HomeMy WebLinkAbout1798 GUEVARA RD; ; CB891594; PermitB U I L D I N G P E R M I T Permit No: CB891594
Project No: A8902756
Development No:
10/23/89 09:15
Page 1 of 1
Job Address: 1798 GUEVARA RD
Permit Type: MISCELLANEOUS
Parcel No: 156-270-14-00
Valuation: o
Construction Type: NEW
Occupancy Group:
Description: GAS LINE MOVED/ELEC
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
Miscellaneous Fee #2
* MISCELLANEOUS TOTAL
***
25.00
.00
25.00
Str: Fl: Ste:
l 1 0001 01 02 C-PRMT ~5-00
Class Code: Status: ISSUED
10/23/89
10/23/89
DC
REMODEL
***
> >
•
Applied
Apr/Issue
Validated By:
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
10.00
15.00
.00
.00
25.00
Ext fee Data
10.00 GASLINE
15.00 ELECREMODL
25.00
INS
PPROVAL
u,............,_ DATE ~ · 1 ·i 0
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
• PERMIT APPLICATION 11\ V
City of Carlsbad Building Department EST. VAL. ______________ _
2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT, ___________ _
1.
A
B
C
2.
PERMIT TYPE
COMMERCIAL
0 I NOUS TR I AL •NEW
0 RESIDENTIAL O APARTMENT •DUPLEX ODEM0LITI0N
0 MECHAM I CAL O POOL
TENANT IMPROVEMENT •TENANT IMPROVEMENT
OC0N00 •SINGLE FAMILY DWELLING 0 ADDITION/ALTERATION
•RELOCATION •MOBILE HOME OELE~TRljAL •SPA •RETAINING WALL •SOLAR ~THER
•PLUMBING
PROJECT INFORMATION PLAN CHECK
VALID. BY _____________ _
DATE _______________ _
LE~L DESCRIPTION Lot No. Subdivision Name/NUTt>er Unit No. Phase No.
CHECK BELCM IF SUIMITTED: D 1 Addressed Envelope
EXISTING USE
Q2 Energy Cales 02 Structural Cales 02 Soils Report
ASSESSOR I S PARCEL PROPOSED USE
BLDG. SC. HG, # OF STORIES
3. CONTACT PERSON
NAME ADDRESS
ZIP CODE
4.
7.
CITY
SIGNATURE
APPLICANT
NAME
CITY
SIG
CITY
0 CONTRACTOR
STATE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE
Tl TL
AD0RESS
ZIP COOE
DAY TELEPHONE
Ooi..NER 0 AGENT FOR OWNER
DAY TELEPHONE
QLESSEE QTENANT
DAY TELEPHONE
DAY TELEPHONE
Cl TY
DATE
DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION workers' COll1)(!nsation Declaration: hereby affirm that have a cert1f1cate of consent to self·insure issued by the Director of Industrial Relations,
or a certificate of workers' COll1)(!nsat i oo Insurance by an adni tted insurer, or an exact copy or dupt i cate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 380D, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemptioo: I certify that in the performance of the work for which this permit is issued, I shall not employ any persoo in any manner
SIG&;;] s~~-""':~~;/2~
8. OWNER-BUILDER DECLARATION ~ ' Owner-Builder Declaration: I hereby affirm that I am exempt from the contractor's License Law for the following reason:
D 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.).
D J, 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 La1o does not apply to an 01oner of property who builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License La1o).
0 I am ex~t 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, al so requires the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provi s i ans of the
Contractor's license Law (Chapter 9, cooroencing with Section 7000 of 0ivision 3 of the Business and Professions Code) or that he is exefll)t therefrom,
and the basis for the alleged exefll)tion. Any violation of Section 7031.5 by any applicant for a permit slbjects the applicant to a civil penalty of not
more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR N0N·RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sulxnit 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?
QYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
•YES •NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
•YES o,o
IF ANY Of THE. ANSWE.RS ARE YES, A FINAL CE.RTIFICATE Of ocaJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS tET OR IS 111:ETING THE REQUIRENEIITS
Of THE. OFFICE OF ENERGE.IICT SERVJCE.S ANO THE AIR POLLUTIDII COIITROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a canst ruction I ending agency for the performance of the work for which this permit is issued (Sec 3097( i ) Ci vii Code).
LENDER'S NAME LEN0ER' S ADDRESS
10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information is correct. I 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. ALSO
AGREE. TO SAVE INDEMNIFY AND KEEP KARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JWGMENTS, COSTS AND EKPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST 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 work authorized by such permit is not cooroenced 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 cooroenc:d / a period of 180 days (Section 303(d) Uniform Building Code).
Jqoi..NER ~TRACTOR •BY PHONE APPROVED BY: _______ _ ~u~ DATE:
WHITE: File YELLOW: Applicant PINK: Finance
' . CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB891594 FOR 10/27/89 INSPECTOR AREA-PD
PLANCK# CB891594
OCC GRP
DESCRIPTION: GAS LINE MOVED/ELEC REMODEL
JOB ADDRESS: 1798
APPLICANT: CLOWAR,
CONTRACTOR:
OWNER:
GUEVARA RD
CLARK
REMARKS: T2/RS/CLARK/434-0275
SPECIAL INSTRUCTIONS:
TOTAL TIME:
CD
23
LVL DESCRIPTION
PL Gas/Test/Repairs
------------------------------------------------------
CONSTR. TYPE NEW
STR: FL:
PHONE: 619 434-0275
PHONE:
STE:
PHONE: ,'\ /J;J
INSPECTORC~
ACT COMMENTS
&:f ____ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS