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Home My WebLink About1005 CARLSBAD VILLAGE DR; G; CB031618; Permit06-11-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB031618 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title Applicant MOUNTAINGATE 19722 INCOMARST WINNEKTA91306 1005 CARLSBAD VILLAGE DR CBAD St G ELEC Lot# 0 POINSETTIA CLEANERS ELECTRIC FOR NEW EQUIPMENT , Owner Status Applied Entered By Plan Approved Issued Inspect Area 7245 ISSUED 06/11/2003 MDP 06/11/2003 06/11/2003 20-.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES $1000 $000 $000 , $000 SO 00 $1000 $000 $000 $000 . $000 $2000 Total Fees $2000 Total Payments To Date $000 Balance Due:$20.00 Inspector FINAL APBROVAL Date Clearance NOTICE Please take NOTICE trim/approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these tees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any tees/exactions of which you have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 !<lV»: ^PBDJECT^ INFORMATION i FOR OFFICE USE ONLY PLAN CHECK NO EST VAL tt Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) /b&<rfi>^ Legal "Description Business Name (at this address). Lot No Subdivision Name/Number'f LJnitNo Phase No Total ft of units I Exis--Von—Assessor's Parcel #«-Existing Use Proposed Use Description of Work SQ FT #of Stories ft of Bedrooms # of Bathrooms Name Address City GonTraotbr,,' State/Zip Telephone #Fax !^»">». (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 Jt byjany applicant for a permit subjects the applicant to a ciV]l_penalty of not more than fjve hundred dollars ($50011 1 fQName ' ' State License tt/'^^f^ vTlA*. Designer Name State License # Address — . License Class ff*\^ Address ' City State^£ip Ctty Business License # /^ + City .T- State/Zip "|\ Telephone^ ftv t v^Telephone ,J Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued PI I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company ____^ Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [S100] OR LESS) ff$ CERTIFICATE OF EXEMPTION 1 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 Failura^tlTs^cwre workers'compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollaitfT$lPd^OOQ) in addltloteto the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE Cjtf&PJP' ^//l/^_ *J DATE ST ''- (kJk/»&u«EnTSriirTiHiR nvj^ifa^i^^'Bf^ ^"'^ ,*•?* §•** B!"3£.S!>£' f.lW^H! ™jfy, i, s*p^A,i „"* i!i ^ •,•"> > ^?s,r*' "^ <-fj il,S!? ,, C^ib^' '"*! M&V <*" TI-J"J"? *?flft jp% jyWNERvBUILUtK LJ^CLAHATfCJN-jH^, g 4 ai«s 5 ^$ \ v.,.Att, <:-*, „&••,- -,a^ 4^ ,^^,1JJt >! H4f £.*. ,.a ,4.- -~\s c, - " '-*. slrVl^ I k !^l fl^y>, « ,,u , ^! ! !li~ I hereby affirm that I am/exempt from the Contractor's License Law for the following reason 0 I, as owner of^ne 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) f~] 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) [~] I am exempt under Section Business and Professions Code for this reason 1 1 personally plan to provide the major labor and materials for construction of the proposed property improvement [~) YES f~lNO 2 I (have / 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 / address / phone number / 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 / address / 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 / phone number / type of work) _ , ____________ PROPERTY OWNER SIGNATURE DATE ^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? Q YES Q NO Is the applicant or future budding occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 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 I certify that I have read the application and stats 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 CitV 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 hv such permit is not commenced-within 18pdays from the date of such permit or if Ihe building or work authorized by such permit is suspended or abandoned o-t ani/tirr^ . tor th(i wnrk tc ^rtmmtin^aH inr d non^H dfi On H^i/o /Qoftifvti "tHR A d. I Inrfrirm Rmtrtmn F:nrlf^at any tirr APPLICA ter the work is co SIGNATUR 180 days {Section 106 4 4 Uniform Building Code) ,-^J' * DATE PINK Finance City of Carlsbad Bldg Inspection Request For 06/13/2003 Permit* CB031618 Title POINSETTIA CLEANERS Description ELECTRIC FOR NEW EQUIPMENT 1005 CARLSBAD VILLAGE DR G Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT MOUNTAINGATE Owner Remarks PM INSPECTION PLEASE Total Time CD Description 34 Rough Electric Act Comment Inspector Assignment Phone 3103459700 Inspector Requested By N/A Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments JUN-lQ-2003 TUE 11:30 AM SD AIR POLLUTION CONTROL FAX NO. 858 650 4628 P. 02 Air Pollution Control Board Greg Cox Dianne Jacob I*am Slater Ron Roberts Bill Horn District 1 Disrnct 2 Dmiicc 3 District 4 5 COUHIV OF SAN DIEfifl May 27, 2003 KI SUNG CHOI POINSETBA CLEANERS 1005 CARLSBAD VILLAGE DR #G CARLSBAD CA 92008 After examination of your Application No 979632, for an Air Pollution Control District (District) Authority to Construct and Permit to Operate a petroleum-based solvent dry cleaning facility located at 1005 Carlsbad Village Dr #G, C A 92008, the District has decided on the following actions Your Application No. 979632 is complete as of May 27,2003 Authority to Construct is granted pursuant to Rule 20 of the Air Pollution Control District Rules and Regulations to remove perchloroethylene dry cleaning equipment and install petroleum- based solvent dry cleaning and air pollution control equipment to consist of' One (1) Columbia, Model TLHCS 400,40-Ib capacity, serial number to be determined, closed-loop dry-to-dry cleaning machine equipped with cartridge filtration, built-in refrigeration and solvent distillation systems and employing Exxon DF-2000 solvent This Authority to Construct is issued with the following conditions1 1 The permit applicant shall provide access, facilities, utilities and any necessary safety equipment for vapor control system testing and inspection upon request of the Air Pollution Control District. 2 The equipment shall be installed, operated and maintained in accordance with the manufacturer's instructions and District Rule 67.2, except as otherwise specified by the District 3 Records as noted in the condition below shall be maintained on site for at least three years or until the next Distnct inspection of the facility, whichever pcnod is longer, and be made available to the Distnct upon request. 4 a For each dry cleaning machine, a log showing the date and pounds of material cleaned in each load. b Purchase records showing the date and amount of petroleum-based solvent purchased. 9150 Chesapeake Drive • San Diego • California 92 1 23- 1096 • (858) 650-4700 FAX (85S) 650-4659 • Smoking Vehicle Hotline 1-800-28-SMOKE Printed tin Recycled Paper JUN-10-2003 TUE 11:30 AM SD AIR POLLUTION CONTROL FAX NO. 858 650 4628 P. 03 Pomsettia Cleaners "- ^ x - • ' Application No 979632 May 27, 2003 -2- c. Receipts/manifests for disposal of dry cleaning wastes d For each dry cleaning machine, a log recording the date and the amount of solvent added to and removed from the cleaning machine. 5 Emissions of volatile organic compounds (VOC) from this equipment shall be minimized in accordance with Rule 67 2 as follows1 a. No fugitive liquid leaks shall occur from this equipment b. Cartridge filters shall be drained for 24 hours before discarding c All traps and access doors shall remain closed except for maintenance d. Solvents shall be stored m closed containers e Solvent wastes shall be stored in closed containers 6. Daily solvent usage averaged over the days operated in one calendar month, shall not exceed 1 5 gal per day of Exxon chemical Dry Cleaning Fluid 2000 7. Operation must be in compliance with all information included m the application for this Permit to Operate as approved by the District and the performance conditions listed above. This Authority to Construct authorizes temporary operation of the above-specified equipment This temporary Permit to Operate shall take effect upon written notification to the District that construction (or modification) has been completed in accordance with this Authority to Construct. This temporary Permit to Operate will remain m effect, unless withdrawn or modified by the District, and a revised temporary permit (Startup Authorization) is issued or a Permit to Operate is granted or denied Upon completion of construction (or modification) m accordance with this Authority to Construct, and prior to commencing operation, the applicant must complete and mail, deliver or fax the enclosed Construction Completion Notice to the District After mailing, delivering or faxing the notice, the applicant may commence operation of the equipment Operation must be in compliance with all the conditions of this Authority to Construct and applicable District rules This Authority to Construct shall be posted on or within 25 feet of the above described equipment or maintained readily available at all times on the operating premises. This Air Pollution Control District Authority to Construct does not relieve the holder from obtaining permits or authorizations which may be required by other governmental agencies. This Authority to Construct is not authority to exceed any applicable emission standard established by this District or any other governmental agency. This authorization is subject to cancellation if any emission standard or condition is violated. JUN-10-2003 TUE 11:30 AM SD AIR POLLUTION CONTROL FAX NO. 858 650 4628 P. 04 PoinsetUa Cleaners "^ ~' - Application No 979632 May 27, 2003 -3- Withm 30 days after receipt of this Authority to Construct, the applicant may petition the Hearing Board for a hearing on any conditions imposed herein m accordance with Rule 25 This Authority to Construct will expire one year from date of issuance unless an extension is requested in writing V If you have any questions regarding this action, please contact me at (858) 650-4601 1J. CHRIS BRAKE Asst Air Pollution Control Engineer CB Enclosures Construction Completion Notice Site Preparation Checklist Fabric Processed Log Solvent Usage Log cc. Compliance Division I.D 815993A