HomeMy WebLinkAbout1921 PALOMAR OAKS WAY; MULTI-PERMIT FILE; CB983067; Permit/
B U I L D I N G P E R M I T Permit No: CB983067
09/11/98 13:25 Project No: A9803987
Page 1 of 1 Development No:
Job Address: 1921 PALOMAR OAKS WY Suite: 200
Permit Type: MISCELLANEOUS
Parcel No: 212-091-18-00 Lot#:
Valuation: 9,000 Construction Type: VN
Occupancy Group: Reference#: Status: ISSUED
Description: RELOCATE EXISTING NON-BEARING Applied: 09/11/98
PARTION IN OFFICE WITH ELEC AND DEMO. Apr/Issue: 09/11/98
Entered By: MDP
Appl/Ownr : OCEAN WEST BUILDERS 619 455-5286
5230 CARROLL CANYON ROAD
SAN DIEGO CA 92121 -
1000 09/iJJ98 0001 01 0
*** Fees Required ***
--
Feet Collected & CreditT 14700
Fees: 147.00"
- /._ Adjustments: ./0'0 -' '- TOta LC.reits:' .00
Total Fees: 147.00 ., Total Payments:" .00
Ba1arce'Due. '\ 147.00
---------- Ext fee Data --------------------------
Miscellaneous Fee #li -127.09 -;'". \ 127.00 PERMIT
Miscellaneous Fee #2,' 20.0-1' '/ 20.00 ELECTRIC
* MISCELLANEOUS TOTA1L 147.00
tICO?OflATEO
FINAL-APPROVAL
INSP. DATE IZ/49/11
-
CLEARANCE____________________
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
(760) 438-1161
1. PROJECT1NFORMATION
t0-1-440HAR tAS La47' GATaK
FOR OFFICE USE ONLY
PLAN CHECK NO. 3Q7
EST. VAL.
Plan Ck. Deposit
Validated By_
Date
Address (include Bldg/Suite #) Business Name (a(this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
01;2 -0°rl -I/ OTF'E 5PA
Assessor's Parcel # Existing Use Proposed Use
TD4o ,t1.a L A, .. aoAls (a??
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
.2: . CONTACT' PERSON (if diffe,ent;frorn applicant).
, 2 •7J Po'8c ?3 , 9z,'q
Name Address City State/Zip Telephone # Fax #
3 PLICANT D Con?ra'tor 'QAgent for Contractor 'D Owner 1 Agent for Owner
Al cx L,e7q 64- ?.2177S'
Name Address City State/Zip Telephone #
it. PROPERTY OWNER"
Ai.
PI2EJ.JTL5 ? 0'€m. c %1&4_b%1&4_b 7,J)A J i it) 4- 1s
Name Address City State/Zip Telephone #
5'. ;CONfRACTORCOMPANYNAME.
(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, commending 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 701.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50011.
Name Address City State/Zip
State License #S(V2r _5,3Z> License Class 5 City Business License # 1 7-
Designer Name Address City Stéte/Zip Telephone
State License #
6.. WORKERS COMPENSATION. :... .L'.. ........................ ........... .: . ....... . . . .. ... - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company L8jJ),lJE,,h1Tht &.H'. /A'. Policy No. /..14) '5'y O Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 181001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and Civil fines up to one hundred
thousand dollars (8100.000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE DATES
7 OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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).
I am exempt under Section __ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number /type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLEtETHlS SECTIONFOR'NON.RESIDEN7ML BUILDING PERMITS'ONLY.
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8 CONSTRUcT1ON LENDING—GAR ENC
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS_______________________________________________________
9.-.:. APPLICA10ERTIFIcATION: ,- .' . '--,. : :. . .........-, -
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cite, 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0 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 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 is c
2
omma ad for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE 'Lz DATE 9,/i I,I/9 2"
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB983067 FOR 10/23/98 INSPECTOR AREA DH
DESCRIPTION: RELOCATE EXISTING NON-BEARING PLANCK# CB983067
PARTION IN OFFICE WITH ELEC AND DEMO. 0CC GRP
TYPE: MISC CONSTR. TYPE VN
JOB ADDRESS: 1921 PALOMAR OAKS WY STE: 200 LOT:
APPLICANT: OCEAN WEST BUILDERS PHONE: 619 455-5286
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: C/PAUL/619/843-0646 INSPECTOR /2A1
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
PERMIT# TYPE STATUS
FA930011 FALARN ISSUED
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
102198 Final Combo CO DH PROVIDE FIRE SIGN OFF ON PERM
100198 Interior Lath/Drywall AP DH
092998 Rough Electric AP DH
092998 Frame/Steel/Bolting/Welding AP DH
FINAL BUILDING INSPECTION
JILDING ENGINEERING FIRE PLANNING CMWD ST LITE
'OK#: CB983067 DATE: 10/21/98 CB983067 PERMIT TYPE: MISC 11AME: RELOCATE EXISTING NON-BEARING
PARTION IN OFFICE WITH ELEC AND DEMO. - - -
1921 PALOMAR OAKS WY SUITE# 200
C.T PERSON/PHONE#: C/PAUL/619/843-0646 O 26 1998
- T: CA WATER DIST: CA
-
DATE C. LcL INSPECTED: APPROVED DISAPPROVED -
DATE
INSPECTED: APPROVED DISAPPROVED
DATE
INSPECTED: APPROVED
- DISAPPROVED
I
City. of Carlsbad k' 98317
Fire Department • Bureau of Prevention
Plan Review: Requirements Category: Building Plan Check
Date of Report:Thursday, September 24, 1998 Reviewed by:___________________
Contact Name Maggettl-Elam Assoc
Address 3160 Camino Del Rio Ste 207
City, State San Diego CA 92108
Bldg. Dept. No. CB983067 Planning No.
Job Name Gatzke/200
Job Address 1921 Palomar Airport Ste. or Bldg. No. 200
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.
O 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
CFD Job# 98317 FiIe#__________
2560 Orion Way 0 Carlsbad, California 92008 0 (619) 931-2121
4-
BUILDING PERMIT
06/14/90 15:32
Page 1 of 1
Job Address: 1921 PALOMAR OAKS WY Str
Permit Type: MISCELLANEOUS
Parcel No:
Valuation: 0
Construction Type: NEW
Occupancy Group: B2 Class Code:
Description: REMOVE DEMISING WALL MAKE 2
UNITS INTO 1 COMPLIANCE INSPECTION
604-11"
Permit No: CB900971
Project No: A8801801
Development No:
Fl: Ste:
635 O6fitfO . 2 ,
a
Status: ISSUED
Applied : 06/14/90
Apr/Issue
Validated By: DC
OWNER : OPUS SOUTHWEST Lic. OWNER
CONTRACTOR : DE COU CONSTRUCTION Lic. C NO 619 488-5411
4321 ALTA BANIA WAY
SAN DIEGO, CA 92109
*** Fees Required *** Fees Collected & Credits
Fees: 10.00
Adjustments: .00 Total Credits: .00
Total Fees: 10.00 Total Payments: .00
Balance Due: 10.00
Fee description Units Fee/Unit Ext fee Data
Miscellaneous Fee #1
---------------------------------------------------------------------------
> 10.00 10.00 COMPLIANC
* MISCELLANEOUS TOTAL 10.00
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
1. PERMIT TYPE I
A - 0 COMMERCIAL DNEW DTENANT IMPROVEMENT
B - [:]INDUSTRIAL DNEw LJTENANT IMPROVEMENT
C - DRESIDENTIAL []APARTMENT DCONDO []SINGLE FAMILY DWELLING DADDITION/ALTERATION
[I DUPLEX DDEMoLITIoN [-]RELOCATION OMOBILE HOME DELECTRICAL DPLUMBING
DMECHANICAL E] POOL [I SPA [-]RETAINING WALL DSOLAR DOTHER________________
EST. VA
PLAN CE
VALID.
DATE
tOin or Suite 7ress 19-2-1 p vn'? 'w y 9 No b
Nearest Cross Streets
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BEL(RJ IF SUBMITTED:
fl2 Energy Calcs 02 Structural Calcs 02 Soils Report Di Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK *
BLDG. SD. FTG. # OF STORIES ,,.ti7 o-"
CONTACT PERSON
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
SIGNATURE
APPLICANT []CONTRACTOR []AGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
R TY OWNER OWNER []LESSEE []TENANT
1NAME ç .- ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
CONTRACTOR
NAME ADDRESS / ,.3L7"A A AP 74 14/ AY
CITY ST ATE C' ZIP CODE 9'2..,19 DAY TELEPHONE Ll,B 8 S'-4
) / _ 2_"78 9 LICENSE CLASS 13 CITY BUSINESS LIt. N
SIGNATUP,U (,'-..-'._-f L_ L-L-L.''L. TITLE DATE
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers' 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).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the 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
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following 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 Cede:
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).
0 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 ($5001).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Account Act?
DYES ONo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'
DYES []NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site
DYES DNo
IF MY OF THE MRS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPLICANT'S SIGNATURE
I certify 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, JIAXIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 iht commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abajIeped at any tijpafter the r\ is coemienceç for a periodpf 180 days (Section 303(d) Uniform Building Code).
'S S TRACTOR [:]BY PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB900971 FOR 06/06/91 INSPECTOR AREA MC
DESCRIPTION: #200 REMOV DEMISING WALL/COMBI PLANCK# CB900971
NE 2 INTO 1 COMPLIANCE INSPECTION 0CC GRP B2
TYPE: MISC CONSTR. TYPE NEW
JOB ADDRESS: 1921 PALOMAR OAKS WY STR: FL: STE:
APPLICANT: BRABO, ALLAN PHONE: 4385191
CONTRACTOR: DE COU CONSTRUCTION PHONE: 619 488-5411
OWNER: OPUS SOUTHWEST PHONE:
REMARKS: RS/GINA/438-1333
SPECIAL INSTRUCT:
INSPECTOR iLAJ7 L'
PERMIT# TYPE
11424 ROW
CB890676 SIGN
CB890757 ITI
CB891022 CTI
STATUS
ISSUED
EXPIRED
EXPIRED
EXPIRED
ACT COMMENTS
53
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
19 ST Final Structural
** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS