Loading...
HomeMy WebLinkAbout2231 FARADAY AVE; MULTI-PERMIT FILE; CB020586; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-26-2002 Miscellaneous Permit Permit No: CB020586 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2231 FARADAY AV CBAD MISC Subtype: OTHER Status: ISSUED 02/26/2002 MDP 02/26/2002 02/26/2002 Parcel No: 2120612500 · Lot#: 0 Applied: Valuation: $1,000.00 Entered By: Reference #: Plan Approved: Issued: Project Title: CABINET VISION Inspect Area: REMOVE NON BEARING PARTION & ADD DOOR Applicant: Owner: C.S.I. GENERAL INC. CARLSBAD COMMERCE CENT.Eff©.L..~/26/02 C/O STEPHEN M ZOTOVICH 0002 0.1. CGP 1557 GRAND AVE 840 NEWPORT CENTER DR #420 NEWPORT BEACH CA 92660 SAN MARCOS, CA 92069 619-432-6677 ( Total Fees: $80.00 Total Payments To Date: $0.00 Balance Due: $80.00 •. Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: ~ ' ELECTRIC PERMIT FINAL APPROVAL Date: ~ /4..-/4~ $20.00 $60.00 $0.00 $80.00 Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. 02 B(LOO FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 0Z-s-86 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# Existing Use Proposed Use Name Address City State/Zip Telephone # Fax # fiiIT4freµ'QA°ij:f:::::'.':t~r¢_qti}i:iii:~cfr,:~:7:grp;-s~ntJ9,r.i~<\htr~~~:;o~q.~Nt~2rg~~9¾~'?it-t9f0:y§.fiJr?>?T~/-T:::·;::~r1~:tr,~t:;i."r/iitJJ:;.,;:;:,}f:i~?J?Y,:~I:x"_':g:fr':~- Name Address City State/Zip Telephone# /4'~;f!/r.a.tii,,W:!;·t'.:S:ii.~}'~-~~0Bt;·~~~:·.'.f:,.-~y;:·1;.;i~~~:~~:,,:±;·Jt'~~~-'~~;~t~~~;~~:~~~';;:~,~~&~;:r~~i£ ;O¥ oo Name Address City State/Zip Telephone# "$,~;e9,t;tfJf~QIQRJi9~l\Nic'W,E\,~;lt;::;~;}[~,-""'°':..; :,;,, ,.i.;,:;:,::,: JJ,:'; ,;'~';; ~ -~':.,-• .7.':;',J;;,;,J · /(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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). C.5:C (;,e..1'\e ro.f , s .:2 9 &. ro. n. d -Aue, #=A 5an Mor CO!> 'i'-0'2 q e,,!2) ~71-9.38'$ Name · Addifss City State/Zip T~phone # State License # 537() G 9 License Cl~ss B City Business License # \ \ 9 k \ W C. .S ".I:; ti,-, n -e-ra I I $ .:Z. 9 ~ ,, (l-1<1 e AtM-~ A So"' Mav c.os 9:i aG 9 __ .. '$' :;u -9 ~ It$ Designer Name Address City State/Z1~ Telephone State License # _________ _ / ~:r~-:~~~~P~~:~~~~;!~~~; "j ~~~~~~\~i~r~, ~~~~~r • ~~:;;;:~·~::J~~~-~~~: o~ th~1~~1i'~~i·~;/~~~1~0~t~~~~-' ', -. , , . 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. • lj 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 Mi<:t CeVl&YJ,t Ih$11PAAl?t Policy No. /J;J.Oa '6'-/ .. ?12 ExpirationDate9'-D I -oz.. (THIS SECTION NEEJ NOT BE COMPLETED IF THiifERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 ________ _ :,;•_,:;'iO\JvNER:iBOltDER-'DECtARA'Tfo'rf ·:. ::·'_>"''. ~_-'._ :: :,: '.if,,;;:·;-_-._.:-;-,:,-,:·":' '1: ,' ~"-'•::. __ .:::.\:, _'.; ~--'""···,,;;,.,,,,.. • ,_,,,,,,,.,,.--r· ,-.. :~:,\i 'th"aT~iiv ~itirm-ttiat·i-~m "a~~;;;ptir'c;~-the c.;~ir~-~t.;;;s 't'.i~e~se '(.ii'~ t~;-the 'io1i~;1~9 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). 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (hav(3 / 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 _________ _ 1tOMP£):TE'~i-tis'''SE,C:J;ION"FOR;Nblv-RESi£tl:Nl/AL;'8Ull;DJNG:PERMl1TS~ON!lV,:;/W.:i-;/ : :---~ .·:1:~~,:_:;. ' ;:,"•2''AV+~':~·,:;, .--~·-,::;·z:.·,:,;~'-~ '?&, :;;/::·:,,,_, :c 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 O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. tai?\:.,_<rQN~TR'Qcr'fQN~~-~NDIN_a_M~N.QY:L_:· ;':":·;.:;;17:.-:L: · ::.---.. , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS ~J--~;·:4J~~L'(lfA!IIT:-,!:ii:iltlffl:<f.Air!JQfl!'~ ·f f ~;:-:,:-:;::2::::::rIE~I:C:):::.::s:r;;~,:::.!~.:::_\;;_,_,~J;,I:''-"""';c;;:;::,::-};,':";:::.,:::~~;;:,:;i:;::t::;-,'t;::-_;::;,;=:::==~:~==~:;:1;;,;~::;!;:;,~::(,;;;:,f,;:;~1:-:.,7:;:;;,:_;:::/'.;i:;{::::::;::-;.::::::::::_:"-.:;.2'.';:;;:;;_:'.:::;7:;::,;r:::-;,::;;;;::;-:::;::::;:=~:::;:;;;;;::;; 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 Gitt 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 1 BO 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 106.4.4 Uniform Building Code). ~PPLICANT'S SIGNATURE ' DATE ;2-2(,-02._. PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/12/2002 Permit# CB020586 Inspector Assignment: TP --- Title: CABINET VISION Description: REMOVE NON BEARING PARTION & ADD DOOR Type:MISC Sub Type: OTHER Job Address: Suite: Location: 2231 FARADAY AV Lot APPLICANT C.S.I. GENERAL INC. Owner: Remarks: FIRE SIGNED OFF Total Time: CD Description 19 Final Structural Associated PCRs lnsgection Histoiy Date Description 03/22/2002 19 Final Structural 03/22/2002 29 Final Plumbing 03/22/2002 39 Final Electrical 03/22/2002 49 Final Mechanical 03/08/2002 14 Frame/Steel/Bolting/Welding 03/08/2002 34 Rough Electric 0 Phone: 7609300160 X202 Inspector: L Requested By: N/A Entered By: ROBIN Act Comments 4~ ---------------------- Act lnsp Comments NR TP NEED FIRE FINAL WC TP WC TP WC TP AP TP AP TP ,.{-' . --.. ·" NOT~TO SCAU: i!j "' r. 1---...--..... -----..--~ ti; r. OFFICE OFFICE OFFICE OFFICE ' ' L-· CONFERENCE OFFICE ROOM V ~ 7 DD STE. 100 IN-FILL STE. 110 OFFICE OFFICE OFFICE OFFICE 1529 Gl<AND AVE. SUITE A SAN MARCOS CA.92069 760 * 4 71-9388 fox: 760 • 4 71-0149 0 0 OFFICE RECEPTION OFFICE OFFICE OFFICE STE.100 GENERAL INCORPORATED I COMMERCIAL CONTRACTORS ' Prqjecr address: 2231 FARADAY SUITE 100 CARLSBAD CA. 92008 Sheet title: Scale : Sheet No. FLOOR PLAN 1/16" = 1' -O" Drawn by: " MANNY" LOPEZ A1 C, V . Fc:6 / 21 02 / / / / / / / NEW FASTENER / / / / / / EXISTING ROOF STRUCTURE / / / / 25 GA MTL. STRUTS (3-5/8. 25 GA. METAL FR!\MING ICBO tt 3403P OR EQUIV. @ 6·-o· O!C STAGGERED EXISTING 2 X 4 SUSPENDED CEILING. NEW FASTENER ~~------R-11 INSUlATION (NOT IN THIS GA.SE) l::t--:::'hf-o------NEW 5/8" lYPE X DRYWALL BOTH SIDES (PER UBC TABLE 25A-G) NEW 3-5/8 • 25 GA. METAL FRAMING @ 24 • 0/C (ICBO tt 3403P OR EQUIV. NEW POWER DRIVEN FASTENERS @ 32" OIC QCBO tt 5457 OR EQUIV.) 1529 GRAND AVE. SUITE A SAN MARCOS CA.92069 760 * 4 71-9388 fox: 760 • 4 71-0149 0 0 0--iNEW PARTITION CROSS SECTIONI OFFICE / OFFICE GENERAL INCORPORATED f COMMERCIAL CONTRACTORS .. 11 JI 11 11 11 11 11 ti CONFERENCE ROOM 15'-5" 11 11 11 11 JI OFFICE OFFICE Project address: 2231 FARADAY SUITE 100 CARLSBAD CA. 92008 Sheet title: Scale: Sheet No. FLOOR PLAN 1/811 = 1' -0 11 Drawn by: II MANNY II LOPEZ A FEB-26-2002 11:44 AM ALLIANCE 760 291 1325 P.01 76i:::i 2'91 13"S -~ t'• ' I 11 ! : ':I~ ~~ M i::i l-L l ~ t-1 r~ E "'" -~m:r,~rme~,, Insurance 760 480 0370 11/14/2001 14:56 #281 P .008 ------···._,_.,.... I 1t,t1•·-"',. I,,,.,.,,.,.,.,,,,.,.-~ 1llfM,o, 0 9 ... ,1-11 'T ,, '11"'1"', I .. H,) 41.-111 "" O,l• ~., :·.: q'i'A.: -~-! ?'1$t.1~CJ: t •,Cl l Ce,~.tt"e City f~wy.#~ :'· ·en:ido,':a. noz\i ··;,,~· .. :·;~L ~ .. 9 3 :1,.?_. ··--~-------------4--=--...!!±!!~!!:!.:~~.,!;tN~D~O~AAN=~C=E~CM:::.P.1,;~;;i..Y.._, __ -1 QCl"11,1p I ~52~ G&ana Ave, Suit, A Ban rl!a.r<:r.ia, 0A 9200 ....... ,\QIIJM•"' ~ Ji!,t/:..F.C AU1'0 05/ll/01 Q1'/l:t/02 -~·...,,..000 a:iDV.Y!N.Alt'I* ,uarr~-"""*"'' 1:1411A81AIICI 11,111:i--o::c 111,0~-..,._.,,N,UIW...,. -·-·----.... - "' • • • ' • I '1,000.000 ' ' ' ..• •·'41,A...... ·~,. • ~ ·"~--·~ -· ' ~~;'TV~'IWlll~-;;---7~---------r----r----tl!.:I~="°°~.m .. ,Je1W1!i:c1m:1w-~ ; ......... _..,-o,,. rirlG. N2008 0 2i 04/01/01 04/01/02 11.ClaiAIMCl.lCH1t41f 11. • 0 ;;:,:;:;::· "'• r X -=~ 11.c.-,a~ 11. • 0 ~ -·-·--·-..... '!". -t-----------+-----t-----..,.. ................ ...._.-.;;;,;..:;;:;...,,..;;.;-~-... -.. l l ~r.i~~·~-~··~m;~;i-lR!iiiii:"1.niii-r-----...... --:--...... ._..---.... --------------, ,. r'(;l1' '!'Mi)TJM0 1'S tTSS ,il'lll.9 ""'0, ''" ~ ...... ~ Ill ........ .,.... .,,. i,IIIIMT!WI IMft ,,.._, Ml • ._ ~ \w.i. ...... fl 111111. lO.... "'YI .. .,,__,..,,_ Mt •",_Tl_,;. .. _,. ,,. 'flil 1.111'1'1 W, ~ '8-. tlMI _, .. ll'w.l,.,.. llf tlWIA1IOIC NI.IA-'"' o, IIIIIO AtMfl 0. CilY of Carlsbad ~ Final Building lnsoection Dept: Building Engineering Planning CMWD St Lite c::Eif.e.:, Plan Check #: Date: 03/22/2002 Permit#: CB020586 Permit Type: MISC Project Name: CABINET VISION Sub Type: OTHER REMOVE NON BEARING PARTION & ADD DOOR Address: Contact Person: Sewer Dist: 2231 FARADAY AV MANNY CA Phone: 7608020032 Water Dist: CA Lot: 0 ..................................................................................... ····················-················································ lnspe~ -6«LL1 Date ~m,/4 -:2-, Approved: ~sapproved: __ By: . Inspected: Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• , •• 1 Comments: _____________________________ _ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2003 Miscellaneous Permit Permit No: CB032967 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2231 FARADAY AV CBAD MISC 2120612500 $0.00 Subtype: OTHER Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 10/29/2003 RMA Project Title: CBAD COMM CENTER-VERIFY ROOF Inspect Area: EQUIPMENT PLACEMENT ONLY-AFTER NEW LAYER OF Applicant: SCHOL TEN ROOFING STEC 23401 MADERO 92691 949 951-8844 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: CARLSBAD COMMERCE CENTER LLC C/O STEPHEN M ZOTOVICH 840 NEWPORT CENTER DR #420 NEWPORT BEACH CA 92660 $60.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 Inspector: ~ FINAL Af PROV AL Date: I', /J /4 .ti 7544 10/29/03 0002 01 02 CGP 60-00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exnired. PERMIT APPLICATION FOR OFFICE USE ~~ Y PLAN CHECK Noc_/Jt!] ~'7/ 7. ClTY OF CARLSBAD BUiLDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL._· ________ _ Plan Ck. Deposit --1=---,,---,---- ~:~:•1¾1¾& Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# (Sec. 7031.5 Business arid 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 exe~ionL Any violation 01-,Sectio9-7P31.5 by any applicant fo a permit subj cs the applicant to a civil penalty of not more than five hundred dollars [$500)). ~Lr\~ \~e.() K.ooklVI 23 () -;e Ct l~SI • . 0 -e 2<o ?S-1- Name State License# -~-%~'=J_<j$'_· ·~<z,-_4 __ Designer Name Address · City State/Zip VTelephone ~~~~~~=i!'!":Bf,\"il::s'ltil"a:::£.9Ei~\l'.0 ~ 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. "'63(_ 1 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 c~~nsation insurance carrier and policy number are: I ·-1 _ d .d Insurance Company .:>:ttt:fe Ev V\ cf . Policy No.o1oO S'"Z~ -z ;:)(\ 3 Expiration Date ___ 1 ___ ....;_l_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 sec re wor ' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ~ii:i~::~::.:l~d.~~t:#:::fft:~:::,;;;:::::;;;;:::::1:,:::~:.:::.~:::::~;~J;:~;::2~?~!~,!~::;:;~;;;;::::~;4},{ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 'O 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 Contrac.tor'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 i!llprovement 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 ovmer 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: 1. I personally pl,m to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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 __________ _ !~qM'[[~~tiili~,~(tfP&W.filN.QQiffiii:11!/Z~rl~e(fij'1.~,~Tu~Jl'~~0m~~l-;§l'.1l:}Z:)~l:JiE1::l:L~S'I0'1::];;[;Im~:: 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 "g( NO Is the applicant or future bulldin~ occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES ~ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ig:__ NO IF ANY OF THE ANSWERS ARE·.VES, 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. ~,;•"'t.ffl<>~R ,,'~"11'1:l'u'~e ?.mb'\'l1i1Gffirl~i-~,~;~~;;1fi!~~m;;~~?i:?7''.~'i:\7~'sr;i-~'7,~;%~"1~'/l}rc1~~;:'.'.'70":<f,,i;n:(~:ir.;;·JX'.·:~(:;:'f-;);~,.~,~r::,\r¾.'. t'i,~ ?~ '.-· ~,,~ ,",_ ;' ,, ,:,, ·/y:'it,.";,_. 1 i.,-: ·: U!.'...M..N>:l.:',~~ -~(l,\fi_Y,,~U',?!.1.J,'r.F.lL'<"" ~ i,~~L.~,,;,,....,J.S~,.d:;f~~.~~.t-."fi.'>.«-~M.:~\'-...l .~.,., ... 11;i-i,:,.;.,1,<..,;'~~ ............... ~t....~-..... 104~ ..... .,.,~~~),i#) • ..,. •• ,M:U:, .. ~} .... .,,....,. .:.... ,,,,,~,,,,._,,;,.,,,...,,,.,, ,., ........ , • ..,. ....... / .,.,, <sW'.< .,_ ... ,:,:..?1·.-,,.,,...,_' 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 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 Citt 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 bull · g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work / uthorlzed by such permit Is not commenc it in 1 ys from,the date of such permit or if the building o.r work authorized by such permit is suspended or abandoned . at any time after the work is commenced or a p rio of 1 0 da s (Section 106.4.4 Uniform Building Code). / 0 _ C.. 'f _ :.S APPLICANT'S SIGNATURE ~ DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/31/2003 Permit# CB032967 Inspector Assignment: Title: CBAD COMM CENTER-VERIFY ROOF Description: EQUIPMENT PLACEMENT ONLY-AFTER NEW LAYER OF ROOFING Type: MISC Sub Type: OTHER Job Address: 2231 FARADAY AV Suite: Lot 0 Location: APPLICANT SCHOL TEN ROOFING Owner: Remarks: am please -card in electric panel room Total Time: CD Description Act Comment 19 Final Structural IJ,/} Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Phone: 7144121241 Inspector. £Z__ Requested By: MIKE Entered By: CHRISTINE