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Home My WebLink About2198 PALOMAR AIRPORT RD; EXPIRED | MULTI-PERMIT FILE; CB991259; Permit- S - - 1 - .5. - ,CitvofCâ'rlsbad 4-1I Mobile Home Permit Permit No CB991259 • .•' -- :' : - '•- - Job Address 2198 PALOMAR AIRPORT RD Status EXPIRED Permit Type:.,',.MOHO t Applied " 04/01/1999 --'''-- e Parcel No:,7602216702 Lot #: 0 , Approved 4 1 -C' . . •,, - Reference No: - '• - . '- ' . Issued: - 'I ••S ;. Pc # -4 S — - '5' - Inspect Area 4 1 Project4TItIe , PALOMAR AIRPORT REPLACE EXISTING MODULARS WITH NEW AND MORE OF THEM . -' . -. - - Applicant Owner GRAND RENT A CAR CORP <DBA AVIS . GRAND RENT A CAR CORP <DBA AVIS -' r .'.,. - - • *5 900 OLD COUNTRY RD. -, . - .. 900 OLD COUNTRY RD .• GARDEN CITY NY . .GARDEN CITY NY - .. - • _ . - 4. • • . * •._ - -. St 'iS .5 '.5 - 5, .5- 0 • - •• - -'-I '' . . S_ I, - S 5--- SI •:•,_0....• - .5 ,, -- - I.•'s - - .5 * f - .5-' 5.. .5 5 ,1 , " - . . _*l I ,, S - •-. 5 I - 't-'--' rtt- .. • .:.- • .4, 2;...-. '::,--1 -,- : -'-- - I I - 'Ti,.. - -- 4 • - ! - - . - S - - 5 •* 4 . . .' ,I'. —4------ I .. p - * • _.: ,- I , -.5 -... 5_ - ,,*• - S - 5 4 ' ¼. • - - ,* - . - 0 ' * - * - 4:4. -. - ,. -S * 4 1 5 •5,.. -- , • -: • - . • ,. .54' . . • ._ • 5 * 4 - 5_._. 5 ,, -5 . ' .SL • '•- I ,- :. * • •, I. - 4 S • - : • '- • 1-4 - * .. - :• ' • _., 0• .5 . S . . S . .5. 4 _,,. -.5-- 4 - .I ,_,• -.5 . - . S . •• 54. . ' 4 . I - . •'• . •#' S. — . . .. * 4 4 • I I 5'-'. p - ' -. .. .- • • •. 0 • - •4- _0 0 4, - 5 I 4 '.54 • .55 , • • _ S - 'O' . 5 . -' . - 1 -. .- .. Fees $120 O0 Additional Fees: $ooöl Total Fees j u $120.00 L Balance $12000 City of Carlsbad Mobile Home Permit Permit No: CB991259 Job Address: 2198 PALOMAR AIRPORT RD Status: EXPIRED Permit Type: MOHO Applied: 04/01/1999 Parcel No: 7602216703 Lot #: 0 Approved: Reference No: Issued: PC #: Inspect Area: Project Title: PALOMAR AIRPORT REPLACE EXISTING MODULARS WITH NEW AND MORE OF THEM Applicant: Owner: GRAND RENT A CAR CORP <DBA AVIS GRAND RENT A CAR CORP <DBA AVIS 900 OLD COUNTRY RD 900 OLD COUNTRY RD GARDEN CITY NY GARDEN CITY NY Fees: $120.00 Additional Fees: $0.00-1. Total Fees: $120.001 Balance: $120.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO ___ EST VAL. CITYOFCARtSBADBUILD.INGTDEPARTMENTI • cm 2075 Las FaIma D,CarIsbad CA 192009 PlanCk Deposit •• '* (VU) )O I IV I . 4,, - - Date . [i . - ............................... Address (include g/ uite #), . . - 6usinèssNam (at t)iis.address) 'iJ '' 198_Paforndr____,4iRpôirc &z_tiv'c+,pre~s -dbaAiw Legal 7Description , Lot No Subdivision Name/Number nit No Phase No Total # of units ............. i''° .---- - : 1Assessor's Parcel # . Existing Use ' . . . -. -. Proposed User,, i 4 -S .. - .a .. -_'. .4. - '. 3*4* ,,. , •-e•--• Description -of Work --' -- .'. •' .SQ.F.T. . . i#f Sthrie, . . . ,,#.ofBedrooms,' , . ,#'of BathIódms,_. 'C •-'5 -:r '- ', •-.c'-' '" i COTA iRbidiierent.irom apica7) " "4 F 4 A715o6 _/04_6 5--jciDp 1•::L Name - '.- . ''' - - "Addre' .-- -.--- 'f-'; ... City' -- rote Zip THephone P .....Fox P 113 ~~torAgent for Ap rrtfij i I ,Name" -"- --- . . Address .. .- ',-..City State/Zip. . Telephone p ff OWNER' if - - Name . J -. Addr. Do J , State/Zip Ti' one P :r (Sec 7031.5 Business and Professions Code Any City or County which requ ii' i permit to construct alter, improve demolish or repair any structure prior to its j 4' issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor a Licensre Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Profession; 'Code] or that he is exempt therefrom and the basis for the alleged 4exemption Any violation of Section 7031:5 by any applicant for a permit subjects the applicant toa civil penalty,of not more tian five hundred dollars [$5001)?I jJ 'I .Na?ne -, o' . ' -:-'.'tt-. . , Address'. ' . , Cityc,.,', 4 r; State/Zip :,Teiephone # '-:.