HomeMy WebLinkAbout1200 CARLSBAD VILLAGE DR; ; CB940329; PermitBUILDING PERMIT
03/24/94 13.11
Page 1 of 1
Job Address: 1200 CARLSBAD VILLAGE DR Suite
Permit Type MECHANICAL
Parcel No- ise-180-34-00 ' Lot#:
Valuation. 0
Construction Type NEW
Occupancy Croup• Referenced•
Description: A/C UNIT FOR COMPUTER ROOM
: NO FEE PERMIT
Permit No:
Pro3ect No:
Development No.
CB940329
A9400465
Appl/Ownr : CITY OF CARLSBAD
1200 CARLSBAD VILLAGE DRIVE
CARLSBAD, CA 92008
Status
Applied•
Apr/Issue•
Entered By:
ISSUED
03/24/94
03/24/34
DC
619 434-2492
*•*Fees Required ***Fees/Collected & Credits * * *
Fees
Adjustments•
Total Fees.
Total Cr.edits :00
. no
.00
' * s r* nMSP.
CLEARANCE
FINAL APROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
i MJRMJT'JYPE
From List 1 Csee back) give code of Permit-Type ELEC
For Residential Proiects Only From List 2 (see back) give
Code of Structure-Type
Net Loss/Gam of Dwelling Units
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT
VALID BY ~
DATE
2- PROJECT INFORMATION FOR OFFICE USE ONLY
Address UarTsbad Village urBunding or Suite No
Pio Pico
Lot No Subdivision Name/Number
Nearest Cross Street
LEGAL DESCRIPTION"Unit No Phase No
u?
D 2 Energy Gates D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope
_ASSFJSSQIVSPARGEL EXISTING USE Liovt office pROPOSF.n USE same
DESCRIPTION OF WORK
SQ FT n/a
A/C unit for computer room to emergency generator panel
# OF STORIES # OF BEDROOMS # OF BATHROOMS3UUNTALTTERSOFTTiF
NAME (last name first)
CITY
diiierem irom applicant;
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME (last name first) Walderl) Chuck ADDRESS 405 Oak Avenue
CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE 434-2992
PUOPLk'JY OWNER
NAME (last name first) City of Carlsbad ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6 (JuN 1UAL70K
NAME (last name first)
CITY
In-house staff
STATE
STATE UC #
ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
CITY BUSINESS LIC #
CITY
V WOKktRtf OOMPLNSA'ITON
STATE ZIP CODE DAY TELEPHONE STATE LIC #
"workers' Compensation Declaration I hereby attirm that I have a certificate of consent to sell-insure issued by the Director ot Sndustnar
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 POLICY NO EXPIRATION DATE
Certificate of Exemption I certify that in the performance ofthe 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
SIGNATURE DATE
8 OWNLH-BUILDER DECLARATION
uwiier-13uilder Declaration I hereby attirm that I am exempt trom the Contractors License Law tor the loTIowing reason
D 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 )
D 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 does 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)
n I am exempt under Section _ ___^_ Business and Professions Code for this reason
(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 [$500])
SIGNATURE DATE
THIS" SECTION FOR NoN -RESIDENTIAL BUILDING PERMIT ONLV
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES CiNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES tL™°Is the facility to be constructed within Y;000 feet of the outer boundary of a school site?
D YES Or NO
IF ANY OF THE ANSWERS ARE YES, AFFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER mY 1, 1989 UNIESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
M. mNMHUC'llON LENDING ACKNCY
1 hereby aHirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(1) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
10. APPLICaNT CHU'IIFRXHON
1 certily that I 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 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 SATO CITY IN CONSEQUENCE OF THF, GRANTING OF THIS PERMIT.
OSHA, An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones m herght
Expiration Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced 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 penod of 180 days (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATURE /7 / ff . S?J DATE 3'J 7-7*7
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB940329 FOR 09/15/94
DESCRIPTION: A/C UNIT FOR COMPUTER ROOM
NO FEE PERMIT
TYPE: MECH
JOB ADDRESS: 1200 CARLSBAD VILLAGE DR
APPLICANT:
CONTRACTOR:
OWNER:
CITY OF CARLSBAD PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCKtf CB940329
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 434-2492
REMARKS: MW/RICK/434-2991
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
49 ME Final Mechanical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
080394 Rough Electric
080294 Rough Electric
ACT INSP
AP PY
NS PY
COMMENTS
CONDUIT ONLY
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