME (last name first) CITY El Cajon a r TA & J Tnr±HC STATE CA ZIP CODE ADDRESS 91977 STATE UC # 630120 LICENSE CIASS 13706 Highway « ^Business, 390-4477 1200354 DAY TELEPHONE C-36 UESTtiNtR NAME (last name Iirsl) CITY BUSINESS UC # ALJUKtSS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS' COMPENSATION Workers' Compensation Declaration Inereby aHirmtnanhave a certincate ol consent to sell insure issued by the Director ol Indusmil 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) Farmers on,,rvx,n N2007-56-^».mAnoN DATE 5~1"97 INSURANCE COMPANY POLICY NO Certmcate oTExempiion I certify that in the performance ofihe work Tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California ^^lyrcEJJj....OlJj2nlJffl DATE i/VJ ^ / ' ^ !8 OWNER BUlLUtH UKXxXkATION / <• Owner Builder Declaration 1 hereby allirm that I am exempt irom the lantractors License Law lor me following reason O I as owner of the property or my employees with wages as their sole compensation, will do the work and the structure it 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 die burden of proving that he did not build or improve for the purpose of sale) D 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^) licensed pursuant to the Contractor's License Law) D 1 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 IHIJj SECTION FOR NUN HEalUtN IIAL UUILUINU PtHMlla ONLY 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? Q 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? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS 11 IE APPLICANT HAS; MET ORIS MEETING THEREQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ U1TON CONTROI DI?1TUCT 9 UUNb I HUtTI IUN LkNUUNU AUKNUY rheteby allirm that there is a construction lending agency lor the performance ot the work lor which this permit is issued (bee 3097(0 Cmi Code) None LENDERS NAME LENDER'S ADDRESS 10 APPLICANT U-H'linCA'lTDTr ,______, i cemly that 1 have read the application and state that the above mlormaiion is correct 1 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, UABUXnES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OS1JA. An OSHA permit is required for excavations over S'O" 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 building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorned bysuch 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), APPLICANTS SIGNATURE $(. r~^ i^ ^,VA DArE|=P~\ ^V f City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self-insure for A 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 i ji 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. m C workers compensation laws of California. K r\ Dqte Warning. Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one 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 Lag PalmRS Dr • Cnrhbnd CA P?OOR-1«V7n • (RIP) -nn 11 m - FAX fO1<V> 'inn nncH