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HomeMy WebLinkAbout1060 BUENA VISTA WAY; ; CB040135; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 01 -1 2-2004 Miscellaneous Permit Permit No: CB040135 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 1551601800 Lot#: 0 Applied: 01/12/2004 Valuation: $0.00 Entered By: MEL Reference #: Plan Approved: 01/12/2004 Issued: 01/12/2004 Project Title: LAWYER RES-ELEC,60-200AMP,NEW Inspect Area: 1060 BUENA VISTA WY CBAD HVAC, COPPER REPIPE, STUCCO Applicant: LAWYER JEFFERY P&SARA K 207 OCEANVIEW DR VISTA CA 92084 Owner: LAWYER JEFFERY P&SARA K 207 OCEANVIEW DR VISTA CA 92084 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $1 86.00 $0.00 $0.00 $1 86.00 Total Fees: $186.00 Total Payments To Date: $0.00 Balance Due: $1 86.00 if 1 2 Jy7: *7 < 4 ~~ -- I Inspector: Clearance: NOTICE: Please take NOTICE thh approval of your project includes the ‘imposition” of fees, dedications, reseivations, or other exactions hereafter collectively referred to as “feedexactions.” You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By Date Address (include BldgISuite #) Legal Dzscription Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Business Name (at this address) S.rxJ& 'ccnry.\'\J a-1 Name Address city Statelzip Telephone # Fax # B. -l#PPUzFt 0 Contraator 0 Agent'for Contraator Owner 0 Agent for Owner - Name Address City Statelzip Telephone # (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, 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 Statelzip 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) 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 F o 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 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 0 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). 0 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). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address 1 phone number I type Business and Professions Code for this reason: YES ON0 & \I 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 cinstructed 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 REQUIREMENTS 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 this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 1 -. ,.I 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 Cit) 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 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/19/2004 Permit# CB040135 Inspector Assignment: PY Title: LAWYER RES-ELEC,60-200AMP,NEW Description: HVAC, COPPER REPIPE, STUCCO Type: MlSC Sub Type: OTHER Job Address: 1060 BUENA VISTA WY Suite: Lot 0 Location: APPLICANT LAWYER JEFFERY P&SARA K Owner: LAWYER JEFFERY P&SARA K Remarks: Phone: 760631 8078 Inspector: Total Time: Requested By: JEFF CD 29 39 49 Description Entered By: ROBIN Act Comment Final Plumbing Final Electrical Final Mec han ica I Associated PCRs/CVs InsDection History Date Description Act lnsp Comments 03/29/2004 OW1 Ol2004 02/24/2004 02/03/2004 01 12712004 01 /27/2004 01/27/2004 01/27/2004 01/27/2004 89 Final Combo 23 GasTTesVRepairs 23 Gas/TesVRepairs 82 DrywalWExt LatWGas Test 18 Exterior LatWDrywalI 24 Rough/lopout 33 Service Change/Upgrade 34 Rough Electric 44 RougWDucts/Darnpers co PY AP PY AP PY 1060 A UNIT AP PY wc PY AP PY 1060A REAR AP PY AP PY AP PY