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1818 ASTON AVE; ; CB162635; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/09/2017 Commercial Permit Permit No: CB162635 www.carlsbadca.gov Job Address:1818 Aston Av Permit Type:BLDG-Commercial Work Class:Tenant Improvement Status:Closed -Withdrawn Parcel No:2121200500 Lot #:Applied:07/08/2016 Valuation:$75,171.00 Reference #:Issued: Occupancy Group:Construction Type:Finaled:12/06/2016 # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:TI -INDUST COBRA: 1,642 SF TI TO BREAKRM Total Fees:Total Payments To Date:Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. itmuktool.-.TeX 1%4.Yka" wik\rwAlmn THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:PLANNING DENGINEERING D BUILDING DFIRE OHEALTH EJHAZMATIAPCD Building Permit ApplicationCity of 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.Cot (2„(p 3C Est. Value /Fir((1 I Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building©carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date qlg -//.‘SWPPP JOB ADDRESS SUITO/SPACEO/UNITO1818 Aston Avenue [ APN 212 120 05 - CT/PROJECT#LOT S PHASE ##OF UNITS #BEDROOMS S BATHROOMS TENANT BUSINESS NAM CONSTR.YPE OCC. GROUP 1 ,Cobra PUMA Golf 3B B-F1-h DESCRIPTION OF WORK:Include Square Feet of No*0) 1,642 s.f.interior tenant improvement of the existing break room including mechanical, plumbing and electrical and a 1,050 s.f. exterior dining patio modification in an existing 2-story concrete tilt-up building. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS B-Fl-S1 B-Fl-S1 1,050 YESE3rt No .r YES E3NO YESE3NOD APPUCANT NAME PROPERTY OWNER NAME Primary Contact Andrew Tarango The Blackmore Company ADDRESS ADDRESS 13280 Evening Creek Dr. #125 1811 Aston Avenue, Suite 120 CITY STATE ZIP CITY STATE ZIPSan Diego CA 92128 Carlsbad CA 92008 PHONE FAX PHONE FAX (858) 793-4777 (858) 793-4787 (760) 804-9600 n/a EMAIL EMAILandrewt@sca-sd.com colleen@blackmorecompany.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAMECheryl D. Smith ADDRESS ADDRESS13280 Evening Creek Dr. #125 CITY STATE ZIP CITY STATE ZIPSan Diego CA 92128 PHONE FAX PHONE FAX (858) 793-4777 (858) 793-4878 EMAIL EMAIL info@sca-sd.com STATE UC.#STATE UC.#CLASS CITY BUS. UC.# C11.701 (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to%%MA atter, Improve, demolish or repair any structure, wior to itsissuance_,also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provist of the Contractor's Ucense Law _pulpier 9,commerng with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workws' Compensation Declaration: I herebyOki)undergaudy of perjury one of the following dedwations: I have and will mehtain a certMcate ofconsent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for witch this permit is issued. I have and wB=Wall waters'compensation, as required by Section 3700 of the Labor Code. for the performance of the work for which this pemit is issued. My workers' compensation insurance carder and policy number are: insurance Co.Policy No.Expiration Date Usection need not be completed if the permit is for one hundred dollars ($100) or lees. Certificate of Exemption:Icertify 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 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 costofcompensation, damages as provided for in Section 3700 of the Labor cods, Interest and attorneysTh. coNTRACToR SIGNATURE DAGENT DATE OWNER -BUILDER DECLARATION Iherebyram;that I anexempt from Contractor's License Law for the following 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 bidsor 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 tilting or improvement is sold within one year of completion, the owner-builder veil have the burden of proving that he did not build or improve for the purpose of sale).0 1,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contradoes 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). 1 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 DYes EINo 2.1 (hem/have not) signed an application for a buildingwit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address /phone/contractors' license number): 4.I plan to provide portions of the work, but I have hied the following person to coordinate, supervise and provide the major work (kidude name/address/phone/contractors' license number): 5. I wE provide someofthe work, but Ihave contracted (hired) theblowing persons to provide the work indicated (include name/address/ phone/type of work): ..1i5PROPERTY OWNER SIGNATURE DAGENT DATE CONIPLETIFIRWISECTION RIR NON -RESIDENTIAL BUILDIVidefPERMITS OMIN Is the applicant or futtre bulking 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-Tamer Hazardous Substance Account Ad?Yes No Is the applicant or future building occupant required to obtain a permit*cm the air pollution control district or air quality management district?Yes No Isthe fad lity to be constructed Win 1,000 feetdaleouter boundary cia school site?Yes No F ANY OF THE ANSWERS ARE YES,A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICESMIDTHE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affum that there is a construdion lending agency for the performance of the work this permit is Issued (Sec. 3097 (I)CM Code). Lender's Name Lender's Address APFLIC4SIT CERTIFICATION I calf/thatI have reed the applcatIon And Watethetaabovebib:melonIs coned and thatthe kdomMon on the plans Is accurate. I*greet° comet/viaWI City ordinances and State WerekAngto buldng combustion. I herebyautocuerepresenadiveof Clly of Carlsbad ID enter upon the above mentioned property forhspectin imposes.IALSO AGREE TO SAVE, IINDEMNFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABLITES, JUDGMENTS, COSTSMD EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHAwiltle required Ix .-.over SO' deep and demolition or construction of strictures over 3AxlesInheight EXPIRATION: Everypermit.issued by ;.Oficial underIleprovisions ofthis Code shad Ore by kniblIon and become nul and void fele bidingorwak aullutzed by such pennit is not commenced within 180 days from the datecisuch .—.bulking or work -.i .—permit is suspended or abandoned at anytime after the work is commenced for apertd of 180 days (Section 106.4.4 UnifonnBAIN Code). JECAPPU uCANTSsou///,,I,I /lIAL.A DATE 6 30 .Iv.5 STOP, 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 buildingecarlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. COIL: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS.LTC.No. DEUVERY OPTIONS PICK UP:CONTACT wed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO:CONTACT (Listed above)OCCUPANT (Listed above)ASSOCIATED CBF CONTRACTOR (On Pg. 1)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE/NO CONSTRUCTION AKAPPUC.MWS SIGNATURE DATE