HomeMy WebLinkAbout2375 CARINGA WAY; E; CB930708; PermitB U I L D I N G P E R M .1 T
0 7./.. 06:10
Paqf .. of 1
Job Ackiress: 2 37 5 CARINGA WY Suite: E
Perriit Type: PLUMBING
Parcel No: 215-240-42-00 Lot#:
Va ilia tion: • 0
C ont fLic t i on Ty pe : NEW
Occupancy Group;
Description: GAS REPAIR
Permit No
Project No
Development No
CB9 3 0708
A 9 3 01 U j 1
3191 07/19./93 0001 01 02
C-PRMT 27.00
r-lef erence#: Status
Applied
Apr/Issue
Entered E5v
ISSUED
07/19/•:) 3
07/19/9 3
DC
Appl/Ownr : ZUFALL, G. PLUMBING
P O BOX 712046
SANTEE, CA M^072
Fees Required
619 449-1482
Fees
Adjustments
Total Fees
Fee description
Credits k * *
Enter "Y" for Pluml^i'^^'ils'ue FeK^ >**^'
Gas Piping System !({."•' * "
* PLUMBING TOTAL ''''
. 0 0
. 0 0
2 7.0 0
Ext fee Data
2 0.00 Y
7 . 0 0
27.00
APPROVAL .
DATE fell IN9ti24^— DAT t iX 17
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PKHMIT'IVPK
A - U Commercial U New Building Ll Tenant Improvement
B - • Industrial • New Building • Tenant Improvement
C - • Residential • Apartment • Condo • Single Family Dwelling • Addition/Alteration
• Duplex • Demolition • Relocation • Mobile Home • Electrical • Plumbing
• Mechanical DPool • Spa • Retaining Wall • Solar • Other
2. PROJECT INTORMATION
PLAN CHECK NO.
EST. VAL
PLAN CK DEPOSTT.
VALID. BY
DATE
FOR OFnCE USE ONLY
lA/^y Buiidmg or Suite No. g~
I
Address ^ S^J" C.f\^ittlrfii
Nearest Cross Street A U O-^
Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOW \V ijUHMriTElj:
• 2 Energy Calcs • 2 Structural Calcs • 2 Soils Report • 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTINQ VSE PROPOSED USF.
DESCRIPTION OF WORK
SQ. FT. # OF STORIES
3. (JUNTACT PEHHUN (it ditlerent trom applicantj
NAME PHIU {Ae-iTL-Bi^
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPUCANT •CUN'l'tUCTOU DAGENT t'OR CON'l'UACrOR DOWNER—JS.AGEN'1' EOR OWNER
NAME ^|4li_ /A^^TL&A.^ ADDRESS 2-5 ^S" CAAiNt,^ O^AX
CITY <S/V/2.l-j> ^40 STATE cA ZIP CODE ''jXool DAY TELEPHONE '/3J-?SyS' mr ^ f 9-}>^1 f /fojit/-
5. PROPER'IV OWNER
NAME (5-/ee6- S>/lo^N
CITY pygt>-o
ADDRESS 35*// eZ^i^- 1>^C /S/o -Soi^TTt ^-i-O Z.
STATE ZIP CODE fXIOf DAYTELEPHONE A^O'"^Zj/
6. coN-nufrim
NAME ^ ZUFALC ^LU-^fi/zV*- ADDRESS ^,0. 7 / T.O'i lo
CITY 5'4A/r^f STATE ZIP CODE fZ^TZ- DAYTELEPHONE 9 - /V <P2—
STATE UC.# 625'/7f UCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME AUURESS
CITY
7. WOIIKEHIT COMPENSA'nON
STATE ZIP CODE DAY TELEPHONE STATE UC. #
Workers' Compensation Declaration: 1 hereby attirm that I have a certiticate ot consent to sell-insure issued by the Director ot Industnal
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 '^T^Jie Af POUCY NO. EXPIRATION DATE
Certiticate ot Exemption: 1 certity that in thepertormance ot the 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 Califomia.
DATE SIGNATURE
6. OWNER-BUTLPni DEOARATION
Owner-Builder Declaration: I hereby attirm that 1 am exempt trom the Contractor's tjcense Law tor the tollowing reason:
D 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.).
M 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 Ucense Law).
D I am exempt under Section Business and Professions Code for this i^ason:
(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 pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Ucense 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]).
SIGNAT toATE 7- /f'f3 COMPLETE THIS 5ECT10N FOR N0N-RE51DENT1AL BUILDING PERMIT*; ONLV:
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 2SS34 of the Presley-Tanner Hazardous Substance Account Act?
• YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
• YES • NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
• YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTmCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY I, 1989 UNLESS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUAmON CONTROL DISTRICT.
9. CONSmUCTION LENDING AGKNCY
1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 30V710 Cml Code).
LENDER'S NAME
APPUCANT UiRTMCATlON
LENDER'S ADDRESS
To;
1 certify that 1 have read the application and state that the above intormation 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 INDEMNIinf AND KEEP IIARMIiSS THE CTTY OF CAIU5BAD AGAmST ALL UABIUTIES,
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY IN CONSEQUENCE OF THE GRANTBJG OF THIS PERMTT.
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 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 ofsuch pennit or if the building or work authorized by
such 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).
APPUCANT*^lGW«a;RE . ^ DATE: "7-" / ? ~ ^ 3
WHITE: FUe YELLOW: y^plicant PINK: Finance
UNSCHEDULED INSPECTION
DATE • ^ INSPECTOR 7^"^^
PERMIT # Q3-70^ PLANCK #
JOB ADDRESS ^^'^5 Q^/^/i^/Jp :^<£^
^V^^:^
TIME ARRIVE: TIME LEAVE:
CD LVL DESCRIPTI^ ACT COMMENTS