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Home My WebLink About1028 BUENA VISTA WAY; ; CB951277; PermitI BUILDING PERMIT Permit No : 09/18/95 ot3:56 Project No: Page 1 of 1 Development No: Job Address: 1028 BUENA VISTA WY Suite: Permit Type: RESIDENTAL ADD/ALT ,?OY c.9:;.'.3/% <@Qj, 02, Parcel No: 155-160-16-00 Lot#: *4 : , ..' < Valuation: 2,500 Construction Type: Occupancy Group: Reference#: Status: Description: TWO 200 SF STORAGE SHEDS Applied: Apr/Issue: Entered By: PI IT..R$,? Appl/Ownr : GOMEZ, VIRGINIA 619 434-3517 1028 BUENA VISTA WAY CB9 5 1277 A9 50 189 0 CARLSBAD, CA. 92008 *** Fees Required *** lected & Credits Fees : Adjustments: .00 Total Fees: .oo 110.00 Fee description Ext fee ----+ Building Permit 54.00 Plan Check 35.00 Strong Motion Fee 1.00 x BUILDING TOTAL 90.00 Enter "Y" for Plu Enter "Y" for Ele 10.00 Enter "Y" for Rem 10.00 * ELECTRICAL TOTAL 20.00 Enter 'Y' for Mecha .. -. ,.. . 3.. . . .. $ ? ;\ J.),..,.. p'x.>:,; VN ISSUED 09/18/95 MDP 09/18/95 *** ----- N Y Y N CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMlT APPLICATION City of Carlsbad Building Department 2075 Las Palm Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Permit-'Ilpe: For Residential Proiects Only: From List 2 (see back) give ......................................................... PLAN CHECK NO. %\ PIAN CKDEFOSIT VAUD. BY Code of Structure-'Ilpe: Net WGain of Dwelling Units 2. PRC"INFORMATI0N FOR OFFICE USE ONLY BG(EA/A vtm by, Building or Suite No. Nearest Cross Street zvE(LSb@ LEGAL DEmON Lot No. Subdivision NamdNumber Unit No. Phase No. +-ALLEY CLSO AOJ- TCI-4 L/f+W/f mesh r~/terS 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope # OF BATHROOMS SQ. FT. # OF STORIES # OF BEDROOMS (it aitterent trom applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE TEEZnamF~~-~'~~ / ,~~~~'~~~fi cc/fiv ~~~RLXD A P CITY STATE ZIP CODE qJd&g DAY TELEPHONE y.3 F- 35 I 7 NAME (lastname first) wfi z~ (2 I & ADDRESS f 0 2. Q 0 LCGW..d I/IJi+& WAY , STATE C 4 ZIP CODE 9 3 DAY TELEPHONE '4 3 F- 3 I 7 NAME (last name first) ADDMSS CITY YTATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # -E (last name tirst) ADrTREss CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby attirm that 1 have a certiticate ot consent to selt-insure issued by the Director ot 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 POLICY NO. WIRATION DATE Certiticate ot Exemptlon: I certily that in the pertormance 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. .. SIGNAmRE =wp A Uwner-Builder Ueclaratlon: I hereby attirm that 1 am exempt trom the Contractors Llcense Law for the tollowing 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 (set. 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.). 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). I am exempt under Section (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 fie applicant to a civil penalty of not more than five hundred dollars [$500]). Business and Professions Code for this reason: SIGNATURE 'v DATE y/\? /w co 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 2550 , 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 00 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCYMAY NOT BE rsSrm, AFIERJULY 1,1989 UNLESSTHE APPUCANT HAS 0 YES dN0 0 YES @NO OYES &o OR IS MEITING THE REQUIREWWE OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISIUCT. is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097r I) Civil Code). LENDER'S NAME LENDER'S ADDRESS N 1 Certity that 1 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 SAVEKNDEMNIFYAND KEEP HARMLEssTHEClTYOFcARIsBADAGAINsTWLIABlIlTtES,JUDCMENTS, Oosrs AND EXPENSES w" MAY IN ANY WAY ACCRUE AGAIN= SAID ClTY IN CONsEQuEN(3e OF THE GRANTING OF THlS 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 commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban oned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building APPLICANTSSIGNATURE 4 . ' ' DATE: 7!,7yk 'WHITE: 'File YELL0 W Applicant PINK: Finance 9 Q c CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951277 FOR 07/22/96 INSPECTOR AREA PY DESCRIPTION: TWO 200 SF STORAGE SHEDS PLANCK# CB951277 TYPE: RAD CONSTR. TYPE VN JOB ADDRESS: 1028 BUENA VISTA WY STE : LOT: APPLICANT: GOMEZ, VIRGINIA PHONE: 619 434-3517 CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: MW/GOMEZ/434-3517 INSPECTOR SPECIAL INSTRUCT: AM PLS FRM & NLNG OCC GRP TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS I / 14 ST Frame/Steel/Bolting/Welding /5 < .k& -- I , ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 071296 Frame/Steel/Bolting/Welding NS PY 092995 Ftg/Foundation/Piers AP PY OK TO POUR 57' + 1 t 0' r'o' I' f SEP 1 8 1995 3 N ' P I ___- /S /; - s I 2K J . .. . __. . . . . .. . __ .- -... I 1 I I 0’ 1 13‘ I 0 W N ER-BUILD E R VERI FI CAT10 N Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processhg and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) "i/" . 2.1-1 -ead-K- 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: Name Address City Phone Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work - (Le-fLOLL .i_a_Pb &ALAq u, tapA A Signed: ..\' . * n Property Owner 7 1- c- Date: 9 11 7 /.i &' U U 49 2075 Las Palmas Drive Carlsbad, California 92009-1 576 - (61 9) 438-1 161