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Home My WebLink About1617 BACCHARIS AVE; ; CB941575; Permit.* BUILDING .. 11/03/94 10:34 Page 1 of 1 Job Address: 1617 BACCHARIS AV Permit Type: MISCELLANEOUS Parcel No: 215-612-06-00 Valuation: 0 Construction Type: VN I PERMIT Suite: Lot#: 2 Occupancy Group: R3/M1 Reference#: CT90-5 Description: CONVERT GARAGE AT 1619 TO DSGN : CENTER / CHANGE BACK TO GAR. BEFORE OCC. Appl/Ownr : Plan Permit No: CB941375 Project No: A9401966 Development No: Status: ISSUED Applied: 11/02/94 Apr/Issue: 11/03/94 Entered By: DC BARRETT AMERICAN 619 431-08OOX209 2035 CORTE DEL NOGAL #160 CARLSBAD, CA 92009 Fee description Miscellaneous Fee #: * MISCELLANEOUS TOTi Check Number *** Fees Required * .................... Fees : Adjustments: Total Fees: .oo .oo 25.00 Ext fee Data I--------------- 25.00 PERMIT 25.00 FINAL APPROVAL t i !NSP. DATE ICLEARANCE ClTY OF CARLSBAD 2075 Las palmas Dr., Carl~bad, CA 92,009 (619) 438-1161 PERMIT /fPUCATlON City of brlsbed Buildin# Deper-t 2075 Las Palm Dr., Carlsbad, CA 92009 (619) 438-1161 .a From List 1 (see back) give code of Permit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: PLANCHECKNO. Tq- /s?' DATE Net WGain of Dwelling Units 2. PRQlFcFINFORMATlON I FOR OFFICE USE ONLY hob#&... Building or Suite No. IC14 WCc4uis Nearest Cross Street Lot No. Subdimion NameJNumkr Unit No. Phase No. 0 2 Energy Calcs DESC~P"KBJ OF WORK kIVU f &A &e (TO bgcrid fgdrCK SQ. Fr. #OFSTORIES I # OF BEDROOMS e #OFBATHROOMS ck. 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope USE P- USE NAME (last name first) ADDRESS fPSS C-crrf. kdk dO&k rG s CITY STATE d+u 9 ~ DAY TELEPHONE - 431 LO860 x ZQ? U- UAG UA- NAME (last name first) ADDRESS STATE & ZIPCODE qkb9 DAYTELEPHONE LLq- 43/--8aO /r ZSg NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSECLASS CITY BUSINESS LIC. # (last name tirstJ ADrTKEss CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: 1 hereby attirm that I have a certiticate of consent to selt-insure issued by the Director of IndusrnaI 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 Exempuon: I certity that in the pertormance ot the work for 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. SIGNATURE DATE mer-Builder LKclarauon: 1 hereby arfinn mat 1 am exempt mom me Uontractors Llcense Law ror the rollowing 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 tu 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 3 of the Business and Professions Code) or that he is e n 7031.5 by any applicant for a permit 0 0 Business and Professions Code for this reason: s License Law (Chapter 9, commencing with Section 7000 of penalty of not more than five hundred dollars [,$!jsoO]). Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dstrict? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOFTHE ANSWERS AREYES, AFINALCERTEXCATEOF OaXlPANCYMAY NOT BEl$SUED AFlwJULY 1,1989 UNLESSTHE APPWXNT HAS MET ORIS MEEITNG THE REQUIREMENTSOF THEOFpIcEOFEhiIwGENCYSERVICX?SANDTHE AIRPOLulTION CONTROLDISIRICT, 1 hereby attirm that there IS a construction lending agency tor the pertormance ot the worlc tor which this permit IS lssued (Sec 3097( I) 1v1I code). 0 YES 0 NO OYES 0 NO LENDER'S NAME LENDER'S ADDRESS I certlty that 1 have read the applicauon and state that the above intormatlon IS correct. 1 agree to comply with all tity 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. IAZSOAGREETOSAVE~~ANDKEEPHARMLESSTHECl'IYOFcruusBlu,AGAINSTALL~~~~a)6Is AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl'IY IN CONSFQWNCE 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 APPLICANT'S SIGNATURE 1 under the provisions of this Code shall expire by limitation and become null and void if the nced within 365 days from the date of such permit or if the building or work authori the work is commenced for a period of 180 days (Section 303(d) rwHITE: File YELLOW Applicant PINK: Finance Q