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HomeMy WebLinkAbout1305 BUENA VISTA WAY; ; CB940074; PermitLot#: permit NO: 01/19/94 11:28 Project No: , Page 1 of 1 Development No: Job Address: 1305 BUENA VISTA WY Suite: Permit Type: PATIO/DECK Parcel No: 156-230-32-00 Valuation: 1,716 Construction Type: NEW Occupancy Group: Reference#: Status: Description: 264 SF PER SPECS Applied : Apr/Issue: Entered By: BUILDING PEKMI'I' ADDl/Ownr : MULLIGAN LANDSCAPE 619 7829-1054 CB94 0 074 A940010 3 ISSUED 01/19/94 01/19/94 DC 00 00 00 e Data 00 00 00 00 ------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMtT APPLICATION Cjty of 6rlsbad Building DepartRnt 2075 Las Palms Dr., Carlsbad, U 92009 (619) 638-1161 EST. VAL PIAN CK DEKElT VALID. BY DATE A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C -wResidential 0 Apartment 0 Condo BSingle Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 2. PROJHXINFORMATION 0 Spa 0 Retaining Wall 0 Solar %Other&,Q FOR OFFICE USE ONLY Nearest Cross Street LEGAL DEmON Lot No. Subdivlsion NamdNumber Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelow ~. 0 DESCRIPTION OF WORK # OF STORIES [it aitterent trom applicant) 44 SQ. FT. NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 2273 cu ;/sty ADDRESS STATE LA ZIP CODE + g DAYTELEPHONE Tzy Id 79 ADDRESS s&??K CITY STATE ZIP CODE DAY TELEPHONE -NAME&?u//,r u#L bd3GyGpESS 'sL--/cp7 W'"(gQ&q cm pk~ r&OL/ STATEa zip CODE?- 8 DAY nLEPHoNE 7 39 a F+ STATE LIC. # 3m 376CENSE CLASS < ,-la CITY BUSINESS LIC. # *2z0 0 CITY z4 - STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Cornpensation Declaration: I hereby attirm that I have a certiticate ot consent to selt-insure issued by the Director ot Industrial Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified filed with the Building Inspection Department (Section 3800, Lab. C). POLICY NO. EXPIRATION DATE Certiticate of Exemption: 1 certity that in the pertormance ot the work tor 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. SIGNATURE DATE Owner-Builder Declaration: I hereby attirm that I am exempt trom the Contractor's hcense 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 contractom 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 st~cture, 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 [$SOO]). 0 0 0 Busings and Professions Code for this reason: SIGNATURE DATE Cm 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 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE UES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE lssuED AFIERJULY 1,1989 UNLESS THE APPLICANT HAS MJT OR IS MEEJTNG THE REQ- OF THE OFFICE OF EMERGENCY !XRVICES AND THE AIR POllxmoN OONlROL DMRKX. ~ i ivl e. 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO I LENDER'S NAME LENDER'S ADDRESS 1 certity that I have read the application and state that the above intormation is correct. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AIS0 AGREE TO SAVE INDEMNIFY AND KEEP HARMLES THE QTYOF CARZSBAD AGAINSTALL LIABWIIES, JUDGMENTS, msrS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAIN= SAID ClTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMlT. 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 work is commenced for a period of 180 dap (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE *& WHITE: File YELLOW Applicant PINK: Finance