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Home My WebLink About1900 WRIGHT PL; 210; CB040925; PermitJ:''()74)fi 04-:28-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB040925 Building Inspection Request Li ne (760) 602-2725 Job Address: 1900 WRIGHT PL CBAD St: 210 Permit Type: Tl Sub Type: COMM 0 NEW Parcel No: 2120912500 Lot #: Status: ISSUED Valuation: $900.00 Construction Type: Applied: 03/19/2004 Occupancy Group: Reference #: Entered By: SB Project Title: MINDPORT ADD ADDITIONAL CONTROL EQUIPMENT Plan Approved: 04/28/2004 Issued: 04/28/2004 Applicant: SDA SECURITY SYSTEMS 2054 ST ATE ST SAN DIEGO CA 92101 619 239-34 73 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Total Fees: $53.42 $19.65 $0.00 $12.77 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Inspect Areaa92 04128104 J002 )1 Plan Check#'. CGP Owner: REALTY ASSOCIATES FUND V LP C/O SENTRE PARTNERS 225 BROADWAY #1700 SAN DIEGO CA 92101 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $53.42 Total Payments To Date: $0.00 Balance Due: $53.42 PER~~!T HAf; [XrlRED IN ACCORDANCE WITH U.B.C SECTION 106.4.4 Df\TE.Jb\;z ~l(?~ SIGNATURE~-AL) --.. FOR OFFICE USE ONLY PLAN CHECK No.cl§lf e; 'l~ PERMIT APPLICATION c:' 6)-EST. VAL. 7 C) CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION Assessor's Parcel # Existing Use Phase No. Total # of units Proposed Use # of Bedrooms c~1.sn llt: Name Address City State/Zip Telephone# 4. PROPERTY OWNER Name Address City State/Zip Telephone# 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 Code! or that he is exempt therefrom, and the basis for the alleged exemption. Any violatio of Sectio 7031.5 by any applicant for a permit subjects the appl'cant to a civil penalty of not more than five hundred dollars ($500 ). • ~ho-.,. .Sr. ~,, 6 .3~-.;J. ~ State license# ;lt, 6 'SY Address • y State/Zip Telephone # license Class C.-11 C.. •IO t /+IC. City Business license # ;l '{I S:O 6 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a cenificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ·O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performanc i.ued. My worker's compensation insurance carrier and policy number are: r,, ~ Insurance Company &,wtcl/ I Ji.Al?IIL.Y Policy No./ 0 '-/ 7 '( / ~ (THIS SECTION NEED NOT BE coJ;LETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I cenify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fai to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll s ($ 00,000), • additio to the s of compensation. damages as provided for in Section 3706 of the Labor ,ode. interest end attorney's fees. SIGNATURE.('S,z=.b:!:::1....,,S.~~~~:ig;;~[./..--------------DATE J/t'i/c,1/ 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the propeny 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 propeny 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). 0 I, as owner of the propeny, 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 propeny who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------COMPLETE THIS SECTION FOR NON-RESIDENnAL 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. C~STRUCTION 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(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION I cenify 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\t of Carlsbad to enter upon the above mentioned propeny 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 issued by lhe building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work aulhorized by such permit is nol commenced within 180 days from the dale of such permit or if the building or work aulhorized by such permit is suspended or abandoned al any time after the work is need for eriod f 180 d Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance r r