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Home My WebLink About2051 PALOMAR AIRPORT RD; 200; CB070060; Permit01-09-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB070060 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2051 PALOMAR AIRPORT RD CBAD St: 200 MISC Subtype: OTHER 2130503900 Lot#: 0 $0.00 MELLES GRIOT BUILDING DEMO 2ND FLOOR CEILING, NON BEARING PARTIONS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/09/2007 MDP 01/09/2007 01/09/2007 Applicant: GOOD & ROBERTS INC. 1090 JOSHUA WAY VISTA. CA 92083 619-598-7614 Owner: JCCE-PALOMAR LLC C/0 JAMES COXETER 23554 OLD 44 DR MILLVILLECA 96062 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT $60,00 $0,00 $0,00 TOTAL PERMIT FEES $60,00 Total Fees:$60.00 Total Payments To Date:$60,00 Balance Due:$0.00 inspector: r? F1 FINAL APPROVAL r O Date: (Clearance:. 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 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/exactbns 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 vou have Dreviousiv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bidg/Suite ') FOR OFFICE USE ONLY PLAN CHECK N0.('^7' EST. VAL. Plan Ck. Deposit Validated By Date Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work BSeilHWffe C/^C'CtC N so. FT.#of Stories # of Bedrooms # of Bathrooms ame I Jin t)/ (/a.-/) Address City State/Zip Telephone #Fax # {'^Trii c iv^ciWrS 7^c /i4iY\ Add LhsrA Telephone #State/ZipressName Address City State/Zip Telephone #Name ^^^^NtRA&TORf#COMPANWl!^ (Sec. 7031.5 Business and Professions Cods: Any City or County iwhich 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 that he is licensed pursuant to the provisions of the Contractor's License Lawr [Chapter 9, commending writh Section 7000 of Division 3 of the Business 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 a civil penalty of not more than five hundred dollars ($5001). City StBte/ap Tebpho'ne # City Business License # //S'). Pj J>* Name State License # Address License Class M- Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 performance of the work for which this permit is issued. ^ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company fjyd) Policy No. VO Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [«100I OR LESS) Q 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlavrful, and shall subject an employer to criminal penalties and dvll fines up to me hundred thousand dollars ($100,000). In addition to the cost of compensation, daiitages as provided for In Section 3706 of the Labor mde. Interest and attorney a fees./f/. A'/ ^ ' date //r/o)SIGNATURE, I hereby affirm that I am exempt from tl)dXontractor'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 doessuch work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement issoid 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).n I as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: TheSntractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensedpursuant to the Contractor's License Law). □ I am exempt under Section Business and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES DnO 2. 1 (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 number / contractors license number): 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 / phone4. Inumber / contractors license number):.6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hawrdoue materials regiatratlon form or risk manaBemont and preventionprogram under Sections 25506, 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 APPUCANT HAS MET OR IS MEETING THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^ ^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).LENDER'S NAME ^ ^ 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 allCity ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentionedproperty 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 A<3AINST 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 void If the building or workauUiorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is commenced for a peri^of 160 days (Section 106.4.4 Uniform Building Code). dateAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For: 06/11/2007 Permit# CB070060 Inspector Assignment: Title: MELLES GRIOT BUILDING Description: DEMO 2ND FLOOR CEILING, NON BEARING PARTIONS Type: MISC Sub Type: OTHER Phone: Job Address: 2051 PALOMAR AIRPORT RD Suite: 200 Lot 0 Location: Inspector; APPLICANT GOOD & ROBERTS INC. Owner: JCCE-PALOMAR LLC Remarks: TIM, CAN YOU FINAL? WORKING ON T.I. PERM Total Time: Requested By: CHRISTINE Entered By: CHISTINE CD Description Act ^Comment 19 Final Structural ACI Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments