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HomeMy WebLinkAbout2340 CARINGA WAY; D; CB013493; Permit11-08-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB013493 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2340 CARINGA WY CBAD St: D PLUM 2152402957 Lot#: 0 Construction Type: NEW LACHENMYER- REPLACE WATER HEAT Status: ISSUED Applied: 11/08/2001 Entered By: JM Plan Approved: 11 /08/2001 Issued: 11/08/2001 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 319-390-4477 Owner: WALDORF JENNIFER 2340 CARINGA WAY #E CARLSBAD CA 92009 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 Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 SIGNATURE FINAL APPROVAL Inspector:Date:Clearance: NOTICE: Please take NOTICE that approval of your project Includes the "Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ll i^'tBOJECT INFORM ATION 2340 Caringa Way #D FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number SFR Unit No.Phase No.Total # of units Assessor's Parcel tt 215-240-29-58 Existing Use Proposed Use Description of Work WATER HEATER REPLACEMENT SQ. FT.#of Stories # of Bedrooms # of Bathrooms Lachenniyer , Jean . _ „,„,.„2340 Caringa Way #D CARLSBAD CA. 9200'9 760-212-5422 Name Address City 3, APPLICANT ••••• E ebhtraetor (3 :Agent for Contractor Q Owner Q Ag$nt for Owner ' ARLEN FOSTER/CAROL FOSTER 13706-B HWY 8 BUS. EL CAJON, Name Address City 4; ifROPEHTY OWNER Lacheniwer, Jean 2340 Caringa Way #D CARLSBAD State/Zip Telephone # Fax # CA. 92021 (619)390-4477 State/Zip Telephone tt CA. 92009 760 212-5422 Address City State/Zip Telephone #Name j, CONTRACTOR i- COMPANY NAME (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]). A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4477 Name State License tt 630120 Address License Class C-36 City State/Zi| City Business License * Addiess City State/Zip Telephone N/A Designer Name State License I 6, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. S 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: State Corp.Ins. Policy NO. 00506395 P»niratinn n«» 04-01-02Insurance Company Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) (~1 CERTIFICATE OF 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000),Jn addition to the cost qf compensationr-damagas as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE (2^L^£~£—^ \^f&&*£&~^-S DATE ~' ~ 7. OWNER-BUILDER DECLARATION , I hereby affirm that I am exempt from the Contractor's License Law for the following reason: [~1 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). f~l 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 contractors) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES l~lNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): _^___ _____ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE secTJON foB"^ofl^»re/ofW7Wi BuiLpiNia 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 25S05, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. 8. 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(0 Civil Code). LENDER'S NAME NONE LENDER'S ADDRESS 9 APPLICANT CERTIFICATION .•-.:-::.., - ';':;,:: : ... .;:.;\J.::; :; •;:.,;^ ,.::.,.:;,'. -'",\-.mf.:. .'•••];•. • ;V:.:-: 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. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 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 commerjped-yittiin 180 da^s/lrom ttrSJJme of juch permit or if the building or work authorized by such permit is suspended or abandoned •periat any time alter the work is comi APPLICANT'S SIGNATURE ierio0 of .180 days .Cpniform Building Code). DATE WHITE: Fil MOV 8 2000 File YELLOW: Applicant PINK: Finance