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HomeMy WebLinkAbout2051 PALOMAR AIRPORT RD; 250; CB111370; Permit' . • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-24-2011 Miscellaneous Permit Permit No: CB111370 Building Inspection Request Line (760) 602-2725 Job Address: 2051 PALOMAR AIRPORT RD CBAD St: 250 Permit Type: MISC Subtype: OTHER Status: Parcel No: 2130503900 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: PC#: Project Title: THQ-REMOVE 4 NON STRUCTRUAL PARTITION WALLS Applicant: GIOVANN NICOLET NICOLET CONSTRUCTION 311 SIMPLICITY 92620 916 257 2034 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES · Total Fees: $65.00 Owner: JCCE-PALOMAR L LC C/0 JAMES COXETER 23554 OLD 44 DR MILL VILLE CA 96062 Total Payments To Date: $65.00 Inspector: ~ FINAL APPROVAL Date: q/u(/; I Issued: Inspect Area: Balance Due: Clearance: ISSUED 06/24/2011 LMS 06/24/2011 06/24/2011 $65.00 $0.00 $0.00 $65.00 $0.00 NOTICE: Please take NOTICE that approval ot 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/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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. «1~ Building Permit Application Plan Check No. C!...f!> l l \~70 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ CI TY OF 760-602-2717 / 2718 I 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.c9rlsbadca.gov Date(.p ~/ l l JswPP JOB ADDRESS SUITE#/SPACE#/UNIT# APN :;i_o5 I d) ,__\ V m A-V"'" Au-10o r-+ R~ ~S-D --- CT/PROJECT # ILOT# lf'tiASE# I# OF UNITS I # BEDROOMS # BATHROOMS ITEN~U~ES~NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I D~o o.,...r.\,-\ \0uf\ l.AJA.. ll .5 \ °to~+ X q ' .,; • ft • " ' .,.. l -l..v"-l \ ---'r"TVl I fl I ' .,..., -,.. '"'"" -LJ -...__ ---rJ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1 DECKS (SF) 1 FIREPLACE rlR CONDITIONING I FIRE SPRINKLERS {) ..fi:i I" .P. ofti·, e.-YES D #_ NOD YES D NO O YES O NO 0 CONTACT NAME (If Different Fom Appl/cant) APPUC?!i NAME 4"1D\J11_.r,. "-u \C..O le...-t ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE lFAX EMAIL EMAIL PROPERTY OWNER NAME CONTRAgj.R BUS. NAME ' Jee£ I C.o l.4., °"t C o t'\5-\r-v(...'"\ \01"\ ADDRESS ADORE~ .3 \' g,~,pl~c ·,-¥( ClfY STATE ZIP CITY • STATE ZIP -:J;~\l\'\c C1' ea, ~ " -:2.. () PHONE r AX PHONE IFAX Glf l[p ?5"1 'J. o'l Lf EMAIL EMAIL -f,hco le. +co"s-t© L< .... ~.rv .<.o ,..,...._ ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ~ ~ll\'14~ icB I CITY BUS. UC.# (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 sil(ned statement that 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 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of peQury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for wOfl<er.;' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this perm it is issued. 0 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 won<er.;' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date ---------- section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify thal in the performance of the wori< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wori<ers' Compensation Laws of Cal~omia. WARNING: Failure to secure workers' c ation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in vided for In tion 3706 of e, interest and attorney's fees. I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the wori< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contraclor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wori< himse~ or through his own employees, provided that such improvements are nol intended or offered for sale. If, however, the building or improvement is sold within one year of complelion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O 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 lhe Contractor's License Law). 0 I am exempl 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. 0 Yes O No 2. I (have I have not) signed an application for a building permit for the proposed wori<. 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 wori<, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractor.;' 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 I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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? Cl Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school sije? Cl Yes Cl 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. I certify that I haYe read the application and state that the abolle infonnation is correct and that the infonnation on the plans is accura1e. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of 1he City of Ca~sbad lo enter upon the above mentioned property klr inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA penm~ is required for excavations over 5'0' deep and demolioon or construction of sbuctures over 3 stories in height. EXPIRATION: Every penmij issued by the Buiding Officia the provisons of this Code II expi'e by Imitation and become nul and voo l the buildi1g °' work authorized by such penrit is not commenced withil 180 days from the dail of such permforif the bui · · such pe · suspended 0<abandoned at any time after the work is commenced for a peood of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 09/23/2011 Permit# CB111370 Title: THQ-REMOVE 4 NON STRUCTRUAL Description: PARTITION WALLS Type: MISC Sub Type: OTHER Job Address: 2051 PALOMAR AIRPORT RD Suite: 250 Lot: O Location: APPLICANT GIOVANN NICOLET Owner: JCCE-PALOMAR L LC Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 9162572034 Inspector: L Requested By: NA Entered By: JANEAN 19 Final Structural AL~~~~~~~~- 29 Final Plumbing ~~~~~~~~~~~~~~~~~~~- Final Electrical +---39 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ~ ~ Ul fl) \) •Hi; ~ "'J) 5!! r> ri·· : I Hi •r: V i !II Eb llJ i £ m mmm .mmm ~~" *'!i mmm m mm m m~ t~I: '~· .. £ii r --.., ,,, t€i z Cl) ~ v o ~9' ii~ ::J \J ca :E -'O~ ll> ~"" = .,, ~ I '1J -, Cl) 3 ' ur n;· Cl) VJ iu en CI> m "'O ii ll> >< ; -, ::r 7' ll> C"' I -;::;: er :::, )> § QC> I! :E ll> i ::u ! i Cl) 3 5 ~ 0 < S a ll> ~ 0 -, " a:, -<