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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