HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; 200; 82-357; PermitiZiheobY affSat I am licensed under
provisions of Cttapter'9 (commencing with;
I ' Section' 7009) of Division 3 of the Business
and Professions Code, and my ha se is in
qJ Class
hereby aflirm that I am exempt tram the COntrac-
,_ tsr's License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re-quires a permit to constreci, alter, improve, demolish, per
- repair any structure, prior toils Is also requires the a' plicant for such permit to life a signed statement that he is
licensed pursuant Is the: provisions of the 'Contractor's
- License Law (Chapter 9 commencing with Section 7000 of
Division 30f the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any Aif'
violation of Section 7031,5 by an applicant for a permit sub' 4'' jecis the applicant to a civil penalty of not more than five hun-
dred dollars ($500). -
- '0 I, as owner of the property,, or my employees with wages
19 • as their sole compensation, will do the work, and the struc-
tore is not intended or offered for sale (Sec. 7044, Business,
/ and Protessions Code: t The Contractor's license law does
not apply to an owner of property who builds or improves £ '.. thereon and who does such work himself or through his own
employees, provided that such improvements are not Intend- W - ed or oflered for sale. If, however, the building or improve- - I Z ment Is sold within one year of completion, the owner-builder will have the burdonef proving that he did not build or im-
prove for the purpose of sale(:'-'
C . •.•_# • '9
0 I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044. - -. Business and Professions Code: The Contractor's License
- law does not apply to an owner of property who builds or im- proves thereon, and who contracts for each projects with a 2 contractor(s) -license pursuant to the Contractor's License law). .- -
- 0 As a homeowner I am improving my home, and the follow- log conditions exist: - -
- - ' ' 1. The work is being performed prior to sale. i'-'- 2: 1 have lived in my home for twelve months
'-- prior to of this work.
3. I have not, claimed this exemption during the
- fast three years.
- 0 iam exempt on&Sec'_h . B&P.C.
- L4
.
or this reason -
0 f hereby affirm that I have a.certif icate of consent
to,seIf -insure, son a certificate of Workers' Compensation Insurance, or a certified copy thereof
,P0LlCNO L1114'Z
copy
U) •,e 'COPy is filed with the city.
UJ 0 Certified copy is hereby furnished. AL
• CERTIFICATE OF EXEMPTION FROM --
"- WORKERS' COMPENSATION INSURANCE
- (This section need not be completed it the permit is for one hundred dollars l$'il or less)
MA DI 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 10 - ' - the Workers Compensation Laws of California. -- -
NOTICE TO APPLICANT: If, after making this Ceni-
tticate of Exemption, you Should become subject t'
the Workers' Compensation provisions 01 the Labor
'Code..- you mast forthwith. comply with Such f',.rprovisions or this permit shall be deemed revoked.
0 I •hereby affirm that there is a construction
U, lending agency for the perl
Or an
I the work for
0 which this permil'is issued (~~Y-c.7. Civil Code).
ui Lender's Name
Lender's Address
U,
Z 0
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4 -j C) uJ
a)
a)
0
0
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT T - , 1200 Elm, Carlsbad, California 92OO8-19714438-55 5 -
JOB ADDRESS AV, ST, IDATE PF APPLICATION BUSINESS LICENSE # RD. VA4UATION PERMIT NUMBER
/ ,9•
ZONE /
-
OWNER'S NAME - OWNER'S PHONE CONTRACTOR , CONTRACTORS PHONE C
—
,7 /417Z/ -isc Lnt4w- n s'
______
. •.
.
OWNER'S MAILING ADDRESS . CONTRACTOR'S ADDRESS - LICENSE NO. PLAN t.D:# BLDG USE CODE
'06 t~b 014 i,cii'. '14 O
LOT BLOCK I SUBDIVISION ASSESSOR PARCEL NO.
/3 - .,s -&s-z — .
DESIGNER
*4
LICENSE #
-.
STANDARD PLAN#
.
BUILDING 0. FOOTAGE
.. .
DESCRIPTION OF WORK. * L' I 1 ri / M' -
e2 bESIGNER'S ADDRESS DESIGNER'S PHONE . -. - ft1' 'V'
/k 0 4 1 /DffV/iv.
-,. ..; 6P
LRELEV.
&1A6 4
-
NO
STORIES
S
GP1EDU
-
L:lbij 7uIi4C- / F 1 .X CE SUS TRACT - . GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR ' AREA CONST - -.
- ' - - . 5 0 N 0 Y O NO - YO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE - -, QTY. - MECHANICAL PERMIT - ISSUE
- -- 3 _.
-• SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP - '2-O. - INSTALL FURN DUCTS UP TO 100,000 STU L,L. _— BUILDING PERMIT - 01-00-00-8220 -
:—I-, - EACH BUILDING SEWER' -- -
-
- -.- '. - ,. OVER.100,000 BTU-. - SIGN PERMIT - 01-00-00-8221-
EACH WATER HEATER'AND/OR VENT L ' - r - BOILER/COMPRESSOR UP TO 3 HP • - PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS - BOILER/COMPRESSOR 3-15 HP ' . - - TOTAL PLUMBING 01-00-00-8222 -
EACH GAS SYSTEM S OR MORE . - METALFIREPLACE _.-- __t ' _. - ELECTRICAL •- _
--01-00-00-8223 - _-_-
EACH iNSTAV ALTER, REPAIR WATER PIPE VENT. FAN SINGLE DUCT • - MECHANICAL 01-00-00-8224 f_0
EACHVACUUM_BREAKER -
- MECHEXHAUST - HOOD/DUCTS __- - _- -.MOBILEHOME 01-00-00-8225
WATER SOFTNER ,'
'-,. RELOCATIONOFEAFURNACE/HEATER -' -- MOBILEHOMEPARKINSP
EACH ROOF DRAIN _ _'.. -u - •-_ '"" - TOTAL MECHANICAL -
I ''
- . STRONG MOTION -80-92-33-0519 - - -
TOTALPLUMBING -I FIRESPRINKLERS '01'00008227
QTY. - ELECTRICAL PERMIT - ISSUE
- Iwo - QTY. - SOLAR - ISSUE , - -
PUBLIC FACILITIES FEE 32-00-00-8923 -
- -
—I - ,•i,-•r BRIDGEFEE
-
NEW.CONSTEAAMP/SWT/BKR ".*'a_ -•- _' COLLECTORS'- - SCHOOLFEE -DISTRICT
1PH r "---3PH 5 ______- - STORAGE TANKS - Carlsbad 80-92-21-0519 - 4
EXISTBLDGEAAMP/SWT/BKR _•-•-- -. -. - - _80-92-22-0519 — w--
1PH 4 -3PH . _- a -•.,
ROCK STORAGE __- _- _
__
''Encinitas --
PUMP
',
: SanD(eguito -8092-23-0519
• REMODEL/ALTER PER CIRCUIT, • p" ' PLAN CHECKFEE SanMarcos _-• _80-92-24-0519 -- - -
TEMP POLE _200 AMPS
OVER 200 AMPS _
=- .
I - -
___________
j TEMPOCCUPANCY,I30DAYS)
TOTAL ELECTRICAL _
r_
TOTAL SOLAR
- TOTAL FEES PAYABLE 44. -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit Issued by the Building Official under the p'rovisionso(this * AN 051-tA pEtt IS REQUIRED FOR EXCAVATIONS OVER Code shall 0s U the buddingorworle CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" DEEP AND DEMOLITION OR CONSTRUCTION OF Z hB authori within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or i11t he building or work authorized by such permit in suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work io commenced for a period of_100days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND NATuRE -OWNERD CONTRACTOR,41 APPRED BY \
,
DAfr/
q KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
WHICH MAY IN ANY WAYACCRUEAGAINSTSAIDCITYINCONSEQUENCEOFTHE By PHONE 0
:~Z GRANTING OF THIS PERMIT_
EXPENSES
_r
FIELD INSPECTION RECORD
. REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTORS I NSPE D CHECKED APPROVAL ATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
:FfELDWELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES'CAISSONS -
- -: 1.
INSPECTORS NOTES
. ..•. ••
t.._._•• --
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
rRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND .BL/C0
PLUMBING UNDERGROUND
PLUMBING TOP OUT.
TUB AND SHOWER PAN
GAS TEST -
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT - AIR COND. - SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE, BEEN APPROVED. -
JOB SITE FINAL
PLUMBING L
I _33
-
ELECTRICAL • _______ __________
MECHANICAL 41
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUP•Y ISSUED
-
I
7 c9
) I
\ q2LI t
1
Qitp of Carlèab f&
JL;R:SozCTlONt 2 DATE_________ a
PPOJECT
TC:
PLAN COMMON SHEET
E APPLICANT COPY
0 PLAN CHECKER COPY
"7z—' Okp-7
-__)SJLLL,2JLIZ_-
-
• "?4/c'd_cth"z q._
44t,1g'4 77 24C
at;yL
___ 'e C/o5_
i4z) C'-f sce-10~
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/11_i- tL" Icic f - Al
-
Plan Check No.
i..' plans røceiued by jurisdiction7't"
seto plans received by plan
Date initial plan chick cofspl.ted/T/J byj7
re'E.r'mD. PLEASE READ
P1mm check is limited to technical requirement@
cnta*ned in the Uniform Building Coda, Uniform
Plumbing Cods. Uniform Mechanical Code. National
Electrical Code and state laws regulating energy
conservation, noise attenuation and access for
the ha.4icapped. The plan check Is based on
regulations enforced by the Building Inspection
epartment. You may have other corrections
based on laws and' ordinances enforced by the
Planning Department, Engineering Department
or other departments.
Te items circled below need clarification,
rodification or change. All circled items have
tc be satisfied before the plans will be in
conformance with the cited codes and regulation..
Per Sec. 303 (c). 1979 Uniform Building Code.
the approval of the plans does not permit the
violation of any stat., county or city law.
A. PlANS
I. Please make all corrections on the original
tracings and submit two new sets of print.,
and any original plan sets that may have
been returned to you by the jurisdiction.
tc.:
To facilitate rechecking, please identify,
next to each circled item, the sheet of
the plans upon which each correction on
this sheet has been made and return this
check sheet with the revised plans.
Date i Jurisdiction____________
Prepared by: S Bldg. Dept.
VALUATION AND PLAN CHECK FEE D Esgil
PLA'CHECK NO.--
BUILDING ADDRESS /l / _/ Z2,77e1%1 /?iv2poit/ wTt'3 °
APPLICANT/CONTACT 3c,'c Je7 PHOA NO. 1?"
BUILDING OCCUPANCY DESIGNER PHONE f?/4412/
TYPE OF CONSTRUCTION CONTRACTOR PHONE____________
BUILDING PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
/
Res. Baths (over 3) - @2,200
Res.Firep1aces(°' '-/) @ 1,760
Air Conditioning
Commercial @ 2.80
Residential 2.40
Res. or Comm.
- Fire Sprinklers @' 1.50
-
Total Value ,r
33~
) (9
Building Permit Fee $
Plan Check Fee $ S.
AdjustrnenFiThtate
Mad 'Handicapped
,,/Access Regulations
1.065 ñ i
COMMENTS
8/4/82
DATE:T1982
Ai.
