HomeMy WebLinkAbout1921 PALOMAR OAKS WAY; 312; CB951849; PermitB ll I L D I N G P E R M I T Permit
Project
Development
No: CB951849
No: A95027U9
No:
01/UJ/9b 13:04
Paqe 1 of 1
Job Address: 1921 PALOMAR OAKS
Permit Type: COMMERCIAL TENANT
Parcel No: 212-091-18-00
Valuation: 9,000
WY
IMPROVEMENT
Suite:
Lot#:
Occupan cy Group: Refeience#:
Description : REMODEL EXISTING OFFICE
Appl/Ownr : HARRIS, DENNIS
P .O. 930
POWAY, CA. 92064
Fees Required
Fees :
AdJustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Electric
Remodel/Alter Per AMP
* ELECTRICAL TOTAL
619
31 ls 7 01 0
Construction Type: VN
ISSUED
12/20/()t;
01/0:/96
MDP
Status :
Applied :
Apr/Issue:
Entered By:
486-5081
.00
70 .00
151.00
A~*
Ext f ee Data
108, U I)
70.00
2.0U
180.00
10.00 Y
31.25
41.0 U
APPROVAL
'NSP DATE i:£L_
\~LEI.RANCE ;4 "3/~ 4,J-
CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. t[ ~ L yL l ~
City of Carlsbad Building Department
2075 Las Pal.as Dr ., carlsbad, CA 92009 (619> 438-1161
1. PERMIT 1YPE VAI.JD.BY_"T""..&,~:..:..;;_ _____ _
From List 1 (see back) give code of Permit-Type: ------------DATE._4-',-.,;i---:~'-""''-'-------
For Residential Projects Only: From List 2 (see back) give 52 1 12/ ... 0/95 0001
,.,-RMT
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PRQJF.Cf CNFORMATION FOR OFFICE USE ONLY
t o. am nu o.
CHECK BEWW IF sosJi ~i(i C.eA ru_;, 6-At? TT?-:tr<r I
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL -Z I 3--a "1w '[ 1 EXJSJ]~G USE Q f~ ~ PROPOSED USE C 'f=A<-Z;;
NAME (last name firs.Jl .,,-_tJ)DRESS ~~.ft= A!> L-ONTl'tc=.....t
CITY STATE ZIP CODE DAY TELEPHONE
'AilY?:iFN<:J=.. ,.?c::'.:i:::w::>'ADDRESS 15};;4 /t5+-! J H6TON Ht~
STATE L,.,c<_, ZIP CODE C., 'flo/cr DAY TELEPHONE Cf '-rCJ -( ({° ~
STATE UC. #b66"f 2 / LICENSE ClASS iZ CITY BUSINESS UC.# -/2.63 "'I 't _3
DESIGNER NAME (last name ltrst) /)fr::::.6Crrf ji::t f't~ ADDRESS3/,0 L,+,?,t/1.<S cl~,_ jt, (J' $, ·
CITY STA ZIP CODFP(l_t ~ DAY TELEPHONl6.z; ( STATE UC.#
Workers' Compensauon beclarauon: I hereby affirm that I have a cerulicate of consent to self-insure issued by i.he Director of lndustnal
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 rhe Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
D
D
Ceruhcate of Exempuon: I cerufy iliac in the pertormance ol the work for which i.h1s permit is issued, I shall not employ any person in any manner
so as to beco e subj~t to the Workers' Compensation Laws of California.
\
I hereby al11rm that I am exempt from the Contractor's License Law !or Uie following reason:
I, as owner of the prope.rty 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 10 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 10 consrruct 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).
I am exempt under Section-------Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit 10 construct, alter, improve, demolish, or repair
any srructure, prior to its issua nce, also requires the applicant for such permit to file a signed statement that he is licensed pursuant 10 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 co civil penalty of not more than five dred dollars [SSOO]).
SIGNATURE -fl. DATE I 2-
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Scc1ions 2!5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr?
DYES NO
ls the applicant or future building oc~nt required to obtain a permit from the air pollution control district or air quality management district?
D YES NO
Is the facility to be constructed within 000 feet of the outer boundary of a school site?
D YES NO
IF ANY OF TI-IE ANSWERS AREYES, A · ALCERTIF!CATEOFoa::uPANCY MAY NOl'BE ISSUED AFTER.JULY 1, 1989 UN1£SSTI1EAPPUCANT
HAS MET OR IS MEETING nm RF.QUIR£MENTS OF 1HE OFFICE OF EMERGENCY SERVlCES AND TI IE AIR POU.UTION OONTROL DlS11UCT.
9. UJNS"I IWC110N rnNDING AGENCY
I hereby ali1rm i.hat i.here 1s a const01cuon lending agency for i.he performance ol the work for which i.h1s permit 1s issued (Sec 3097(1) C1V1I COde).
LENOElt'SNAME LENDER'S ADDRESS
10. Al'PDCAN I CE.It I MCA IION
I cemty that I have read lhe apphcat:ton and state lhal lhe above mformauon 1s correct. I agree to comply w1i.h all Ctry 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 AI.SO AGREE 1U SAVE INDE.MNWY AND KEEP HARMLESS nIE QTY OF CARLSBAD AGAINST All. UABlllTlF.S, JUDGMENTS, CDSTS
AND EXPENSES Wl-DCH MAY IN ANY WAY A<DlUE AGAINST SAID QTY IN OONSEQUENCE OF TICE GRAN11NG OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
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 commencN. within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at ~e after thew rk is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANl'"S SIGNATURE ~----, / -z../;z ... d ~ DATE: ----
WHITE: File YEllOW: Applicant PINK: Finance .":.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951849 FOR 01/25/96 INSPECTOR AREA TP
PLANCK# CB951849
OCC GRP
DESCRIPTION: REMODEL EXISTING OFFICE
TYPE: CTI
JOB ADDRESS: 1921 PALOMAR OAKS WY
APPLICANT: HARRIS, DENNIS
CONTRACTOR:
OWNER:
REMARKS:
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE: 619
PHONE:
CONSTR. TYPE VN
STE: 312 LOT:
PHONE:
486?1
INSPECTOR~-~'--~~~~~~~~~
CD LVL DESCRIPTION ACT COMMENTS
39 EL Final Electrical
..Jl!}_ ~ ~~~~~~~~~~~~~~~
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
011896 Interior Lath/Drywall AP TP PATCHES
011896 Rough Electric co TP SUB PANEL GRN,30 AMP BKR
011896 Final Electrical co TP
011296 Frame/Steel/Bolting/Welding AP PK WALLS ONLY
011296 Rough Electric AP PK WALLS ONLY
011296 Interior Lath/Drywall AP PK WALLS ONLY
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE PLANNING U/M WATER
PLAN CHECK#: CB951849
PERMIT#: CB951849
PROJECT NAME: REMODEL EXISTING OFFICE
ADDRESS: 1921 PALOMAR OAKS WY SUITE# 312
CONTACT PERSON/PHONE#: MW
SEWER DIST: CA WATER DIST: CA
DATE: 01/23/96
PERMIT TYPE: CTI
Bv =--============= =m===========-==============~=====m~=~~:iiutir=-lll:l!l;l~EeiilODIJlm!!i~==•
INSPECTED ~ DATE t!J-s/qw APPROVED X INSPECTED: DISAPPROVED BY:
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
---------------------------================-=-=====-=======-==-======>====
COMMENTS:
City of Carlsbad El-hh,Whi ii'l •14'24 f.] .j, ,24 ,11
FAX TRANSMITTAL
-NUMBER OF !'AGES BEING TRANSMITTED ~
(JNCLUOING FAX TRANSMITTAL) --
TIME SENT: ------
COMPANY: -------~---
PHONENO.~-------------
FAX NO. Lf 8(c, :S-~ ~ I
FROM: MICHAEi PETERSON PHONE NO . 1619) 438-116i EXT. U462
FAX NO. (619) 438-0894
----.... --------------------------............. .
SPECIAL INSTRUCTIONS:
H _ ~ /<. e :>, rlo <J ,'VJ 6 Al 1 ~T~
L-. ~71e_f'l_ vt/ /.5 l_3vt,I /L)/t_p C)~ -r:-s I
2\J =2tl----
2075 Las Palmas Drive • Carlsbad. California 92009 • (619) 43S-1161
--------------------------------------------------------------------------------------------------------
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'
/
' PLANNING/E~GINEERING APPROVALS
PERMIT NUMBER CB ?J:-18 ¥ f
RESIDE~
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
PLANNER V (iµL-
ENGINEE~-772~
C:\WP!51 \RLES\BI..DG.FRM
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VIUAGE FAIRE
COMPLETE OFFICE BUILDING
(
r
DATE / °2--~ 7-4 f,
/ '
Rev 11 /16/90
) r
City of Carlsbad 95308
Fire Department • Bureau of Prevention
Plan Review: Requirements Category: Building Plan Check
Reviewed by: ~ Date of Report: Friday, December 29 , 1995
Contact Name Dennis Harris
City, State Poway CA 92064-2355
Bldg. Dept. No. 95-1849 Planning No.
Job Address 1921 Palomar Oaks Ste. or Bldg. No. _3_12 ____ _
igi Approved -The item you have submitted for review has been approved. The approval is
based on plans; information and/or specifications provided in your submittal;
therefore any changes to these items after this date, including field modifica-
tions, must be reviewed by this office to insure continued conformance with
applicable codes. Please review carefully all comments attached, as failure
to comply with instructions in this report can result in suspension of permit to
construct or install improvements.
D Disapproved -Please see the attached report of deficiencies. Please make corrections to
plans or specifications necessary to indicate compliance with applicable
codes and standards. Submit corrected plans and/or specifications to this
office for review.
For Fire Department Use Only
Review 1st. __ _ 2nd. __ _ 3rd. __ _
Other Agency ID
CFO Job#_--'--9-'---53:....:0_;;_8 __ File# ___ _
2560 Orlon Way • Carlsbad, California 92008 • (619) 931-2121