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HomeMy WebLinkAbout2375 MARRON RD; ; CB042731; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Ql-16-2004 Miscellaneous Permit Permit No: 0B042731 Building Inspection Request Line (760) 602-2725 Job Address: 2375 MARRON RD CBAD Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 1563022000 - Lot #: 0 Applied: 07/16/2004 Valuation: $0.00 Entered By: RMA Reference #: . Plan Approved: 07/16/2004 Issued: 07/16/2004 Project Title: COUNTRYWIDE LOANS-DEMO SHORT Inspect Area: WALLS,BATROOM FIXTURES,MECHANICAL,T-BAR CEILING Applicant: MARKET CONTRACTORS, LTD. SUITE 101 6040 SOUTH 194TH KENT, WA 98032 253-872-9585 Owner: - -PLAZA CAMINO REAL C/O WESTFIELD CORP INC 11601 WILSHIRE BLVD '- -' LOS ANGELES CA 90025 6779 07/16/04 0002 01 CGP 02 60-00 / Miscelaneous Fee #1 7 ' PERMIT FEE I ( 7'\ $60.00 Miscelaneous Fee #2 $0.00 Additional Fees / ç\ TOTAL PERMIT FEES r / / \ J$60.00 \ / Total Fees: $60.00 - Total Payments To Date:- *'$0.00 f Balance Due: - $60.00 r -\ c INCORPORATED . / 1952 /J7J FINALPPPFOVAL Inspector: Date: (1 . 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 FOR OFFICE USE ONLY PERMIT APPLICATION T , PLAN CHECK NO.___________ +CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave.: Carlsbad, CA 92008 Plan Ck. Deposit - Validated By__________________________ Date__________________________________ Loa ' 5 'Address (include Bldg/Suite #) . Business Nme (at this address) -& Legal Description ' , Lot No. Subdivision Name/Number . Unit No. Phase No. Total # of units Assessor's Parcel # , , Existing Use Proposed Use Dem., er*n1 ti-iiv t.f(c T - reI 6 1M 4.4ivqs A IC 4 Description of Work" l SQ. F1'' #of Stories . ' # of Be&ooms # of Bathrooms / . Name Address ' City - State/Zip Telephone # Fax # kICANT.JD o 6L Dnt frQinr (gO 3) &( k4- j-t4cr.k-o( rO i N 1WkC '. Or 22 -o?? Name ' Address . City - State/Zip 'telephone # 4&PROPERW' WNERji J ' . t2cJ L iia (AC?6O) -(4.l 'ç Name Address , City State/Zip-1 . Telephone # t5OIOROMPANNAME --'-- - - (Sic. 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 Sction 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 ap'plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). (1&C 't<.aA ' r ro 'lsc £ (Yc 64: P+LO A,1 'Or 2 7{ S3 32 0c5--6 Name , . Address , City / State/Zip "Telephone # State License # .''j License Class ' f+rC.. City Business License # rc.h,'tck&, ' 'O lAJ '— Ate. PD[+L&4 ()1. 97o dco'?, Designer Name ' Address City - , State/Zip Telephone State License # C111050 56 ESOENSATJON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: , 0 I have and will maintain a c&tificate 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 tte Labor Code, for the performance of the work for which this permit isPF issued. My worker's compensation insurance carrier and policy number are: Insurance Company L (2P..i. 4-sf JOCkiU.JI 4" - Policy No.LiC..P - p... -o 05 2j7 xpjration Date1. b / .0OL( (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 secure workers' compensation coverage I. 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'. fee.. SIGNATURE ' .. ' DATE . ,t I 1 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). 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 []NO I (have / have not) signed an application for a building permit for the proposed work. I have ontracted with the following parson (firm) to provide the proposed construction (include am I address / phone number I contractors license number): CcA4rai4.r L.-tD' O-'b ' j2 4&cx. 9- -77 5j3 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 I phone number I 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 EOM.ET 110141JEORONESlDEIV 498S1ILDl0!PERMITS gNLY.. - '•.-.- - , lsthe 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 requied to obtain a pernitfrom the air pâllution control distriôt or air quality anagemert district? 0 YES 0 NO. - - lathe facility to be constructed within T,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. ,, - I hereby affirm that there is a construction lending igencç' for the performance of iho work fo which this permit is issued (Sed. 3097(i) Civil Code). LENDER'S NAME t-Mk Ore 00 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 Cit' 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 INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. - OSHA: An OSHA permit is required for excavations over 5'O' deep and demolition or cor,struction of structures over 3 stories In height.' , - • -' EXPIRATION: Every permit issued by the building Ofticlal 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 180 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). .- " ' . •. - - -- - . - -• - LA " . • . . '•' , - APPLICANT'S SIGNATURE - - . " . , - ' -' '. - . ' . - DATE' WHITE File YELLOW Applicant PINK Finance - -. ' • '." - -'- • - - • / •' . - - -' 1 Symbols Legend F ®120v, 20a Dedicated Outlet (NEMA5-20R) j J-Box For Systems Furniture Power (120V Outlets) FFlrMtd. W=Wall Mtd. J-Box For Systems 'Furniture Data/Phone F T Connections FFirMtd. W=WallMtd. - Light Switch © 120V Duplex Outlet © 120V Duplex Outlet W/ Ground Fault GF1 Interrupt Protection .. 120V Simplex Outlet - Dedicated WI isolated Ground. Orange, Marked 0" - + 120V Quadraplex Outlet Data/Phone, Cat5, Wall Outlet Provide Mud-Ring & Pull Siring CI) Thermostat ' Emergency Backup Lighting • Lighted Exit Sign Roorn,Exhaust Fan HVAC Return Air HVAC Supply Air Recessed Can Light Surface-Mounted 1x4 Flourescent Light Fixture 2x2 Flourescent Light Fixture ' 2x4Flourescertt I Light Fixture Existing Fire Sprinkler Existing Partition = = Demo Existing Partition Existing Demising Partition New Partition xvvvvvvvv New Partition- insulated (/:kkkkk: Existing Door - (,] New Door 30 NW FIRST AVENUE PORTLAND OREGON 97209 PHONE - 503"226"0622.. FAX 503"226•0626 Signatur Date OF General Contractor. MARKET CONTRACTORS, LTD. An 9iployvedCarpaay DMarket Contractors, Ltd. C 10250 NE Marx Street Portiax4 Oregon 97220 LV Telephone: (503)255-0977 Faiinlle (503)262-4380 Consultants: - Project For: Countrywide ''Home Loans - Corporate Facilities 450. American Street' MS SV3-59 Simi Valley, CA 93065 Project Location: Countrywide Home Loans 2375 Marron Rd. Carlsbad, CA 92008 Date: 07.13.04 Purpose: Permit Submittal Revisions: I