HomeMy WebLinkAbout1610 FARADAY AVE; ; CB090088; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-23-2009 Commercial/Industrial Permit Permit No: CB090088
Building Inspection Request Line (760) 602-2725
Job Address: 1610 FARADAY AV CBAD
Permit Type: Tl Sub Type: INDUST
Parcel No: 2121304300 Lot#: 0 Status:
Valuation: $10,000.00 Construction Type: NEW Applied:
Occupancy Group: H-3 Reference #: Entered By:
Project Title: LIFE TECHNOLOGIES: 130SF FOUND Plan Approved:
ATION W/PREFAB BUILDING FOR HAZ. MAT. Issued:
Applicant:
NORTHPAW, INC.
P.O.BOX 910023
SAN DIEGO
CA 92191
858-793-9200
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #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 (SB1473fFee ..
Total Fees: $232.49
Inspector:
Inspect Area:
Plan Check#:
Own~r: ··. •· .·
" :BL..iGKMOJ~~ LOT 99 INVESTMENT
. p .QiB.QX 1810 . ·. >
R.AN0HO-$ANTA FE CA 92067\ ' "' ,<'{, ;'' ' , ,,,' '
$117.81
$0.00
$76.58
$0.00
$0.00
$2.10
.. $0.00
$0.00
$0.0Q
$0:00
$0,00
. $0;00
.$0.00
.$0:00
$0.00
$0.00
$0.00'
$1.00
Meter Size
Add'I Reel. Water Con.
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF (3105q40)·
· PFf (4305540)
Ljc~nse Tax (3104193)
license Tax (4304193)
-Vr;affic Impact Fee (3105541}
Traffic Impact FJ~e (4305541}
fi?LUMSING TOTAL l .
ELECTRI.GAL TOtt,%
MECHANICAl TOTAL
·Master Drainage Fee
Sewer Fee .
R~aev Parking Fee
Aaaitional Fees
HMPFee
T6TAL PERMITFEES
ISSUED
01/16/2009
JMA
10/23/2009
10/23/2009
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
$0.00
$0.00
$0.00
$0.00
??
$232.49
$0.00
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 66020i(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030.1 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. I
You are hereby FURTHER NOTIFIED that your)right to protest the specifiid fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application proces ing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exacti ns of which ou have reviousl b en iven a NOTICE simil rt thi or as to which the statute of limitations has reviousl otherwise ex ired.
Cit~ of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS /~ID ~
LOT# # OF UNITS # BEDROOMS
Plan Check No. C
Est. Value
Plan Ck. Deposit
Date l
SUITE#/SPACE#/UNIT#
#BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CT /PROJECT #
--1----~rt. Te d}r::i.blo~,u. v-e:, --DESCRIPnON OF WORK: Include Square Feet of Affected Area(s) j •
Co~11!,0C110~ ()r /i:;Ol-l~70M Po//! 71lt:-f7lee. -~ ~ D ~{)t)!!:,
~AL-..i()Ju:;:J~~. kscuHEp ~~4 ,t,wnlb~.
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
/<If
APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ADDRESS
CITY
PHONE /l.P • &::,i Cjl,oo FAX
EMAIL
STATE UC.# STATE LIC.#
t; .. 1
(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 re~ulres the applicant for such permit to file a signed statement tliat 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 exemP.t 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)). i
WORl<ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the folto'4ng declarations:
0 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 perfonnance of the work for which this pennit is issued. B I have and will maintain workers' compensation, as ~~i~ r?~~ion 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance ca~r and policy
numberare:lnsuranceCo &,C)kQ.. CoYY\vl""P-"' ,on \n~UfOn~ P~licyNo. :,13-co:2.gy,o ExpirationDate ::J • \· O::J.
IJ;!i§, section need not be completed if the permit is for one hundred dollars ($100) or less. I Pu h d LJ Certificate of Exemption: I certify that in the perfonnance 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
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
HS CONTRACTOR SIGNATURE ---I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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).
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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (Include name address I phone I 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 (indude name I address I phone I 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 I address I phone I type of work):
HS PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to subm~siness.Jl!wl, 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? l2SI Yes LJNo ..,,i,
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a;ality management district? 0Yes ll!iJ No
Is the facility to be constructed within 1,000 feet of the ouler boundary of a school site? 0Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS 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 statethattheabove Information Is conectand that the information on the plans is aa:urate. I agree to comply with all City onlinances and Stale laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, 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 wid if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or work uthorized by such permit is suspended or abandoned at any time alter the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) .
..@S' APPLICANT'S SIGNATURE ""\ DATE oCJ