HomeMy WebLinkAbout2281 LAS PALMAS DR; ; CB961369; PermitQ <::, ' k. ~ F--Fl I I V t ':i':J
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B U I L D I N G P E R M I T Pe1m1t No: CB9bllb
ProJ ct No: A ( 1g74
Development No:
9/19/96 09:58
f'age 1 of 1
Job Address: 2281 LAS PALMAS DR Suite:
P Lrnlt TyoP: INDUSTRIAL TENANT IMPROVEMENT
Par el No: 213-050-29-00 Lot#:
787 9/ 9 96 1 01 02 ... _ lfT
Valuation: 2,000
Occupancy Group: Referenc~#:
Descr1pt1on: DEMO WALL.ADD WA~L,RELOCATE
: LIGHT SWITCHES
Appl/Ownr : CTI CONTRACTING
16486 BERNARDO CENTER DR
SAN DIEGO CA 92128
Fees Required
Fees:
Adjustments:
Total Fees:
Fee descr1pt1on
Building Permit
Plan Check
Strong Motion Fee * BUILDING TOTAL
Enter ''Y" for Elect
Enter "Y" for Remode * ELECTRICAL TOTAL
Enter 'Y' for Mechan1
Construction Type: VN
Status: I ... Sl1ED
Applied: 07/29/)6
Apr/Issue: 9/19 16
Entered By: RMA
619-451-0057
.00
29.00
66.00
Ext fee Data
45.0()
29.00
1. 00
75 .00
10.00 Y
10.00 Y
20.00
RANCE _____ ,
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO. q 0 t 3 b
City of Carl sbod Building Departlllent
2075 Las PallllaS Dr •• carlsbad, CA 92009 (619) 438-1161
t. PERMJ"I lYPE
From List 1 (see back) give code of Pennil-Type: ------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
LA 5 PAt..JV1A-5 Building or Suue No.
D 2 Soils Report D 1 Addressed Envelope
~STING USE I fa\r o-.1 ~ ~/',.J-r=
# OF BEDROOMS
NAME (last name firsl) CT/ ( o v ?V'c..~~s / b 4J'Co t:YlN /J(1-. tJo
CITY s D STATECA ZIPCODt'q2-~2.J> DAYTELEPIIONE G
NAME (last name first) /Y1 I ( ,r O -,<. CJ ~ ( N C ADDllESS 2 2 'l ( L/'\-5
CITY C'BAO STATE C'7 z1Pcofg2 t)O g DAY TELEPHONE
6. OON'mACIOR
# OF BATHROOMS
CTYl.
(OCS-
NAME (last name first) CT f
CITY S 0
c c)A-> 1v'Z.AL7J ,v_G-:-ADDREss I <ti.ct f ~ BM /V~ co c.m ,D 7-_
STATE C q ZIP CODE 7 2 / 2 'l? DAY TELEP! IONE ~ IC/) 4 5 I O O -S-7 . \.._-:::T fr1'1"\L l._;)
STATE UC. # 71-"3 3 Q LICENSE ClASS (5 CITY BUSINESS UC. # 0 C.
ast name 1rst
CITY STATE ZIP CODE DAY TELEPIIONE STATE UC.#
1. WoRRERs' OOMPENsATION
Workers' Compensauon beciarauon: I hereby aihrm ihat I have a ceruhcate of consent to sell-insure 1SSueci by ihe Director ol 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).
INSURANCE COMPANY 57"C\T°E fu µ .0 POLICY No.2 2 '1-Cf l, EXPIRATION DATE /,/-'17
Cert1hcate of Exempuon: I certify ihat in the performance ol ihe work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
a. oWNEil-BUilDER OECLARA11oN
uwner-uu11aer ucc1aralion: I hereby atlirm that I am exempt lrom uie Contracloi's License law ior uie following reason:
D 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 thal such improvements are not inlended
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 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, improve, demolish, or repair
any structure, prior to its issuance, also requires Lhe applicant for such permit to file a signed statement thal he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing wiLh Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemplion. 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 [$500]).
SIGNATURE DATE
COMPLETE TIiis SECTION FOR NON-RESIDENTIAL SOltnlNG 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?
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?
0 YES D NO
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site?
0 YES ONO
IF ANY OF TI lE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nor BE~ ArI'ER JULY 1, 1989 UNLESS nm APPUCANT
HAS MET OR IS MEE'llNG TII.E REQlJIJlEMENTS OF THE OFFICE OF EMERGENCY SERVJCFS AND THE AIR POU.lfl10N CONlltOL DISfRJCT.
9. OONS'I IIOCl1oN ffiNDINC AGENCY
I hereby ai11rm that there IS a construcuon lending agency for the performance of ihe work (or which this perm1L 1s issued (Sec 3097(1) C1VJI C&le).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCANI tlltmlCAl10N
I cerufy that I have read the apphcauon and state that ihe above iniorma11on 1s correct. I agree to comply w,ili all Ciry 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.SO AGREE 10 SAVE lNDEMNIFY AND KEEP HARMLF.SS TIIE crrv OF CARISBAD AGAINSf AIL UABUillES, JUDGMF.NTS, cnsrs
AND EXPENSES WIDO I MAY [N ANY WAY ACX:RUE AGAINST SAID CTIY IN OONSF.QUENCE OF TICE GRANTING OF 11Il5 PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or constructio n 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 pennit is not commenced within 365 days from Lhe date of such permit or if the building or work authorized by
such permit is suspended or aban time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buik;in~/
APPLICANTS SIGNATURE DATE: /:.. ... __ -_L_':....D.~~1 (p
WHITE: File YEU.OW: Applicant PINK: Finance _,._