HomeMy WebLinkAbout1060 AUTO CENTER CT; M; CB973817; PermitI
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
-
Plan Ck. Deposit ' -
Validated By
Date />e
Name Address Citv StatelZin Teleohons #
lili~&O
ISec. 7031.5 Business and Professions Code: Any City or County which requires a permit to ~onstruct, alter. improve, demolish or repair any structure, prior to its
issuance, a100 requires the applicant for such permit to fils a signed statement that he is licensed pursuant to the pmvirionr of the Contractor's License Law
IChaptw 9. commending with Section 7000 of Division 3 of the Business and Professions 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 subjects th8 applicant 10 a civil penalty of not more than five hundred dollars 195001).
Name Address city StstslZip Telephone X
State License X License Class Citq Business License X
Designer Name Address City Statelzip Telephone
State License X
of the work for which this permit Is issued.
0
issued. My worker's compensation insurance carrier and policy number ere:
Insurance Company Policy NO. Expiration Date
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS)
CERTIFICATE OF EXEMPTION: I Certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner $0 as
to become subject to the Workers' Compensation Laws Of California.
WARNING Failure to I~WT(I workers' compensation coverage is unlawtul. and shall subject an employer to criminal penalties and cldl fines up to one hundred
thousand dollars 1$100.000), in addition to the Cost of cornpsnratian. damages as provided lor in Section 3706 of tha Labor de. Interest and anornay's fees.
SIGNATURE DATE
I have and will maintain workers' compensation, as required by Section 3700 Of the Labor Code. for the performance Of the work for which this permit is
operty Who builds or improves thereon, and who doer
d for sale. If. however, the building or improvement io
the project (Sec. 7044, Business and Professions Code: The
ereon, and contracts for such projects with contractor$) licensed
improve for the purpose of said.
0 I. as owner of the property. am BXCIUSIV~IV contracting with li Contractor's License Law doer not apply to an owner of property
pursuant to the Contractor's License Lawl.
I am exempt under Section Business and P
1. I personally plan to provide the major labor and posed property improvemenr. YES UNO
4.
number I contrsctorr license numberl:
5.
of work):
I plan to provide portions of the work. but I &e hired the following person to coordinate. supervise and provide the major work linclude name I address I phone
I will provide some of the work, but I have contracted Ihirad) the following persons to provide the work indicated (include name I address I phone number I type
PROPERTY OWNERS GNATLRE DATE
COMPLETE THIS SeCnON FOR NOAWESIDENTIAL BUlLMNO PERMITS ONLY
Is the applicant or future building OCCUPB~~ required to Submit a business plan. acutely hazardous materials registration form r risk management and prevention
program under Sections 25505, 25533 or 25534 of the Preslev-Tanner Hazardous Substance Account Am7 0 YES &O
Is the applicant or future building occ~pant required to Obtain a permit from the air pollution control district or air quality management district? YES SNO
Is the facility to be constructed within 1,000 fast of the outer boundary of B school site? YES "0
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.
I hersby affirm that there is a construction lending agency for tho performance of the work for which this permit is issued ISec. 3097lil Civil Codel,
LENDER'S NAME LENDER'S ADDRESS
I Certify 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 conStiuction. I hereby authorize repre~~nt~tives of the Cit? of Carlsbad to enter upon the above mentioned
prop~ny 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 1s required for excavations Over 5'0. deep and demolition or ConStrUCtion Of Structures over 3 stories in height.
APPLICANT'S SIGNATURE
DATE: 10/30/98 PLAN CHECK EXPIRATION
PCI CB973817 DATE: 12/16/98 TO: WAGNER DESIGN GROUP ADDRESS: 1060 AUTO CENTER CT #M
9463 EL TEJADO RD
LA MESA CA 91941
YOU have applied to have your plans checked on the date shown above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
Wection 304(d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT.
- PROJECT ABANDONED.
- PROJECT ABANDONED.
If you have any questions, please contact the Building
Department at (619) 438-1161 extension 4331.
I WILL PICK UP PLANS WITHIN 10 DAYS.
PLANS MAY BE DESTROYED.
RAENETTE ABBEY Building Department
2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 (760) 438-1161 FAX (760) 438-0094 @