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Home My WebLink About1089 CARLSBAD VILLAGE DR; ; CB120861; Permit05-08-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBl20861 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation! Reference #: PC#: Project Title: 1089 CARLSBAD VILLAGE DR CBAD MISC Subtype: 2033203100 Lot#: $0.00 7-11 CHANGE OUT COFFEE ISLAND AND NEW WALL PANELING OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: CONSOLIDATED CONSTRUCTION GROUP 7118DECELIS PL VAN NUYS CA 91406 818-786-1146 ISSUED 05/08/2012 LSM 05/08/2012 05/08/2012 Owner: ALLAHYARI FAMILY TRUST 07-17-02 19 TIERRA VISTA LAGUNA HILLS CA 92653 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES INSPECTIONS P&E $130.00 $60.00 $0.00 $190.00 Total Fees: $190.00 Total Payments To Date: $190.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^'/^'/T^ Clearance: NOTICE: Please take NOTICE tfiat approval of your project Includes tfie Imposition" of fees, dedications, reservattons, or other exactions hereafter collectively refen'ed to as lees/exactions." You have 90 days from the date this pennit 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 Carisbad Municipal Code Sectton 3.32.030. I^ailure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their impositton. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connectton fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/tee fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previousiv othenvise expired. CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No(l& l^uQ "SO ] Est. Value Plan Ck. Deposit Date SWPP 7oT4 Carbhad Vtihac j^vc r/PROJECT # rtOfS ^I PHASE # [¥0F SUITE#/SPACE#/UNIT# CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP oeSCmmOH or VIORK: Inclttlle Square Feat Of Affected Area(s) ~ _ 7"/ Work - Neuu Coffee. UUv\d[ ISam< ^Samc) Ncvu WaM mi^U'nj DECKS (SF) FIREPUCE AIR CONDITIONING FIRE SPRINKLERS YES • # NO • YES • NO • YES • NO • EXISTING USE PROPOSED USE GARAGE (SF) iry k f STATE 'i ZIP PATIOS (SF) APPUCANT APPUCAKT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX mMc etdcons-hficiibngroup * PROPERTY OWNER NA|ME tj^ 11 ADDRESS ?Q2<?, CarkbdJi Mill/Lae. Drcu^ \ I [ ] \SWE J >^ ZIP PHONE [FAX <i JScCdi^ Place mmr PHONE , I . . . TFAX ZIP i ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (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 pursuantto the provisions ofthe 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 appiicant to a civil penalty of not more than five hundred dollars ($500)). W O R K p R S COMPENSATION Workers' Compensation Declaration: / hereby affimi under pena/fy of perjury one ofthe foltowing declarations: • I have and will maintain a certiflcate 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. G I have and will maintain wariierf conlpensaliMi, as reauired by Section 3700 of the Labor Code, fbr the performaae^theMpri(^^ickthis pwmU is i^ued. My workers' compensaf Ifcrfiumber are: Insurance Co. JTftn?- j-U^^ Policv No. UU l<^Q T / ~ott' ( 1 Expiration Date . eted if the permit is nr one hi and policy This section need not be completed if the permit is Ibr one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the perfomiance ff the worUonthich this permit is issued, I shall not employ any person in any manner so as to become subject to the Woh<ers' Compensation Laws of California WARNING: FfUnmBtacure workerfVelSnipenntlon cmrape Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of,<Smpensatlpn,\am|g;^s ifovldedjKf' in/6ect^3706 ofthe Labor code, interest and attorney's fees. CONTRACTOR SIGN 7) •AGENT DATE UlLT'Ei; »ECI.AI7ATI()N / hereby affirm that I am exempj/om Con(rac/o?>4xense few for the foltowing reWtX ( ^/ • I, as owner of the property or my employees with wanes as theinselecompensation, will dolhe wort s property or my employees with wjEies as thei^sel^compensation, will doTFe 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 proper/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 fbr sale. If, however, the building or improvementjs;iDid 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). 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 n No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with Ihe foltowing person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the foiiowing persons to provide the work indicated (include name / address / phone / type of work): veTpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THISSECTiON FOR N O N - R E S i D E N T f A L BUItDING 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? • Yes • No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • 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. 1O N S TR O C T I O N L ENDING AGENCY I hereby affimn that there is a construction lending agency for the perfomiance of the woric this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address • ,|kPPvL|.CAN T CERTIFICATION I certif that I have read the application and state that the above infomnation Is conect and that the Infomiation on the plans is accurate. I agree to comply with all City ordinances and Slate laws relating to building constmcdon. I hereby authorize representative of the City of Carisbad to enter upon the above maitjfined property for inspectkxi puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARIVLESS THE CfTY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS ANDEffiE[4SES WHICH WWflN\jY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF. OSHA: An OSHA pemiit Krequiredfor excavatkxis mefWdeep^W demolijiwi or consquctkin of stmctures over 3 stories in height EXPIRATION: EveiyjietrnTissued E7lh<.Buildina^e)fficial under tlie p\vlslQ|K of this Code shal expire by Imitation and become nul and vokl if Ihe building or wori( authorized by such pemiit is not commenced within ling or woric au lorizid Hy suct^emiit is suspended or abandoned at any time after the woric is commenced fbr a period of 180 days (Section 106.4.4 Unifonn Building Code). I; Eveivpennrissued E7lh«^ildii 180 days from tlwpdate ofsuct;pemiitor iflhe bi VJES'APPLK DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email viww.buildina(5)carfsbadca.oov or Mall the completed fonn to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP crrY STATE ZIP Carlsbad CA PHONE FAX ElVIAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL/FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION >eS'APPLICANT'S SIGNATURE DATE City of Carlsbad BIdg Inspection Request For: 06/13/2012 Permit# CBl 20861 Title: 7-11 CHANGE OUT COFFEE Description: ISLAND AND NEW WALL PANELING Inspector Assignment: Sub Type: OTHER 1089 CARLSBAD VILLAGE DR Lot: 0 Type: MISC Job Address: Suite: Location: OWNER ALLAHYARI FAMILY TRUST 07-17-02 Owner: ALLAHYARI FAMILY TRUST 07-17-02 Remarks: NO TYPE LEFT Phone: Inspector: 4 Total Time: Requested By: NA Entered By: JANEAN CD Description A'** Comments 14 Frame/Steel/Bolting/Welding -4 M. Comments/Notices/Holds Date Associated PCRs/CVs/SWPPPs Original PC# CV110530 CLOSED O-POSTERS/STORAGE; PCR11028 ISSUED 7-11: REVISIONS TO PARKING &; HANDICAP RAMP DUE TO NEW POSITION OF ELE SW100190 FINAL CONVERSION TO 7-11 CONVENIENCE; ADD 703 SF FOR CONVENIENCE STORE, REI SW 100338 FINAL NEW 7-11; REMOVE UNDERGROUND WASTE OIL 550 GAL STORAGE TANK//FULL T Inspection Historv Description Act Insp Comments