HomeMy WebLinkAbout2016 Palomar Airport Rd; H; CB020650; Permit----
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 09/22/2017 Permit
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
Total Fees:
2016 Palomar Airport Rd, H
BLDG-Migrated
11682.2.147'00
$0.00
www.carlsbadca.gov
Work Class: BLDG-Migrated
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Finaled:
Inspector:
MOHO -INSTALL MAGELLAN AVIATION(rEMP TRAILOR FOR OFFICE & SCHOOL, SEWER/ ELEC/WATER
Total Payments To Date: Balance Due:
Permit No: CB020650
Closed -Withdrawn
03/01/2002
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NOC~O
EST.VAL._~~~~~~~~~~
Plan Ck. Deposit ---,,.----=-------
Validated By C..J:2:;)
Date :3-L -Q2
2016~NAuuwrl?tMJ:? .SwY .I? EN..vA~:IE AwAru& Au112r~.:r.v&~
Address (include Bldg/Suite #) Business Name (at this address)
uvNtY Ct,Nr.eAer' .;d:: Vf./2-1< OAI at1?~4d.
Legal Description Lot No. Subdivision Name/Number
Existing Use
t./"7'l40'Y'c;,,,,,,,,eoN'-E 72> A,,Uet R4,M~r ".if./" Proposed Use
#l)J2V44,le. ,r:::,.FJtt:.'t; (2,y/ ,)( ¥d /)
Address
3. APPLICANT O Contractor O Agent for Contractor
.S~ M £.u,,r,e.r P~
Name Address
4. PROPERTY OWNER
City
0 Owner .,.H"Agent for Owner
City
# of Bedrooms # of Bathrooms
ate/Zip Telephone # Fax #
;::;it,>e 7J,()-9..29.,,a~t>
State/Zip Telephone#
MM£#MI ~~ ktfe. .zoe1, P41,A4f44.. ~r&O ~ddr&M 2aQ8: ~.i, ... .g_v-µ..r
Name Address City 7 State/Zip Telephone #
6. CONTRACTOR • COMPANY NAME
(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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
4'sgL LUM>'Le& L«xO J/4" n;.,tael Pl'· &~ £A: 9~.x'o/
Name Address ' City State/Zip Telephone #
State License# 7/U 79 License Class CID City Business License# U4LL-.
Designer Name ~~ Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
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.
;81 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 /?r&.c,.11e. :Zl!/¢OrdlrfiC-f!. ti, Policy No.QCA u a I Z£9~Z-expiration Date ~1-,J
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Jil 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.
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 0,0001, in addi n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
DATE p/71t.l-,=
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).
0 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 jZ!NO
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
4. 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 I address I phone
number I contractors license number): _____________________________________________ _
5. I will provide some of the work, but I have
ofwork): _________ ...._..W'-1t7"1"'"-fa,.,_"'#r1....._ ___ ~-----------------f.l"1'---t---::;..-------------
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? D YES .,8 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES .,.lcl NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES m 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. 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 t{.,t) t.4t2e,,c_, LENDER'S ADDRESS _________________________ _
9. APPLICANT CERTIFICATION
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 Citt 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 commen within 180 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 comm or a p riod O ys (Section 106.4.4 Uniform Building Code).
DATE _ _.?'---#--/_7!-"'--'k-:""'------
YELLOW: Applicant PINK: Finance
List 1 -Permit-1ype
From the following list, determine the pennit-type that best describes the work you propose to do. Please put the code of that
pennit-type in the blank at the top of the page on the front of this application. Residential pennits (only) also require the
identification of the structure-type to be associated with the pennit. Choose a structure-type from "List 2 -Structure-Types" and put
its code in the appropriate blank on the front of this application.
Residential Permits
Code Description
. APT Apartments -new construction.
-CONDO Condominiums -new construction. -.
CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units.
CVNRN Conversion. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications
(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition oermit. (Also specify type of structure from List 2). '
DUP Duplex -new construction.
MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit.
MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, below).
RAD Residential addition/alteration, creating no new dwelling unit(s).
RREISSUE Residential permit re-issue.
RREPAIR Residential building repair. Damage, fire, etc.
RREPLACE Residential building replacement (no additional units).
SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or
more conunon walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating
system (e.g.: townhouse, row house, half-plex)
SFD Single-family, detached -new construction: A one-family house with open area on all four sides. May have an
attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an
individual lot, but not in a mobile home park.
Non-Residential/ Accessory Permits
Code Description
COM Commercial structure, new construction.
CREISSUE Commercial permit re-issue.
CREPAIR Commercial building -repair. Damage, fire, etc.
CREPLACE Commercial building -replacement.
CTI Commercial tenant improvement.
DEMO Demolition pennit.
ELEC Electrical oermit, for electrical work only.
HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction.
HOTELR Hotel renovation.
IN DUST Industrial structure, new construction.
!TI Industrial tenant improvement.
MECH Mechanical permit, for mechanical work only.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
PATIO Patio and/or deck.
PLUM Plurnbin~ permit, for plumbing work only.
POOL Gunite pools and spas.
RETAIN Retaining wall permit.
SIGN Sign construction/installation pennit. .
SOLAR Solar energy system installation permit (specify structure type to be served).
SPA Factory-made or Gunite.
List 2 -Structure-Type (Use with Residential Permit Only)
From the following list, determine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-type in the appropriate blank at the top of the pa~e on the front of this aoolication.
Code Description
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more conunon walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse,
row house, half.plex).
SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached
garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an individual lot, but not
in a mobile home park.
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units
may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex).
MFS+ Multi-family, 5 or more units. Same as MF2-4, except the building has a t least five attached units on the same lot.
MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
01/02/2003
GEORGE MCJIMSEY
2016 POLMAR AIRPORT
SUITE D
CARLSBAD CA92008
Re:
Application Date: 03/01/2002 0:00:00
Plan Check #: CB020650
Address: 2016 PALOMARAIRPORT RD #H
Expiration Date: 03/01/20021 0:00:00
Permit Type: MOHO
Description: MAGELLAN AVIATION/TEMP TRAILOR
FOR OFFICE & SCHOOL, SEWER I ELEC/WATER
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained .. The original plan review application will expire as no building permit
has been issued.
Plans submitted and not retrieved from the building department prior to the plan check expiration
date noted above will be destroyed.
The provisions of sections 304 (d) of the Uniform Building Code state:
"Section 304 9d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be re1turned to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall
resubmit plans and pay a new plan review fee."
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department.
__ Project Abandoned -I will pick up plans within 10 days
__ Project Abandoned -Plans may be destroyed.
If you have any questions, please contact the Building Department at (760) 602-2718.
Raenette Abbey
Building Department