HomeMy WebLinkAbout1670 BASSWOOD AVE; ; CB901195; PermitBUILDING PERMIT Permit No: CB901195
07/17/90 14: 12 Project No: A9001308
Page 1 of 1 Development No:
Job Address: 1670 BASSWOOD AV Str: F1: Ste: Permit Type: PLUMBING
Parcel No: 205-060-31-00
Valuation: 0 Construction Type: NEW
Occupancy Group: Class Code: Description: GAS REPAIR
J i7 --I
I
Status: ISSUED
Applied : 07/17/90
Apr/Issue : 07/17/90
Validated By: RS
c%Q.L.
OWNER : WIEST, CLAY Lic. OWNER 619-729-4414
CONTRACTOR : BROWN, ARTHUR PLUMBING CO Lic. C 248290 619-729-4914 2697 STATE ST
CARLSBAD, CA 92008 *** Fees Required *k* cted & Credits ***
Adjustments: * 00 .oo 10.00 .oo
---------------__----------- _________________
Fees : 10 ' 00
Total Fees:
10.00
Fee description Ext fee Data -__-------_-----_
Enter "Y" for Plumbing Issue Fee > 7.50 Y
Gas Piping System 2.50
10.00 * PLUMBING TOTAL
n
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 4381161
PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 d
~~ 4- A/
PLAN CK DEPOSIT
B - 0 INDUSTRIAL ONEW OTENANT IMPROVEMENT
c - ORESIDENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DUELLING OADDITIDN/ALTERATION
ODUPLEX DEMOLITION ORELOCATION UMOBILE HOME OELECTRICAL @'PLUMBING
OMECHANICAL OPOOL OSPA ORETAINING WALL OSOLAR ODTHER
LEGAL DESCRIPTICN Lot No. SuMivision Name/Number Unit No. Phase No.
CHECK BELW IF SUBMITTED:
n2 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USF
Ut>LKlVlIUN Ut UUKK
BLDG. sa. FTG. # OF STORIES
SIGNATURE
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers' Cmnsation Declaration: I herebv affirm that I have a certificate of consent to self-insure issued bv the Director of Industrial Relations.
or a certificate of Workers' Compensation insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of th;
insurer thereof filed uith the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POL I CY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for uhich this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Cwnpensation Laus of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License taw for the follouing reason:
0 I as owner of the property or my employees uith wages as their sole compensation, uiil do the rork 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 ouner of property who builds or improves thereon,, and uho
does such uork himself or through hls own employees, provlded that such improvements are not intended or offered for sale. If, houever, the building
or improvement is sold within one year of completion, the ouner-builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
0 I. 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 ouner of property uho builds or improves thereon, and contracts for such projects with contractor(s)
licensed plrsuant to the Contractor's License Lau).
0 I am exempt under Section
(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 exenpt therefran,
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 [55001).
Business and Professions Code for this reason:
SIGNATURE DATE
CCMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 25531 of the Presley-Tanner Hazardous Substame Account Rct?
Is the applicant or future building occupant required to obtain a permit fran 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 site7
0 YES 0 NO
UYES 0 NO
YES 0 NO
IF MY OF TIE AYSWRS ARE YES, A FINAL CERTIFICATE OF OCCUPMCI MAY Yo1 BE ISSUED AFTER JULY 1, 1989 UlLESS THE APPLICANT HAS MET o(( IS lEETING THE REWIREIENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR WLLUTlOLl CONTROL DISTRICT.
9. CONSTRUCTION LENaING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the uork for uhich this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the appllcation and state that the above information is correct. I agree to comply uith all City ordinances and State laws relating
to building construction. I ALSO
AGREE TO SAM INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWIGMENTS, COSTS AND EXPENSES WHICH RAY IN ANY YAY ACCRUE AGAINST SAID
CITY IN CCNSEWENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shail expire by limitation and becme null and void if the building
or uork authorized by such permit is not cmnced within 180 days from the date of such permit or if the building or uork authorized by such permit is susperded
or abandoned at any time after the uork is comnenced for a period of 180 days (Section 303(d) Uniform Building Code).
I hereby authorize representatlves of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.
0 OUNER TRACTOR 0 BY PHONE APPROVED BY: DATE: - WHITE: File YELLOW: Applicant PINK: Finance
UNSCHEDULED INSPECTION I7
INSPECTOR /&2
PERMIT # PLANCK #
TIME ARRIVE: TIME LEAVE:
CD LVL DESCRIPTION ACT COMMENTS