HomeMy WebLinkAbout1820 BASSWOOD AVE; ; CB991509; PermitPERMIT
CITY OF
APPLl CAT1 ON
CARLSBAD BUILDING DEPARTMENT
FOR OFFICE USE ONLY
PLAN CHECK NO<& 45/50 7
EST. VAL. if, 270
Plan Ck. Deposit gq- -
Address (include BldglSuite #)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Business Name (at this address)
20s- v80- ya
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 Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
Name Address city State/Zip Telephone #
State License # License Class City Business License #
Designer Name Address City Statelzip Telephone
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
Mars IS100.000L in addition to the cost of compensation, damages as provided for in Section 3
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
attorney's fees.
uilding or improvement is
usness and Professions Code: The
projects with contractor(s) licensed
(Sec. 7044, Business and Professions Code: The Contractor's License Law
0 Contractor's License Law does not apply to an owner of prpperty who builds or i
pursuant to the Contractor's License Law).
0
1, as owner of the property, am exclusively contractih$ with licensed contra
.. .
I am exempt under Section
3. I have contracted with the following person (firm) to provide t& proposed construction (include name I address I phone number I contractors license number):
4.
number / contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number /type
IS SECTtOlY FQR'NOIV-RES
or future building occupa
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous 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?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
0 YES 0 NO
I hereby affirm that there is a construction lending agency for the performance of the work for which thrs permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDERS ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citv of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 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 commenced within 365 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 w
APPUCANT'S SIGNATURE
a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE ,?$e?
WHITE: File YELLOW: Applicant PINK: Finance
- EsGil I__ Corporation
Zn Tartnership with S;overnrnent for Bui&fing Safety
DATE: 11/23/99
JURISDICTION: Carlsbad AN REVIEWER
0 FILE
PLAN CHECK NO.: 99-1509 SET: rrr
PROJECT ADDRESS: 1820 Basswood Ave.
PROJECT NAME: Garage for Creps Residence
Iz] The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction’s building codes.
The plans transmitted herewith will substantially comply with the jurisdiction’s building codes
when minor deficiencies identified below are resolved and checked by building department staff
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
0 The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
0 The applicant’s copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant’s copy of the check list has been sent to:
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
0 Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Fax #:
REMARKS: Designer to add following to the plans (page 2 highlited and clouded in red), also
designer to sign City soils report waiver stamp.
By: Bill Elizarraras Enclosures:
Mail Telephone Fax In Person
3-
Esgil Corporation 0 GA 0 MB 0 EJ 0 PC 1 1/15/99 tmsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576