HomeMy WebLinkAbout1750 BASSWOOD AVE; ; CB901970; Permit* -. c
RUILDING PERMIT Permit No: CB9111570
12/25/90 11:46 Project No: A9002271
Page 1 of 1 Development No :
Job Address: 1750 BASSWOOD AV Str: F1: Ste:
Parcel Nc! : 205-080-37-00 .C-fQ+f f $1 :, o:'.:
Va lua t i on :
Constructicrn Type: VN
Occupancy Group: Class Code: Status: ISSUED
Description: REMODEL 100 SF ADDITION Applied: 12/26/9t1
Apr/Issue: 12/26/90
Permit Type: RESIDENTAL ADD/ALT (UNDR S10K) {).t.&> j?/z&fs<> $1, F.2
5 0 0
Validated By: DC
Appl/Ownr : SPRING, ROBERT €3. 619 692-320
1750 BASSWOOD AVENUE
CARLSBAD, CA 92008
a** Sees Required ** ........................
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
k BUILDING TOTAL
Enter "Y" for Plu
Gas Piping System
x PLUMBING TOTAL
Enter "Y" for Elect
Other
k ELECTRICAL TOTAL ($
Enter 'Y' for Mechanic
Each Install/Reloc Appli * MECHANICAL TOTAL
Credits ***
.00
10.00
61.00
Ext fee Data --_--------------
15.00
1 0 . (I 0
1.00
26.00
7.50 Y
2.50
1U.00
5 . 0 0 Y
10.0 U REMODEL
15.00
15.00 Y
4.50
20.00
\.
., , . . 1 1" .. .. .
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
. 4.
PERMIT APPLICATION City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
PLAY CK DEPOSIT
VALID. BY b c
A - UCOnnERClAL W NEU UTENANT IMPROVEMENT
B - OINDUSTRIAL ONEU OTENANT IMPROVEMENT '-..?+fY <* ~ ,..
Nearest Cross Streets
Unit No. Phase No. $#I LEGAL DESCRIPTIOY
> 2 Soils Report 2 Ener y Calcs 02 Structural Calcs
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE A
/ / BLDG. SO. FTG. # Iso k OF STORIES 1 3. CONTACT PERSON
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
SIGNATURE
4. APPLICANT 0 CONTRACTOR OACENT FDR CONTRACTOR OWNER UAGENT FOR OUNER
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
WNER
STATE # ZIP COOEYWO a
ADDRESS 6. CONTRACTOR NAME
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CDDE DAY TELEPHDNE STATE LlC. #
Uorkers' Conpensation Declaration: I hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial Relations,
7. WORKERS ' COMPENSATION
or a certificate of Uorkers' Conpensation Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, lab. C).
INSURANCE CWPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: so as to become subject to the Uorkers' Conpensation Laws of California.
I certify that in the performance of the work for which this permit is issued, I shall not enploy any person in any mamr
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
I as owner of the property or my enployees 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 uho
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 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 contractor(s1
licensed pursuant to the Contractor's License Law).
0 I am exenpt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, dmlish, 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 with 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 tS5D01).
SIGNATURE DATE
COMPLETE THIS SECTION FOR WON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managenwit and preventicn
program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Accomt Act?
0 YES NO 1s the applicant or future building occcpant required to obtain a permit frun the air pollution control district or air quality management district?
DYES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
OYES 0 NO
IF AYY Uf TIE &USERS AU€ YES. A FIUhL CERTIFICATE OF OCWAWl MY Yo1 BE ISSUED ACTER ULY 1. 1989 WLESS THE WPLlCMT IUS UElm IS IEElIffi WE REQIIRt3EllTS
OF THE OFFICE OF OERGEYCY SERVICES AND THE AIR POLLUTION CCUTROL DISTRICT.
9. 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(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply uith all City ordinances and State laws relating
to buildina construction. I herebv authorize reoresentatives of the Citv of Carlsbad to enter uwn the above mentioned Drocertv for inswction EurDoses. I ALSO
AGREE TO !& IY)E))I(IFY AKI KEEP IhRllLESS THE CiTY OF CARLSBAD AGAINST ALL LIABILITIES, JLDOENTS, COSTS AMI EXPENSES UHlCH MY IN Am WAY A& AIXIYST SAID
CITY IN CCUYQlENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official der 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
I
e --. I 4
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901970 FOR 03/28/91
DESCRIPTION: REMODEL 100 SF ADDITION
TYPE: RAD
JOB ADDRESS: 1750 BASSWOOD AV
APPLICANT: SPRING, ROBERT H.
CONTRACTOR :
OWNER:
REMARKS : MH/ROBERT/ 692 -3 2 2 0 SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
INSPECTOR AREA PD
PLANCK# CB901970
OCC GRP
CONSTR. TYPE VN
STR: FL: STE: PHONE: 619 692-320
PHONE : AI PHONE :
INSPECTOR
A$T COMMENTS
T
-- I
***** INSPECTION HISTORY *****
DATE DESCRIPTION
011791 Rough Combo
011791 Gas/Test/Repairs
ACT INSP COMMENTS
AP MP
AP MP
PLANNING/ENGINEERING APPROVALS
D DATE /~?/zb/q 0 PERMIT NUMBER CB Ci.0 - ,'q 7 L
-- -_ TENANT IMPROVEMENT .-_ --- -- - RESIDE
RESIDENTIAL ADDITION MINOR ') PLAZA CAMINO REAL
-1.. ..
( < $10,000.00)
VILLAGE FAJRE
COMPLETE OFFICE BUILDING
ENGINEER DATE
C:\WP51 \FILES\BLDG.FRM Rev 1 1 /15/90