HomeMy WebLinkAbout1060 AUTO CENTER CT; G; CB951542; Permit&& 35bl
DATE .&L
BUILDING PERMIT Permit No: CB951542 i0/24/95 10:14 Project No: A9502251
Page 1 of 1 Development No:
Job Address: 1060 AUTO CENTER CT Suite: G
Permit Tvve: COMMERCIAL TENANT IMPROVEMENT ._ Parcel No:
Valuation: 800
Occupancy Group: Description: ELECT RUN FOR MODULAR FURNITUR Applied: 10/24/95
: ADD DOOR & WALL
Appl/Ownr : SAUNDERS, BRETT
P.0.BOX 890801
TEMECULA, CA 92589
Apr/Issue: 10/24/95
Entered By: RMA
909-694-1916
*A* Fees Required *** lected & Credits ***
Adjustments: .oo
_____--_----------------
Fees :
Total Fees: 14.00
42.00 Fee description Ext fee Data -__-_____________- _-_____________----
Building Permit 21.00
Strong Motion Fee 1.00
Plan Check 14.00
Other 20.00 ELECT REM( * BUILDING TOTAL 56.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMlT AppLlcAnoN
City of Carlsbsd Ruildina Deparrmmt
M75 Las Palms Dr., Carlsbad. U pMo9 (619) 438-1161
From tist 1 (see back) give code of Permit-Type: ......................................................
For Residential Proiffa Only: From Ijst 2 (see back) giw
0 2 Energy Calcs
DESCRIPTION OF W RK
SQ. Fr. # OF STORIES
0 2 Structural Cab 0 2 Soils Repon 0 1 Addressed Envelope
USE PRO- USE
# OF BEDROOMS # OF BATHROOMS airrerent mom appiicant~ ADDRESS
STATE ZIP CODE DAY TELEPHONE f UAGPDW7
STATE ZIP CODE DAY TELEPHONE
ADDRESS Po ' f?oFO/
CITY @' ZIP CODE 92flY DAY TELEPHONE ?@ /F/&
ffMfe0 Is STATE UC. # 6766CENSE CLASS CITY BUSINESS UC. #
(last name tint)
an STATE ZIP CODE DAY TELEPHONE STATE UC. #
Worken' Compensation Ikclaratlon' 1 hereby aftirm that 1 have a certiticate ot consent to selt-insure issued by the Dmctor Of lndustnal 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 $?ii Po, WUCY NO. 79'r7/- WFXPIRATION DATE /f -27 - qr CeNticate ot exemption: 1 certity that in the penormance ok the work for which this permit IS issued, 1 shall not employ any pemn In any manner Compensation laws of @lifornia.
p9-2-Y- w-
Uwner-builder Uedaralton: 1 hereby attlrm that 1 am exempt from the Lontractors Ucense Law tor the tollowrng reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nor intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License law doer not apply to an owner of property who builds or improves thereon, and who dm 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 haw 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 (Sec. 7044, Business and Professions Code: The Contractor's License law dm not apply to an owner of property who builds or improves thereon, and contracts for such projects 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 We) 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 [$5001).
0
0
0 Business and Professions Code for this reason:
SlGNAlllRe DATE
COMPC
Is the applicant or future building occupant required to submit a busin- plan, acutely hazardous materials regismtion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Is the applicant or future building occupant required to obtain a permit from the air palhition control district or air qualiry management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a schwl site?
IF ANYOF THE ANSWFRS ARE YES, AFINAL WllFICATEOF OCCUPANCY MAY NOT BE Issun, AFIERJULY 1,1989 UNlESS THE APPLICXNT HAS kIEF OR Is hEEllNG THE REQ- OF THE OFFICX OF mGENCY SERVICLS AND THE AIR FOUJJTION CONTROL DISIRICT.
I hereby afhrm lhat there IS a construction lending agency tor the pertormance 01 the work tor Which this permit IS lssued (Sec 3097( I) Civll Code).
0 YES 0 NO
0 YES 0 NO
om 0 NO
LENDER'S NAME LENDER'S ADDRESS
~~~ ~~~~ ~~ ~
I CMllly thal 1 have read the appllcallon and Slale lhdt IhC alwve lnlormdllon 15 Comxt. 1 agrrr lo comply Wilh all Cily ordinances an6 Stale laws relating io building conslruction. I hereby authorize repmenlaiivw of the Ciry of Cxlsbad IO enter upon the above mcnlioned propeny fur inrpcrion purposes. I AISOAGRFETOSAW INDFMNIFY ANDKF~IIARMI~~~SlHE~OFCARISRAI)A(;ALN~AU.LIABll~lE~~JU~MFNT$~ AND EWMWX W111Cl1 MAY IN ANY WAY ACWIUL! AGAINST SAID WIY IN CONSEQUENCE OF IlLE CHAKIP(G OF TlllS I'FMMIT.
An OSHA permit is required far excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and wid if the buildinn or work authorized by such Emit is not commenced within 365 dam from the date of such wrmit or if the buildinn or work authorized bv
wkulh: rue YELLOW: Applicant PINK: Finance
~
05/2a/ga INSPECTION HISTORY LISTING FOR PERMIT# CB951542
DATE INSPECTION TYPE INSP ACT COHMENTS
11/02/95 Final Structural TP AP 11/02/95 Final Electrical TP AP
HIT <RETURN> TO CONTINUE...
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
( < 8 10,000.00)
PLAZA CAMINO REAL
VILLAGE FAlRE
COMPLETE OFFICE BUILDING
OTHER
ENGINEER DATE
C:\WP5 1 WILES\BLDG.FRM Rev 11/15/90
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for
A. workers' compensation as provided by section 3700 of the Labor Code, for
the performance of the work for which this permit is issued.
I have and will maintain workers' Compensation, as required by section 3700
E. of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
INSURANCE COMPANY POLICY NO. EXPIRATION DATE:
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED
DOLLARS ($100) OR LESS) - c.
certify that in the performance of the work for which this permit is issued,
shall not employ any person in any manner so as to become subject to the
workers compensation laws of California.
Warning: Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000). in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees.
March 3, 1995
2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (619) 438-1161 FAX (619) 438-0894 @
---
CITY OF CARLSBAD i FIRE DEPARTMENT
-1
I