HomeMy WebLinkAbout2634 EL CAMINO REAL; ; CB910395; PermitJob Address: 2634 EL CAMINO REAL
Permit Type: COM
Parcel No:
Citv of Carlsbad
COMMERCIAL BUILDING
Lot#:
Status:
Applied:
Permit No: CB910395
EXPIRED
03/04/1991
Approved:
Reference No: Issued:
PC#: Inspect Area:
Project Title: 15380 SF OFFICE SPEC ALSO SEE 92-91 (CD)
Applicant:
WESTERN FINANCIAL PLAZA
10140 CAMPUS POINT DRIVE
SAN DIEGO, CA
619 438-5191
00136104885 Plan Check
Fees: $1,372.00 Additional Fees:
Owner:
$1,372.00
$0.00 Total Fees: $1,372.00 Balance: $0.00
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A • COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL QNEII QTENANT IMPROVEMENT
C QRESIDENTIAL QAPARTMENT QCONDO QSJNGLE FAMILY DIIELLING QADDITION/ALTERATION
QDUPLEX QDEMOLITION QRELOCATIOII QMOBILE HOME QELECTRICAL QPLUMSJNG
0MECHANJCAL 0POOL OsPA 0RETAINJNG IIALL OsoLAR
2. PLAN CHECK No.
fi<., Building or Suite No. I ukJ11;11,vo ~
LEGAL DESCRIPTION Phase No.
PROPOSED USE
BLDG. SQ. FTG.
3. CONTACT PERSON
NAME 12'0~, ?~T ADDRESS v,oA. -rz.o~w
CITY C,J)..~AQ ('\ .
SIGNATURE ~ \ ..:!._g-
DAY TELEPHONE 4 ~ e:. · ~ t c::t I STATE cA ZIP CODE
4. APPLICANT 0CONTRACTOR 0 AGENT FOR CONTRACTOR
ADDRESS
D AGENT FOR OIINER
NAME
CITY DAY TELEPHONE
5. PROPERTY OWNER -a OIINER
NAME ~~"l~N FLNJ\~C,1.C..L-1''-~zA
D LESSEE D TENANT
\ct4-o c.~-p"s,. 7o\H1 'T,)"1,\\)~, 9,ev, ~
6.
CJ TY :l><N--P1~0
CONTRACTOR
NAME
CITY
SIGNATURE~~
DESIGNER NAME "'°t:2c:>~~
CITY
STATE
'2-I z.. DAY TELEPHONE • ~ \,C\ I •6,c,,
ZIP CODE DAY TELEPHONE
LICENSE CLASS-----CITY BUSINESS LIC. #
TITLE DATE
ADDRESS ~ A.<2::c>\JG-
ZIP CODE DAY TELEPHOIIE STATE LIC. # ----
7. WORKERS' COMPENSATION
8.
llorkers' Co,rpensat1on Declaration:
or a certificate of llorkers' Co,rpensat i
insurer thereof filed with the Sui ldin
INSURANCE COMPANY
so as
SIGNATURE
y affirm that I have a certificate of consent to self·insure issued by the Director of Industrial Relations,
Insurance by an aanitted insurer, or an exact copy or duplicate thereof certified by the Director of the
Inspection Department (Section 3800, Lab. CJ.
POLICY NO. EXP I RAT JON DATE
1n the performance of the work for which this permit is issued, I shat l not employ any person in any manner
Co,rpensation Laws of California.
I am ex~t from the Contractor's License Law for the following reason:
0 I as owner of the propertr. or my employees with wages as their sole cocrpcnsat1on, wi ll do the work and the structure 1s not intended or offered for sale
(Sec. 7044, Business and rof ess 1 ons Code: The Contractor I s L 1 cense Law does not apply to an owner of property who builds or improves thereon,, and who
does such work himself r through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is w, thin one year of c.,..,l et ion, the owner· bui Ider will have the burden of proving that he did not build or improve for the purpose
of sale. l.
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 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).
D 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, i"°"rove, demolish, or repair any structure,
prior to its issuance, al so requ, res the appl, cant for such perm, t to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, comnenc i ng with Sect 1 on 7000 of Division 3 of the Sus iness and Professions Code) or that he is exempt therefrom,
and the basis for the alleged uemption. 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 [S5001).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY:
ts 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·Tamer Hazardous Substance Account Act?
Ores 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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES
IF AMY OF THE AJISWERS ARE YES, A FINAL CERTIFICATE OF OCQ.f>AJICY IIAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POI.LUTIOII CONTROi. DISTRICT.
9. 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 3097Cil Civil Code).
LENDER'S NAME LENOER 'S AOORESS
10. APPLICANT'S SIGNATURE
I certify that I have read the appl1cation and state that the above information is correct. I agree to coo-ply w1th all C1ty ordinances and State laws relat1ng
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 INOEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.OGMENTS, COSTS ANO EXPENSES 1/HICH IIAT IN ANY IIAY 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 comnenced 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 comnenced for a period of 180 days (Section 303Cd) Uniform Building Code).
0 OIINER O CONTRACTOR D SY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED SY: --------
DATE: