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Home My WebLink About2121 PALOMAR AIRPORT RD; MULTI-PERMIT FILE; CB983973; PermitB U I,L D I N'G,, P ER M I T Permit No: CB983973' .'',11/18/98 '10:24 Project No A9804960 Page ,1 of 1- .,. . Development No: .' Job Addr'es's: 21214PALOMAR AIRPORT •RD Suite: 140 Permit Type: MISCELLANEOUS Parcel No: Lot#: Valuation 0 Construction .Type: NEW Occupancy Group: ,Reference#: CB983799 Statu: ISSUED' Description: DEMOLISH NON-BEARING WALLS & • . 'Applied:' .11/18/98 T-BAR CEILING-NO NEW CONSTRUCTION Apr/Issue: 411/18/98 Entered. By:'RMA ' Appl/Ownr : PETERBUILT CONSTRUCTION 619 5970,18, 6235..LUSK BLVD $ . C-PRMT' 3000 sAN:DIEGO CA 92121 Fees Required *** . Collected .&. Credits, .. Fees: 30. Adjustment: total Fee's: 30 cC Tot a yrLt .00 .00 e 30.00 Fee descr'iption' .. '-hit LO / it Ext:fee Data Miscellaneous Fee 1 . ' •• 3000 DEMO FEE MISCELLANEOUS T TA '.. 30.0"0 I $ • . INCORPORATED 1952 v . .;• . - . . •• - .- 3. . , , •. AL - CLEARANCE 4 -. 1 •8 I • •, ., . • . • . ' CITY OF CARLSBAD - ' • 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 rn PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 41 0 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By_ Date PROJECT NFO TON - (-- 'i t ki4 go 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 # Existing Use - -- - - Proposed Use Uescription of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms O - P0)'-) b atwa C NTACTPERSON(ltdlffarent from-applicant) ............ Name Address City State/Zip Telephone # Fax # APPLICANT 0 Contractor 0 Agent for Cotractor DOwner 0 Agent for Owner Name Address City State/Zip Telephone # 1.4. PROPERTY OWNER - - name . Address City State/Zip Telephone # j5..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 fo a per it subje ts th licant to a civil penalty of not more th n five hundred dollars ($50011. 7Q7r 4,ulLTcoP. C2-.3 L.61 -o p 2-1 Name Address City State/Zip Telephone # State License # License Class City Business License # uesigner Name Address City State/Zip Telephone State License # 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. - I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the rk for which this permit is issued. surance :: comersat/n iJsun rrr 7df 7 number are: icy Policy C-' t4 ' Expiration Date o 3// (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE -7- :7. 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 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). 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 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): 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 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? 0 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? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 8. .CONSTRUCTlONLENDINGAGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS__________________________________________________________ TAPPÜÔAN10ER1IFICAT1bNT .;--. 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 Citi 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 co menced 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 wor i co en d for a period of 180 vs (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ,5LA1' ' DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB983973 FOR 12/01/98 INSPECTOR AREA DESCRIPTION: DEMOLISH NON-BEARING WALLS & PLANCK# CB983973 T-BAR CEILING-NO NEW CONSTRUCTION 0CC GRP TYPE: MISC CONSTR. TYPE NEW JOB ADDRESS: 2121 PALOMAR AIRPORT RD STE: 140 LOT: APPLICANT: PETERBUILT CONSTRUCTION PHONE: 619 597-8800 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/ROB/619/318-1244 PM PLEASE INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERNIT# TYPE STATUS CB983799 CTI ISSUED CD LVL DESCRIPTION ACT COMMENTS / 14 ST Frame/Steel/Bolting/Welding A/ 24 PL Rough/Topout / 34 EL Rough Electric - / 44 ME Rough/Ducts/Dampers ***** INSPECTION HISTORY **** DATE DESCRIPTION ACT INSP COMMENTS ON of Carlsbad MISCELLANEOUS Permit No: CB962282, Job Address 2121 PALOMAR AIRPORT RD 206 Status FINAL Permit Type: MISC Applied:., 11/26/1996 Parcel No: Lot #: Appoved: 10/07/1997 Reference No: S - Issued: 10/07/1997 PC #: Inspect Area: Project Title REMOVE NON-BEARING WALLS NO NEW CONSTRUCTION PERMIT 96 2209 Applicant: Owner: S VENTI CONSTRUCTION CINERGY 1O9S MEMORY LN ESCONDIDO CA 619 747-9590 00136104228 MISCELLANEOUS TOTAL $3000 .5 S I S. Fees $30 00 Additional Fees J $0.00 Total Fees:' ees $30.00 Balance $0.00 * - L U I L Ott N G I F R,_ 11 I T Fernit. No CF.9600// 0/15/96 09::22 P 11 oiect No A9601 15-8 Pal e. 1 of 1. Deve loi'weri No ]oh Addr 2121 Fifi OMAR AIR0RT RD Stnte 3 00 ......... -i- . i' (S - I r ( I Iii t i 1 L t I .) C L L I 1 N. U J 737 05/15/96 0001 01 o f a c,e1 No I. ot# Ui91IJ.3t 1 0 Lo5n truct lou W 30 00 Ort uparicv r olup F Ret erer'cef Stc.(u ISSUED Der iptiori DEMO. NON-BEARING WALLSflND . .. App 1 i e d 05/1.5/96 R(MOVL CElL INC / NO NEW CONSIRU( lION A p r /J f, E, u e 0/J/96 Eritt. red Ly RIvIf.l App l/Owrir 'GRAHAM SUSAN 619-438-1-54% 2141 PALOMAR A I RPOR1 RD , S I 300 CARl SLflD LA 29009 - . . S. - S • .,. 45 [€'€. FE ''i u' e'd Ft C l..c led Lerlit 46 -)f,. 30. : : Tota.i .Fee .00 - Total pL.e: -. 00 - S • / riei\ 30. 00 Fe decriptiori. 't4S 41jt Ext fee Data - Mirellarieoij' - Fee' #1 _... - 30 00 P rRMfl 'I'll S1 El. LANEOIJS FOlA 0 00 S •S INCORPORATED . 1952 I wis DATE L AP6A * . .- : • . 5 5 . 'ft - - •, • CITY OF CARLSBAD• ;_ .c, S • - S . 2075 Las Palinas Dr., Carlsbad, CA 92009k (619) 4381161 - 'P • - , . ,. • ..- -. S . S . . .S • PERMIT APPUCATION -.-- City of Carlsbad Building Department 2075 Las PaLus Dr., Carlsbad, CA 92009 (619) 438-1161 .- PERMIT TYPE PLAN CHECK NO. ( fl EST. VAL PLAN CK DEPOSiT_______________ VAUD. BY DATE From List 1 (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PRUJECT INFORMATION 2 j / /- FOR OFFICE USE ONLY Address T/ 9) Nearestross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIliEL): 02 Energy Caks 02 Structural Calcs 02 Soils Report CII Addressed Envelope DESCRIPTION OF WORK c SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 5. (XJNTALI 1'EHJN (if clillerent from applicant) NAME (Iastname first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT UCON1HAUI'OR U AGENT FOR CON IRAcIOR U OWNER U AGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE WN 1 RA(IUK NAME (last name first) )7 44t ADDRESS CITY TATE ZIP CODE DAY TELEPHONE #S 7V STATE UC. # LICENSE CLASS CITY BUSINESS UC. # I o DESIGNER NAME (last name lust) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' CX)MPENSM1ON Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial 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 POLiCY NO. EXPIRATION DATE 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. SIGNATURE DATE 8 OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason: 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.). o 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). 0 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 (2ojtractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e~Wt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the cant to riyi9palty of no ore than five hundred dollars [$500]). 1JRE Y - Z.. DATE Is the applicant or futiii%uilding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program und& Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES [3 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF lifE ANSWERS ARE YES A FINAL CER11FICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS lifE APPliCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISI1UCF. WNSTRUCI1ON LENDING AGENCY 1 hereby attirm that there is a Construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLiCANT CEWI1.FICAI1UN 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 UABILIllES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACXRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 0511k An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pefit 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/uhbrized by such permit is notçommenced within 365 days from the date of such permit or if the building or work authorized by such permit is Øjpénded or,aji4oped at any tjie after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCA7SSIGNATUE (,47 . DATE: