HomeMy WebLinkAbout1613 BACCHARIS AVE; ; CB941376; PermitBUILDING PERMIT Permit No: CB941376
11/03/94 10:34 Project No: A9401962
Page 1 of 1 Development No:
I Job Address: 1613 BACCHARIS AV Suite:
Permit Type: MISCELLANEOUS ##LL/03/940oO1.01 Parcel No: 215-612-06-00 Lot#: 2 c-pR)(T 25.00
Valuation: 0
Construction Type: VN Occupancy Group: R3/M1 Reference#: CT90-5 Status: ISSUED
Description: CONVERT GARAGE TO SALES OFFICE Applied: 11/02/94
: CHANGE BACK TO GARAGE BEFORE OCCUPANCY Apr/Issue: 11/03/94 Entered By: DC
Appl/Ownr : BARRETT AMERICAN 619 431-08OOX209 2035 CORTE DEL NOGAL #160 CARLSBAD, CA 9200
Plan Check Number *** Fees Required ** d & Credits ***
Adjustments: .oo Fees :
Total Fees: .oo 25.00
Fee description Ext fee Data
Miscellaneous Fee #+ 25.00 PERMIT * MISCELLANEOUS TOT 25.00
.................... ---------------
t Ff NAL APPROVAL "s? DATE
. IEARANCE -.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PFiRMlTAPPLICATlON
City of Carlsbed Building Depertaent -1.~0 Dr., Carlsbed, U 92009 (619) 438-1161
. I > ~~
From List 1 (see back) give code o Permit-'Ilpe:
For Residential Protects Only: From List 2 (see back) give
.........................................................
Code of Structure-llpe: &la *4&
Net Loss/cain of Dwelling Unin
2. PRCNMTlNFORMAllON FOR OFFICE USE ONLY
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
-E [last name first]
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
. _~_~ ~~~~ Workers' Compensatlon Declaration: I hereby attirm that I have a certificate ot consent to selt-insure issued by the Director 01 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
Certificate of Exemption: 1 certlty that in the performance of the work tor which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.
O
99
0
DATE
Owner-Builder wclaratlon: I hereby artirm mat I am exempt rrom me Contractors ucense IAW tor the toiiowing reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the strum 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 tile a signed statement that he is licensed pursuant to the provisions of the Contractor's Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
Business and Professions Code for this reason:
or that he is exempt subjects the applicant to a exemption. Any violation of Section 7031.5 by any applicant for a permit five hundred dollars [SSOO]).
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 YE, AFLNALCERTWIUTE OF OOCUPANCYMAY Nar BE- AFFERJULY 1,1989 UNLFSSTHEAPPLICANT HASMEI'OR IS MlXCING THEREQWRFMINE OFTHE OFFICE OF EMERGJCNCXSERVICFS AND THE AIRpOLumoN CONTROLDISIWCT.
LE I Uvll code).
YES 0 NO
0 YES 0 NO
om NO
LENDERS NAME LENDER'S ADDRESS
1 cemty that 1 have read the applicatlon and state that the above intormation IS correct. 1 agree to comply wth 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~AGREETOSAVEI"IFYANDKEEP"IueFsTHE~OFCARISBAD~~~AU.~JUDG~oDsrs AND EXPENSPSWHICHMAY IN ANYWAY ~~N;AINsPsAID~INoDN~~CEOFTHECRA"GOFTHlsP~.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
<
9