HomeMy WebLinkAbout1991 Palomar Airport Rd; ; CBC2018-0268; Permit{city of
Carlsbad
Commercial Permit
Print Date: 08/02/2018 Permit No: CBC2018-0268
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1991 Palomar Airport Rd
BLDG-Commercial
2130921700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Description: ARCO AMPM: RUN ELECTRICAL TO OELI CASE FRI OGE AND 2 CIRCUITS THROUGH T-BAR CEILING
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
PALOMAR AIRPORT PARTNERS LLC
3278 Vista Matamo
EL CAJON, CA 92019
Total Payments To Date: $170.00
Contractor:
DONCO AND SONS INC
4582 E Eisenhower Cir
Anaheim, CA 92807-1824
714-254-0099
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.
Closed -Finaled
05/18/2018
05/18/2018
8/2/2018 2:06:28PM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ' PLANNING ' ENGINEERING ! .BUILDING 'FIRE ;HEALTH ___ HAZMAT/APCD
j/"" • Building Permit Application Plan Check No._.C~~ (_ C1tyof 1635 Faraday Ave., Cartsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax:760-602-8558 Plan Ck. Deposit Carlsbad email: building@cartsbadca.gov 7f ~ -----~-·--· www.carlsbadca.gov Date "'I /1 'x
JOB ADDRESS SUITEI/SPACEI/UNIT# 1APN 1991 Palomar Airport Rd. -- -
CT/PROJECT# =ron;-·· !PHASE# ]#OF UNITS # BEDROOMS---· • BATHROOMS [NANT BUSIN~~: am pm JONSTRWP=rcc. GROUPl
1------··--·-·-·----DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) --·-·---·--------·
Run new circuit for deli fridge
Run new circuit for (2) new outlets for coffee machines
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS
YESD N00 YES0No0 YES0N00
APPLICANT NAME Eddie Vidales PROPERTY OWNER NAME Arco Service Station .._!!!...."!~X...._Contact
ADDRESS ·-·-·------ADDRESS .. -·------
4582 E. Eisenhower Circle 1991 Palomar Airport Rd. --·-·------·---··--·-·-·--····--·--~ CITY STATE I-------·-----------------ZIP CITY STATE ZIP Anaheim CA 92807 Carlsbad CA 92011 -·-------'------·~---~ I------·-·-·· rAX·~=:===~~:~~~~:~:--·---PHONE FAX PHONE ~ ____ 714-488-3971____ . 714-779-0198 (760) 929-9344 -··--··---,!-----·-·--· EMAIL EMAIL evidales@ldonco.com
DESIQN PROFESStoNAL CONTRACTOR BUS, NAME Donco & Sons Inc. '-----------------·-···--·-ADDRESS ADDRESS
4582 E. Eisenhower Circle ----··-··----"STATE ZIP --CITY --------. .-.-.... CITY STATE zip-·-
'-· Anaheim CA 92807
·-···-··-] FAX -~~-· ·-·-··---------------·-·-·-·-· ·--·-· --PHONE PHONE
714-779-0099 714-779-0198 -----·----·--'"--·-· EMAIL
r~-·-·--·---··--·--·---·-EMAIL
~---·-··· service(@.donco.com ·----·-·--···---·TsTATE uc. # ----·--··--SlATEUC.# -------1CLASSC10-ICITYBUSU'b'."~1;~-i--435616
(Sec. 7031.5 Business and Professions Code: Any City or C~un_ty which requires a permit to.c_onstruct, alter, improve, demolish or re air an structure, P:rlor t9 its iSSL:Jance, alsolrebuires the applicant for such permit to file a signed statement tliat he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law rc~aptert, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat 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 a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations:
D I have and will maintain a certlficata of consent lo self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the woril for which this permit is issued. ~ I have and will maintain workers' compensation. as reQuired bv Section 3700 of the Labor Code, for the perfonnance of the woril for which this permit is issued. My worilers· compensation insurance carrier and policy
number are: Insurance Co State Fund Policy No. 9113884-17 Expiration Date 10-1-18
This section need not be completed if the permit Is for one hundred dollars ($100) or less. 0 Cert+flcate of Exemption: I certify that in the performance of the WOfk for whk:h this permit is issu , I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Cal~ornia. WARNING: Failure to secure workers' co on cov e Is unlawful, and s I subject an employer to criminal penalties and civil fines up to one hundred ousand dollars (&100,000), In
addition to the coat of compensation, damages for In S tlon 3706 of the Labor. de, Interest and attomey's fees.
L CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License 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 1he 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 ap~y to an owner of
property who builds or improves thereon, and contracts for such projects with contracto~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 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed woril.
3. I have contracted with the foHowing 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 r have hired the following person to coordinate, supervise and provide the major woril (include name I address I phone I contractors' license number):
5. I wil provide some of the woril, but I have contracted {hired) the following persons to provide the work indicated {include name I address I phone I type of work):
L PROPERTY OWNER SIGNATURE 0AGENT DATE
•
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 Acf? Cl Yes Cl No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? c:J Yes Cl No
Is the facility to be constructed within 1,000 feet of the outer boundary of a schod site? Cl Yes Cl No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCC\JPANCY 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.
I certify that I have read the application and state that the above Jnfom,atlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to complywilh all City ordinances and state laws relating to buUdlng construction.
I hen,by au~on2ll represenlative of ~e Clly a C.rlsbad lo en\arupon ~e above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL L~ILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: Ari OSHA permit is required for excavations over 5'0' deep and dermlllion r nstruclion of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building nderthe provlslons of th e shall expire by Hmitation and become null and void W the building or work aulhorized by such permit is not commenced vmhin
180 days from the date of such pennlt or if I l)'WOrk a eel by such nnlt is suspended or abandoned at any time after the work is commerud for a period of 80 days Section 106.4.4 Uniform Building Code).
DATE
PERMIT INSPECTION HISTORY REPORT (CBC2018-0268)
Pennit Type: BLDG-Commercial Application Date: 05/18/2018 Owner: PALOMAR AIRPORT PARTNERS
LLC
Work Class: P/M/E Issue Date: 05/18/2018 Subdivision: CARLSBAD TCT#73-49
Status: Closed -Finaled Expiration Date: 01/29/2019 Address: 1991 Palomar Airport Rd
Carlsbad, CA 92011-1305
IVR Number: 11440
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
08/02/2018 08/02/2018 BLDG-34 Rough 065803-2018 Passed Andy Krogh Complete
Electrical
BLDG-Final 065804-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
August 02, 2018 Page 1 of 1