HomeMy WebLinkAbout1040 AUTO CENTER CT; ; CB972622; PermitBUILDING PERMIT Permit No: CB972622
119/10/97 lo: 12 Project No: A9703328
Paqe 1 of 1 Development No:
Job Address: 1040 AUTO CENTER CT Suite :
Permit Type: ELECTRICAL
Parcel No:
Valuation: 0
Occupancy Group : Reference#: Status: ISSUEP
Description: ELECTRICAL TEST METER Applied: 09/16/97
Apr/Issue: 09/16/97
Entered By: JM
Appl/Ownr : TOYOTA CARLSBAD 760 929-2389
1040 AUTO CENTER COURT
CARLSBAD, CA 92009 *** Fees Required x** llected & Credit,s ***
Ad jus t.ments : .00
__________________-_______ __________________________
Fees :
Total Fees : . 09
35.00
Fee description Ext fee Data --_-------__-_-___
10.00 Y
25.00 Y
Enter "Y" for Ele
Enter "Y" if Test * ELECTRICAL TOTA 35.00
DATE __LL
CITY OF CARLSBAD
2075 Las palmas Lh., Carl~bad, CA 92009 (619) 438-1161
~~ ~ ~~
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL.
Validated By
Date I
Legal Description Lot No. Subdivision NamelNumbsr Unit No. Phase No. Total X of units
A~(lssor% Parcel X Existing Uae Proposed Use
Description of Work
KLF C 72,<7 MPTZR so. FT. *Of stonas X of Bedrooms X of Bathrooms
. . , . . .,. , . eONIR4GTaR2*WRm
[Ssc. 7031.5 Business and Professions Code: Any City or County which requires a parmit to ~onst~ct, alter. improve, demolish or repair any sl~cture. prior 10 Its issuance. aim requires the applicant for such permit to file a signed Ratemenl that he is licewad pursuant to the provisions Of the Contranor's License Law
[chapter 9, commending With Section 7000 of Division 3 Of the Business end Rofsrrions Codel 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 subjms the applicant to a civil penalty Of not mora than five hundred dollars 1850011.
Name Address Ciw ststelzip Telephone X
State License I License Class City Business License X
Designer Name Address city Statelzip Telephone
.- . stat* UCO".LI X
Workers' Compensation Deciarafion: I hereby affirm under psnsltv of parjurv OM) of the following dsclwationr:
WORKERS:.6WUm~noM"~~h: .. . ., .,
0 of the work for which this permit is issued.
issued. My worker's compensation insurance carrier and Poiicv number are:
Insurance Company Policy No. Expiration Date
[THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1b1001 OR LESS1
CERTIFICATE OF EXEMPTION I canify thst in the performance Of the work for which this permit is issued, I shall not amploy my person in any manner so as
IO become subject to the Woharr' Compantalion Laws of California.
WARNINO: Fallun 10 sacwe workam' corn~ution sormg. k ulllawtul. nd UUN subject an ernployr 10 erfmlnal p.nallhs .nd elvll fhs up to one hundmd
thousand dollam 1~100.0001. in addwon to the son of comp.nutlon. d.magr u pmrMed for h Section 3706 of the L.ba code. irnemst and .now's tau.
SIGNATURE DATE
I hereby affirm that i am exempt from the Contractor's License Law for the following reason:
I, as owner at the property or my employeas with wagas as th0ir sole Compensation, will do the work and the StrUmure io not intended or offarad for sale
(Sec. 7044. Business and Rot-ions Code: The Cantnctor's Licnnse Law does not apply to an owner Of PrOPnnv Who builds or improves theraon, and who dwo
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 ysar of compietion. the owner-builder will have the buram of proving that he did not build or improve for the purpose of sde1.
0 I, as owner of the pmpany, am exclusively cornracting with licensed contractors to ConitNCt the project ISec. 7049. Business and Professions Code: The
C~ntractor'~ License Law does not apply IO an owner of propmiv Who builds or improves thereon. and ~onlra~ts for such projects with ContraEtOrbl licensed
pursuant to the Contractor's License Law).
0
1,
2.
3.
I have and will meinmin a cenificate Of fonrsm to self-insure for workers' Compensation 11s provided by Section 3700 Of the Labor Code. for the pertormancs
I have and will maintain workad compensation, 8s required by Section 3700 of the Labor Code. for the performance of the work for which this permit is
.,, . m;BuBDCRuE~no~:. . "i ,-. "... ,. , . . -, ,, ,
I am exempt under Senion
I parsonally pian 10 provide the major labor and matwials for conmunion of thm pmpossd prnpsnv improvsma. 0 YES UNO
I [haw I have not1 signed an application for a building permit for the PIOPOsed work.
I have contracted with the following penon lfirml to provide tha proposed construction (include name I address I phana number I ~~ntranors license number):
Businass and Rofarriona Code fw this reason:
4.
number I ~ontiact~rs license numbwl:
5.
I plan to provide ponions of the work, but I have hired the foliowing perron to coordinate. supervise and provide the major work lincluds name I address I phons
I will provido some of t
IS the applicsm or fmum bu
program under Sections 2550 bnince Account Act? 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 WUUTION CONTROL DISTRICT.
O,W3lRV~oK@"@&i& ,.
i hereby affirm that there is a construction lending agency for thn performance of the work for which this permil is issued 1Ssc. 30971i1 Civil Cadel.
LENDER'S NAME LENDER'S ADDRESS -.. . , , ,'~, ., ,.
6 Certify tnat I habe read the application end state that the above information IS CWmR and tnst the mformatlon on tne plans 18 lccumte I agree to comply Wlth 41
Cow oidinmces 8nd State laws relating Io budding CoIutNucllon. I hareby mhoiim mpresmlalives of the CitV of Carlsbad to anta, upon the IDOY~ mentioned
Propenv lor ~nmenmn purposes. i ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiN OF CARLSBAD AGAiNST ALL LIABILITIES.
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOVENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA paimit IS mqulrsd for axc~vat;on~ ova1 SO' deep and damol~tm or comsl~clion of stwctuces over 3 Stone)6 on height.
of this Code shall expi,. by Iomltatm and become nul and YO d If 1118 build ng or le of LUC~ permit 01 If the Du Idmg 01 work amhollzed by SuCn Perm 1 (I wspenaeo
1Ssctmn 100.4.4 Uniform Buoldmp Codel
EXPIRATION Every per
DATE 4 hb /?? APPLiCANT'S SIGNATURE
WHITE: F4e YELL0 : Applicant PINK! Fnsncs