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Home My WebLink About2371 CARINGA WAY; G; CB962107; PermitSuite: G 10/31/96 15:19 BUILDING P E RM I Page 1 of 1 1 Job Address: 2371 CARINGA WY Permit Type: PLUMBING Parcel No:' 215-240-42-00 .v •, ~, ,Valuation: 0 Occupancy Group: Reference*: Description: GAS REPAIR-AT FRONT ENTRY T Permit No: CB962107 Project No: A9602986 Development No: Appl/Ownr : NATIVE SANDIEGO PLUMBING 1019 AGATE ST, STE D SAN DIEGO CA RMA 92109 *** Fees Required *** Fees: Adjustments: Total Fees; Fee description Enter "Y" for Plumb Gas Piping System * PLUMBING TOTAL 27 0696 10/31/96 JX>Qi 01 02 •-• -. ?\n > 2 r<•00 Construction Type: NEW Status: ISSUED Applied: 10/31/96 Apr/Issue: 10/31/96 Entered Bv : r">'"1 619 595-2403 lected & Credits . 00 . 00 27.00 Ext fee Data 20.00 Y 7. 00 27.00 PROVAL OATF CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building DepwtMnt 2075 Las PalBM Dr., Carlsbad, CA 92009 (619) 438-1161 1. fKHMl 1 From List 1 (see back) give code of Pennit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: . Net Loss/Gain of Dwelling Units. PLAN CHECK NO. EST.VALPLANCK' VALID. BY DATE 2. PROJECT-INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street LEGAL DESCRIPTION Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: P 2 Energy Gales D 2 Structural Caks D2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL PROPOSED USE 4. UUN iAL.1 nuujun in auierent trom applicant; NAME (last name first) OTY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT ULUN1 NAME Oast name first) CITY U AlifcN 1 rUK \JUN I KM- 1UH UUWNbK T€T> ADDRESS {6/9 STATE ZIP CODE <3l I Q <? DAY TELEPHONE V B 6 ~ 5. PROPERTYNAME (last name first) "Tol^Rtry L . \T STATE CA ADDRESS CITY ZIP CODE DAY TELEPHONE Tv&ut-toe' -<420O o. CONTRACTOR NAME Oast name first) CITY *s . 7}STATE STATE UC. ~£>LlV\'?>G . ADDRESS \ O I Q ZIP CODE C?2/O<7 DAYTELEPHONE LICENSE CLASS (L "B(y CITY BUSINESS UC. NAMt (.last name nrsij CITY STATE ZIP CODE DAYTELEPHONE STATE LIC. 7. WORKERS^ COMPENSATION Workers Compensation Declaration: I hereby attirm mat I nave a ceniticate of consent to sell-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 that in the performance of the work for which this permit is issued, I snail not employ any person in any manner ;' Compensation Laws of California. POLICY NO.EXPIRATION DATE SIGNATU:DATE 8. OWNtK-BU , I nereoy amrm mat i am exempt trom the ujntractors ucense Law lor the following reason: 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.). 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(s) licensed pursuant to the Contractor's License Law). O 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 btLTHUN FOR NON-RtblUtN 11AL BUILDING PEhMllS 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 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FWAL CERTOTCATE OF OCCUPANCY KAY MOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. V. UJNMKUL.'IKJfl LEMUllMCi AUENUY I hereby attirm that tnere is a construction lending agency tor the performance ot the worK tor wnicn this permit is issued (bee 3097UJ uvu tjxiej. LENDER'S NAME LENDER'S ADDRESS lo. JIWUUIN i 1 certify that I have read the application ana state tnat tne above information is correct. 1 agree to comply with all uty ordinances ana 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 OTY OF CARLSBAD ACAMST ALL UABIIJTIES, 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 S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by building or work authorized by sucl such permit is^suspended or abando APPLICANTS SIGNATURE the provisions of this Code shall expire by limitation and become null and void if the 'thin 365 days from the date of such permit or if the building or work authorized by is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: A- W: Applicant PINK: Finance 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 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/flaws qf California. Signature 'Ij^l/UMffW I/I, Date 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 2O75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (619) 438-1161 - FAX (619) 438-O894