The URL can be used to link to this page

Home My WebLink About1794 BASSWOOD AVE; ; CB900610; PermitBUIL 04/16/90 15:35 Page 1 of 1 Permit Type: PLUMBING Parcel No: Valuation: 0 Construction Type: NEW Occupancy Group: Description: SEWER CONNECTION ' Job Address: 1794 BASSWOOD AV DING PERMIT Permit No : Project No: Development No: ' I, 'C *"'f" ,, ."3- 7 -1 Str: F1: Ste: __ - ,-.. 41 Class Code: Status: Applied : Apr/Issue : Validated By: CB90 06 10 A9 0 007 15 ISSUED 04/16/90 04/16/90 SEE OWNER : VILLESCAZ, DIANE 619 434-4798 1794 BASSWOOD AVENUE CARLSBAD, CA 92008 *** Fees Required *** cted & Credits *** Adjustments: .oo ------1- _______________---____ Fees : 14.00 Total Fees: .oo 14.00 Fee description Ext fee Data ----__-_------_--- Enter "Y" for Plumlb5ng Issue Fee > 7.50 Y Each Building Sewer 6.50 14.00 * PLUMBING TOTAL 1 ~CLEARANCE -- ,J CITY OF CARLSBAD ' 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - OCOMMERCIAL UNEU UTENANT IMPROVEMENT EST. VAL PLAN CK DEPOSIT VALID. BY B . OINDUSTRIAL UNEU TENANT 1 MPROVEMENT C - ORESIDENTIAL UAPARTMENT DCONDO HSINGLE FAMILY DUELLING ~ADDITION/ALTERATION DUPLEX DEMOLIT ION RELOCATION OMOBI LE HOME ELECTRICAL PLUMBING OMECHANICAL OP~JL OSPA DRETAINING WALL SOLAR UOTHER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SIGNATURE 4. APPLICANT CONTRACTOR AGENT FOR CONTRACTOR ~ER OACENT FOR OWNER , v/LLac/tz ADDRESS 1794 B/4SG&-JCM/3 A- CITY D STATE & ZIP CWE 9a8p DAY TELEPHONE q34 q3Fy 5. PROPERTY OWNER DWNER OLESSEE OTENANT - NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ADDRESS 6. CONTRACTOR NAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #I LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. # 7. WORKERS' COMPENSATION Uorkers' C-nsation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations. or a certificate of Uorkers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed uith the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exeaption: so as to become subject to the Workers' Compensation taus of California. I certify that in the performance of the uork for which this permit is issued, I shall not employ any person in any manner SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Lau for the following reason: I as owner of the property or my employees uith uages as their sole compensation, will do the uork and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Lau does not apply to an owner of property uho builds or improves thereon,, and uho does such uork himself or through his oun errployees, provided that such improvements are not intended or offered for sale. If, houever, the building or improvement is sold within one year of completion, the owner-builder uill 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 uith licensed contractors to construct the project (Sec. 7044. Business and Professions Code: ' The Contractor's License Law does not apply to an ouner of property uho builds or improves thereon, and contracts for such projects uith contractor(s) licensed pursuant to the Contractor's License tau). I am exempt under section Business and Professions Code for this reason: (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 tau (Chapter 9, cmncing uith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefran, and the basis for the alleqed exemtion. Any violation of Section 7031.5 bv anv amlicant for a wrmit subjects the amlicant to a civil wnaltv of mat I Is the applicant or future building occupant required to submit a busine program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazar Ian, acutely hazardous materials registration form or risk management and prevention Q COMPLETE THIS SECTION FOR WON-RESIDENTIAL'BUILDING PERMITS ONLY: us Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES NO DYES 0 NO Is the facility to be constructed uithin 1,000 feet of the outer boundary of a school site? IF MY OF THE ANSISUERS ARE YES, A FINAL CERTIFICATE OF OCCUPMCY MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IET OR IS MEETING THE REWIREENTS OF THE OFFICE OF EMERGEUCY SERVICES AMI THE AIR wLLUTIo)( CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for uhich this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ~~ 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply uith all City ordinances and State laws relating to buildina construction. I herebv authorize reoresentatives of the Citv of Carlsbad to enter uwn the above mentioned Drooertv for inspection purmses. I ALSO .. . .. ~~ AGREE TO SAE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWOIENTS, COSTS AND EXPENSES YHICH MAY IN ANY WAY ACCRUE ACAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 uork authorized by such permit is not cmnced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cmenced for a period of 180 days (Section 303(d) Uniform Building Code). APPROVED BY; DATE: HITE: File YELLOW: Applicant PINK: Finance -___~ . CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900610 FOR 04/19/90 DESCRIPTION: SEWER CONNECTION TYPE: PLUM JOB ADDRESS: 1794 BASSWOOD AV APPLICANT: DIANE LEE VILLESCAZ CONTRACTOR : OWNER: VILLESCAZ, DIANE REMARKS: T2/RS/DON/753-1137 9A.M. SPECIAL INSTRUCT: INSPECTOR AREA PD PLANCK# CB900610 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619-434-4798 PHONE : A V TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS SE900058 ED ISSUED CD LVL DESCRIPTION ACT COMMENTS 22 PL Sewer/Water Service ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS