HomeMy WebLinkAbout1200 CARLSBAD VILLAGE DR; ; CB961270; PermitPermit No: CB961270
Project No A9601790
Development No:
BUILDING PERMIT
08/13/96 16 25
Page 1 of 1
Job Address 1200 CARLSBAD VILLAGE DR Suite:
Permit Type- COMMERCIAL TENANT IMPROVEMENT
Parcel No: 156-180-34-00 Lot#•
Valuation: 0 , Construction Type: NEW
Occupancy'Group Reference#: Status ISSUED
Description. REMODEL MANAGERS OFFICE AREA Applied. 07/10/96
Apr/issue• 08/13/96
Entered By. DC
Appl/Ownr : CITY OF CARLSBAD 619 434-2992
405 OAK AVENUE
CARSLBAD, CA 92008
*** Fees Required ***
Fees •
Adjustments•
Total Fees
llected & Credits * A A
00
00
00
XL
F APPROVAL
_ DATE.
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palraas Dr., Carlsbad, CA 92009 (619) 438-1161
1 PliUMITTVPE
From List 1 (see back) give code of Permit-Type dr. n
For Residential Projects Onfy From List 2 (see back) give
Code of Structure-Type
Net Loss/Gam of Dwelling Units
2 PROJECT INFORMA11ON
Address
PLAN CHECK NO.
EST VAL
PLAN CK DEPOSIT
VALID BY ~
DATE
FOR OFFICE USE ONLY
Suite No'
Nearest Cross Street
LL'GAL DESCRIPTION yg /
~ Lot "No
'.*~O
Subdivision Tia me/N umber Unit No Phase No
CHECK BFLOW II- SUBMllTETj
P 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
SQ FT /A i}L>$
EXISTING USE
# OF STORIES # OF BEDROOMS # OF BATHROOMSa lUNTALTl JPEUSUN tit diTH
NAME (last name first)
CITY
.rent trom applicant,)
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME (last name first)
CITY l- .•*/*>s PROPERTY
NAME (last name first)
CITY
C' #U'l /± ADDRESS
STATE I ft ZIP CODE DAY TELEPHONE
C/4*LS'£&b ADDRESS
STATE ZIP CODE v* DAY>TELEPHONE
NAME (last name first)
CIFY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE LIC #
DESIGNER NAMH Uast name first) jfc
LICENSE CLASS CITY BUSINESS LIC #
C[TY
, «)„<.,*» - AUDRHSS y j 79
STATE ('0 ZIP CODE <? ) fl Q j> DAY TELEPHONE
i>. 4 v * rr &
-Py-75/STATE LIC # C//378
WOHKhJLV GuMPhNSAnON
Worker^ Compensation Declaration I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial"
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)
INSURANCF, COMPANY POLICY NO EXPIRATION DATE
Certificate of ExemptionI certify that in the performance of the work tor 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 OWNLR-BUILDUR DLCLARATION
uwner-Builder Declaration 1 hereby atMrm that 1 am exempt Irom the Contractors License Law lor me lollowing reason
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 )
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)
D 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 S by any applicant for a permit
subjects the applicant to a civil penally of not more than five hundred dollars [$500])
SIGNATURE /IA**/. i,1 /* I #/. DATE
COMPLETE THIS SECTION FOR NON-RCSlDENTIAI BUILDING PERMITS ONLY
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 Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct?
D YES D NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF TI IE ANSWERS ARE YT^, A FINAL CER ITF1CATC OF OCCUPANCY MAY NOT BE ISSU1 -D AFTER JUI Y 1, 1989 UNLESS Tilt APPLICANT
IIAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICfc OF LMERGI.NCY SERVICES AND THE AIR POU UTION CONTROL DISTRICT
t; AtiENCV
I hereby affirm that there is a construction lending agency for the performance of the work lor which this permit is issued (Sec 3097U) Civil Code)
TO
LENDFR'S NAME
AWUCAN'l LUUIIMTKJN
LENDER'S ADDRESS
I certity that I have reafl the application and stale that the above mlormdtion is correct 1 agree to comply with all City ordinances and~Slate laws
relating to building construction I hereby authonze representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes I ALSO AGREE TO SAVE INDIJ/INIFY AND KEtP HARMLESS THE CITY t» CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN OONSLQUENCE OF THE GRANTING OF THIS PERMIT.
OSILA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height
Expiration Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and became 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 period of 180 days (Section 303(d) Uniform Building Code)
APPLICANTS SIGNATURE DATE
WHITE. File YELLOW: Applicant PINK: Finance o
CITY OF CARLSBAD
INSPECTION REQUEST
PERMITS CB961270 FOR 10/31/96
DESCRIPTION: REMODEL MANAGERS OFFICE AREA
TYPE: CTI
JOB ADDRESS: 1200
APPLICANT: CITY OF
CONTRACTOR:
OWNER:
CARLSBAD VILLAGE
CARLSBAD
DR
PHONE:
PHONE:
PHONE:
STE:
619 434
INSPECTOR AREA TP
PLANCK# CB961270
OCC GRP
CONSTR. TYPE NEW
LOT:
•2992
REMARKS: BJN/INSPECTOR
SPECIAL INSTRUCT: ^BLANSzAND-PERMI-TS-IN- MEDIA - CONTACT C
vPROBLEMS
CK WALDEN WITH ANY
TOTAL TIME:
—RELATED PERMITS—PERMIT# TYPE
US940028 TU
STATUS
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19
29
39
49
ST
PL
EL
ME
Final
Final
Final
Final
Structural £0 stst***/? s%t,jQ*s$/C#**-s£?
Plumbing \ /
Electrical
Mechanical 1
1
***** INSPECTION HISTORY *****
DATE DESCRIPTION
092896 Rough Combo
091396 Rough Electric
090496 Interior Lath/Drywall
ACT INSP
AP PK
CO PK
AP TP
COMMENTS
OK TO DROP TILE
ON JOB CARD
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE
ADDRESS C B U
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
PLAZA CAMINO REAL
VILLAGE FAIRE
OTHER
COMPLETE OFFICE BUILDING
PLANNER DATE
ENGINEER DATE II-
CAWP51\FILES\BLDG.FRM Rev 11715/90