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Home My WebLink About1600 BUENA VISTA WAY; ; CB951792; PermitI fV &$06/95 11: 25 BUILDING PERMIT Permit No: CB951792 Project No: A9502612 Page 1 of 1 Development No: Job Address: 1600 BUENA VISTA WY Suite: Permit Type: PLUMBING Parcel No: 156-142-40-00 Lot#: m. Occupancy Group : Reference#: Status: ISSUED Description: RUN SEWER LINE-REPLACE SEPTIC Applied: 12/06/95 : W/ CITY SEWER Apr/Issue: 12/06/95 I 4997 12;"o&,'y5 ;>'2$,;. 0; ?;. -.*&,.'T .-.- . - Valuation: 0 Construction T+-fi'&:! NEW .::.,,:.:p Entered By: RMA Appl/Ownr : DIX, KAREN 310-603-7169 647 8TH ST HERMOSA BEACH, CA 90254 Credits *** * 00 .oo 35.00 Ext fee Data 20.00 Y 15.00 35.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 APPLICATION City of Carlsbad Building DepartaPnt 2075 las Palpas Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PRQJETINFORMATION PLAN CHECK NO. TI/ 79 2 1 --I I ~~ FOR OFFICE USE ONLY 'Address /& 0 /3U?iflA ~~~~~ Or "Ite No. Nearest Cross Street /JI & 1.9 b LEGAL DESC~P~ON Lotwo. Subdivision Name/Number Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope cd ADDRESS d47 i4-H S? b. WNlHAClUH NAME (last name first) -. ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # DES?GNERE (last name tirstJ 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 ok 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. EXPIRATION DATE Certiticate ot Exemption: I 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. -P( SIGNATURE DATE Uwner-Builder Ueclaratlon: 1 hereby attinn that 1 am exempt trom the Contractors Llcense Law tor 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 (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.). 1, 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 thwpplicant to a civjl penalty of not more than five hundred dollars [$5001). Business and Professions Code for this reason: 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 ANY OF THE AN- ARE YES, AFlNALCfZlTlFICATE OF OCCUPANCY MAY NOT BE HAS =OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICE AND THE AIR POLLUTION OONTROL DISlRICT. I hereby athrm that there 1s a construction lending agency for the performance ot the work for which this permit is issued (Sec 3097( I) Civll CodeJ. 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO AFTERJULY 1,1989 UNLESS THE APPUCANT LENDER'S NAME LENDER'S ADDRESS I certity that I have read the applicatlon 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 TO SAVE INDJNNIFYANDKEEPHARMLESTHEClTYOF CARlSBADAGAWS ALLUABItlTES, JuM;MENTS, OOSIS 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 buildinn or work authorized by such wrmit is not commenced within 365 daw from the date of such wnnit or if the buildinn or work authorized bv AND EXPENSFS vmcx MAY m ANY WAY mm ffimsr SAID crrr m CONSQUENCE OF THE GRANTING OF m PERMIT. such permit is suspended or a at any time after the work is commeked for a period of 180'days (Section 303(d) Gniform Building Codej. WHITE: File YELL, OW Applicant PINK: Finance APPLICANTS SIGNATURE DATE: ,&d-y/ /?3hk& - OWNER-BUILDER VERIFICATION Attention Property Owner: An ‘owneribuilder’ 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 processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 2. 3. 4. 5. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) 7 4 signed an application for a building permit for the proposed work. q &3 I I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name AGer.7- IA& Address +/A- @fk ’& City &$U&Arn Phondd935- Contractors License NO. 53 fo rc 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 . Signed: Property Owner Date: @ 2075 Las Palmas Drive Carlsbad, California 92009-1576 - (619) 438-1 161 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951792 FOR 12/15/95 DESCRIPTION: RUN SEWER LINE-REPLACE SEPTIC W/ CITY SEWER TYPE: PLUM JOB ADDRESS: 1600 BUENA VISTA WY APPLICANT: DIX, KAREN CONTRACTOR: OWNER: REMARKS: MW/BERT/729-3553 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 22 PL Sewer/Water Service -- INSPECTOR AREA PD PLANCK# CB951792 OCC GRP CONSTR. TYPE NEW STE : UT: PHONE: 310-603-7169 PHONE : PHONE : INSPECTOR ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS