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Home My WebLink About1581 MARBRISA CIR; ; CB131032; Permit04-22-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No; CBI31032 Building Inspection Request Line (760) 602-2725 Job Acidress: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1581 MARBRISA CR CBAD MISC 2111310700 $0.00 Subtype: OTHER Lot #: 0 GRAND PACIFIC- TEMPORARY MODUL BUILDING FOR SALES EMPLOYEES-LOUNGE & ADMIN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/22/2013 RMA 04/22/2013 04/22/2013 Applicant: GRAND PACIFIC CARLSBAD L P ATTN: D PROULX 5900 PASTEUR CT #200 CARLSBAD CA 92008 760 827-4121 Owner: GRAND PACIFIC CARLSBAD L P 5900 PASTEUR CT #200 CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $65.00 $0.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00 inspector: FINAL APPROVAL Date: jZlilW? Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit 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 IVIanager 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 attacli, 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING IZIENGINEERING OBUILDING OFIRE OHEALTH OHA2MAT/APCD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Vaiue A Plan Ck. Peposit| I ^ APN ~ • SWPPP JOB ADDRESS 1581 MarBrisa Circle SUITE#/SPACE#/UNIT# 211 131 07 00 CT/PROJECT # CT 03-02 # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet ofAffecteil Area(s) Install 24' x 50" modular bullding — 'T;^ 7^ <£/UAAjLtA^ EXISTING USE lAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# Nd I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YESQ N0| I APPLICANTNAME (Primary Contact) GrandPacificCar(sbad -D Proulx APPLICANTNAME (Secondary Contact) ADDRESS 5900 Pasteur Court Ste. 200 ADDRESS CITY Carisbad STATE CA ZIP 92008 CITY STATE ZIP PHONE 760-827-4121 FAX FAX EMAIL dproulx@gpresorts.com PROPERTY OWNER NAME Grand Pacific Carlsbad L.P. CONTRACTOR BUS. NAME same as applicant/owner ADDRESS 5900 Pasteur Court Ste. 200 ADDRESS CITY Carlsbad STATE CA 92008 CITY STATE ZIP PHONE 760-431-8500 FAX PHONE EMAIL dproulx@gpresorts.com EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS. UC.# (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 Lav» (Chapter 9, commending vi/ith Section 7000 of Division 3 ofthe Business and ProfessionsCode) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicantfor a permit subjects the applicant to a civil penally of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / Iiereby affimi under penalty ot peijuiy one of the following declarations: HI have and will maintain a certificate of consent to self-insure fbr workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. My workers' compensation insurance earner and policy number are; Insurance Co. . Policy No. Expiration Date asection need not be completed if the pemiit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the perfomiance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Faiiure to secure workers' compensation coverage is unlawful, and shaii subject an empioyer to criminal penalties and civii fines up to one hundred thousand dollais (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE O W N E R - B U I L D E R DECLARATION / lieieby affinn that I am exempt from Contractor's License Law for the foiiowing reason: I I I, as ovmer of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code; The Contractof s • License Law does not apply to an owner of pioperty 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). I, as ovmer of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professbns Code; The Ckintractor'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 Prafessions Code for this reason; 1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvemenl QYes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed worii. 3.1 have contracted with the following peison (fimi) 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, supervise and provide the major work (include name / address / phone / contractors' license number); 5.1 will provide some of the wori<, but i have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of wori(); ^PROPERTY OWNER SIGNATURE •AGENT DATE ^>2l /-3 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 Hazaidous Substance Account Act? Yes / No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes / No Is the fecility to be constmcted 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 APPUCANT 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 perfonnance of the mi\ this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name IMA Lender's Address 1 ceitl^ that I have lead the appiicatkin and state that the above infomiation is conect and that the lnfbm»tk)n on the pl^^ I hereby auihorize nepresentative of the Cily of Carisbad to enter upon the above menttoned property fbr inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITi' IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pennit is required fbr excavations over 5'0' deep and demolition or constmction of structures over 3 stories in height EXPIRATION: Evety pemiit issued by the Buikiing Oflicial under the provisions of Ihis Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced wilhin 180 days from the date of such peimit or if the building or woric aulhorized b^such peimit is suspended or abandoned at any time after the wortt is commenced foraperiodof180days (Section 106.4.4 Unifbrm BuiWing Code). VCAPPLICANT'SSIGNATURE |\ Xl^l^yV/-T\/\7 ' . 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 buildina(8)carlsbadca.aov or Mail the completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS cmr STATE ZIP CiTY STATE ZiP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LiC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL/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 ves"APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB131032 Type: MISC OTHER GRAND PACIFIC-TEMPORARY MODUL BUILDING FOR SALES EMPLOYEES-LOU Date Inspection Item Inspector Act Comments 07/22/2013 89 Final Combo PD AP 07/19/2013 89 Final Combo PD CO Wednesday, September 04, 2013 Page 1 of 1