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Home My WebLink About1991 Palomar Airport Rd; ; CBC2018-0228; PermitCommercial Permit Print Date: 11/05/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: 1991 Palomar Airport Rd BLDG-Commercial 2130921700 $20,000.00 Work Class: Tenant Improvement Lot#: Reference #: Construction Type Bathrooms: Bedrooms: Orig. Plan Check #: Plan Check#: Project Title: Description: AMPM: INSTALL NEW 500 GAL LPG PROPANE TANK Applicant: Owner: MAKENNA MILLER PALOMAR AIRPORT PARTNERS LLC FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 3278 Vista Matamo EL CAJON, CA 92019 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE Aboveground Storage Tanks (First tank) MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,154.82 Total Payments To Date: $142.56 CCityof Carlsbad Permit No: CBC2018-0228 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Closed -Expired 04/25/2018 AMOUNT $203.66 $142.56 $41.00 $722.00 $39.00 $1.00 $5.60 Balance Due: $1,012.26 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 explred. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov · Ccityof Carlsbad JOB ADDRESS CT/PROJECT II - Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 780-802-27:19 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date II OF UN ITS II BEDROOMS II BATHROOMS TENANT BUSINESS NAME I X. \\ ,. -~ "1 L-J7,JJ l,<:D -D:J OCC.GROUP PATIOS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ YES □ NOD YES □ NO □ l,L,c \'0(};~\Y'X) CITY ZIP CITY STAtl'\ ZIP qzo~q FAX PHONE FAX EMAIL ~ xY\a.,\ ,C.orn EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.# STATE LIC.11 CLASS CITY BUS. LIC.11 (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 ttiat 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 tl1at he is exemi;it therefrom. and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afflrm under penally of perjury one or the following declarations: D I have and will maintain a cenificate 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 this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of lhe Labor Code, for the perfonnance of the work for which this permit is issued. My workers· compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ _ Expiration Date _________ _ This section need not be completed if the pennit is for one hundred dollars ($100) or less, □ Cenificate 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 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. _g CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION ! hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the wor11 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 Conlractor's License Law]. □ I am exempt under SecLion _____ Business and Professions Code for this reason: 1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement □ Yes □ No 2. I !have I 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 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 (include 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 lo provide the work indicated {include name I address I phone I f1pe of work) ,/l$ PROPERTY OWNER SIGNATURE □AGENT DATE , < ~· -' " ' " lt O M P L E T E T H I S S E C T I O N F O R N O N •.R E S I D £ N T I A L B U I L D I N G P E R M I T S O N LY 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 applicant or future building 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. CO NS T RUC TI O N LE N D I NG A<G E N CY 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 APPLICANT CERTIFICATION I certify that I have read the application and state that the abotA3 Information Is oonect and that the information on the plans Is accuralll. I agree to comply with al I City ordinances and State la~ relating ID build Ing 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 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 pennlt is requred for excavations over 5"0' deep and demolition or construction of sbuclures r:JJer 3 stories in hei;Jht. EXPIRATION: Every pennit issued by the Building Official under the pJ"OIJislons of this Code shall expre by limitaion and become null and void if the building or work authOlized by such pennlt is not commenced v.tthin 180 days from the date of sum permit or if the building or work auth · ed by such pennit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Unifolm Building Code). _M5 APPLICANT'S SIGNATURE DATE