HomeMy WebLinkAbout1300 BASSWOOD AVE; ; CB910957; Permit% t
06/24/91 10: 25
Page 1 of 1
Job Address: 1300 R
B
sswo
Parcel No: 205-052-27-00
Valuation: 0
Construction Type: NEW
Occupaticy Group :
I Permit Type: PLUMBING
1J I L D I N G
D AV
PERMIT
Str : F
Class Code:
Description: SEWER CONNECTION
Appl/Ownr : WRIGHT, FRANK AND SON
P 0 BOX 9000
CAR
*.*A Fees Required A**
Permit No: CB910957
Project No: A9101182
Development No:
Ste:
Applied: 06/24/9:
Apr/Issue: 06/24/91
Validated By: DC
619 631-0871
Enter "Y" for P
Each Building Sew * PLCiMBING TOTAL
I J
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
Pm APPLICATION
City of Carlsbnd Building Deperhent 2075 Las Pal- Dr., Carlsbnd, U OMOP (619) 438-1161
A - U Commercial U New Building U Tenant Improvement
B - 0 Industrial 0 New Building 0 Tenant Improvement
C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 AdditioiVAlteration
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical BPlurnbing
Mechanical OPool 0 Spa ORetaining Wall OSolar Bother
2 PR~INFoRMAnoN
PLAN CHECKNO. 9/- 957
PSI. VAL
PLANCKDEPOSIT
VAUD. BY
DATE
FOR OFFICE USE ONLY
CITY STATE ZIP CODE DAY TELEPHONE 31 8 7 1
STATE LIC. # CITY STATE ZIP CODE DAY TELEPHONE
Workers' Compensation Declaration: I hereby attirm that I have a Certificate 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 otthe insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY IRATION DATE of/z, /q/ issued. I shall not errlolowanv Demon in anv manner - . .. so as to becomesubject to the Wbrkers' Cornkensation Laws of California.
DATE 6/~/9/
/ '/ ' Owner-Builder)Declaration: 1 hereby attifm that I am exempt trom the Contractor's License Law €or the tollowing reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structuce 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.).
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 requim a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractofs 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 [SSOO]).
0
0 Business and Professions Code for this reason:
SIGNATURE DATE
cox
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?
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?
lF MOP THEANSWWS ARE YES, A FINALWTIFICATE OFOOCUPANCYMAY HAS =OR 1s MEEllNG THE REQUTREMWEOPTHEOFFICEOF EMERGENCY SERVICIS AND THE AIR PoLumON aWlROLDISlRKT.
1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Set 309m I Civll Code).
om 0 NO
0 YES 0 NO
0 YES 0 NO BE ISSUED AFlw JULY 1.1- UNLFSS THEAppllcANT
LENDER'S NAME LENDER'S ADDRESS
1 certity 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 AIS0 AGREE rn SAVE INDEMNIFY AND KEEP HARMLESSTHE mop CARLSBAD AGAIN= ALL IlABILITIEs, JuDGkLENTs, oosrs AND EXPENSPSW" MAY IN ANY WAY ACCRUE AGAIN= SAIDCITYJN OONSJQUENCE OFTHECRANTINC OFTHlSPERMlT.
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 rnmenced for a period of 180 days (Section
APPLICANTS SIGNATURE
: Applicant PINK: Finance
2 lLL15/91 INSPECTION HISTORY LISTING FOR PERMIT# CB910957
DATE INSPECTION TYPE INSP ACT COMMENTS
' 07/16/91 Sewer/Water Service RI RI MH/FRANK/631-0871
07/16/91 Sewer/Water Service PY AP
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