- "State Licen'e_______t4•Zf& ' jiienCeC1ass',''T _' _-'-'' CityBinss t!icens#.'1- -4 Designer Name 'p, -' Address q City ,, State/Zip Telephone V State License # tce'i -4 6_WORKC0MPENSATIO flWorkers Compensation Declaration I hereby hum cinder periilty of perjury one of the f lIo ij ci hr r on 0 I have and will maintain a certificate of consent to self, in ure fp44- workers compensation a's proc ci ci b Section 3700 of the Labor Code for the performance of the work for which this permit is issued - - r , - 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 Ijissued My worker's compensation insurance carrier and policy number are 4, _# * e .4.. 4-44 '4•'.4 - 41. "h "4—"i"" i' ""'r r ' "' . #' '.-.--' 4' . .. Insurance Company ._" _. _______. Policy No. . ___. __.. Expiration Date___________________ (THIS SECTION NEED'NOT BE,COMPLETEQ IF THE PERMIT IS FOR, ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any4person in any manner so as tto become subject to the Workers Compensation Laws of California * 'Failure to Secure' workers n- '-compensatio coverage is unlawful,,,to and shall subject an employer--criminal pénélties F: and' civil '1inesi" . upto ohe'hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code lb interest and attorney s fees j SIGNATURE DATE'' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my employees with 'ages 'their sole compensation,will do'ihe work and the'tructurtinót intended oroffere for'le 4(Se6 7044 Business and Professions Code The Contractors License Law does not apply to an o ,ner of property who builds or improves thereon and vho 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,improvement1is sold within one year of completion the owner builder will have the burden of proving that he did noti build or improve for the purpose le) of sa 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 dós not applto an owner of pro'rty who biilds & improves thèreon,aidcontraàts'for such projects with conüaEtor(s( licensed ' pursuant to the Contractor s License Law) O lam exempt under Section Business and Professions Code for this reason:,,. A. 1 I personally plan to provide the major labor, and materials for, construction of the proposed property improvement. 0 YES'[:]NO 4, -- '1 j L'.4 - ' ' - . '., • i F _., - 14 ;l'(he /'háve nài) sinaan alicà"tiorc'for a building permit for the 'pr6po'séd Work: ' ',' - ' '' --------------------' -' . - - - ' . - - -' - - 4- -' 3..- (have contracted with.thefollowing. person(firm) to provide the proposed construction (include,name / address /, phone nurnb,er,,/.'contractorC !icoe -imber), 4 ''---------4 -' 4- . - - '- - 4-- -- - -- . - - -- - - 4.' I plan to provide portions of the work,TIut' I h'avö'hired- the following' persoiI to coOrdinate se and povie'-'the major Work'(include namei address 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.rumber./. type-, of work): """'- "'"".'' ' ------------------------------- -,,,-,.V"t.- PROPERTY OWNER SIGNATURE.. DATE ' i:" Is the applicant or future building occupant required to submit a business plan acutely, hazardous materials-,registration form or risk management and prevention - -- i program under Sections 25505,25533-or 25534 of the-Presley-Tanner Hazardous Substance Accouñt.Act? 0 YES-, -0- NO - ' 't Is-the applicant Or future buiIding'oèpani frm if ai'blIUtioi cOhtrol'dirict or"airq'uality mànagement'district? 0 YES- 0 NO - - -'I-' ' - 44 ,'4, -' - -4*-' ''.- - •'• 4' -.-*' "''' - '----'.4-,- - - '- ' 4- ''"•.' - -4 — '44' # - - 'l' -, 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 UNLESScTHE APPLICANT HAS MET OR IS MEETING THE '- REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANb THE AIR 'POLLUTION CONTRÔ'L4DISTRICT. fãV,cONSTRUCTIoN'LENDINGrAGENCY - - I herebyaffirm thatthereJ a onstructiorc endr p aci-'ncy.or the performance of the ,',ork for vJich this perm 't in issued ci 'sec ZC) C.! Lodi' - LENDER'S N,ME '"'•_"--'4' _c '.LENDER'S ADDRESS' P PLjc RTIFICATION — I certify that'I have read th'eapplicatiOrithtdIs't'tethat"thè above infOrmation is correct añdthat the-infbrmatioñ on,the"plans is accurate.'I agree-'t compl with all ''City"ordinances and Stateclaws relating'to building construction I hereby authorize representatives of the Cit' of Carlsbad to enter upon the above mentioned(r. - - property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF ' CARLSBAD,'AGAINST19ALL 'LIABILITIES,' - - JUDGMENTS, COSTS AND EXPENSES WHICH MAY MANY WAY ACCRUE AGAINST SAID CITY IN'CONSEQUENCE OF THE GRANT1NGOF THIS PERMIT. OSHA n OSHA permit is required for 'xcavation over 50 deep and demolition or construction of'structures over 3 stories in height ' V - - -' ,Pr ...'-4--: , i' - '-''-.,'r- ,. '- , - , - 4-1 "-,-', t, ii,'. I' , ;-EXPIRATION:; Every permit-issued by.tle B'uilding Official under the rovisiOns' of, this Code.shall expire by Iimitetiân1'nd become null' rd,',bid 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 k,—oir abandoned at an -after t %~;rk- is commenced for, Iiii -A IjITE File' YELLOW Applicant PINK Finance""4—' Fl 4 . n*L .'- Olt V CITY OF CARLSBA 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 44t l7SLJ B U I L D I -N G P E R M I T Permit No: CB940536 05/24/94 ,14:1 55 . . , V. ........... Project. No: A9400764 Page 1 of .. . Development No: Job Address: 2198 PALOMAR AIRPORTRD ......Suite: 04 . . . ... Permit Type: COMMERCIAL TENANT IMPROVEMENT . (105 05/24/94 OOQ! 0.1 02 Parcel No 760-221-18-00 . Lot# 311 00 Valuation:6,000 Construction Type:.VN Occupancy Group:. . . . . •. Reference#: . Stattis: ISSUED Description:' MODULAR FOR UNITED AIRLINES Applied: 05/11/94 Apr/Issue: 05,724/94 Entered By: MDP Appl/Ownr V: HANSON, GENE 619 457-4313 .. . . V 2325 E. 30TH STREET FARMINGTON;. N: M. 874-0- V . V f c . •- . *** Fe.es Required *** t*.**. ' . FeesrColiected & Credits V V Fees: V VV V Adjustments:, . /oo Vt••, Tota.l,.Credi€s:....\ . .. .00 Total Fees 3,1'1 d'o TotaiPyrIient() \ 00 3,161.00 Fee description Ext fee Dat-a. V: Building Permit A Plan Check- 53.00 Strong;Motion Fee 1.00 CO 960.00 Fe- Enter F.M.F./G.M.F. andZone.(99...\288.00 .. V. 288.00 05 L Enter "Y to Autoca1c'Licens f.x'> 109.00 Y (Lic Tx) \çF':D. \. Ii - ••-•-..--:. V V lo .66,' i --- .(iIfund) - 'JRPORTLL, ,393.00 It (TIF:CFDFund)' W" 2 lb - . 363.00 Enter Bride..Feeh •s'1 i92:..pO\\\:• V -792.00 . * BUILDING TOTAL 3141.00 Enter'Y' for Plumbing Issu ee (V .. 0 -.. . . N t Enter.Y" for Electric Issue Fee ).• VV V 10.00 Y Enter Y' for Remodel - . > . ... V., 10.00 .Y * ELECTRICALVTOTAL . -. 20.00 Enter V'' for Mechanical. Issue FeeV> ' . . . . . N V •V V V 4 V V 4 . . : PERMiT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT TYPE PLAN CHECK NO. qCt ..- 5 :z) EST. VAL PLANCK DEPOSIT_______________ VALID. 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 PROJECT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. 92008 2198 Palomar Airport Road, Carlsbad, CA Nearest Cross Street At McClellan-Palomar Airport LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITtED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ,JyppIZ.Sa4O/ Instal1,ftnodular'office for airline check in and security screening SQ. yr. L V # OF STORIES # OF BEDROOMS # OF BATHROOMS WNIAU! }'FJtSUN (it clitterent from applicant) NAME (last name first) Gene Hanson ADDRESS2325 E. 30th. St. ClTYFarmington STATE NM ZIP CODE 874OI DAY TELEPHONE SOS 326 4478 APPLICANT U CONTRACTOR U AGENI FOR CONTHACIUR gi OWNER NAME (last name first) ADDRESS. WestAir Commuter AirLIne, U AGENT FOR OWNER Inc. 5588 Air Terminal Dr. CITY Fresno STATE CA ZIP CODED 3727 DAY TELEPHONE 209 294 6989 371IMPE1117 OWNER Palomar of San Diego NAME (last name first)C0tY ADDRESS Airport Road Carlsbad CA 92008 619 431 4646 CITY STATE ZIP CODE DAY TELEPHONE 6. CONTRACTOR NAME (last name first) Williams -Scotsman ADDRESS 10427 Roselle Street * San Diego CA 92121 619 457 4313 CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #St Ift LICENSE CLASS B CITY BUSINESS LIC. # - CITY The S c 0 t sm an 'jxu p ZIP CODE DAY TELEPHONE STATE UC. # i 'i WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-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). OY - INSURANCE COMPANY R C M , 1>ArnAo,-zA-7ZS POUCY N'3'CB 27C 2 C OO. DATE so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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.). 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 ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFItR JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICr. WNS7I'RLJCI1UN LENDING AGENCY 1 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). NAME LENDER'S ADDRESS APPLICANT CERtiFICATION 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 10 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. 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 ot 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 Mit/time after the ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANVS SIGNATURE DATE: Jko I r 0 Lf SE .W E R• P E R.MI T 05/24/94 14:56 ' ''Permit No: SE940036 Page 1 of 1 Bldg PlañCk#: CB9405 36 'Job Address: 2198 PALOMAR AIRPORT RD Suite: permit Type: SEWER - COMMERCIAL/INDUSTRIAL. •. Parcel No: 760-2211800 . . Desdription: INSTALL MODULAR FOR LOBBY -/ ?10 WAITING ROOM r AppliO5/1994.00 1 Apr/Issue: 05/24/94 Permitee: HANSON, GENE 619 457-4313 Expired: . 2325'E. 30TH. STREET Prepared.By: HE ) FARMINGTON, NM. 87401 .-.1 ..... •-! . .. *** Fees Required **Fèes Co1lecte& rè'd]ts%l Ot * ----------------- Adjustments-.;; - Total Fees 1,059100 (J TothPyments \ 00 h I ,- -. ,Baanceue. . 1,059.00. Fee description I i\ 732 tU ji nh1~s'\Fenit Ext fee Data U------------------------r. - -- - v-VA " *- - ,•I I Enter Square Fo~ta ..720 .40 77 .40 Sewer Fee 707.00 'fe~he',fii Area DUs and, tB 352.00 Enter F SEWER TOTAL 1059.00 INCORPORATED 1952 7106 5i24/9 O(s')l. Ot 02 VR IL CITY OF CARLSBAD . * (, 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • .. -- ,-, • • r * Citvof Carlsbad. INDUSTRIAL TENANT IMPROV Permit No: CB910983 Job Address: 2198 PALOMAR AIRPORT RD Status: EXPIRED Permit Type: ITI . Applied: 07/01/1991 Parcel No: 7602216702 Lot #: Approved: Reference No: . Issued: PC #: Inspect Area: Project Title: 750 SF RELOCATE MAINT. SHED . Applicant: . Owner: . BURROWS SOUTHCOAST . GRAND RENT A CAR CORP 2172 PALOMAR AIRPORT RD CARLSBAD, CA 619 438-0494 00136104885 Plan Check $47.00 00136104885 Plan Check Ii $47.00 0136104885 Plan Check $47.00 . . 00136104885 Plan Check ii $47.00 00136104885 Plan Check . $47.00 I 00136104885 Plan Check $47.00 Fees: $47.00 Additional Fees: $0.00 Total Fees: $47O0 Balance: $0.00 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 ndo 0 Single Family Dwelling 0 Addition/Alteration 0 Duplex 0 Demolition Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa .0 Retaining Wall 0 Solar 0 Other__________ PLAN CHECK NO. (:7/_u ESr.vAL (1 PLAN CE DEPOSIT________________ VALID. BY 17 - DATE 47.00 PRQJcr INFORMATION FOR OFFICE USE ONLY 0-1-18 .P1 P.-cj1J 0 4 V. 1U. ,oCC)A4LJ ST(2.AflOLJ I LU i j Nearest Cross Street -- i c -9 AP A i-o AA A D~_ rZ..V. CHECK BELOW IF SIJBMITFED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASOR'S PARCEL EXISTING USE PROPOSED USE RPTIONOFWORK2...Qc,4rflE)kJ OJP /AA )1p)A0c Sr1O SQ. FF. r7 0 # OF STORIES WNIAIJI PER5JN (ii ditlerent from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT Li CONTRACTOR U AGENT FOR CONTHACLOR U OWNER U AGENT FOR OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERlY OWNER NAME )—€))S UO6 ADDRESS 2-I12, PAL.owA2 419-Pe)(2 - (~ —fT_t.i3AD STATECA ZIP CODE.DO' DAY TELEPHONE (X)NTRACTOR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # LICENSE CLASS CITY BUSINESS DC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # WORKERS' WMPENSATION Workers' Compensation Declaration: I hereby atlirm that I have a certiticate of consent to sell-insure issued by the Director of lndustnal 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 certity 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 DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's 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.). / ' 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). I am exempt under Section (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any s#:ructure, 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 Lic se Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or tat he is exempt t ro , and he basis r he qileged exemption. Any violation of Section 7031.5 by any applicant for a permit subtcts applic to a c 1 penal not ore th41 five hundred dollars [$500]). , j 1JR&A.4A... - I DATE lii Is the applicant or future )uildingRxcupantJ-equired to submit a business plan, acutely hazardous rnateria'ls registration form or risk management and prevention program unchfr Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 13 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY], 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR P011UTION CONTROL DISTRICT. 9. WNS1RUCHON 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 LENDER'S ADDRESS 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 CFIY OF CARLSBAD AGAINST ALL IJABIIII1ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 1TLE GRANTING OF ilIIS PERMIT. 0511k An OSHA permit is required for excavations over S'O" 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 sh permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). PUCANTS SIGNATURE DATE: /1 (L b Business and Professions Code for this reason: ity of Carsbad ........... DATE: 06/01/92 PLAN CHECK EXPIRATION PC# CB910983 DATE: 06/30/92 TO: BURROWS SOUTHCOAST ADDRESS: 2198 PALOMAR 'AIRPORT RD 2172 PALOMAR AIRPORT ROAD CARLSBAD, CA 92009 YOU have applied to have your plans checked on the date shown ' above, and you have not obtained, your building permit. ' The provisions.of ection 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applications for which no p'ermit 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 returned 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." Please check the appropriate box indicating your choice and return this letter to the BUILDING -DEPARTMENT. PROJECT ABANDONED. .1 WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. - If you have any questions, please contact the Building ' Department at (619). 438-1161. DORIS COSNAN Building'Departinent ' 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161