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Home My WebLink About1450 BUENA VISTA WAY; ; CB992856; PermitCity of Carlsbad 07/30/1999 Miscellaneous Permit Permit No:CB992856 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 1561 206000 Lot #: 0 Applied: 07/30/1999 Valuation: $0.00 Entered By: RMA Reference #: Plan Approved: 07/30/1999 Issued: 07/30/1999 Project Title: CLOWAR RES-FOUNDATION ONLY-GAR Inspect Area: 1450 BUENA VISTA WY CBAD SLAB FOR FUTURE GARAGE Applicant: CLARK CLOWAR Owner: 2434 n7/30/9p 001. (11 02 C-FR'MT 50 I p;< LOPEZ THOMAS JR&PAULA DL 1450 BUEWA VISTA WAY CARLSBAD CA 920QB - ~ - Total Fees: $50.00 Total Payments To Date: $0.00 Balance Due: $50.00 Miscelaneous Fee #I $50.00 Miscelaneous Fee #2 $0.00 TOTAL PERMIT FEES $50.00 ,, FINAL APPROVAJ ,' I /' ,/' /" Inspector: Date: & Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othetwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE PLAN CHECK NO. a PERMIT APPLICATION @Fy EST. VAL. Plan Ck. Deposit A' s/ n, v 0- Validated By /'I '7, /w Date ($iF$ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 1. PROJECT INFORMATION 1450 guwP \/IC Leaal Descriotion Lot No. Subdivision NamelNumber Total # of units Phase No. Unit No. mACg -0Yz)L 5-m Proposed Use # of Bedrooms ILjIG- I--&& e-7 Assessor's Parcel # Existing Use c c # of Bathrooms _FtcslzL)oelL 5fJ45 *(2rwIzE **@ 1 #of Stories Description of Work 51 p4LE 4-Q FT 2. CONTACT PERSON (if different from applicant) 7#. c 6L)Gt+4 \115TP QL3-f. -6%G' 727.593 Fax # 1- ' Statelzip Telephone # c*F- u-412 &* .eLQwA--c %E k Telephone # Statelzip Name Address 3. APPLICANT 0 Contractor 0 Agent for Contractor mner 0 Agent for Owner city Name Address AI Name Address City Statelzip Telephone # 4. PROPERTY OWNER UUclrdrFL 5. CONTRACTOR - COMPANY NAME (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 Codel or that he is exempt therefrom, and the basts 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 1$5001). Name Address City StatelZip Telephone # State License # License Class City Business License # Designer Name Address City Statelzip Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 [$1001 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 thousand dollars ($100.000), in addition to the cost of compensation. damages as providad for in Section 3706 of the Labor code, interest and attorney's fees. 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 SIGNATURE DATE 7. 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, 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 w k 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 / 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. ithin 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 am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. @ 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): Business and Professions Code for this reason: YES DNO ~ ~__ ~~~~ ~ 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE , COMPLETE THIS SECTION FOR NO)I/€S/S€h'TIAL BUILDING PERMITS ONLY 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? 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work linclude name I address I phone I will provide some of the wo ude name I address I phone number I type ing persons to provide the work indicated (i 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION 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 issue 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 hoYcommenwd with 365 days,from the date of such permit or if the buildinq or work audorized hv such Dermit is sumended or abandoned at any time af APPLICANT'S SIGNATURE DATE ncmf (Section 106.4.4 Uniform Building Code). WHITE. File YELLOW: Applicant PINK: Finance -- -- City of Carlsbad Inspection Request For: 8/19/99 Permit## CB992856 Inspector Assignment: SR Title: CLOWAR RES-FOUNDATION ONLY-GAR Description: SLAB FOR FUTURE GARAGE Type: MlSC Sub Type: OTHER 1450 BUENA VISTA WY Job Address: Location: Suite: Lot 0 APPLICANT CLARK CLOWAR Owner: LOPEZ THOMAS JR&PAULA D Remarks: FINAL INSPECTION REQUESTED ??? Total Time: Phone: 61 95209922 Inspector: sR Requested By: CLARKE Entered By: CHRISTINE CD Description Act Comments 19 Final Structural cc4 Inspection History Date Description Act lnsp Comments 8/10/99 1 1 FtglFoundationlPiers AP SR