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Home My WebLink About1780 BUENA VISTA WAY; ; CB920906; PermitBLJILDING PERMIT Permit No: CB92OYC1b (19/02/92 08: 10 Project No: A9201981 Page 1 of 1 Development Nu: Permit Type : PLUMPING 9126 OY/O2/92 0001 01 02 Par-(:el No: 156-142-09-00 Lot# : C-FRHT 10-00 Valuation: .o Cunstruction Type: NEW Occupancy Group : Reference#: Description: GAS REPAIR ' ,rob Alldress: 178U BLJENA VISTA WY Suite: Status : ISSCJE::2 au3;ss Appi. i ed : Apr/Issue: 03/02/92 Validated By: DC Appl/Ownr : BLUM, ROBERT 619 729-6985 1780 RUENA VISTA WAY CARLSBAD, CA 3 *A* Fees Required A* cted & Credits k*4 _c_____---________-___ -_----_---___--_-__...- Fees : Adjustments : . 00 Total. Fees: . (3 0 10, (30 Fee description Ext fee Data _______---________- Enter "Y" for Plum 7.5!? Y Gas Piping System k PLUMBING TOTAL 2.5c io. 00 CLEARANCE ,-----I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, U 92009 (619) 438-1161 A - Ll Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building OTenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa Retaining Wall 0 Solar 0 Other 2. PRCUKTINFORMATION uilding or Suite No. 717 80 3dCWH Vrs7Kl ULf Nearest Cross Street LEGAL mN Lot No. Subdimion Name/Number PLAN CHECK NO. 72 7'&5 I 1 m. VAL PIAN CK DEpoflT VAllD. BY DATE FOR OFFICE USE ONLY Unit No. Phase No. 2 Energy Calcs DESCRIPTION OF WORK 0 2 Structural Calcs 0 2 Soils Report 1 Addressed Envelope TING USE P- USE 44 (ir airrerent rrom applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS UAP UO- U- CITY STATE ZIP CODE DAY TELEPHONE ADDRESS XUe7Wd v/s7& hd'f CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # AhlE CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby artirm that 1 have a certificate ot consent to selt-insure issued by the Director ot 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 the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY WLICY NO. EXPIRATION DATE Cerulicate of Exemotion: 1 cerhlv that in the oertormance ol the work for which this Dermit is issued. I shall not emolov anv Demon in anv manner . .. d. so as to become subject to the Wbrkers' Com&mtion Laws of California. SIGNATURE DATE Owner-Builder Declaration: I hereby attirm that I am exempt from the Contractor's Llcense Law tor the following 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 contractors to construct the project (See. 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 projecn 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 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, 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 [CSSOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE COM TIAL M 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 YES, A FINALCERTIFICATE OFOCCUPANCYMAY NOT BE ISSUED AFl'ERJulLY 1,1989 UNLESS THEAPPLKXNT HAS MET OR IS MEEIING THE REQUIREMENTS OF T€E OFFICE OF EMERGENCY SERVICES AND THE AIR POLulTlON alNTRoL DISIRICX. 1 hereby attirm that there is a construction lending agency tor the performance ot the work for which this permit is issued (Sac 30 ~IVII Code). 0 YES 0 NO 0 YES 0 NO om 0 NO LENDER'S NAME LENDER'S ADDRESS 10. I certity that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AIS0 AGREE TO SAVE INDF- AND KFXP HARMLESS THE ClTY OF CARLSBAD AGAINSAIL LIABUJTIES, JUDChfENlE, CXEE AND EXPFASES WUQI MAY IN ANY WAY ACXRUE AGAIN= SAID CITY IN CON!XQUENCE OF THE GRA"G OF IIUS PERMFT. Ornu\: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height. Expiration. Every permit issued by the Building Official undcr the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pcrmit is not cornmcnced 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 days (Section 303(d) Uniform Building Code). APPLICA 7. e WHITE: File YELLOW: Applicant PINK: Finance c c CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920906 FOR 09/03/92 INSPECTOR AREA DESCRIPTION: GAS REPAIR PLANCK# CB920906 TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 1780 BUENA VISTA WY STR: FL: STE : APPLICANT : BLUM, ROBERT PHONE: 619 729-6985 CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: MH/BLUM INSPECTOR SPECIAL INSTRUCT: TRIED TO ESCHEDULE WED FROM 1-3 TO 4PM OCC GRP && DID NOT LEAVE PHONE NO. COULDNT REACH PAUL TOTAL TIME: CD 23 DATE LVL DESCRIPTION PL Gas/Test/Repairs ACT COMMENTS ***** INSPECTION HISTORY ***** DESCRIPTION ACT INSP COMMENTS