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Home My WebLink About1925 PALOMAR OAKS WAY; MULTI-PERMIT FILE; CB972055; PermitV .. "· ' BU IL.DING· PERM I~ ·Permit No: C-B972055 Projec:t _No: A9702608·. :0112·8/97 13: 32 ·. Page '.I. of 1 Joh Address: 1925 P'.ALOMAR :E>ermi~ Typ.e: MECHANlCAL Parcel No: 212-091-18-00 · Valu~t;ion: o OAKS WY · Suite: Lot.#: Occ~pancy Group: Reference#: Description: AC RELOCATION .WITHIN BUILDING Appl/Ownr : CHRIS AIR MECHANICAL 619 7252 CLAIREMONT MESA BLVD . ~, CJ . 11&.~-. CITY OF CARt:SB~D .. Developm~nt Nb: ·10·5. - 7u,67 07/'28/97 ·oc,rr}1 O:l · Const:t'u9tio,t1 jy-"i;?~T: Status: Applied: Apr/Issue: Ehtered By:' 27g..:..75:a6 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 4;38-1161 0 .02· "',. -r. NEW s:.·: "V·.-: .. · ISSUED 07/28/97 07/28/97 JM 'I ·,· PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPAR:T"MENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438~ 1161 ·,; N::: ~"'.'"'. ;7'':' --~. •:": ·-:= :~.N•:l:--·:-r:~t3ii~~~;~b-";'~.:~:;~f~::-J:~:: ,Jt., /c:>.5 FOR OFFICE USE O~ f PLAN.CHECK NO. { /72{;:J 5 EST. VAL ---:a-4-t ...... a ...... v-- Business Name lat this addr.essl f).SJ3 .UNOi~6 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II Existing Use Proposed-Use ::X,-;§,4.U.-,4 rlON 3 Tt.JIV AIC llof Stories ro ,t:'{/:S[ Sjo<lA,~£ teM· Description of Work SQ. ~T. II of Bedrooms II of Bathrooms Name Address . City State/Zip Telephone # Fax # !3~I1iAi'i!£1CA.Nf:,i:::,~ittiS~-t~Q~'r.Ht'ToR6im:P*~f:;:l'lSl,i;ni~~~~l,ef~~~~J!Jf.:'.,.s~~~§T;~J;~ '.!. :''.·-:· .::;\·.~i~, c, .: -c;:;~;s · A 7':,·· ~11~ic1ti9:;;,-c,-z.--· ""~z)~~T-·ca;:U""::O·iz1--nc~:;~.--;;w:~ ---~'~o-·?1~---· · ,1ct ~ 7 8->J''f'' ·= Name Address · City State/Zip Telephone II · :4\'';:'.i~~O-~i:ijftltJY'JNi!it~f.·rr~~'.:-·.r~~,~,lt;x;~~'.½~.fJ·~~~t~~~~~~~~~ri,~~~t:',¥1_·~]~~~~~~~~il'.~~~-±~,:''J'.~;r'~'-·~:~~--·~.tt:··,.:,::- /..ie.,(.,/poe,-NdT/oii/,9--L Sgro t1:'vi: Hi:124 l~C. C4/2J.SIM.0 " 7~0 LJJtf '-/) (j)_ Nama Address City S.tata/Zip Telephone # ·ts?:.~c:or,ii'RActoit.~:coMPANYINAME~~~ ~~~~~~-t"'?;~c'\¥;;~:-,·-::J''];:;f'~~"=N}~?,i:'_".f;ffe.f:~~:~~~"!~~~~?J'.~'/?r~,~3~::::,,~"'i:';:~,.-!~ (Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to const_ruct, 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 licansad pursuant to the provisions of the Contractor's License Law · [Chapter 9, commanding with Section 7000 of Division 3 of the Businiss and Professions Coda) or t~at ha. is exempt tha_refrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applic11nt for a permit subjects the applicant to a civil penalty of not !110re than five hundred dollars ($500)1. c1-11e.,:.::, A-,'re t1JfCJi. 7)0 <2.LA1,e.,c.Mo'""T Me&tt-. s.,q. C..q,~ o/~111 Cd9 ) 7 ;-.. 7ffl,, Name Address City · State/Zip Telephone# State License# '-1?8'"3 3 C../ License Class C-). C,, City Business License II ______ _ Designer Name · Address City State/Zip Telephone State License'--------,,-- %:·\ :,;.:::WORKERS'~.COMl:'ENsAtioN: .~·:z.~~--?:;?~?'C::~~~=r::: ~~~~:~:·.·~~7~"~·~~~Mi~,:,~~r~~~=~~~l1:?~~t1?~,:~C~-IIrrr?.~~r~~i~{t~;/~1~~:·.:1~r t-~~~Il17\~':7:!~\fal=~ :~?~ ?fI' -~~~: ~ ~ Workers' Compensation Declaration: I _hereby affirm under penalty of perjury one of the fqllowing declarations: 0 I have and -will maintain a certificate of consent to self-insure for workers' compensation as provided by S~ction 3700 of the Labor Code, for the performance of the work for which this permit is,issued. ~ have and-will maintain workers' compansation, 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: · tnsura~ce-Company Cq • '"J1 ~_,, · Policy No. . . Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLE~ITIS FOR ONE HVNDRED DOLLARS ($100) OR LESS) 0 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 ~o become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure workers' compensation coverage Is unlawful, and lhall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100 000), addition to the coat of compensation, damages u provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE . · . . . · DATE i) ;f~ /9 ") 1j ;' -:..:;~owN~~~BiJ1LDU.iiE~TidN-~::l?' ~:--:~, ?~ :~1~'£~.:;::~~!~~:~~~~~~~~~l'~~:~~~);~,~:~l~~~~·~~~~-~;.:·1~ ~~.~~.; ~·~~~:t::~~ ~x~~?~~{~-~ ~~~ft:;rf ~ ;~~~~r.~t~~'f~~~~~~:~l ~.t1:;~~:;~~~;l;~~L.1._~;·: ~~;~;r;:: P\f I hereby affirm that I am exempt from the Contractor's License.Law for the following reason: · O I, as owner of the property or my employees with wages as their sole compans!ltion, 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 doeis 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 ex'clusively c~tracting with 'licensad contractors to construct the project (Sac. 7044, Businass and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl licensed pursuant to the Contractor's Licmse Law). ·o ·1 am .exempt, under Section _____ ._. Business and Professions Coda for this ·reason: 1. I personally plan-to provide the major labor and materials for construction of the proposed property improvamant. D YES ONO 2. I (have_/ have not) signed an application for • building permit for the proposed work. 3. I hava,contracted with the following person lfirml to provide the proposed .construction !Include name / address / phone number/ contractors lic!'nse number): e . 4. I plan-to provide portions of the work, but I have hired the following person .to coordinate, supervise and provide the major work liricluda name / address / phone number/ contractors license number): ___________________ -__________________________ _ 5.. I will provide soma of-the work, 1:!ut I have contracted (hired) the following persons to provide the work indicated (include nama / address / phone number / type of work): ___________________ ...,. ______ ..,... ___________________________ _ PROPERTY OWNER SIGNATURE-------------.---.---------DA:J'E .,.---------. :coMi!ilte~91s:sec:no.i:f.0~;;0~1JnW;:1~ti!i»DMifl:o..NJ:ffl:'.•~r.~!:;'."t-'f'~m~11r~m~rr:¥~r:qr,(.;;r~o/f~~J.~tf~r Is the applicant or future building occupant required to submit a business plan, acutely heza.rdous 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality m~nagemant district? o· YES D NO Is the facility to be constructed within 1,000 feet of the outer boundar.y of a school site? D YES D 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. I hereby affirm that there is a C0f!struction lending agency for the performance of the work for which this permit is issued (Sec. 309711) Civil Code). L!:NDER'SNAME _______________ LENDER'SADDRESS ______ ...,.. _______________ _ f§~·'f:;:AP~EiCAftrrCERTiFi~iiO_Nif?f:~~;~~~~~~~tJ~~~j~;~.;.~,;:;_~~f~~r~~~-~~r~~~~p;>_~~f~~~~~J:Ef~~~~?~:i;~~~~iif!!:~~t:·~~:·~~7~·~~~r:~ I certify t"at I have read the application and state that the above Information i1 correct.and thet the information on the plans ls iccurate. I agree to comply with ell City ordinances and State laws relating to building construction. I herlby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purposes; I 'U,SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND.EXPENSES WHICH MAY IN ANY WAY ACCRUE·-AGAJNST SAID CITY IN CONSE!lUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA,parmit·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 Coda 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 attar the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE --"'-~..:..--~,-. ""-''--·-----------------DATE --~2-l~L~lr'-/_9_7 ___ _ 01/201-?3 10: 49 Page '-i. of 1 B U I L D I N G P E R M I T Job Address: 1925 PALOMAR OAKS WY Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation~ 2,407,366 Construction Type: NEW Occupancy Group: Reference#: Description: DISCOi\lN 600 A METER SECTION : AND INSTALL NEW 600A 3PH ME"rE:R SECTION Permit No: CB930087 Project No: A880U498 Development No: 0880 01/20/93 0001 01 C-PF.:MT Status: Applied: Apr/Issue: ao,,oo Entered By: (602)468-7000 ISSUED 01/20/93 01/20/93 ,JPY 5600808 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 0 1 i2 0 1~} 3 1 0 ! 4 9 Page -1. of 1 B lJ I L D I N G P E R M I T Job Address: 1925 PALOMAR Permit Type: ELECTRICAL Parcel No! Valuation: 2,407 1 366 Construction Type: NEW Occupancy Group: OAKS WY Suite: Lot#: Reference#: Description: DISCONN 600 : AND INS'rALL A METER SECTION NEW 600A 3PH MBTER SECTION CITY OF CARLSBAD Permit No: CB930087 Project No: A8800498 Development No: 0880 01/20/93 0001 01 C-PRMT 02 5600808 8f)u00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 " .. ,. 12/13/90 16:51· Page 1 of 1 B· u I L D Job Address: 1925 PALOMAR OAKS WY Permit Type~ ELECTRICAL Parcel No;· I N G p .., .E . •· ··~· ,/ )'. R M I.T. . ,, ·Perm'i t No:. CB.9 O 19 3-8 . '. P~oje_c/t. No·~: A900'1.8J7 . .Developmen:t·No: str: · ** Fl.:'·**** 9te: · 10s . · · .W~1 12/13/90 000-1 ·-01 02 . C-f'RMT 30-:00 _Valuation: 0 :t/c!(15 ·_.·. Construction Type: NEW Occupancy Group: Class Code: De.scription: TEST METER SUlTE 105 Appl/Ownr -, ,' '\, ., CITY OF CARI.SBAD :-·1 • Status:· ISSUED .. · .. Applie.a: ·_12/13/9·0 ' . Apr/Issu~: 12/13/s·o ·, Val,idat~q: By~-KZH . 19...:.43.8-5191 . . ' ·, ,. ' . . .. •' ·.r ~ •• '. 2075 Las Palmas Dr.; Carlsbad CA 92009 (619} 438-1161 ··. ~ . V . PERMIT APPLICATION· City of Carlsbad Building Department .20·75 Las Pai mas Dr., ·Carlsbad, CA 92009 (619) 438-1161 (I . EST. VAL-----,---------------"'""""-- PLAN, Cl( !)E!'(isIT -,,---,...---,=,-----'-----'---- ' VALID. BY ________ __, ____ ~---- 1 .. -PERMIT DATE ----,---,--""-,---,--,-, ..... -..a,...=. A -D COMMERCIA~ B. -D iND0STRIAL · t -D RESIDENTIAL D APARTMENT ,I:;:) DUPLEX O'DEMOLI T ION OMECHANICf\L OPOOL TENANT IMPROVEMENT' QTENANT. IMPROVEMENT OCONDO OSINGLE FAMILY DIIELLING ORELOCATION OMOBILE HOME OSPA ORETAINING IIALL . 0 ADDITION/ALTERATION ·'Q PLU,MB I NG Xdd s/ Cl'.> 0 ·· -..L Building or ,Suite No. -.. t '--'S r A U>H,4-f<-c>,4}:::--..S {,<)/4.V ..,.,._IDS Nearest Cross Street~ / , LEGAL DESCRIPTION Lot No. Subdivision Name/Nurl:>er CHECK BELOII IF SUBMITTED: · 02 Energy Cales 02 Structural Cales D 2 Soils Report D 1 Addressed Envelope. .F Unit No. Phase No. ASSESSOR i S PARCEL EXISTING use . PROPOSED use ~· rE.$T M,5 JET<-·-bleCfTl r c BLDG. SQ. FTG. # OF STORIES ·3:: 'CONTACT PERSON NAME ADDRESS CITY Sl.GNATURE 4. APPLICAN,T NAME CIT'( 6. CONTRACTOR ·NAME CITY D CONTRACTOR STATE ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE OWNER COP,...P. ADDRESS STATE C/i: ZIP COQE STAT.E ADDRESS ZIP GODE OowNER STATE LIC. # ____ _ .~l,GNATURE, LICENSE CLASS---~-- TITL!, DESIGNER NAME CITY STATE. ADDRESS ZIP COQE DAY TELEPHO~E []'AGENT FOR biJNER DAY TElEPHONE DAY TE[EPHONE CITY BUSINESS ,LIC. # DATE. .DAY TEtEPHONE. S.TATE LIC., # WORKERS' COMPENS-ATION Wor.kers•·compensation Declaration: rhereby affirm that I have a certfficate of consent to self-insure issued bY the Director of Industrial Relation~; or a certificate of llorkers• Compensation Insurance by an admitted insurer, or an exact copy or dupl<icate t.hereof certified by the D.irector of the insurer thereof filed with the Building Inspection Department (Section.3800, Lab. C)., INSURANCE COMPANY POLICY NO. EXPIRAHON DATE ·certificate of Exemption: I certify that in the performance of the work for whh:h this permi't is i,ssue.d, shat f not eirploy"any person in any manner so as to bee~ subject to the llorkers• Compensation Laws of California. SIGNATURE DATE 8. __ OWNER,-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License L.a~'.for' th~-.following·r.eason: D I as owner of the·property or my employees with wages as their sole compensation, ·will do the work and·the stru¢ture is not intended or of.fered·for sale, (Sec. 7044, Business and Professions Code: The Contractor's License Law does not· apply to an owner of 'property who buUds or improves thereon., and who qoes such work himself or through his own employees, provided that such improvements are not intended or offered ·f~r sale: H, ·however, the bui.ldj,ng or improvement 1s sold within one year of c~letion, the owner-builder will have the burden of proving ,that he did not bui ld_or improve for the purpq$e of sale.). · ' t:J 1,. as owner of the property, am exclusively contracting with licensed contractors to construct the· project (Sec. 7044, Business and Prof~ssions coi:1/i: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and ~ontracts fof such projects with contractor(s) licensed pursuant to the Contractor •s license taw). · ' \ D I am exempt under Section ----------~ Business and Professions Code for this reason: (Sec. 7031.5 Business and Profess.ions Code: Any City or County wh.ich requires a ,permit to constr4ct, alter, improve,, demol i.sh, or repair any structure, prior to its issuance, also r!!Quires the applicant for such permit to file a signed statement th.at h.e is licensed pursuant to the provisiqns of the ,contractor's license Law (Chapter 9, ~onmencing with Section 7000 of Division 3 of the Busines,; :and Professions Cod~) or that he fa exempt therefrom, and the'basis for the alleged exemption. Any-violation of Section·7031.5 by any applicant for a'permit sub)ects the applicant to,a ci.vil penalty of not more than five hundred dollars [$500]). · ·S:tGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: :Is the appl.icant or future QUi lding occupant required to submH a business plan, acutely .hazardous materia·ts regt.stratfon form or risk, 1m1nagement and prevention· program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? · OYes ONo Is the applicant or future buildi11g occupant requfred to obtain a permit from the air pollution cqritrol di.strict .or ,air .qual,i,ty·management district? OYes ONo I~ the fac.i l i ty to be constructed· within 1,000 feet of the outer boundary of a school site?· DYES -IF ANY !)F THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCT MAT N9T BE ISSUEQ AFTER JULY 1, 1<}8';1. UNLESS, THE APPLICANT HAS MET OR is MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SE~VICES AND THE AIR POLLUTI~ CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for whfch this.' permit is· iss;iea (Sec 3097(-,i') Civil Code). LENDER I S NAME LENDER IS AD0RESS 10. APPLICANT'S SIGNATURE _ _ _ r certify that I have read the application and state that the above information is correct. I ag'ree to C?mply ·with all City ordinances and State laws relat·ing to building construction. I hereby author.ize representatives of the City of Carl·sbad to enter upoi(the 'above mentioned property for i_nspecti9n. purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLliGIIENTS, COSTS AND EXPENSES IIHICH MAY IN ANY 111\Y ACCRUE AGAINST SAID CIT.Y IN CONSEQUENCE OF THE GRANTING OF THIS, PERMfT. . , Expiration, Every permit issued by the Buildin.9 Official under the provisions of this Cod:.~hall ·:xpire bY_, li_mitation and bec~e null and void (f ~he bui'.[cffng or work authorized by such permit i5 not coitmenced within 180 days from:the date of such per.mt or !·f the bui;ldrng or work authorized !?Y such permit is suspenaed or bandoned· at any time after the work is conmenced for a period of 180 days (Sect)on 303Cd) Unfform Bui ld,ing Code)•. ,Jz1 OWNER?CONTRACTOR , ·OBY PHONE A.rI>l\gVEli::llrf ::· .. ,·. ·,.:,:·.·., · :.:·::: ,,. , .~Are.:;.· · :· .. ··,· . . ....... .. WHITE: File YELLOW: Applicant PINK: Finance· 11. , ~j , . , .. 11/14/89 09:22 Page 1 of 1 '·• B. U IL DING PE a M 1 T . Permit· No: CB89.1780 P_roject No: A8·90·3123 Developi:nent No·: · Job _Address: 1925 PALOMAR OAKS WY Str:· ·Fl: Ste: . 1346 11/14/89 0001 0.1. 02 Permit Type: ELECTRICAL .Parcel No: C-PRMT · 30=00 Valuation: O Construction Type: NEW Occupancy Group: Clas$ ·Code: .en it.. 3 o Cf r Stc;1.tus: ISSUED Description: TESTING Applied 11/14/89 Apr/Issue Validated By: ·co *** Fees Required *** **·*·-----... F·ees Collected & ·Credi ts *** ----------------------------.,.-... ---. ----.. -----.:.::.-..... ~-.... _·_ · .. --·. . --.. . . - Fees : 3-0 . o O' . _ . 1 , \ r,.. . "'-... . AdJ·.ustments: . .'00 ·--_:, ,\\ /lT,ota'.l.\ Creaits: .OQ -/ ,., ,. \..-...""~;) /:::~ I ....... / /,. '-Total Fees: 30. 00'. -... , --· · To-ba:1': P'ayment-s: . oo . '' •. •' '-...' ,-, .. _.. ~ 1 Ba.¼anc~--:J>ue ~ . 30. 00 Fee description / :'-. . ---· / ·;;; . . Ufi.j:·ts\:---1)Fee/Un-it Ext fee . Data ; \.. ' . .. . /,., ;· . , ..... .::-:, " -_./ (i' \ . --------------------,-----~-------~~----------~-~-~~ -~----·----·--------Enter "Y" for Elect~ic-~Iss~l Fee "'y/if'..1 s<:' . '\ -~-:,!..:..:._ \_ 5 .. 00 Y, .. Enter "Y" if Test Het_e:r-:. /·:": .. >-': -·-.:: .. ·:-.··:~--:::;?.:.-:::--""7\ '--t,o.) 1 25 .. oo Y * ELECTRICAL TOTAL' ( $10. :M±nimUin·)~··:: .. ~;~:-:'.;:::::-"'y,_,'7/ . \ (/ · \ 30. 0'0 . ... . ..... . //' ,.,~, . --~ \ . ' . . ,-., .. _ (.:,.,,.;; /,' •()( 1,---·1, . '. ,: .: ' . ;,'::;,, -..-~:".:.:, /,f;/ . ' /..ir\: \ \._) j i,· ~' <' ,,. '" { '"\ ,,,. ,J .,.,.,.",i&(~ l -~/-, , ;::1 .-..._,,.,..;··., ,"';;/ _ ...... _..:::,.I:. 1' :_-. • ,•.. ,, , , ., ,r r_--...,...._(' I .. l ···: '. ·' .. : .:J 1!1 ( / )~ \h;r t. . I '.·, ·· ... i:ri'. if:,:_"-J)\,,.J , .. . ,,. i ; !;' · ,J' ·1,:;:,~.':'l' I ! . 3 i:; '! I ~-";;,./ I i / / , 'C:~->/.,... . / . II \__ I / , .-.1 •' c.'Y' D 1 i:a / , . ...._ ,I ,. , n !i ~ .., \ \)-........., /: \' . .,... ... -.; ' -....... , . ---· .. _ _,.,,,,./ \"~\\ ~ /· . ~ ~-/ ,-.,~ \.) 1,: [· !~ ·:· ,...-~, ,-,-:\0'1 \ ~~..i/': )I I/""""">...-' \, { \"'\ ",,. ~-! ~'.) '. i ) } ,.....:::: \. ~: \_-:::::::>· '~ . e>"' ' ,....,.,,.. -~ ,_ .o.,,,,,_,.._,....,..,.. ... ,.,. ,'" --· .. - CITY OF CARLSBAD 2075 Las. i>almas Dr., Carlsbad CA 92009 (619} 438:-U~-1 PERMIT APPtICATION -• C.ity of Carlsbad Builqing Department 207.5 Las P~lmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAt~· ,'--'""-aa...---,--'""-,'---"----'-- PLAN CK0DEPOSIT _____ '---~--'--- VAUD. BY ___ '---,,----,-'----'""-- .L PERMIT TYP . DATE --,,------,----"-,---,.--'-,--~ A -COMMERCIAL 8 -0 INDUSTRIAL C -Q.RESIDENT.IAL ODUPLEX ODEMOLfTION . QMECHANICAL QPOOL TENANT IMPROVEMENT . 0 TENANT IMPROVEMENT QCONDO QSINGLE FAMILY DIIELLING QADDITION/ALTERATION QRE~OCATION QMOBILE HOME ~LECTRICAL QPLUMBING OsPA ORETAINING IIALL OsoLAR OoTHER _____ _ 2. PROJECT INFORMATION PLAN CHECK No. F Addres~ )C,tlt;° ?}l../J,MIJ~ (!)lj-/(S wq.J Building or Suite No. Neare~t Cro~s Streets t}JLAnA;P, IJ. 1/lf't!J flt IJCJ>8, D LEGA~ DESCRIPHON Lot No. Suodivision NameJNunber . Unit No. Phase No. CHECK :eel~ IF SUBMITTED: 02 Energy Cales []2 Structural Cales D 2 Soi ls Report D 1 Addressed ·Envelope ASSESSOR IS ·PARCEL. EXISTING USE . . PROPOSED USE BLDG. SQ'-:FTG. # OF STORIES J. CONTACT PERSON NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE SIGNATURE 4. APPLICANT NAME '() If JI "f} /..f. {. f IL/(._ 0 AGENT FOR CONTRACTOR O OWNER O AGENT FOR 0111,tER CITY S,~µ D1t[jO ADDRESS 9!YJ~ CH tSt;/Jt~I([. ()IL · ~TATE Cit ZIP .CODE 1'cQ Joi. 3 DAY mEPHO.NE . S-6.t) ,. Ot"OY 5. PROPERTY OWNER OWNER QLESSEE QTENANT NAME CITY STATE ADDRESS ZIP CODE ,Di\'t'. TELEPH.ONE ·6. CONJRACTOR NAME fJYfJ"/J-ltC.#.JC.. CJfOf c.,HC5,9Pt:.g}ri OIL CITY SfJIJ. O,c. fl" SIGN,\TURE DESIGNER NAME CITY STATE ~ ADDRESS Zi'P CODE "f {). ,~3 DAY TELEPHONE g"(,O -,0'1,0~ STATE LICENSE C~ASS ~-____ _ TJ.TLE :d-~ AD.DRESS ZIP CODE CITY BUSINESS LIC.· # DATE DAY TELEP-HO.NE STATE ·l!C. # 7. WORKERS' COMPENSATlON 8. l,'orkers• Compensation Declaration: I hereby affirm that I have a certificate of consent to sel f."insure issu!ld by the Director of Industrial Relations, or a certificate of \lorkers" Compensation Insurance by an admitted insurer, or .an exact .copy or dupl icat~ thereof certif.ied by· the Director of the insurer thereof fifed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLrCY NO. EXPIRATION DATE. Certificate of Ex.,..,tion: I certify that in the perfo~mance of the work for which this permit is ·issued, I shall not e119loy any person in any manner· so as to become subject to the \lorkers• Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-B4ilder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: [] I as owner of the property or my employees with wages as their sole compensation, wi Lt do the work and the ·suucture is not intended or offered for sale. (Sec. 7044, Business and Professions. Code, The Contractor's License Law does not apply to ?n' owner of property w.ho 'bui L·ds or imprqves· thereon., and who does such work himself or through his own "°"loyees, provided that such i119rovements are not intended or·off$red for sate·. If, however, th\' building or impeoveinent is sold within one year of completion, the owner-builder will have the burden of proving tha't h·e·did not ,build or ·improve .for the purpose· of sale.): 0 I, as owner of the property, am exclusively contracting with licensed contractor's tb con~truct the proje~x (Sec. 7044, Bus'iness .. and Professions Code: The Cont.ractor' s License Law does not apply to an owner of property who builds or i119roves ,th,ereon, and contracts for such projects with contractor Cs) H censed 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, alt1?r, ·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 qf the Contractor's L.icense Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Bu~iness and Prof\'ssions Code) or that he is exe119t therefrom, and the basis for the alleged ex.,..,tion. Any violation of Section 7031.5 by any applicant for a permit subjects the· appl.icant t:9 a civil ·penalty of not more than five hundred dollars [$500]). ( · SIGNATURE DATE' COMPLETE THIS SECTION FOR NON·RESIDENTlAL BUILDING PERMITS ONLY: Is the appricant or future building OCCUJ)'1nt required to submit a business plan, acutely hazardous materiats registration for111 or risk mapagement and pr,evention ,program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?. OYEs 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 ONO Js the fai;i Lity to be constructed within 1,.000 feet of the outer boundary of a school site? IF ANY OF THE ANSIIERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 l/NLESS THE AP,PLiCANT HA~ MET OR IS MEETING THE REQUIREIIENTS ,Of THE OFFICE OF EMERGENCY SERVICES AND THE ~IR POLLl,ITION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this ,permi.t ,is issued (Sec 3097Ci·) Civil Code). LENDER IS NAME L~NDER IS ADDRESS 10; APPLICANT'S SIGNATURE . . .I certify that ·J have reaa the application and state that the above information is correct:·· I· agree to compl,y wHh all City ordinances and State laws. relat·ing to bui'lding construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above inenti-oned property for inspection 'purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JOOGMENTS,., ,COSTS AND EXPENSES IIHICH MAY IN ·ANY IIAY ACCRUE AGAINST .SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permi.t fssuea by the Building Official under the provisions of 1:his Code shall expi·re by Limitation and· become null and void i.f the building or ~ork authorized by such permit is not conmenced within 180 days from the date of such permit or· i.f the building or work authori2ed by SL/Ch permit is suspended or abandoned at any t;.ime after tne work s conmenced for a period of 180 days (Sect.ion 303Cd) Uniform BuHding Code). D OWNER ~TRACTOR OBY PHONE AM~oVEttBch.· ·:·· .,: .:, \ .'::: ... ·; :' / ::· ·: ~AJ'f:: . .. , · .. ··· WHITE: File YELLOW: Applicant PINK: Finance .. ... . ; ,., BU IL D I'N G P £ 8 ~IT 06./01/90 13:53 Page 1 of 1 . job Add:ress: 1925 PALOMAR B~rmit Type: PLUMBING Parcel No: 0 OAKS WY Valuation: ~onstruction Ty~e: NEW Occupancy Group: Class .Code: D~scription: ADD SINK CONTRACTOR OWNER TO SUITE 100 .a.t,...a....: rt ~Al, '~-,,, , I/ i ,, '' .I' ' f f ( ': ' :· ! ' '. ' St-r: CITY OF CARLSBAD ',' . ~ ..: -~-'). -~v Proje~t No: A9000~9L DevJ'.!..owment.No: .Fl.,:· Ste: . sa70 -06>-01190 eoo.t 01 02 . -t-PRM-T 1:(~poo . Status: Applieo Apr/:tssu.e _ Va·li-dated By: ISSUED 0-6/01/90 06/01/90 JPY. 743_7go5 931-2600 2075 Las Palmas Dr., Carlsbad CA 92009 (619)· 438-il6l. I'. (' . J~ WM JA~111 ~-~~~,;.,, •• 3TAG...-.~~~.lt~2WI -w.u!a!l&;$Mll!l.llilCll!Jl,M.!4 .. l!!lii6~ lmt1 J3 k.....:t=111l!\',l!:~-~~~~~~~~~-,a , ;1_, I ... '' ,,. ~ 1,' I • •I l '.'. _1,:, PERMlT A'PPLICATION C-itY of Carlsbad Building Department '. _EST-,. ','.AL ·2075 Las Pa lmas Or., Carlsbad, CA 92009 (619) 438-1161 PLAN. C!(. DEP.OSIT l._ PERMIT TYPE , ::~~D, Bt't A • .q COMMERCIAL TENANT IMPROVEMENT Ii •. p··INDUSTR-IAL OTENANT IMPROVEMENT C • []RESIDENTIAL []APARTMENT OCONDO OSINGLE FAMltY DIIELLING OADDITlfN/ALTERATION 'QDUPtEX {]DEMOLITION ORELOCATION OMOBILE HOME OELECTRlCAL ~PLUMBING , 0,MECHANICAL OPOOL 0,sPA' OSOLAR 00TH 2 . . LEGAi: DESl;R I PT HlN i;,. ,CHECK BELClll:IF SUBMITTED: "tJ 2 Energy ,Cales 02 Structural ,Cales D 2 Soi ls Report D 1 Addressed Envelope ·ASSESSOR is PARCEL EXISTING USE . PROPOSED USE BLDG._ SQ. FTG. # OF STORIES .'.J. 6. ·1. CITY ADDRESS ZIP CODE NT FOR CONTRACTOR STATE ADDRESS ZIP CODE ADDRESS ZIP CODE ZIP CODE LICENSE CLASS DAY TELEPHpNE D,AY TELEPHONE {p/ O~ESSEE . DAY TELEPHO_NE VJ/&/ DAY TELEPHONE tr?/'!-7':/.3-79D'~ -. ' ' . CI.TY BUSINESS LIC. # , SIGNATUR~ DATE DES I GNER NAME CITY STAT.E ~IC. #_ .• WORKERS' COMPENSATION llqrkers' Con-pensation Declaration: I hereby affirm that I have a certificate of consent to s~l_f-'insure -issued by the Director ~f: Industrial Relations,; or a certificate of llorkers' Con-pensation lnsur.ance by an adnitted insurer, or an exact copy or dupl icat.e· thereof. certifi'ed by the Director of the insurer thereof filed with the Building Inspecti'on Department (Section 3800, Lab. C). · · · · · INSURANCE COHPAN.Y POLICY NO. EXPIRAJI.0N D.A,TE . . . . · Certificai:e of Exemption: ·I certify that in the performance of the work for which this 'permit is issued, I shall r\ot employ any person in any manner so .as·_to become subject to the llorkers• Coq,ensation Laws of California. SlgNATUR~ DATE 8. ·OWN'ER-BU'ILDER DECLARATION owner·Builder Declaration: I hereby affirm that I am exempt from the Contr.actor•s License Law ·tor the following-reason: D i as owner of the property or my employees with wages as their sole compensation, will do the work and th·e structur,e is not intended or offered for sa,le (Sec. 7044, Business and Rrofessions Code: The Contractor's License Law does not apply to ,an owner of proper,W who builds or improves thereon,. a·nd who, does such work ·himself or through his own employees, provided that such improvements are not intended qr_ off~red for sale. 'Ef, however, the building or.improvement is sold within one year of CO!fl)letion, the owner·builder will have th!' burden of provi.ng that he did not build 9r. improve for the purpose of sale.). · · · · · 0 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 taw does not apply to an owner of property who builds or improves ther.eon, and ~ontr,acts for such _projects with contractor(s) l.icensed pursuant to the Contractor's License Law). 0 l am exempt under Section -----------Business and Professions Code. for t_his •reason: (Sec. 7031.5 Business and Professions Code: Any City or County whlch r.equires a permit 'to construct, alt~r, improve, demo~ish,' -o~ ~.epair any structure, prior to its i~suance, also requires the appl leant for such permit to file a signed statement that ·he is licensed pursuant to the pr·ovisions of the- Cqntractor•s License Law (Chapter 9, cOl!l!1encing with Section 7000 of Divis.ion 3 of the Business and. Professions Code) 9r that he,is exempt therefrom,; and the basis for t:he alleged exemption. Any violat.ion of Section 7031.~ by any applicant for ,a permit subjects the appl·icant to ·a c-ivil pen~lty of npt. · more than five hundred dollars [$500]). S:t~NATURE . 0Al'E CQMPLETE THIS SECTION FOR NON·RESIDENT!AL BUILDING PERMITS ,ONLY: Is 'the applicant or future building occupant required to submit a business plan, acutel)I haza~d~us· mater1als 'registration form or risk managefllent and prevention prog,ram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account A'c't? • Ores ONo Is the applicant or future building occupant required to obtain a permit from the 9ir pollution control district o_r air quality management district?, Ores []No Is ,the fac.il ity to be constructed within 1,000 feet of the outer boundary of a school site? Om 0No IF ANY OF TijE ANSWERS ARE YES, A FINAL CERTIFICATE OF OClllPANCY MAY NOT BE ISSUED-AFTER JULY 1, 1989 IJ!ILES!i THE APPL!CANT·HAS'"'T OR IS MEETING THE REQUIREMENTS OF THE_OfFICE OF EMERGENCY. SERVICES ANO THE AIR POLLUTION CONTROL. DISTRlt;T. _ _ , 9. CONSTRUCTION LENDING AGENCY ,herepy affirm that there is a construction lending agency for the performance of the work for which t_hisc permit is,-issued ·csec'3097(i.) Civil ·code). LENDE~ 1 S NAME LENQER 'S ADDRESS 10. APPLICANT'S SIGNATURE .. 1 certify that I have read the application and state that the above information is correct. .! _agree to cbmpl-y with al-l Ci·ty ordinanc~s -and St9te l9ws Telating to bui'lding construction, I hereby authorize representatives of the City of Oarlsbad to enter upon the above mentioned property for inspection purpo~es. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE. CITY OF CAUSBAD AGAINST All LIABILITIES, JWGMENTS,, COSTS AND.EXPENSES IIHICH MAY IN A!IY, liAY ACCRU.E AGAINST ~AID CI-TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire i:>y limitation and become nun:and void if th!l building or work authorized by such permit is not COl!l!1enced within 180 days from the date of such permH-or if th_e buflding or work authorized by such-permit is suspended. or -~bandoned at any time after the work is cOl!l!1enced for a period of 180 days (Section 303{d) Uniform Building Code} · APPL! CANT IS SIGNATURE O OIINER O coNTRAcr·oR OBY PHONE WHITE: File YELLOW: Applicant PINK: Fihanc·e· \\ CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900889 FOR 07/02/90 DESCRIPTION: ADD SINK TO SUITE 100 TYPE: PLUM JOB ADDRESS: 1925 PALOMAR OAKS WY APPLICANT: OPUS SOUTHWEST CONTRACTOR: JIMENEZ PLUMBING OWNER: OPUS SOUTHWEST STR: PHONE: 931-2600 PHONE: 743-7905 PHONE: 931-2600 INSPECTOR AREA MC PLANCK# CB900889 OCC GRP CONSTR. TYPE NEW 'FL: STE: REMARKS: TEL/MH/TODD SPECIAL INSTRUCT: INSPECTOR . /1/Jf/{_/ T' TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 29 PL Final Plumbing -#----------------------------------------------------------· ·------------,--------- ***** INSPECTION HISTORY***** DATE 061390 061290 DESCRIPTION Rough/Topout Rough/Topout ACT INSP PA MPC CO MPC COMMENTS NOS ADQTE SUPP/UNDERFLOOR LN NOS TO EXPOSE NEW CONNECTIONS