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Home My WebLink About2100 COSTA DEL MAR RD; ; CB972505; Permit^09/05/97 09 22 Page 1 of 1 BUILDING PERMIT 2100 COSTA DEL MAR RD MISCELLANEOUS Suite Lot# Job Address Permit Type Parcel No Valuation Occupancy Group Description GUT ROOM 240 FOR MOCK UP OF FUTURE IMPROVEMENTS PERMIT 97-1590 Permit No Proiect No Development No 8844 09/05/97 0001 01 C-PRMT CB972505 A9702025 02 30.00 0 Reference* Appl/Ownr METROTECH CONTRACTORS 437 S HWY 101 #203 SOLANA BEACH, CA 92075 *** Fees Required *** *** Construction Type Status Applied Apr/Issue Entered By 619 793-3501 Fees Collected & Credit: NEW ISSUED 09/05/97 09/05/97 MDP * * * Fees Adjustments Total Fees Fee description , 30-00 00 / 30 00 . Total, Credits Total Payments Balance Due Units 'Fee/Unit 00 00 30 00 Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS TOTjAL. 30 o.o \ '•• ;30 00 PERMIT 30 00 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 DATE. ..SIGNATURE, FTOLAPPnOVAL DATE 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 PROJECT.INFORMATION '::ii*W- a ,„.:'•< lAftf tloodL FOR OFFICE USE ONLY PLAN CHECK NO (1 EST VAL Plan Ck Deposit Validated By Date C'osf Q q Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Proposed Use Description of Work SQ FT f Stories # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different from applicant) Name ~ ' Address * " City .3..T,ABp1^ICANT-;,^|v|i^ritractgr; ...Q Agent fpr_Contractofi:i -, D:Pwner::ii!;, Q 'Agent for Owner State/Zip Telephone Name 4., PROPER ry OWNER Address City State/Zip Telephone , . =UrlsloaA Cfr TlTX^ Name Address City State/Zip Telephone # ~T (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 Codel 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 [$500]) City State/Zip City Business License # fa O O Designer Name State License # COMPENSATION ... . Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 f&T 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 SVftW, £l>r>C\ Policy No QQ "1 O&<2>'Ci~\ Expiration Date lg i \ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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«t£4QO 000) in addition! to the costof compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE *fc^V\ V/Q^J\JgV-«S-!^Sfr-*> DATE <\ - j) "^ "\ 7™ OWNER BUiLDER DECLARATION N^ c Z 7± is ""': -' ' ,:. ••"'. *....^"hT ::-";; '"" .„...„.:. ' .J I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) l~l 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) PI 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 CD YES I~|NO 2 I (have / 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 / address / phone number / 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 / address / phone number / contractors license number) 5 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 COMPLETE THIS SECTION ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration forifTor risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? CD YES &\ 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 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD 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 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 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 CitV 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 t^fijvork is commenced for a period-el180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE H<3Lfv.C/O vX kWeS-J^C DATE WHITE File YELLOW Applicant PINK Finance ' ' ' • CITY OF CARLSBAD INSPECTION REQUEST CB972505 FOR 11/20/97 DESCRIPTION: GUT ROOM 240 FOR MOCK UP OF FUTURE IMPROVEMENTS PERMIT 97-1590 TYPE: MISC JOB ADDRESS: 2100 COSTA DEL MAR RD APPLICANT: METROTECH CONTRACTORS PHONE: CONTRACTOR : PHONE : OWNER: PHONE: REMARKS: C/ SPECIAL INSTRUCT: INSPECTOR AREA PLANCK* CB972505 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 793-3501 INSPECTOR^ TOTAL TIME: —RELATED PERMITS—PERMIT # CB881346 CB901680 CB901924 US920006 US920011 US920013 US920014 US930001 US930004 US930009 US930010 US930015 US930016 US930022 US930023 US930036 CB940355 US940012 CB940578 US940013 US940016 US940018 US940027 US940030 US940031 US950014 US940035 US940036 US950004 US950007 US950016 US950019 US950020 US950025 US950032 US950034 US950039 US950043 US950049 US950050 US950051 US960006 TYPE MECH CTI CTI TU TU TU PA TU TU FL TU TU TU TU TU TU ELEC TU ELEC TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU STATUS EXPIRED EXPIRED EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED ISSUED EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED CD 17 34 ATED PERMITS — PERMIT# US960012 US960013 US960014 US960019 US960026 US960027 US960028 US960032 FA960012 US960044 US970001 US970002 CB971590 FS970022 US970031 US970032 US970036 LVL DESCRIPTION ST Interior Lath/Drywall EL Rough Electric TYPE TU TU TU TU TU TU TU TU FALARM TU TU TU CTI FIXSYS TU TU TU ACT / A -£ STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED COMMENTS s DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS