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HomeMy WebLinkAbout2151 LAS PALMAS DR; MULTI-PERMIT FILE; CB032633; Permit- FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK ' EST VAL CITY OF'CARLSBAD'BUILDlNGDEPARTMENT••', 'f • '' • ', •' 1635 Faraday Av, Carlsbad, CA 92008 '7'9 PlanCk Depot , -. .... .' - Validated.By - - . Date______________________ nc/7/p3NITA. - - - COP '---" 1-64-80- a 'Address (include Id /Suite - Business Name (atthi ddress) -.- ''- '.• ,, w.'. Legal Description -'-' -- '-----' - - Lot No. - - -Subdivision 'Name/Number. ---' "- '- °-'-' Unf No: . Phase No. ''-'. 'Total # of units 1 o'77 , ,,,-'•) ,, . Assessor's Parcel # Existing Use Proposed Use I Description of-Work S0 FT. -' '. ' '.L #bfStàri'es - . -'" . —1-6f Bedrooms -' #of,Bathrooms F-OF7-/A)TJ?,-r/floAi l(o F ri"' ( '.' ' "'-'• I 1. , 77Y . -rir-x '13 bcA (242 (g55i3 .Name"-- .....-.' --- - Address. -.. ,-. $-. .r- -Coy - State/Zip TeIrpfron 0- '- Fax jär , Or EAgen for Qwpr Name,"'.- Addréis- ' -' - StteZp Teeph ne-# TVPROPERTY OWNER ,J IA-)D Name - ' .Address ' ,. City .., . Stat Zip , . TeIephorr # JAOEANY ' (Sec.7031.5.Business and Professions Code:' Any City or,Countywhichequirds&pe,rmit,to construct, alter, irnprove,'demolish or.repir any'structure,pnorto its 4issuance 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 (Ch41 apter 9 commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom and the basis forthe alleged e emption. Any viol t' n of Section 7031.5 by any applicant-for a permit subjects the aplicant.to,a civil penalty of,not more, than fivehundred dollars [$5001)..", qo- e Ø--b Name ' y --r - ,, ,r a YAddress .!'. - -..o-'-' ' , -. . City. - -.,. cState/Zip, '. lephone # State License 4(pS5"4 License Class '.'City Business License it Designer Name . . .,-.' Address , '' - ' - -Ci State/Zip. Telephone - :StateLicns -#' RKERSjSOk Workers' Compensation Declaration: , I hereby affirm under penalty of perjury one of thef000wing declarations: 0 I have and will maintain a ceitificate ofconsentto seIf-sure for.vorkecomps io a provided, by, Section 3700 of the Labor-Code, for the performance. t.0f the work for which this permit is issued. -I have and will -maintain -workers' compensation;-as required, by'Stion-37O0 ofthe- Labor- Code, for the performance of-the work for which this'permit- is issued My worker's compensation insurance carrier, and policy number are 4 lnsurance'nany STA7 .4A1 D - Policy N fj, q ~g '003 Expiration Date _I - (THIS SECTION-NEED NOT BE COMPLETED IF THE PERMIT IS FOR- ONE HUNDREDDÔLLARS I$1001OR LESS) .o CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whichihiseri'nit.is.issüed,I shall:notmploy'any.person in'any m'anrier o'as rtbecome sublect to the Workers Compensation Laws of California - - - -. - , - I -- -- 4f,_ I - WARNlNG:- Failure to secure workers' compensation coverage is unIawfuI'and'shaII'-subject an employer tocriminal penaItiesand civil'fines up to one hundred thousand dollar $100,000). in addition to the cost of compensation, damages as provided for in Sectián 3706 of-the Labor code,.interest and attorney's fees,, NAT11E P~Ls aJ4Q DATE 923c3" - ,'- - hereby affirm that I am exempt from the Contractor's License Law for the following reason: o I as own er of the property or my employees with wages as their sole compensatioii will do the work and the structure snot innded or offered for sale (Sec..,7044, Business and Professions Code: The Contractdr'sLicene Law does nbtplytoartdwrer Of.poperty whbuildsor imr6ves,thereon,andwho des i. such work himself or through his own employees provided that such improvements are not intended or offered for sale If, hozer the building or improvement is sold within-one year of-completion,,the owner-builder will have the burdenof proving that he- did not buildor improve-fo purposeof-sale). 0 I as owner of the property am exclusively contracting with licensed contractors to constructj..pr ect (Sec 7044 Business and Professions C'de The -Contrjor'sLicense Lr,'oei not a'pIy t'an Oner fproery#h6'build"or impi:oves' t, d dntrts fdr"ch i,iojedts with contto('s) licened, pursuant to the Contractors License Law)... 0 lam exempt under Section , - Business and Profession efor this reason: .- - -.: n. 1 I personally plan to provide the major labor and.materials construction of the proposed property improvement 0 YES ONO 2. '1 (have/ havnOi) signed'aal'ictiOnf b - inpemit for the pr'ciposed work. 3 I have contracted with the following on (firm) to provide the proposed construction (include name /,address./ phone number / Contractors.license number): I plaiitd frovide p6rtion thO wotk, but I have Iiied the following persó tboordiniti ip'eiiise and 'p6vide the'major wOrk (include home-/ address /'phoii'i number I contractors lic number) -. DC 5. I will provid me of the work, but havecontracted (hired) the followingpersons to provide the work indicated (include name _/,address,/ phone number., ,type of work --- ----. -.----- - -- —,-0- -- ,----- .--•.----'------- .' - -:. - - 0PER1<jWNER SIGNATURE ------------------ ., .,::. -. Cr.--------'r DATE - ' Is the applicant or future building occupant required to submit a business plan acutely hazardou.- materials registration form or risk managementand prevention ,,program-under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance-Account Act?.- 0- YES A--NO':,,' _: ........ Is the applicant or future building occupant required to obtain a permit from the4air pollition control district or air quality management district? 0 YES NO ;Is the facility to be constructed withini,000 feetof theoutCr boundar,y of-aschobl site? 9 XES -- NO ',:IF ANY OF THE ANSWERSrARE YES7A-FINAL CERTIFICATE OF OCCUPANCVMAYN0T BE ISSUED-UNLESS THEIAPPLICANT-HAS MET OR IS-MEETINC'THE ' - ,REQUIREMENTS OF THE OFFICE OF WE SERVICES AND'THE AIR POLLUTION CONTROL DISTRICT. . . 8 CONSJRUcTION LENDIN P,'NCY - 1 hereby affirm that there s a onstruction lend nq agency for the performance of the mark for wh h the, permit I iSsued (Sec 30373 Civil Code) - 'LENDER'S NAME ' 1, LENDER'S ADDRESS APPOP 1,9 - L 'I certify that I-have read 'thetapplicatio'n arid staththat'the.ábové inform"ationis 'coife fandth'at'thOifmdtionOn tIe plans is'ctIràte. I agreeto complrhith all City ordinances and, State laws relating1tobuiIding-'coristrcion. Cl hereby7authori.è represenatives. of°the'.Cit' ofCCarlsbadtto- inter upon theabove mentioned ;property for inspection purposes. I ALSO AGREE TO. SAVE- INDEMNIFY AND KEEP HARMLESS THE CITY OFCARLSBAD AGAINST, -ALL, LIABILITIES, C 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 i required forexcavations over 5'O" dee,and démlitin 1coritructid'n f stricturè ver 3 tori's'iheight. - -------- -- --- ------S EXPIRATION: -Every permit issued by thebuilding Official undeirthe provisions ofthis-Cdéshall'e*pire by Iimi(átionandbecone' null and void ifthe4building or work - authorized by such permit is not commenced within 180 days from (he 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 commen d for a period of days (Section 10644 Uniform Building Code) - - - - APPLICANT S SIdNATURE WHlTE:FiIéELOW: picant 'PlK:'Finace°?' Inspection List Permit#: CB032633 Type: TI COMM SUUNTO USA- 316 SF OFFICE TO OFFICE TO OFFICE Date Inspection Item Inspector Act Comments 02/20/2004 89 Final Combo - TP AP 12/29/2003 89 Final Combo TP CO, NEED TO RE-SWING DOOR TO INSIDE RM 12/19/2003 89 Final Combo TP CO PNLS, CARD., RE-LOC DOOR SWING 11/03/2003 17 Interior Lath/Drywall TP AP 10/24/2003 16 Insulation TP AP 10/22/2003 14 Frame/Steel/BoltinglWeldin TP AP 10/22/2003 34 Rough Electric TP AP :7•• , Friday February 20 2004 Page 1 of 1 .. ,EsGiI Corporation •. - In Partnerssip with government for uiWiiig Safety DATE: October 1, 2003 ,.,. . .. 0 AP LICANT OJURI. JURISDICTION: Carlsbad -' - U PLAN REVIEWER - El FILE LAN CHECK NO.: 03-2633 ' SET: I - S PROJECT ADDRESS: 2151 Las Palmas PROJECT NAME: Suunto - TI The plars transmitted herewith-have been corrected where necessary and substantially comply •with the jurisdiction'sVbuilding codes. The plans transmitted herewith will'substar'tially cämply with-the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith haie significant deficiencies identified on the enclosed check list' and should be corrected' and resubmitted for a complete recheôk. V V The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until ccirrected'plans are submitted for recheck. 'Li The applicant's copy 'of the, check list is enclosed for the jurisdiction to forward to the applicant V contact person. V , The applicant's copy of the check list has been sent to: V V LnJ Esgil Corporation staff did not advise the applicant that the plan Vcheck has been completed. LI Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: '' . telephone Date contacted (by ) Fax # Mail ,Telephone Fax ., In Person LII REMARKS By: Kurt Culver V " V Enclosures: Esgil Corporation El GA_ V LI MB El EJ LI. PC , 9/25/03 ' : V V tmsmtl.dot 9320 Chesapeake Drive, Suite 208 • 'San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 03-2633 October 1, 2003 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 03-2633 PREPARED BY: Kurt Culver DATE: October 1, 2003 BUILDING ADDRESS: 2151 Las Palmas BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: 111-N BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 9,480 Air Conditioning Fire Sprinklers TOTAL VALUE 9,480 91 Carlsbad Fire Department 032633 1635 Faraday Ave. Fire Prevention Carlsbad, CA 92005 . (760) 602-4660 Plan Review Requirements Category: Building Plan 4 /2 Date of Report 10/01/2003 Reviewed by Name: Design Build . .. Address-. 9770 Carroll Center Rd Ste B City, State: San Diego CA 92126 Plan Checker: - Job #:, 032633 Job Name Suunto USA Job Address 2151 Las Palmas Ste or Bldg No Approved. The item you have submitted for review has been approved. The approval is based on plans, information and / or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications must be reviewed by this office to insure continued conformance • with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in . suspension of permit to construct or install improvements. E Approved The itemyou have submitted for review has been approved subject to the Subject to attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefullyall comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct Or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. D Incomplete The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please reubmit the necessary plans and / or specifications to this office for réviéw and approval. Review. 1st 2nd _________ 3rd Other Agency iD FD Job # 032633 •• ED File # •• • . . I BUILDING PERMIT PermitNo:CB94O807 .07/05/94 14:51 Project No: A9401135 Page 1. of 1 . . - Development No: Job Address: 2151 LAS PALMAS DR Suite: .F I Permit Type: ELECTRICAL . 7649 07/05/94 0001 01 02 Parcel No: 213-050-32-00 Lot#: CPRMT 6000 Valuation: 0 Construction Type: NEW ...., - Occupancy Group: Reference#: .. . Status: ISSUED Description: INSTALL 200 AMP 3 PHASE . . Applied: 07/05/94 SUB .PANEL .. .. .. . . Entered 1DP .60-00 .Appi/Ownr : LAMAR ELECTRIC 619 751.1773 . P.O. .301237 .. ,. . ESCONDIDO, CA. '920 3 01 . - Fès Required . (F/ees' ected& Credits 6C Fees: 6O'00()) Adjustments: . 1.'o'.' - . Total.Cr'dis.: .00 Total Fees: f60 c0.. /"!h. \ .00 • • P . • 4 Due - I :P•'/ .. alance:... \ . 60.00 Fee description Ext fee Data 10.00 y Enter "Y" for Elect'ri-a T§sue Fee Remodel/Alter Per AMP 00 50.00 ELECTRICAL TOTAL INLuflPO1TFM 1952 • . • - I FIJNAL,APPROVAL S DATE IC.11-EARANCE_ CITY OFCARLSBAD • ' 2075 Las Palmas Dr., Carlsbad, CA 92009 (619)438-1161 PERMIT APPLICATION . PLAN CHECK NO. 9 C City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL PLAN CK DEPOSIT From List I (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 PROJECT INFORMATION FOR OFFICE USE ONLY Address .2J juilding or Suite No. £ Nearest Cross Street j/)149 LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITFED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK / ç ( .) bp#ii 1 SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS CON SACS PIi{JN (it different from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT ON1HACTOR U AGEN...FOR CONTRACIUR DOWNER U AGENt FOR OWNER NAME (last name firstZA1-yAr ADDRESS ,D, ff - _vzs CITY £SC STATEL4-, ZIP CODE 4430-/L37DAY TELEPHONE - / 1? S. PROPERTY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE CONTRACTOR • NAME (last name first) L4 /1mL i/-rflt1_ Cc ADDRESS YL'. AS§jC —&al-7 9 7 CITY STATI47 ZIP CODE 2.&1LS1 DAY TELEPHONE &.i9 - .7S7 —/7 7i STATE UC. LICENSE ClASS L/O CITY BUSINESS UC. # j DESIGNER NAME (last name first) ADDRESS CITY X4h -' STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS CDMPENSATION 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 flCZL7 POLICY NO. EXPIRATION DATE any person in any manner so as to becorrijo subjecto çhe Workers' Compensation Laws of California. TE Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 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: (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 . app )ant t9 a civil nalty f ot more than ive hundred dollars [$500]). SIGNATUREE A:4,42 / . . DATE ç4I 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 2555, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES NO Is the applicant or future building occunt required to obtain a permit from the air pollution control district or air quality management district? DYES 13 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES M 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 (DN11IOL DISTmcr. 9. WNSTRUCI1ON 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(1) Civil Code). LENDER'S NAME AhLfr LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct. 1 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 UABIIJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 0511k 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 it t commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned5a,>,A1ytimeaf7çJ2, work ,om,,j,d for , 4eriod of 180 days (Section 303(d) Uniform Build o APPLICANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB940807 S FOR' 07/07/94 . INSPECTOR AREA DESCRIPTION: INSTALL 200 AMP; 3 PHASE 5, . PLANCK# CB94 0807 SUB PANEL 0CC GRP' TYPE: ELEC . . . . :CQNSTR TYPE -NEW JOB ADDRESS: 2151 LAS PALMAS DR . STE: F LOT: .. APPLICANT: LA -MAR ELECTRIC . ' PHONE: 619 751-1773 CONTRACTOR: . PHONE: . . . OWNER: '• . *. PHONE: .. REMARKS: MW/75171773' . INSPECTOR SPECIAL INSTRUCT:.' '' • . TOTAL TIME ---RELATED PERMITS-- PERMIT# TYPE STATUS . CB940653 MISC ISSUED . CD .LVL DESCRIPTION . " ACT COMMENTS . • 34 EL. Rough Electric •• ________________ INSPECTION HISTORY ***** • DATE. DESCRIPTION ' . ACT INSP COMMENTS .• . . V . . V I. V .. - ' • V - • %. - - --r - -' - - - - * . BUILDING PERMIT ,PermitNo CB911275 09/16/91 1307 rojectNo A9101595 Pge - 1 of I Development No Job Address 2151 LAS PALMAS DR Str Fl Ste Permit Type' LECTRICAL 09I'16'k9' 0001 01 02 Parcel No 213-050-32-00 - - C-PRMT 20740 ' Val uatn1on 0 Construction Type NEWr,IU / - -OctupañcyGroup: Class Code: .; ,. - : Status:, ISSUED Description 300 AMP, 3 PH SERVICEFOR A Applied 09/10/91 NEW GURBER CUT.TER -- - .-- pr/I.sue- 09/16/1 Validated By CD Apl/Qwn I: SEAQUEST '- 438- ii0r: -: '.' 2151 LAS PALMAS DR CARLSBAD, CA 92009 - -• •.-- - -. - -';- %.* - * CONTRACTOR MCALISTER ELEGTRIC7 (( l2ic NO 818 5031315 28833 -MARYL N 1DR - * - * . I • - CANYON COUNTRY, 9L351. *** Fees Required /*\ Fee s,Gq e Credits --------- Fee a4anceQpuJi20700 00 'Three Phase Per",g4c,, 50 Other tri H CR AL 0,'Minimt -60 F1 L APPROVAL fiT 0. CE I ' CITY OF CARLSBAD 2075 Las Pa1masDr Carlsbad CA 92009 (619),4;38-1161 ' - •I- 3 • ,- I I*I* • - 1 PERMIT APPLICATION City of Carlsbad 8u1 Iding Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERiffl. TYPE A -$ Commercial LI 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/Alter, PLAN CHECK NO.7/ EST. VAL____________________ PLAN CK DEPOSiT_______________ VALID. BY_____________________ Duplex 0 Demolition 0 Relocation 0 Mobile Home AfElectrical 0 Plumbing Mechanical 0 Pool C Spa 0 Retaining Wall 0 Solar 0 OtherSD44 2. PROJECT INFORMA11ON FOR OFFICE USE ONLY Cba Nearest Cross Street CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope DESCRIPTION OF WORK / / XFII, 3 'Ak9 - e SQ. VF. # OF STORIES /0 J. (SiN SAUl PLHJN (ii different from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANT U WN1RAUIUR LI AGENT FOR CONTHACIUR U OWNER U AGENT FOR OWNER NAME j ADDRESS CITY (' STATE ZIP CODE DAY TELEPHONE NAME , 1 ADDRES&. CITY ATE ZIP CODE DAY TELEPHONE , ADDRESS /LAJ - CITY 4J/Ii STATE ZIP CODE DAY TELEPHONE 3_13/f STATE LIZ ' LICENSE CLASS CITY BUSINESS DC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # 7. WORKERS' WMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial Relations, or 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. Q. 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 S. OWNER-BUILDER DECLARA11ON 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.). 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 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 [$500]). 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? DYES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFFER JULY 1, 1989 UNLESS THE APPLICANT HAS MPT OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLITI1ON CONTROL DISflUCF. ereDy 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 10. APPLiCANT CERTIFICATION I certify that I have read the application and state that the above information is correct. 1 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 CI1Y 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. 0511k 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 uilding e). AcFfl TS SIGNA DATE: ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560.1468 DATE: ,ISDITI LJFILE COPY PLAN CHECK NO 9(-t'275 SET I DUPS []DESIGNER PROJECT ADDRESS: La_s Po'mo Dr PROJECT E\ec. The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. E Theplans transmitted hereith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. U The plans transmitted herewith have significant ,defic;iencis identified on the .enclosed'check list and shouid,be corrected and resubmitted for a complete recheck. U The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. E The applicant's-copy of the checklist is enclosed, for the jurisdiction, to return to' the applicant:contact person. U The applicant's copy of the check list has been sent to U Esgil staff did not advise;th6.appli.cant contact person that plan check has been completed. Esgil staff did -advise applicant that the has beencompleted. Person contacted:c plalheck Date contacted: Telephone Telephone,#t1e O01eCl iAe U REMARKS JURISDICTION: By: L U, ( ESGIL COR LIGA 0AA 14 Date i9/(/9( Prepared by: 0 Bldg. Dept. VALUATION AND PLAN CHECK FEE 0 Esgil PLAN CHECK NO._9 1 Q75 . BUILDING ADDRESS _2J Las Pa.as -, APPLICANT/CONTACT 61 it Uc. Ar L (S±.r PHONE NO._________________ BUILDING OCCUPANCY. DESIGNER PHONE______________ TYPE OF CONSTRUCTION . CONTRACTOR PHONE___________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER.' RISC EIec. . (,z.g &3 4- O Air Condjtjonjn -. ..Commercial .. • •.. ..' • •@• ... Residential • • • • Res. or Comm. • . • • • Fire Sprinklers •______. .• @• .• . Total Value • • .•. 12 /87 . • .PC qL . 17 ••. .Ado - - - -- _ I \ 6 1, ------------ -- \ -'-------- • I I - L fr- ' H--H-----:--- ----- --'----- -- -- - I qft ---- - - --- ---:--- aft 1i - ---_. 1 -- -- I----------I I I I --------' - -t---1--. I ! ;'..• • I I I i NN H-- ------- ----:--N-- ---- ---- ---'— --_ - - - IL \ --- -- -- -, I- L:I.:IT:.Ikt:IH I N L I' ••• • .