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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PIAN CHECK NO.
City of Carlsbad Building Departlllent
2075 Las Pal.as Dr •• carlsbed, CA 92009 (619) 438-1161
t. PERMII IYPR
A -0 Commercial D New Bu1ldmg O Tenant Improvement
B -D Industrial O New Building O Tenant Improvement
C -0 Residential O Apartment O Condo O Single Family Dwelling O Addition/ Alteration
0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing
0 Mechanical O Pool O Spa O Retaining Wall O Solar O Other ___ _
2. PROJECf INFORMATION
Nearest Cross Street
,q.,C?..-,. Buildmg or Suite No.
c."1"2.,,1:J,,,1? &.,,+ "? z.~
FOR OFFICE USE ONLY
LEGAL DESCRIP'i ioN Lot No. Su&i1vis1on Name/Number Unit No. Phase No.
CHECK BEWW IF SOSMII I Eb:
D 2 Energy Cales O 2 Structural Cales D 2 Soils Report D I Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK ~~c,t> t.'1..:,$
EXISTING USE PROPOSED USE
SQ. IT. 3 So ff' # OF STORIES
3. WN IACI PEllSON (ll dmerent from apphcanf)
NAME /l'f.44JY ,;4?1M'TF > ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE ?.3 /-?S-$'i?
4. APPUCAN I
NAME /f/O
DAGEN) FORCONlltACIOR uowNt:H oAGRNI FOR OWNER 0 cON I RAC IOR
p&-/2. /,A.,t:: . ADDRESS z z..7 1 r/lf,,<#e?,4 'r C~ l.J d?*' ~ ?2. e;,,t:>'f
CITY STATE ZIP CODE DAY TELEPHONE 731~-?.r.J~
5. PROPEltlY oWNl1l
NAME /< t?L.L. ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC.# UCENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WolOMts OOMPRNS,rnON
0
0
Workers' Compensation Declaration: I hereby allirm that I have a certificate of consent to self-msure 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).
EXPIRATION DA TE
ere ya 1rm t at am exempt rom ntracto s cense w or t e o owmg 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.).
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 --------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 ot more than five hundred dollars [$500]).
@GNA111RE DATE
70
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 ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES Cl NO
IF ANY OF 1lIE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF oa;upANCY MAY Nm BE IS.SUED AFfER JULY 1, 1989 UNLfSS nm APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 1lIE AIR POlllJTION CDN1ROL DISTRICJ'.
9. 00NS'1ROCl10N L£ND1NG AGENCY
I hereby afhrm that there 1s a construcuon lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) civil Code).
LENDER'S NAME LENDER'S ADDRESS
1o. APPUCAN't CEJtruitCA11oN I certify that I have read the apphcauon and state that the above mtormauon 1s 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 1U SAVE INDEMNIFY AND KEEP HARMU.SS 1lIE C11Y OF CARISBAD AGAINST AIL UABIIITIF.S, JUDGMENTS, CDSTS
AND EXPENSF.S wmot MAY IN ANY WAY ACXllUE AGAINST SAID Cl1Y IN CDNSF.QUENCE OF 1lIE GRANTING OF nns PERMIT.
O@IA: 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 Building Code).
DATE:/e:?-z/-'?J
WI-IlTE: File YEILOW: Applicant PINK: Finance
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CD L'iL DESCRIPI'IOU
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.PE.It .. TIT 3
G/1!3/09
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,\CT CC!UtEHTS
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 9'5-// zt
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
ENGINEER dL: ~
C:\WPS 1 \FILES\BLDG.FRM
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
.DATE /f~
Rev 11/15/90
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PLANNING CHECI<IJST
Plan Check No. 13-l)l/b Address ).~SI Fo.ro.J~/ /tv.q.
Planner DAVID RICK Phone 438-1161 ext. _4..,.3.._28.__ __ _
(Name)
Type of Project and Use _ ___,;,l..:;;Y __________ _
Zone Cf\ Facilities Management Zone -----
Legend
rtem Complete
Item Incomplete -Needs your action
l, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
~ 0 Environmental Review Required: YES _ NO AE __ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval_. ----------------------
~ D Disaetiomuy Action Requin,d: YES -NO ZE ---
APPROVAL/RESO.NO. ___ DATE: _____ _
PROJECT NO. ----
OTHER RELATED CASES:---------------------
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval-----------------------
California Coastal Commission Permit Required: YES _ NO ~
DATE OF APPROVAL:
San Diego Coast .District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108· 1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval-----------------------
City of Carlsbad 93177
Fire Department • Bureau of Prevention
Plan Review: Requirements Category: Building Plan Check
Reviewed by:~Ui......,........_/~----
_M_a_n~y_M_oa_t_es _____________ ~ Date of Report: Wednesday, November 3, 1993
Contact Name
City, State Carlsbad CA 92009
Bldg. Dept. No. 93-1146 Planning No.
Job Address 2251 Faraday ---~=---------------Ste. or Bldg. No. ____ _
jgl 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 modifica-
tions, must be reviewed by this office to insure continued conformance with
applicable codes. 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.
D Disapproved -Please see the attached report of deficiencies. Please make corrections to
plans or specifications necessary to indicate compliance with applicable
codes and standards. Submit corrected plans and/or specifications to this
office for review.
For Fire Department Use Only
Review 1st __ _ 2nd. __ _ 3rd __ _
Other Agency ID
CFD Job# __ 93_1_7_7 __ File# ___ _
2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121