HomeMy WebLinkAbout1991 PALOMAR AIRPORT RD; ; CB920027; Permit8S 73
' B U',I,LDNG P E R 4 M-I T . •Permit No: CB920027
09/23/92 15:50' . f Project No: A9200095
Page 1 of 1 Development No
Job'Address: 1991' PALOMAR AIRPORT. .RD Suite:
Permit T'pe: :COMMERCIAL BUILDING 9422 09/23/92 0001 01 02
Parcel No: 213-092-17-00 - .Lot#': ., CPR11T 10827000
Valuation: 63800..
Construction Type: VN
Occupancy Group: Bi Reference#:' . Status: ISSUED
Description GASOLINE PUMP ISLAND CANOPY Applied 01/10/92
ARCO - 5. Apr/Issue:, 09/23/92
:• . ". S - . " Validated By: CD
Appl/Ownr: ARCO '310 404'-5319 .
17315. STUDEBAKER RD
CERRITOS, CA 90
71 ,
9L4'
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OWNER : ARCO , 4 . - 310-4045319
-. - ,17315 STUD E AKr
CERRITOS Q 907W - -
Fees Required /
* E e ce & Credits
Fees: bA , Adjustments: J .0,0 ' IL.tl ed'-'t: .00
Tota1Fees: 1OBç2.QO . —4o ay : 253.00
ianc ... 108',270.00
Building permit 478.00'
Plan Check -1 311,.00
INCORPORATED TED
('PD,' d 1899. 00
F n ) 29967 00
. - , , . •- S 27662.00
.,Enter Bridge Fee . •
. 4"89.00 40898.00
*. BUILDING TOTAL: . • . -
- 0 .-' 108523.00
Enter ".Y for Plumbing Issue-Fe > - .0 - -" . -- N.
•Enter WY". for Electric Issue Fee '> .. 0'.' . - 'N
Enter Y' forMechanicà.l-IssueFée> •- . 0
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47 AP PROVAL FINSP. DATE
CLEAPANCE
-
' CITY OF CARLSBAD -. .
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 - • ',
S •' - . . ''5 ' . - '• '' 'S. ' S
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5_ - - * -. _'5. . - . •5__ . ..
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253.00
DESCRIPTION OF WORK,4w
PERlv11T APPLICATION .. PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad. CA 92009 (619) 438-1161 ESFVAL /
. PLAN CK DEPOSiT_______________
VALID. BY
1. PERMIT iYi'i
A -Commercial )New Building U Tenant Improvement
B - 0 Industrial 0 New Building 0 Tenant Improvement
C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteratior
Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing
Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________
2. PROJECT FOR OFFICE USE ONLY
,auress pqq I rA-LOH491164KPORT çv. ouiiuung or auite NO.
Nearest Cross Street C.HI i4o VII',A Rof%e, 5882 01/10/92 ()()01 ni iv,
SQ. FT. 19 # OF STORIES
SOG. ADDRESS rz24 4t4 I . HiioJ Av *oo
CITY STATE (A ZIP CODE DAY TELEPHONE - t9 z.
NAME ,62D ADDRESS I71a
CITY 64i'O1 STATE (ó.,. ZIP CODE 49 070 I DAY TELEPHONE(0)
PROPERTY OWNIIR
NAME ADDRESS I731 U& O_
CITY STATE (A - ZIP CODE '10701 DAY TELEPHONE ( p,i,o) 4* - CDNTRACIt)R
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC. # LICENSE CLASS CITY BUSINESS UC. #
é7 JZ6.'t Q1 1J.HI5Ii*1 ,k. iico
-
STATE f ZIP CODE41 ZO DAY TELEPHONE4T—Jj,,STATE UC. # II I57
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial
Relations, ora 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 01 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
8. OWNER-BUILDER DECLARATION
Owner-Builder 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, will do the work and the structure is not intended or
offered for sate (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.).
1, 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:
(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-Tanner Hazardous Substance Account Act?
)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?
$..YES 0 NO
Is the facility to f5 constructed within 1 000 feet of the outer boundary of a school site?
DYES NO
IF ANY OF THE ANSWERS 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 DIS'LRICF.
eretiy atrirm mat 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 CERlinCATION
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, JUDGMENTS WSTS 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 work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE:
WHITE: File YELLOW: Applicant PINK: Finance
07/22/93 -. INSPECTION HISTORY LISTING
FOR PERMIT# CB920027 -
DATE INSPECTION TYPE INSP ACT CONNENTS I
02/11/93 Rough Electric TP P1 ELEC MAIN & SWITCH PNL
02/11/93 Rough Combo TP AP T-BAR GRID
12/11/92 Ftg/Foundation/Piers RI RI MH/TOMMY/
12/11/92 ,Ftg/Foundation/Piers TP. AP TRASH ENCL FTNS & PIERS
10/19/92 Shear Panels/HD's RI. RI MH/TOM/931-9777
10/19/92 Shear Panels/HD's TP WC . . .
10/19/92 . Roof/Reroof . TP . PA BOUNDRY DIAPH NLNG(ROOF)
.10/07/92 Ftg/Foundation/Piers RI RI .MH/TOM/931-9777
10/06/92 . . Ftg/Foundation/Piers TP PA . S
10/06/92 -Ftg/Foundation/Piers TP PA
10/06/92 Steel/Bond Beam - TP- PA
10/05/92 Ftg/Foundation/Piers RI RI MH/TOM/931-9777
S 10/05/92 Ftg/Foundation/Piers MPC NR . . .
09/23/92 Frarne/Steel/Bolting/Wel PK NR CONFERENCE .
09/23/92 Frame/Steel/Bolting/Wel TP NR CONFERENCE .
S
/7/m
SEE'
CB920028
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FOR MORE INFO ,
ON THIS, PERMIT.
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