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Home My WebLink About1920 BASSWOOD AVE; ; CB910855; PermitBUILDING PERMIT Permit No: CB910855 06/04/91 11 : 49 Project No: A9101046 Page 1 of 1 Development No: Job Address: 1920 BASSWOOD AV Permit Type: MISCELLANEOUS Parcel No: 205-080-56-00 Valuation: 0 Construction Type: VN Occupancy Group: Class Code: Status: ISSUED Description: REPAIR VEHICLE DAMAGE TO STRSIC Applied : 06/O4,/9 1 : TURE Apr/lssue: 06/04/91 Str: Ste: FL% c&; ).i?71 $oc': 0; 3: I . 8 ,, ".,',,' I &?- IW34 Validated By: KZH Appl/Ownr : CAPITAL STATE CONST. 619-480-9892 1951 DON I ESCONDIDO, CA OWNER : WILLAMS, M. CONTRACTOR : CAPITAL *k* Fees Required Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee k MISCELLANEOUS T ------------------ . or3 ,oo 20.00 Ext fee Data 20.00 INSP FEE 20.00 I f;HQALAPPROV& , I CrrY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMlT APPLICATION City of Carlsbed Building Departmnt 2075 Le Palmas Dr., Carlsbed, CA 92009 (619) 438-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - Residential Apartment OCondo 0 Single Family Dwelling 0 AdditioWAlteration Y 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Mechanical OPool 0 Spa ORetaining Wall OSolar OOther 2 PRQlEcTINFoRMATKlN FOR OFFICE USE ONLY Lot No. Subdivlsion NamdNumber Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calo 0 2 Soils Report 0 1 Addressed Envelope USE , DESCRIPTION OF WORK F,A&-e SQ. Fr. ' -' #OFSTORIES ADDRESS STATE & ZIPCODE pm DAY TELEPHONE &+!!r ADDRESS /%/ -.'a PL STATE a . ZIP CODE DAY TELEPHONE 4'& -9- STATE LIC. #my20 UCENSE CLASS 6 CITY BUSINESS LIC. # STATE LIC. # CITY A'DdE STATE ZIP CODE DAY TELEPHONE Workers' Compensation Declaration: I hereby atlirm that I have a certiticate ot consent to selt-insure issued by the Director ot Industnal 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). 0. V..l.liRY"UYliR "L.wcyv1I.".. Owner-Builder Declaration: I hereby atfirm that I am exempt trom the Contractor's License Law tor the tollowing 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 to 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing 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 [SSOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE corn: Is the applicant or future building occupant required to submit 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? 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,OOO feet of the outer boundary of a school site? IFANYOFTHEANSWWSAREYES,AFINALCERTIFlCATEOPOOCUPANCYMAYNOTBElSSUEDAFlERJULYl, 1989uNLFssTHEAppllcANT HAS METOR Is MEEllNG THE REQm OFTHEoFmcEOF EkwGENCYswvI(3esANDTHEAIR pOllxrnONooNTRoLDIsIRIcI: I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued [se~ 309;rh I tivll WeJ. OYES 0 NO om 0 NO DYES 0 NO LENDER'S NAM-NDER'S ADDRESS 1 certi that 1 have read the applicatlon and state that the above intormation is correct. 1 agree to comply with all City ordinances and State laws relatin! to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISOACREE To !XVE INDFMNIFYAND KEEP HARMLESSTHE QTYOF CARISBAD AGAINSF AIL I-5 JUDGMENTS, COSE AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSF SAID QTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMlT. 05HA: 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 Ofticial 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 work is cornmepeed for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNA DATE: d- c/- ?/ WHITE: File YELLOW Applicant PINK: Finance .. , CITY OF CARLSBAD INSPECTION REQUEST CI 'I PERMIT# CB910855 FOR 07/11/91 DESCRIPTION: REPAIR VEHICLE DAMAGE TO STRUC TURE TYPE: MISC JOB ADDRESS: 1920 BASSWOOD AV APPLICANT: CAPITAL STATE CONST. CONTRACTOR: CAPITAL STATE CONST. OWNER: WILLAMS, M. LOUISE REMARKS: MH/480-9893 SPECIAL INSTRUCT: TOTAL TIME : CD LVL DESCRIPTION 19 ST Final Structural STR: INSPECTOR AREA PY PLANCK# CB910855 OCC GRP CONSTR. TYPE VN FL: STE: PHONE: 619-480-9892 PHONE : PHONE : INSPECTOR ACT COMMENTS AP - I. ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 061291 Frame/Steel/Bolting/Welding AP PY 061291 Rough Electric AP PY 061291 Insulation AP PY