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Home My WebLink About1385 BASSWOOD AVE; ; CB941398; PermitBlJILLiING PERMIT Permit No: Cb341398 11/07/94 14: 09 Project No: A9402ub4 Page 1 of 1 Development No : Job Address: 1385 BASSWOOD AV Suite: Permit Type: MISCELLANEOUS Parcel No: LO5-12u-37-OU Lot#: Valuation: 2 I 00u Construction Type: NEW Occupancv Group : Reference#: Status: ISSUED Description: 12 SO BAY WINDOW + ELECTRIP App 1 i et3 : 1 1 / u 7 / 9 4 : PER PETERSON Apr/Issue: 11/07/94 9458WM &I ds 02 Appl/Ownr : WORTHING, BROOKS 61‘3 729-2965 C-FRHT 75.00 P 0 BOX 1041 CARLSEAD, CA 9201 &A* Fees Required k** ted & Credits *** Adjustments: . 00 Total Fees: . 00 _---___-_____________--- Fees : 75.00 Fee description Ext fee Data __-_________-___-__- _______________ 75.00 WINDOW Miscellaneous Fee # * MISCELLANEOUS TOT 75.01) CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PEBhfIT APPLICATION Cit'y of Carlsbad Building Department 2075 Las Palms Dr., Carkbad, U 92009 619) 438-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - mesidential 0 Apartment 0 Condo mngle Family Dwelling &Xddition/Alteratior 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other 2 PRQIECIINFORMATION FOR OFFICE USE ONLY Address 13 65 e%ewep& Building or Suite No. -_ Nearest cross Street &Rh hd AL DESCFETUFJ ( 4t No. Subdiwsion NameYNumber Unit No. Phase No. u I 0 2 Energy Calcs DESCRIPTION OF WORK 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope OR'S PARCEL S0.FT. krp h #OFSTORIES I -(it aifierent trom applicant) NAME ADDRESS STATE ZIP CODE DAY TELEPHONE SAME CITY NAME CITY CARLSBAD STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE 729-3965 PqD UA- ~0~~ B. A. WORTHING, INC. P.O. BOX 1041 ADDRESS 135 Wbd 'STATE 6 ZIPCODE %UOS DAYTELEPHONE C/O 3293967 NAME B. A. WORTHING, INC. ADDRESS P.O. BOX 1041 729-2965 DAY TELEPHONE 92018 STATE ZIP CODE CITY BUSINESS LIC. # CARLSBAD CITY BROOKS WORTHIIt'G P.O. BOX 104.1 STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE 7 2 9 - 3 %h UC. # B-1 3 9 2 694 N Workers' Compensation Declaration: I hereby attirm that I have a certiticate ot consent to selt-insure issued by the Director ot lndustnal 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 STATE FUND POLICY NO. 2 2 9 - 5 3 7EXPIRATION DATE 1 - 9 5 Ceruticate ot Exemption: 1 certity that in the pertormance 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 California. SIGNATURE DATE Owner-Builder Declaration: I hereby attirm that I am exempt from the Contractor's hcense Law tor the following 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 (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 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 the applicant to a civil penalty of not more than five hundred dollars [SSOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE COM- NON-RP 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? IF ANYOF THE ANSWERS ARE YES, A FINALCERTIFICATE OFOCCUPANCYMAY NOT BE lssuED AFIERJULY 1,1989 uNLEssTHEAPI"T HAS I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued [Sec 309r I) Ciwl Code). 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO OR 1s MEElTNG THE REQ- OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION alNlROL DEZRICX. LENDER'S NAME LENDER'S ADDRESS 1 cenity that 1 have read the application and state that the above intormation is correct. I agree to compIy 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 AGREETOSAVEINDFMNIFYAND KEEP €~THE(TIYOFcARLsBADAGAINSI'ALL~, JUDGMEN'E, COSIS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE OF THE GRANTING OF THIS PERMlT. 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 abapdpned g any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE I I WHI-e YELLOW Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB941398 FOR 06/05/95 INSPECTOR AREA PY DESCRIPTION: 12 SQ BAY WINDOW + ELECTRIC PLANCK# CB941398 TYPE: MISC CONSTR. TYPE NEW JOB ADDRESS: 1385 BASSWOOD AV STE: LOT: APPLICANT: WORTHING, BROOKS PHONE: 619 729-2965 CONTRACTOR : PHONE : PER PETERSON OCC GRP OWNER: PHONE : REMARKS : BJN/DIANA/7 2 9 -3 9 65 SPECIAL INSTRUCT: 1 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 112994 Frame/Steel/Bolting/Welding AP PY