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Home My WebLink About2787 STATE ST; ; CB983882; Permitj ')'>} '\ , ..... . . B tJ I L D I N -; P E R M I T Permit N ProJect N Levelopmen+-N CB 8 b ... l I 1•4 1. 0 : 0 Paqe' 1 of 1 J0b Adiles~: 2.787 STATE ST Permit Type: COMMERCIAL TENANT Parcel No: 203-295-ul-01 Valuation: 15,UOU Su1te: IMPROVEMENT Lot#: Occupancy Group: Reference#: Description: CTI 9550 SF-COMPLY W/ClTY : LEASE TI Appl/Ownr : BYRMES JIM PO Bux 4024 CARLSBAD CA 92018 fees Required Fees: AiJu.:itments : Totc:11 Fees: Fee description Building Permit Plan Ch.eek Stronq Motion Fee Enter "Y' for Plumb Each Plumbing 760 A 8Ll5070 289-00 4381 12/14/98 0001 01 02 C-PRMT Construct1~n Type: NEW Stc1tu..:;: I .,SUED Applied: 11/12/Cf Apr/Issue: 12/14/98 Entere1 By: "'M 434-1261 .Oo .00 289.00 ;. * * Ext fee Data 157.00 102. 00 3 .00 20 .00 Y 7.00 Cl l\l('f: ____________ _ /DING PLANS -✓ .. ! N STORAGE .ATTACHED CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 . M kfi PERMtT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE OISV 3 0.8 i- PLAN CHECK NO._{_ Q __ U __ EST. VAL. __________ _ Plan Ck. Deposit ---==;,:,-:;::------ Validated By _ ___.::~Tr--:ah--.--+:,.,..-::r-- Date. ______ _,__...._.,_~~..._-¥-,~-- 1, PROJECT INFORMA~~ ,r,_ • _ ~ 27921 S11Avg $~l r,~ \...lM~ m ~~SLa::P ~~. Business Name (at this address) Address (include Bldg/Suite #) Legal Description Lot No. Subdivision ijame Number /VA?J('~ Unit No. Phase No. Total # of units ~s~ Assessor's Parcel # Existing Us . l. 9 6t:l? r #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) 3. Name Address City State/Zip Telephone# 4. PROPERTY OWNER Gf>&ib~ C.\T'-fo:F:~ Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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, commending 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 aiwlicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)), ~ CONSi.1lvUC"WY CoMPy\f,/¥ vAA:v?'BYtQ cA<j.U)lQ:, 4:'Yt 12.fol Name Address City State/Zip Telephone # State License# 55'l.fDb l License Class B-( City Business License# \'2-07""7~ .S~b& C-0~ Designer Name 5~ Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate 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. 6il"'" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company S~fyy,Q Policy No. -Z.. "Z..°t::'\~ C?~(~1,B Expiration Date l-\.£\'l (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 is 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's fees. SIGNATURE·-----------------------------::::=:-DATE _________ _ 7. OWNER-BUILDER DECLARATION I 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). O 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number I contractors license number): 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 I address I phone number/ 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 I phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration f~r,, risk management and prevention program under Sections 25505, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES Bit""NO 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. 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. _________________________ _ 9. APPLICANT CERTIFICATION 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 IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction 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 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 106.4.4 Uniform Building Code), APPLICANT'S SIGNATURE _ _;=:--f~~j1~:A~==----------------DATE __.l ...... 1-_I_~_-~_~ _____ _ WHITE: File YELLOW: Applicant PINK: Finance a CII.J If Carlsbad Ila Rnal Building lnspecdon Dept: Building Engineering Planning CMWD St Lite ~ Plan Check#: Q 1/22/99 Permit#: CB983882 Permit Type: CTI Project Name: CTI 9550 SF-COMPLY W/CITY LEASE Tl Sub Type: Address: 2787 ST ATE ST Lot: Contact Person: JIM Phone: 7605182143 Sewer Dist: CA Water Dist: CA Inspected Date By: (!. 'fhfLllfi L. Inspected: .6l ,1f_q_1_ Apprcved: p'-- -· Inspected Date By: Inspected: Approved: Inspected Date By: Inspected: Approved: Disapproved: __ Disapproved: __ Disapproved: __ Comments: ______________________________ _ I UNSCfl EQTIT,ED Brm;,nING INSPECTION PERMIT# TIME ARRIVE: ____ _ CODE DESCRIPTION /J /41/'12~ Zl ;); L/9 PLAN CHECK# ____ _ ACT COMMENTS ;v/ City of Carlsbad Inspection Request For: 1 /22/99 Permit# CB983882 Title: CTI 9550 SF-COMPLY W/CITY Description: LEASE Tl Type:CTI Job Address: Suite: Location: Sub Type: 2787 STATE ST Lot APPLICANT : BYRMES JIM Inspector Assignment: DH --- Phone: 7605182143 Inspector: Owner: NORTH S D COUNTY TRANSIT DEVELOP Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Date Description 1/21/99 1/21/99 1/18/99 1/12/99 1/8/99 1/7/99 1/7/99 1/5/99 1/4/99 12/30/98 12/30/98 lnspectionHistory 12/22/98 17 Interior Lath/Drywall 12/18/98 14 Frame/Steel/Bolting/Welding 12/18/98 17 Interior Lath/Drywall Requested By: JIM Entered By: CHRISTINE Act Comments ~------- ~ Act lnsp Comments AP DH CA DH AP DH AP DH EAST WALL CA DH AP DH SOUTH WALL AP DH INTERIOR WALL, EAST WALL CA DH NR DH PA DH BATHROOM AREA PA DH BATHROOM AREA PA DH ON CARD NR DH AP DH NOVEMBER 18, 1998 TO: BUILDING DEPARTMENT FROM: Management Analyst, Redevelopment Department PROPOSED TENT ANT IMPROVEMENTS TO PROPERTY LOCATED AT 2787 STATE STREET -BEACH SLEEP FURNITURE (AKA BAUER LUMBER BUILDING) -PLAN CHECK NO. 983882 i have reviewed the application for building permit for the above referenced project and I do not have any objections to the issuance of the permit. If you require additional information, please contact me at x2813. LORI H. ROSENSTEIN PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB C/g-J8~t, RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR < < $10,000.00) OTHER , )1[vc_ if,.....__ / PLANNER --------- ENCIN~ <____/ Docs/MlsformsJPlannlng Engineering Ar,provals PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDINC DATE ______ _ DATE __ \_~_l_o_/q~[~--