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Home My WebLink About2575 PIO PICO DR; ; CB910549; PermitB U I L D I,N G P E R M I T Permit No: C8910549 03/25/91 10:07 Project No: A910064() Page 1 of I Development No: Job Address: PlO PICO DR Str: Fl: Ste: Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 156-120-61-00 1543 03/25/91 0001 01 02 Valuation: 4,500 C-PRMT i400 Construction Type: VN £4z~Q c/7 Occupancy Groups Class Code: Status: ISSUED Description: CREAT 3 OFFICES FROM OPEN SPC Applied: 03/25/91 Apr/Issue: 03/25/91 Validated By: KZH Appl/Ownr : WORTHINGTON, BROOKS 619-729-3965 690 ELM AV, STE 201 CARLSBAD, CA 92008 CONTRACTOR : B. A. WORTHINGTON INC f ..LicC 398764 619-729-3965 690 ELM AV CARLSBAD, C2'0 \ *** Fees Required /*** \)) Fees (oQI'ecèed & Credits / \.- - •••-' '*• Fees: Adjustments: J .dQ/ tfVPotai Crc i. : \ .00 Total Fees: I \ .00 140.00 Fee description (7 i Ext fee Data ii • ------. I ¼'--') I Building Permit 72.00 Plan Check 47.00 Strong Motion F e * BUILDING TOTAL 120.00 1.00 Enter for Electrdc Issue FCe,?00 00 6,,0 / 5.00 ' Other \ (('' > 'Q) 1- 0\tZ / 15.00 MISC ELEC * ELECTRICAL TOTAL ($1'Q 20.00 F AL APPROVAL IN SP. DATE Zz CLEAR CE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 id ie4A' e2d'di )c1ce BLDG. SQ. FIG. #F STORIES CONTACT PERSON NAME CITY O't7r ADDRESS 6c40 E /1fr (?? i-~e So STATE ZIP CODE DAY TELEPHONE Z._ 39é'5 PERMIT APPLICATION V I City of Carlsbad Building Department 7 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ,. 1 PERMIT TYPE I A 0 COMMERCIAL O '1 NEW ,ENANT IMPROVEMENT B - 0 INDUSTRIAL DNEW £1 TENANT IMPROVEMENT C - DRESIDENTIAL []APARTMENT [-]CONDO []SINGLE FAMILY DWELLING DADDITION/ALTERATION C1 DUPLEX DOEMoLIT[ON DRELOCATION 0M0B11E HOME DELECIRICAI []PLUMBING []MECHANICAL DPOOL []SPA DRETAINING WALL LJSOLAR DOT HER ________________ - I EST. I VAL PLAN CE DEPOSIT_______________________________ I VALID. BY DATE -,--f/ 2.PROJECTINFORMATION PLAN CHECK No. 'J7 FOR _OFFICE _USE _ONLY Address 2'r15 ' CC) c7'c...o Building or Suite No. Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. vicl- CHECE BELOW IF SLIIITTED: 02 Energy Calcs 02 Structural Calcs [12 Soils Report pi Addressed Envelope ASSESSORS PARCEL EXISTING USE PROPOSED USE SIGNATURE APPLICANT NAME ~COV , NTRACTOR 0 AGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER ADDRESS 'ioM / 241 CITY t'tf.( STATE C& ZIP CODE ? 22 O'EI DAY TELEPHONE 72_c9 PROPERTY OWNER 'OWNER DLESSEE DIENANT ADDRESS c 7 b NAME Lv1' -. CITY STATE ZIP CODE DAY TELEPHONE 72.7 CONTRACTO NAME I ADDRESS CITY STATE ZIP CODE qze DAY TELEPHONE 7Z '/6'5' STATE C LICENSE CLASS CITY BUSINESS LIC. H SIGNATURE TITLE DATE /' / DESIGN R ADDRESS (pq0 S1")' /s& 'u(k 'zo( E NAME 22 JlrJJTATE,~. CITY WORKERS' COMPENSATION ZIP CODE DAY TELEPHONE STATE LIC. H 76f 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). INSURANCE COMPANY O'j POLICY NO. EXPIRATION DATE 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. SIGNATURE DATE OWNER—BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following 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 Cede: 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: (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 ($5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NONRESIDENTIAL 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? DIES 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 'NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? AYES ,NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCawANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION 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 APPLICANT'S SIGNATURE 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 CITY OF CARLSBAD AGAINST ALL LIABILITIES, JIJ)C4ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 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 r the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SI CONTRACTOR [-]BY PHONE 7j7,3 APPROVED BY: ZJ2~ :File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPEOTION REQUEST PERMIT# CB910549 FOR 04/24/91 INSPECTOR AREA PY DESCRIPTION: CREAT 3 OFFICES FROM OPEN SPC PLANCK# CB910549 0CC GRP TYPE: CTI CONSTR. TYPE VN JOB ADDRESS: 2575 PlO PICO DR STR: FL: STE: APPLICANT: WORTHINGTON, BROOKS PHONE: 619-729-3965 CONTRACTOR: B. A. WORTHINGTON INC PHONE: 619-729-3965 OWNER: PHONE: REMARKS: MH INSPECTOR SPECIAL INSTRUCT: KEY FOR SUITE 102 IS UP AT SUITE 101 TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS 5E890066 SWOW ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 041191 Rough Combo AP PY 041191 Interior Lath/Drywall AP PY 041091 Rough Combo AP P1 040891 Frame/Steel/Bolting/Welding CO PY SEE COMMENTS 4/8/91 040891 Rough Electric CO PY SEE COMMENTS 4/8/91 I. , FINAL BUILDING INSPECTION i l(=F U/M PLAN CHECK#: CB910549 PERNIT#: C8910549 PROJECT NAME: CREAT 3 OFFICES FROM OPEN SPC !DEPT: BUILDING RECEIVEn Al'K 2 9 1991 WATER DATE: 04/24/91 PERMIT TYPE: CTI ADDRESS: 2575PIOPICO .DR. CONTACT PERSON/PHONE#: NH SEWER DIST: CA WATER DIST: CA INSPECTED DATE I BY: C. O.&L' INSPECTED: APPROVED &. DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE 0, BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: "YLO T .L. C) 0 (oP j __ -ILA--a G4.