HomeMy WebLinkAbout1989 PALOMAR OAKS WAY; ; CB930990; PermitCITY OF CARLSSA
2075 Las Palrnas Dr., Carlsbad, CA 92009
7 1 9
PERMIT APPLICATION PLAN CHECK NO. .
City of Carlsbad Building Departlllef'lt
2075 Las Pal111as Dr., Carlsbad, CA 92009 (619) 438-1161 F.ST.VAL. ___________ _
PLAN CK DEPOSIT ________ _
VAUD.BY ___________ _
1. PffitMI I IYPE DATE
A -LI Commercial D New Building LI Tenant Improvement
B -D Industrial LI New Building D Tenant Improvement
C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition D Relocatio n D Mobile Home LI Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ____ _
2. PRClJECT INFORMA110N FOR OFFICE USE ONLY
Address Building or Sune No.
I Cf 8 Cf ~"'9{...a,1;\Ar{ OAKS llv',1 V C ,4~L...5J3A/7.J CA • 9 :Z Oo 9 Nearest Cross Street
LEGAL DESCRIF'i ION Lot No. Sulx11VIs1on Name/Number Unit No. Phase No.
,4C/LO~ OAA::5 7t;C,/-f,A..)()LO(rY /7,A,-<?/~ J3L.P~, /?
CHECK BEWW IF SUBMll lEO:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXlSTING USE PROPOSED USE
DEscR1PT10N oF woRK INSTALL-A-T7oA.J or= A /?L,;9s77cs ~,,,-ellS/oA,.J /V\ACl-flNc,
SQ. IT. # OF STORIES .i/-/5/C i,v/,e{/V~ C'IISVAC ff ~~ VAc)ANP'PLt/""18/~
3. WN IACI PERSON (1f d11ierenl from appilcan[)
~AME /e0/3€>-e, /?OPGc ADDREss /CJfJ9 r'ALo"""'Are oA!<S vv-AY
cnY C,A,€LSJ3AP STATE C4 z1rcoDE q:1..__oo<t DAY TELEPHONE (' Gl'l) 43B-9010
4 . Af'PUCAtn uCON litACIOR DACENI FORCONIRACIOR DOWNER DAGEN I FOROWNEH
NAME G-l~ArtD( /VtcA~Y SYS . ADDREss 1<::JBCJ ;<:J-4-1.-0.-Ari!. 0,41<.> t..vAV
c 1TY C/tY,eJ_S/3/!f'P sTATE CA z1PcoDE 9Aoa9 DAYTELEPHONE 619)1-3fi-90/0
w-A(,'€" E~,-:,mz€S ADDRESS I A I :Z Sovm Pf_o vt--cl"c 5T,
CITY LO.S AAJfi£l..£S STATE CA ZIP CODE C, 0015 DAY TELEPHONE Ci, 3_) 7¥! -9 5 5 5
6
· ~~~' a£Cr/<_fC ADDRESS 2.3 82.. C~tJl,IO VIPA X!tM.Sc.€
DAYTELEPHONE 4-38 -4-6l.3
CITY BUSINESS LIC. # e 2_{)
CITY CA-,-'eL..5/34/7 STATE CA ZIP CODE q~OOC/
STATE LIC. # :2,63/63 LICENSE CLASS /(}
D£SIGNE1t NAME AOD!t£SS
CITY N/A STATE .,VA ZIP CODE DAY TELEPHONE STATE LIC. #
1. WOilt<EltS' OOMPENSA:I ION
Workers' Compensauon bedarauon: I hereby alhrm that I have a cerllhcate of consent to sell-insure issued by ihe 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 the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY /J/A POLICY NO. /J ~
0
0
1ere ya arm l at am exempt rom t e ontracto s cense w or t e o owing 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 a n 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 Professio ns Code for this reason:
(Sec. 7031.5 Business a nd Professions Code: Any City or County w hich requires a permit to construct, alter, improve, demo lish, 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 exemp1ion. Any violation of Section 7031.5 by any applicant for a permit
subjects t"p,=ant~a civil nal of not more than five hundred dollars ($500]).
SIGNATURE /~ DATE °}
Is the applicant or future building occupan1 required to submit a business pla n, acutely hazardous materials registration form or risk management and
prevention program under Sections 2?50.§. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES ,B:No
ls the applicant or future building oc~p~ required to obtain a permit from the air pollution control district or air quality management district?
D YES .~o
Is the facility to be constructed withil\, 1))00 feet of the outer boundary of a school site?
0 YES ~O
IF ANY OF TI-IE ANSWERS ARE YF.S: A FINAL CER11FICATE OF CXDJPANCY MAY NOf BE ISSUED AFfER JULY 1, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEETING TIIE RF.Qum.EMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POIDmON OONTilOL DISI1UCT.
9. WNS'l ltoCIION l£ND1NG AGENCY
I hereby allirm that there 1s a construcuon lending agency lor the perlormance o f the work for which this permit 1s issued (Sec 3097(1) OVII Code).
LENDER'S NAME /J /,,c, LENDER'S ADDRESS fV fa
lo. APPUCAN'I' CEit m !CA 110N
I cerufy that I have read the apphcauon and state that the above mlormallon 1s 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 Al.50 AGREE 10 SAVE CNDEMNIFY AND KEEP IIARMLF.SS 111E CfIY OF CARISBAD AGAINST AIL lJABIIJTlES, JUDGMENTS, CDSTS
AND EXPENSF.S WIDCII MAY IN ANY WAY Acx::RUE AGAINST SAID CITY IN OONSEQUENCE OF TIIE GRAN"llNG OF TIOS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demoli tion 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 o r 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 BuildAode).
APPLICANT' JG ATU E DATE: 1,,// q-. 3
: File YEil.OW: Applicant PINK: Finance