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HomeMy WebLinkAbout1060 BUENA VISTA WAY; ; CB013310; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 10-1 8:2001 Plumbing Permit Permit No:CBOI 331 0 Job Address: Perm it Type: PLUM Status: ISSUED Parcel No: 1551 601 800 Lot #: 0 Applied: 10/18/2001 Reference #: Plan Approved: 10/18/2001 Issued: 10/18/2001 Project Title: LAWYER RES/GAS LINE REPAIR Inspect Area: 1060 BUENA VISTA WY CBAD Construction Type: NEW Entered By: CB Applicant: LAWYER JEFFERY P 1060 BUENA VISTA WAY #C CARLSBAD CA 92008 Owner: LAWYER JEFFERY P 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 andlor Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 > 6 FOR OFFICE USE ONLY PLAN CHECK NO& E@ mC0 EST. VAL. Plan Ck. Deposit Validated By c& Date jfPI93-0 / Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms \mK. escriphon of Work (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 [$5001). City StatelZip Telephone # Name Address State License # License Class City Business License # Designer Name Address City StateKip Telephone State License # 0 of the work for which this permit is issued. 0 issued. My worker's 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) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Fail thousand dollars 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 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 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 ompensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. 1 1, 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 2 1 c. 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). 0 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). 0 1. 2. 3. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 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 I phone ROPERTY OWNER SIGNATURE 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 0 YES 0 NO 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 Citv 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 authonzed by such permit is at any time after the work is /APPLICANT'S SIGNATURE the date of such permit or if the building or work (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg For: 10/22/2001 Permit# CBOl3310 Title: LAWYER RESlGAS LINE REPAIR Description: Type: PLUM Sub Type: 1060 BUENA VISTA WY Job Address: Location: Suite: Lot 0 APPLICANT LAWYER JEFFERY P Owner: MCFADDEN SARA K Remarks: Total Time: Inspection Request Inspector Assignment: bclc Phone: 7606318078 Inspector: /v Requested By: JEFF Entered By: KAREN CD Description Act Comments 23 GasEestlRepairs Associated PCRs Date InsDection Historv Description Act lnsp Comments I