HomeMy WebLinkAbout2410 BUENA VISTA CIR; ; CB891741; PermitBUILDING PERMIT Permit No: CB891741 11/06/89 10:08 Project No: A8903003
Page 1 of 1 Development No:
Permit Type: PLUMBING
Parcel No: 155-223-05-00 Valuation: 0
Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED
Description: GAS REPAIR Applied : 11/06/89
' Job Address: 2410 BUENA VISTA CR Str: F1: Ste:
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Validated By:
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3MIT APPLICATION
,y of Carlsbad Building Department '5 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
ONEU OTENANT IMPROVEMENT -YL - RESIDENTIAL OAPARTMENT UCONDO OSINGLE FAMILY DUELLING UADD
ODUPLEX DEMOLITION 0 RELOCATION ~JMOBILE HOME OELECTRICAL
OMECHANICAL OPOOL USPA URETAINING WALL OSOLAR OOTHER - PROJECT INFORMATION PLAN CHECK No. -1 7+f
~~~~ PERMIT TYPE - OCWMERCIAL UNEW UTENANT IMPROVEMENT
FOR OFFICF USF QNI Y
EST. VAL
PLAN CK DEPOSIT
VALID. BY
CONTACT PERSON
NAME
CITY
SIGNATURE
ADDRESS
STATE ZIP CODE DAY TELEPHONE
CONTRACTOR 0 AGENT FOR CONTRACTOR OWNER OACENT FOR WNER
ADDRESS
APPLICANT
NAME
CITY STATE ZIP COOE DAY TELEPHONE
CITY STATE ZIP COOE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
SI GNATURE T 1 TLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION Workers' Cumensation Declaration: I herebv affirm that I have a certificate of consent to self-insure issued bv the Director of Industrial Relations.
or a certifi'cate of Workers' Canpensation Insurance by an adnitted 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 CWPANY POLICY NO. EXPIRATION DATE
Certificate of Exenption: I certify that in the performance of the work for uhich this permit is issued, I shall not enploy any person in any manner
so as to becane subject to the Workers' Compensation Laus of California.
StGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I as owner of the property or my employees with wages as their sole compensation, uill 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 Wloyees, 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 uill have the burden of proving that he did not build or improve for the plrpose
of sale.).
1, as ouner 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 owner of property who builds or improves thereon, and contracts for such projects with contractorts)
licensed pursuant to the Contractor's License tau).
0 I am exempt under section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County uhich 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, comnencing uith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged exerrption. 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 [b5001).
SIGNATURE DATE
~~~~ ~~ ~~~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
COMPLETE THIS SECTION FOR YON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to subnit 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 uithin 1,000 feet of the outer boundary of a school site?
DYES c] NO
DYES 0 NO
UYES 0 NO
IF MY OF THE USERS ARE YES, A FIIUL CERTIFICATE OF OCCUPANCY WY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLIUNT IUS ET OR IS EETIffi THE REQIIRCIEYTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTIDN COllTllOC DISTRICT.
3. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the uork for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
D. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct.
to building construction.
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF URLSBID AGAINST ALL LIABILITIES, JIBGIIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN mSEQJENCE 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 comnenced 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 comrphad for a period of 180 days (Section 303(d) Uniform Building Code).
I agree to comply uith all City ordinances and State laws relating
I ALSO I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.
OUNER OCONTRACTOR 0 BY PHONE APPROVED SYr
DATE: -- WHITE: File -YELLOW: Applicant PINK: Finance