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Home My WebLink About1947 Camino Vida Roble; ; PC2020-0002; PermitBuilding Permit Finaled Plan Check Permit Print Date: 06/25/2020 Job Address: 1947 Camino Vida Roble Permit Type: BLDG-Plan Check Work Class: Commercial Parcel No: 2120921700 Lot#: Valuation: $ 0.00 Reference #: Occupancy Group: Construction Type # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: (City of Carlsbad Permit No: PC2020-0002 Status: Applied: Closed -Finaled 01/15/2020 Issued: 01/15/2020 PermitFinal 0611612020 Close Out: Inspector: Final Inspection: Description: SUNWOOD PACIFIC RIDGE: ADDITION OF SUBPANELS IN (4) TENANT SPACES FEE Total Fees: Buildin Division Owner: SUNWOOD VENTURES DONALD L KNOX 9820 Willow Creek Rd SAN DIEGO, CA 92131°1112 619-573-1801 Total Payments To Date : Contractor: PRIME ELECTRICAL SERVICES INC 480 Enterprise St SAN MARCOS, CA 92078-4363 760-471-6634 Balance Due: AMOUNT 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 Ccicyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Pc;zoa-o~ (X;{.)d Est. Value PC Deposit --------- Date _,__J_-_..!""S-_--=:;i_.e;__..'--_ Job Addressl'l'::\l~ .J]l')A; ia6,.t 9l.00£'> Sulte: ___ APN: Z..~ 2-· O't 2. • l '1.-00 Tenant Name:S,.lhk•'ffl> \ltNrvlt!rfu CT/Project#: Lot#:. ___ _ Occupancr---fb.lANC9fAA f , Construction Type: 'I\ Fire Sprinklers: yes@ Air Conditioning: yes fti!9) BRIEF DESCRIPTION OF WORK: fl?tltl'tQ/0 of: Si,)('IPWg s, ,~ ":!J1:NANzr:SP~ (~oo I ,21 {) I ;ld-01 o7IS: D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) D Tenant Improvement: _____ SF, _____ SF, EKisting Use ______ Proposed Use ______ _ EKisting Use Proposed Use ______ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No ~mbing/Mechanical/Electrlcal Only: _________________________ _ D Other: ------------------------------------- APPLICANT (PRIMARY) PROPERTY OWNER ::::~!'!tr: :::t;~ u,le..:;:::s;;;:~=tffkqo,+ flb •A City~ 0'\4:91£'") State~ Zip: ll\,U)'t,e City: ~ State:C,A Zip: C\ 1-l~ t Pho~e::<°:°:::1:-Ll.k~ _ Pho~e: lo,t9, · 'o "l'3-I -loo 3 Ema,l:~!.¢~~.i_ ~~-r-l4.-rEma,1: __________________ _ DESIGN PROFESSIONAL Name: gp Cg.+<li:)1...,""t1,~ Address: lt;) 4::\4: f\Q,:M:U ub:f .Q e,_ Clty:fl!~c~ State:(.A Zip:q '2-O 2.0 Phone: hl'3,. ~?>""\:·{£02.C Email:--------,...-...,.....,....,...,------ Architect State License: _E.,_~ 9._~_4-'------- CONTRACTOR BUSINESS ("L Name: ftUri,, i:,.l/d2,~ ':-# R •ll<:Ji:.ll, -Address: ':f 'i\O t,..g'i;;JU7t<:. \$•6;.. tt.._ atvSe:· ► IY\~P:r oS. Statelts z1;,Ai0-,.?> 't Phone· :1~· .:1:1·~ Email: 0tti;;.;.;; Ad,) ea-;;.;; '4~CM-.r-4~ State Ucense:Sle l\~ ~ Bus. License:. _____ _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anv structure, prior to its issuance, also requires the applicant for such permit to file a sisned statement that he/she 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/she is exempt therefrom, and the basis for the alleif'd exemption. Any violation of Section 7031.S by anv applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 8-2 Ph: 760-602-2719 FaK: 760-602-8558 Page 1 of2 Email: Building@carlsbadca.gov Rev. 06/18 ' ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hP(1Plfy affirm under penalty of perjury~ of the following declarations: Q ,.._&and will maintain a certificate of consent to seff•insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. ~e and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for My wortersi_@p.'!!,~°" l~rance ca'r{;g policy number are: lnsurancef."Tpany Name: J,~tf'.l!;~~)._ ______________ _ Polley No. r ~~ 7',~IJj _Expiration Date: \Z(l.4 %<)2,.0 □ Certificate of Exemption: I certify 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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: _________________ LJAGENT DATE: _____ _ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt 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 builds or improves thereon, and who does such work himself or through his own employees, provfded that such improvements are not intended or offered for sale. If, however, the building or improvement Js sold within one year of completlon, 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. □ Yes □ No 2. I (have/ have not) signed an application for a building permit 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 hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone / 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/ address/ phone/ type of work): OWNER SIGNATURE: UAGENT DATE: _____ _ --------------------- CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i} Civil Code). Lender's Name: ____________________ _ Lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING 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 applJcant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes a 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 MAV 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. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State 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 SAVE, INDEMNIFY ANO KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit Is required for e)(cavations over S'O' 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 e)(pire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 180 e date of such permit or if the building or work authorized by such pennit is suspended or abandoned at anytime after the work is commenced for a period of Buildlng Code). APPLICANT SIGNATURE, ..._-!!~-.£_-------------DATE: , l\s(2-o"2-c> 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18