NTS:
JNTERDEPARTMEN'IAL INFORMATION SHEET
BUILDING DEPARTMENT
\BUILDING ADDRESS:
.P.N: ,I-Q.'(
PLANNING DEPARTMENT
ZONE: \ SCHOOL FEES: SAN DIEGUITO ' SAN MARCOS_______
ENC'INITAS CARLSBAD
UNITS REQ'D: PROVIDED: (/
% COVERAGE' ALLOWED: " ' PROVIDED:- rx _
PARKING' SPACES REQ'D: ' PROVIDED:
BUILDING HEIGHT REQ'D: PROVIDED: 0
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED:
PROVIDED:_______
INTRUSIONS: U '
RE-DVELOPMENT APPROVAL REQ'D:
LANDSCAPE & IRRIGATION PLAN COMMENTS.:
ENVIRONMENTAL PROTECTION REQ: '•
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE: .0K TO FINAL: DATE:
ENGINEERING DEPARTMENT
R.O.W: 0 f
PUBLIC FACILITIES FEE: 0 SEWER CONNECTION: 0
DRIVEWAY LOCATION(S):
GRADING PERMIT: '
EASEMENTS: . ' DRAINAGE:' '
LEGAL DESCRIPTION:'. 0 '
ADDITIONAL COMMENTS:
*CHECK IF ENGINEERING INSPECTION REQtD. ON FINAL:
OK TO ISSUE: DATE:!7 PWI: OK TO FINAL:
DATE: .
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE
FINAL INSPECTION.
35'7
PAGE 1OF_
CARLSBAD FIRE DEPARTMENT
1275 ELM AVENUE, CARLSBAD, CA.92008
(714) 438-5521
PLAN CHECK REPORT
_APPROVED
DISAPPROVED
PLAN CHECK
OTHER REF II
PROJECT C/, /I .IOJ$IaADDRESS 2/0/ 6-a.oe
ARCHITECT __________________________ ADDRESS _______________ PHONE.___________
OWNER ____________________________ ADDRESS _/PHQNE
OCCUPANCY__________ CONST_/"-TOTAL SQ. FT. ____________ STORIES
RINKLERED/7TENANT IMP.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO.THE
FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING
CORRECTIONS:
Provide one copy of the floor plan(s), site plan, and sheets
Storage, dispensing or use of any flammable or combustible liquids, flammable
liquids, flammable gases and hazardous chemicals shall comply with Uniform
Fire Code and
Building(s) not approved for high piled combustible stock. Storage in closely
packed piles shall not exceed 15 feet in he 12 ,feet on pàllets or in racks
and 6 Feet for tires, plastics -and some flammable'liquids. Lf high stock piling
is to be done, comply with Uniform Fire Code, Article 81.
14• Medical gas system(s) shall comply with N.F.P.A. Standard 56F.
Fire extinguishers shall be provided based upon the fol'owing criteria: -
a) 1-2A rated ABC extinguisher for each $OQO sq. ft. or portion thereof .
maximum travel distance to an extinguisher of 75. -feet
c) other:_____________________________________________________________________
Fire sprinkler system(s) per N.F.P.A. Standard shall be
-
provided to protect
Dry chemical extinguishing system(s) shall be installed per N.F.P.A. Standard
96 to protect cooking equipment and exhaust system.
Plans of ¶,,
system(s) shall be approved by the Fire Department prior to installation of
system(s).
Show on site plan locations of all nearby proposed or existing hydrants within
200 feet. • •
Hydrant(s) shall be provided and located
Show location(s) on site plan. Fire Flow: gpm for hours from
hydrants.
Access for fire apparatus is not adequate. Provide
• S shall be of hour construction
with openings protected with hour assemblies.
13; Comply wtth_regulation, on attached sheet(s).
n Examiner Date
Report mailed to,afchitect Met with -• S ____Attach to Plans
- p
-
- 4 -
GRAHAM INTERNATIONAL, INC.
October 7, 1982-
CITY OF CARLSBAD
1200 Elm Avenue
Carlsbad, CA 92008
ATTN: BUILDING DEPARTMENT
Gentlemen: - -
Please be advised that Graham International Plaza has give / permission for Colgan Institute to occupy th e ((p&ot"J. premises located at 2121 Palomar Airport Road, Suite 2001'1-
Thank you.
Sincerely,
-
* :-
Michael L. Loban
Vice President, Real Estate
--
- -
MLL/dlg
35
0
'
'-
- -H
2121: PALOMAR AIRPORT ROAD, SUITE300 CARLSBAD, CALIFORNIA92008 .(714) 438-1545