HomeMy WebLinkAbout1015 BUENA VISTA WAY; ; CB891505; PermitBUILDING PERMIT Permit No: CB891505
J. 0/05/8Y 09: 10 Project No: Q8902620
Page 1 of 1 Deuelnprrient No:
Str: Flc Ste: 0377 j&y&'St;' Qe;<.j 5: ?!? I ,lOtl Ridijress: 1015 EUENR UISTR WY ._. - . -. ___ ,'.i p,p, . '. i; F'ermi t Type: RESIDENTOL QDDITION/RLTEKATION --. ;.+*< 7 Parcel No: 3.55--251-17-.00
Valuation: 17,000
CanstriJction Type: MEW
Occupancy Group: Class Code: Status: ISSUED
Descr 4 pit ion: BQY WINDOW OND LRUNDRY QLTER fl p p 1 i e id : 10/05/89
Ap r / I s s ue : 10/05/89
Val idatrd Ey: DE:
E: 1.1 i 1 d i rr 9 F' e r m i t 3 Plan Check >%
* BUILDING TOTOL
Enter "Y" for f'iiJrnh4ng Issue Fee >
Each P 1 umh i rig F i xti-tre or frep * F'LUMBING TOTQL
Enter "Y" for Electric is3uP Fee > Gther * ELECTRICAL TO'TQL ($10 fli#ii$iIJmf
Strong Motiori Fee :>-
A 4
180.00
117.00
1.00
298.00
7.50 Y
2.50
10 8 00
5.00 Y
10.00 REMODEL..
15.00
CrrY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A . OCOHMERCIAL UNEW OTENANT IMPROVEMENT
2. PROJECT INFORMATION PLAN CHECK No. eT7- 146
E - 0 INDUSTRIAL ONEU UTENANT IMPROVEMENT
C - &RESIDENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DWELLING ~ADDITION/ALTERATlON
0 DUPLEX 0 DEMOLI TION 0 RELOCATION 0 MOB1 LE HOHE 0 ELECTRICAL 0 PLUMBING
UMECHANICAL OPOOL USPA ORETAlNlNG WALL OSOLAR OOTHER
FOR OFFICF USF ONLY
Nearest Cross Streets 77
LEGAL DESCRIPTIOW Lot NO.' Subdivision Name/NMber Unit No. Phase No.
CHECK BELCU IF SUBMITTED: n2 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope
PROPOSED USE ASSESSOR'S PARCEL EXISTING USE
BLDG. SO. FTG. # OF STORIES
3. CONTACT PERSON
YAnE AIC&Cfl&E- ADDRESS 304s- RCIOSWC=L~ - ~1
STATE @+ ZIP CODE 9h00 s/ DAY TELEPHONE 72 0773
SIGNATURE
4. APPLICANf 0 AGENT FOR CONTRACTOR OOWNER OAGENT FOR OWNER
ADDRESS
STATE LIC. # CITY STATE ZIP COOE DAY TELEPHONE
7. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-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).
POL ICY NO. EXPIRATION DATE
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner Certificate 6f Exemption: so as to become subject to the Workers' Carpensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 wnployees, provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of cotrpletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7064. 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).
0 I am exenpt 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, cmencing 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 [f5001).
SIGNATURE DATE
COHPLETE THIS SECTION FOR RON-RESIDENTIAL BUILDING 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 der Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
YES 0 NO
OYES 0 NO
YES 0 NO
IF ANY OF THE ANSKRS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MY MOT BE ISSUED AFTER JULY 1. 1989 UNLESS THE APPLICANT HAS MET OR IS MEETIYG THE REQlIROlENTS
OF THE OFFICE OF EMERGENCY SERVICES AllD THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information 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 URLSBAD AGAINST ALL LIABILITIES, JUDUIEYTS. COSTS AND EXPENSES WHICH MY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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
s not comnenced within 180 days from the date of such permit or if the buiIding or work authorized by such permit is suspended
work is cmenced for a period of 180 days (Section 303(d) Uniform Building Code).
0 OWNER @.ENTRACTOR 0 BY PHONE APPROVED BY;
DATE :
I WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB891505 FOR 12/05/89 INSPECTOR AREA hD -
DESCRIPTION: BAY WINDOW AND LAUNDRY ALTER PLANCK# CB891505
TYPE: RAD CONSTR. TYPE NEW
JOB ADDRESS: 1015 BUENA VISTA WY STR: FL: STE :
APPLICANT: CHASE BONILLA CONSTRUCTION PHONE: 619 720-0773
CONTRACTOR: CHASE-BONILLA CONSTRUCTION PHONE :
OWNER: PHONE :
REMARKS : T3/MH/BURT INSPECTOR SPECIAL INSTRUCTIONS:
OCC GRP
TOTAL TIME:
CD LVL DESCRIPTION
19 ST
29 PL
39 EL 49 ME -- -- --
Final Structural Final Plumbing Final Electrical Final Mechanical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS 110689 Frame/Steel/Bolting/Welding AP PD
102089 Frame/Steel/Bolting/Welding AP PD
101189 Ftg/Foundation/Piers AP PD