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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 4 ' S> fc t \J ^ 1 ~> *•VI n/ LJ -*-* i "*>J •«,D Q _> <