The URL can be used to link to this page

Home My WebLink About1096 LAGUNA DR; ; CB121571; PermitCity of Carlsbad 06-07-2013 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB121571 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1096 LAGUNA DR CBAD Tl Sub Type: INDUST Lot#: 0 Construction Type: 5A Reference# Status: WITH Parcel No: Valuation: Occupancy Group: 1552721900 $10,000.00 LAS FLORES 20/2012 Entered By: JMA Plan Approved: Issued: Inspect Area Plan Check #: Project Title: REPLACE EXISTING ATENNA WITH NEW ONE, LIKE FOR LIKE Applicant: MITCHELL J ARCHITECTURE STEN 4883 RONSON AVE 92111 858 650-3130 Building Permit Add'I Building Permit Fee Plan Check Add'I Building Permit Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee STD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $126.87 $0.00 $88.81 $0.00 $0.00 $2.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Owner: VS C R E HOLDINGS LL C C/0 SENIOR CARE INC 9510 ORMSBY STATION RD #101 LOUISVILLE KY 40223 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES Total Fees: $218.78 Total Payments To Date: $88.81 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $218.78 $129.97 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 •i---nf···'-'-'-··-··'--·-· · -:·--~·~,,...T1f'r::: · · · -•--· ••'---•-••••-nf · · · ,__,. · · · , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «1ZI;-~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. CB I z, Est. Value D ov Plan Ck. Depos t Date &l W (, -z. SWPPP APN \ cs I? -DD # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE PATIOS (SF) DECKS (SF) FIREPLACE YES0,. No□ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE PHONE FAX EMAIL AIR CONDITIONING YES0No □ ZIP ZIP FIRE SPRINKLERS YES□No□ ARCH/DESIGNER NAME & ADDRESS STATE LIC.# STATE UC.# CL.ASS CITY BUS, 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 sli;!ned st~tement that he !s llcensed pursuant to the prov!s!ons of the Contra~or·~ Ucense ~aw fChapter 9, commending with Sectl~n 7000 of Division 3 of the Business and Professions Code} or fhat he 1s exempt therefrom, and the bas ls for the a!leged exemption. Any v1o!at1on of Section 7031.5 by any appllcant for a permit subjects the applicant to a c!vll penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaralfon: I hereby affirm under penally of perjury one of the following declarations: B 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 thls perm!t ls Issued, I have and will maintain workers' compensation, as required by SecUon 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance canier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ J!llj.section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certlfy that In the performance of the work for which this permit is issued, I shall not employ any person ln any manner so as to become subject to the Workers' CompensaUon Laws of California. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penall!es and clvll fines up to one hundred thousand dollars (&100,000), ln addiUon to the cost of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney's fees. 2f CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contrectol's License Lew for the fol/owing reason: □ □ □ 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). [, as owner of the property, em 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 projecls with contractor{s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construcUon of the proposed property Improvement. 0Yes 0No 2. I (have/ have not) signed an applicallon for a building permit for the proposed work 3. I have contracted with the fonowing person (firm) to provide the proposed construction Onclude name address/ phone/ contractors' license number): 4. 1 plan to provide portions of the work, but I have hired Iha following person to coordinate, supervise and provide the major work (indude name/ address/ phone I contractors' license number): 5. I wil provlde some· of the have contracted {hired) the foTiowtng persons to prol.-ide Iha work Indicated Ondude name / address I phone / type of work): l - DATE =J ~-~~~~-~-~..:_ _______________ ---~ ----------------------------- Is the applicant or future bulldlng occupant required to submit a business plan, acutely hazardous materlals registration form orr!sk mallagernenl and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subsla!IC8 Account Act? Yes No Is the applicant or future bulldlng 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. I certifythatl have read the application and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bullding consbuctlon. I hereby authorize representative 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 ANYWAY ACCRUE AGAJNST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pem,it Is required for excavations rNer 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official u e prov1s of thls Code shall expire by limitation and become nun and void if the building or work authorized by such pelTTlit is not commenced v.ithln 180 days from the date of such pennit or if the building or authorized by s pennit is suspended oc abandoned at any time after the wor1< Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). Ji$ APPLICANT'S SIGNATUR 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. CERTIFICATE OF OCCUPANCY (Commercial Projects 0 n I y I Fax (760) 602-8560, Email www.building@car1sbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS, LIC, No. DELIVERY OPTIONS PICKUP: CONTACT {Listed above) OCCUPANT (Listed above) CONTRACTOR {On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Usted above) OCCUPANT {Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE 1635 Faraday Ave., Carlsbad, CA 92008 CB121571 1096 LAGUNA DR LAS FLORES REPLACE EXISTING ATENNA WITH NEW ONE, LIKE ?1(20(12-TD '?f:i ~-&--,-{;.&i'z. f / /JI ( IJ.__ t»Tf J;_j ~ t~ f1. 2..7 I ;z... - f /2-7/11--- f?la,.o ~ rol~ e_,,[D-(~ t ~ --u:: fL,tv"6> :JiL '1b ~ (i'..JW\..-06r'L <,,/, /1::> {)e..fY\•• L,,IJ ,n+or~ p.eA Cl.ff> . Approved / ,, Date FIMIIIVp. BUIWING · • J .. --,. ,r I 2<1!, -z._.. PLANNING I ENGINEERING Vil,-, J 1-, ~ FIRE Expedte7 y N AFS Checked by: HazMat iltZ,'-///"'2__ APCD Health Forms/Fees Sent Rec'd Encina Fire HazHealthAPCD -3/v,l,z_ PE&M School Sewe< Stormwater Special Inspection CFD: y N LandUse: Density: lmpArea: ff Annex: PFF: y N Comnaents Date Date Date Building Planning ,g/-,,,1 I '2-- _, __ "r. I Engineeling Fire Neecl7 ~ ,.>c 7. SW □CV By ( 7Jn'/ II A- Due7 By y N y N y N y N y N y N y N y N Factor: Date □Done □Done □Done □Done □Done □ Issued