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1044 CARLSBAD VILLAGE DR; ; CB070301; Permit
10-30-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB070301 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 1044 CARLSBAD VILLAGE DR CBAD Tl Sub Type 2033204700 Lot # $0 00 Construction Type Reference # CHEVRON-REPLACE LIGHTS IN PUMP CANOPY COMM 0 NEW Applicant CALCRAFT CORPORATION 1426 S WILLOW AVE RIALTO CA 92376 909-879-2900 S Applied Entered By Plan Approved Issued Inspect Area Plan Check# LSM Owner SONNEMAN ROBERT H LIVING TRUST 03-01-06 ET AL 52ELSERENOCT SAN FRANCISCO CA 94127 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $0 00 Meter Size $0 00 Add'l Reel Water Con Fee $0 00 Meter Fee $12000 SDCWAFee $0 00 CFD Payoff Fee $100 PFF (3105540) $0 00 PFF (4305540) $000 License Tax (3104193) $000 License Tax (4304193) $000 Traffic Impact Fee (3105541) $0 00 Traffic Impact Fee (4305541) $000 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $60 00 MECHANICAL TOTAL $0 00 Master Drainage Fee Sewer Fee $0 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 97 $181 00 Total Fees $181 00 Total Payments To Date $0 00 Balance Due $181 00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that 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 fees/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 fees/exactions of which you have previously been given 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 Address (include Bldg/Suite #) FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposi Validated By Date Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use escnption of Work SQ FT #of Stories # of Bedrooms # of Bathrooms s(if differentjfrom.applicant) Address ' City Agent for-Cpntractpr=J:^f£3 Owner CD Agent for -Owner Name State/Zip Telephone #Fax # Name J^^PRPplrnMpwNER. Address City'State/Zip Telephone i fName Address Cit/ ' State/Zip Telephone # R^'cpiviPANiraffiiyiE..".. ,,-; - -..."..' •'•••,,, '-'. ; "\" - " - ,. , .'. , .,jl.' • • (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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License # O/ 2 •J J (/_ Address License Class fl City State/Zip City Business License # /~ Telephone # ^707-775-2&4& Designer Name itate License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 |J3 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 -5'/~/l-'7~/£- f~&ts*s& Policy No O4&" 1 J £~ S& "€?fc> Expiration Date J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) CD CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as \ to become subject to the Workers' Compensation Laws of California WARNING Failure toTsecufte workers Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollare ($TO0,OOf>) in addition to rt4uX>OST,oycompensation, damages as provided for in Section 3706 of the Labor.code, interest and attorney s fees SIGNATURE XO/Sjfa (2, Al(^M^KJ^- DATE ^/Z./£?"7 . . ... . I hereby affirm that I am exempt from the Contractor's License Law for the following reason n 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) Q 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) l~l 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 Q 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 : :•• -•*~-T-<M;Fpii!awMJ!§sraCT77!4i:BuiLDiNG;pERMifsjQNLY; i^sErTE! ii. uL^L£:r:"::S§MffiiIiEEi 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? CD YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS 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 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, 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 comg^enc^ within 1 w days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned tv at any time after the work is I ]L APPLICANT'S SIGNATURE U06 4 4 Uniform Building Code) DATE WHITE File YELLOW Applicant PINK Finance EsGil Corporation In (Partnership with government for <Bui[<fing Safety DATE 2/12/07 a APPLICANT JURISDICTION City of Carlsbad <—--cTPLAN REVIEWER a FILE PLAN CHECK NO 07-0301 SET I PROJECT ADDRESS 1044 Carlsbad Village Dr PROJECT NAME Chevron - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the remarks below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to XI Esgil Corporation staff did not advise the applicant that the plan check has been completed [ I Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person XI REMARKS Applicant to add note in red on cover sheet to City held sets/ By Doug Moody Enclosures Esgil Corporation D GA D MB D EJ D PC 2/6/07 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 *• Fax (858) 560-1576 City of Carlsbad O7-0301 2/12/07 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO 07-O301 PREPARED BY Doug Moody DATE 2/12/O7 BUILDING ADDRESS 1044 Carlsbad Village Dr BUILDING OCCUPANCY M TYPE OF CONSTRUCTION VN BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq Ft ) cb Valuation Multiplier By Ordinance Reg Mod VALUE ($) Plan Check Fee by Ordinance ^ | Type of Review Q Complete Review $12000 Structural Only [Repetitive Fee Repeats Other Hourly | Esgil Plan Review Fee 1 Hour* $9600 * Based on hourly rate Comments Sheet 1 of 1 macvalue doc February 13, 2007 TO Raenette Abbey, Building Department FROM Austin Silva, Redevelopment Dept Lighting Plan (CB 070301) I have approved the building permit request to install lighting underneath the canopy at the Chevron Station at 1044 Carlsbad Blvd The information has been entered into Permits Plus If you have any questions, please contact me at x2812 Austin Silva Planning Technician •S « -8 <D Q) 0) n PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN Address Phone (760) 434-2-312- \Jicuft>«l Type of Project & Use Zoning \JTL~ General Plan I/ EL CFD (in/out) #_Date of participation L\t,*\\ul* Net Project Density DU/AC Facilities Management Zone _ /_ Remaining net dev acres Circle One (For non-residential development Type of land used created by this permit ) Legend Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES _ NO _ TYPE _ Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES DATE NO TYPE OTHER RELATED CASES Compliance with conditions or approval? If not, state conditions which require action Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES CA Coastal Commission Authority? YES NO_ NO If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402, (619) 767-2370 Determine status (Coastal Permit Required or Exempt) _ Coastal Permit Determination Form already completed? YES _ NO _ If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ Follow-Up Actions 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 ) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') Site Plan- H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) Provide legal description of property and assessor's parcel number n D Policy 44 - Neighborhood Architectural Design Guidelines 1 Applicability YES NO 2 Project complies YES NO Zoning D D 1 Setbacks Front Interior Side Street Side Rear Top of slope D D 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation D D 3 Lot Coverage Required Required Required Required Required ;ks Required Required Required Required Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown D D 4 Height Required.Shown n n Spaces Required Shown5 Parking (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments Mt rto 'T T?*T£r>Lfl'S/O'J. . OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 AGQBH CERTIFICATE OF LIABILITY INSURANCE PRODUCER (949)756-5730 FAX (949)756-5/40 Spectrum Risk Mgmt & Insurance Services CA Lie #OC77485 74 Discovery Irvine, CA 92618 INSURED Cal craft Corporation 1426 S Willow Ave Rialto, CA 92376-7720 l-OVER [ HE Pt ANY Rt MAY P! POLICI INSF, LTR A B 0 C ADDi JiSHL DATE (MWDLVYYYY) f-3/15/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE * P^E5UIH<1«CER1 IF1CATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED RY THE pni ir|f «: BEI "W 1 INSURERS AFFORDING COVERAGE INSURER A Mount Hawley Ins Co INSURED, st Paul 1 ravel ers Ins Co INSURER. State Cofnpensation Ins Fund INSURER,- Federal Insurance Company INSURER Ei *£§S _ NAIC# 37974 TsoTeT KICIES OF INSUHANCLLISitD BELOW HAVE BF.ENISSUE.D TO i'HE NSURED NAMED ABOV! TOR THE POLICY PL HIOD INDICATED NOTW'i HST ANDINC :OUIREMEN7 TEUM OM CONDITION OF ANY CONTRACTOR OTHER DOCUMENT Wi •• MESKtGT TO WHICH THIS CERTIFICATE WAY BI" ISSUED On ERTAIN THE INSUHAN' E AFFORDED BY THE POLICIES DESCR:BED HEREIN IS SUBJ..U TO ALL THE TERMS EXCLUSIONS AND 'own'mo1- S OF- r' '' H E3 AGGREGA 1 E LIMITS SHOWN MA" HAVL BEEN PEDUCED BV PAin CLAIMS •YPEC" INSURANCE GENERA,. LIABI1. 'V X CO:. a/L'RC ,-L GENERAL LIABILITY 1 Cl AIMS • 'ADC 1 X 1 OCCUf GLN L AlaGRh .. ATE L'MIT A iJLIES PL'R j POLICY [X]?^ ! ILOC AUTOMOBILE L ABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY X | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRlETOR/PARTNER/EXECUriVE OFFICtFVMEMBER EXCLUDED' II yes describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER MGL0146961 BA665H3244 79807629 046-15256-06 POI ICY EFFECTIVE 1 POLICY EXPIRATION DATE (M,M/DrvrY) ' DATF IMU.Tin/VVl OJ/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2007 03/26/2007 03/26/2007 03/26/2007 LIMITS fACHOCC..HHENCE DAMAGE TO RENT EDPRFUISFS :'Fa rv-n,ronrpt MC .. EXP(/-iyon-j|ierB") Pbfi i- JNAL i ADV INJUHY GEN-- -'A! AGGi'-EGATE PRC ,, fS COMP/OPAGG COMBINE-.0 SINGLE LIM n (Ea accident) BODILY INJURY (Par person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN ^ ACC AUTO ONLY AQG EACH OCCURRENCE AGGREGATE V WC STATU OTHA TORY 1 'MITS FR EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT s s s s $ s 1,000,000 50,000 S.OfO 1,000,000 2 000,000 1,000,000 $ 1,000,000 s s $ $ $ s s 1,000,000 $ 1,000,0001 $ s s s $ s 1,000,000 1,000,000 1,000,000 10 Day notice due to nonpayment of premium CERTIFICATE HOLDER CANCELLATION Insured 's Copy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCl '-LED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL 30 DAYS WUITTFN NOTICE TO THE CERTIRf-ATF HOI Di ' \IAMEC1 TO THE LFFT BUT FAILURE TO MAIL S'JCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS 4GENTS OR PcPfi-SENTATIVES AUTHORIZED REPRESENTATIVE /-^. ., /ll^.+ GU^^t 'fiMI&*-^' Jim Waterhouse/miE ^T^ ACORD 25 (2001/08)©ACORD CORPORATION 1988 o•" .. °J <!>e. o g- r- H T3 O O2- ~~ c i o O OO O O O O 73 O TI m p < Tl K §8m71 3? ^° Eomo