HomeMy WebLinkAbout2525 PIO PICO DR; ; CB910951; PermitJob Address: 2525 PIO PICO DR
Permit Type: COM
Parcel No:
Citv of Carlsbad
COMMERCIAL BUILDING
Lot#:
Permit No: CB910951
Status:
Applied:
Approved:
EXPIRED
06/21/1991
Reference No: Issued:
PC#: Inspect Area:
Project Title: 8595 SF MEDICAL BLDG COMPLETE
Applicant:
TRAYER, CHUCK
PO BX 1041
CARLSBAD, CA
729 3965
00136104885 Plan Check
Fees: $1,474.00 Additional Fees:
Owner:
$1,474.00
$0.00 Total Fees: $1,474.00 Balance: $0.00
PERMIT APPLICATION . G PIAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr .• Carlsbad. CA 92009 (619) 438-1161
/
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I. P£RMII l'VPH I
A -iQ Commercial l,J'~ew Bu1ld1ng O I enant Improvement
B - D Industrial D New Building D Tenant Improvement
. .
. .
C - 0 Residential D Apartment D Condo D Single Family Dwelling O Addition/ Nteration
D Duplex D Demolition O Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D PCXJI D Spa D Retaining Wall D Solar O Other
2. PROJE.Ll INl-'ORMATION
:i.'?2.t; P,o P,co
Nearest Cross Street
CITY
. NAME 8,/.t,CU~M/,
CITY ~M(} STATE
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CITY ~S STATE
NAME
CITY
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
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ZIP .ODE
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~ DAY TELEPHONE
DAY TELEPHONE
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FOR OFFICE USE ONLY
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STATE UC. CITY BUSINESS UC.
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WtJitkllitS UJMPENSAIRJN
Workers' Compensation Declara11on: I hereby alhrm that I have a cert1hcate of consent to se11-tnsure issued by the U1rector 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, I..ab. C).
INSURANCE COMPANY POLICY NO. EXPIHATION DATE ON n LG
Cert11icate of Exemption: I certify that 1n the pcrlormance of the work lor which this perm1t 1s issued, I shall not employ any person 1n any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNl1l-801Willt Dli:LAltA:IKJN
Owner-Builder Declarat1on: I hereby afhrm that I am exempt lrom the Contractor's License Law lor the follow1ng 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 docs 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.).
D 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 lo 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500)).
SIGNA1URE DATE
COMPLElf'. IHIS SEC IION FOR NON-HF.SIDF.N llAL BUILDING PERMII SONLY:
ls 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?
D YES EL NO
Is the applicant or future building occ~ant required to obtain a pennit from the air pollution control district or air quality management district?
DYES ~NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
"l'._ YES O NO
IF ANY OF TIIEANSWERS ARE YFS, A FINALCERTIFIC.ATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIBSS TIIE APPLICANT
HAS MET OR IS MEETING 11IE REQUIREMENTS OF TIIE OFFICE OF F.MERGENCY SERVICES AND TIIE AIR POILUTION CDN"lll.OL DISfRICT.
9. WNSlltOCIIUN ffiNDING ACENCr
I hereby altirm that there 1s a construction lending agency lor the iw.rlormance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJC!ANJ ctRIMCAJJON
I certdy that l have reaCI the application and slate that the above 1nlormat1on 1s correct I agree to comply with all C1ty 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 AL',Q AGREE 10 SAVE INDr~ND'Y AND KEEP IIARMU.S.~ ·nm CTIY OF CAR(SBAD AGAINST AIL UABI11TIES, JUDGMENTS, CDSTS
AND EXPENSES WIIICII MAY IN ANY WAY Aa:RUE AGAINSr SAID CTIY IN CDNSEQUENCE OF TIIE GRANTING OF nus PERMIT.
OSIIA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit issued by !he 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 ~/2-¢/ APPLICANT'S SIGNATURE
B.
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