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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