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Home My WebLink About2200 Faraday Ave; 250; CBC2017-0515; PermitCommercial Permit Print Date: 02/14/2019 Job Address: ('city of Carlsbad Permit No: CBC2017-0515 Permit Type: 2200 Faraday Ave, 250 BLDG-Commercial 2121206000 $5,500.00 Work Class: Tenant Improvement Status: Closed -Expired 09/29/2017 Parcel No: Lot#: Valuation: Reference#: Occupancy Group: Construction Type # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Project Title: Description: Applicant: Brooke Calders 8614 Siesta Rd Plan Check#: RU BIOS: INSTALL GREASE TRAP FOR TEST KITCHEN Owner: CARLSBAD 2200 LLC Santee, CA 92071-4537 858-454-7326 8100 Maplewood Ave E, 220 GREEN VILLAGE, CO 80111 760-602-3618 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MANUAL BUILDING PLAN CHECK FEE MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $ 274.52 Total Payments To Date : $ 55.64 Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: CGP MAINTENANCE AND CONSTRUCTION SERVICES INC 8614 Siesta Rd Santee, CA 92071-4537 858-454-7326 Balance Due: AMOUNT $79.48 $55.64 $41.00 $56.86 $39.00 $1.00 $1.54 $218.88 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. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE 0HAZMATIAPCD Est. Value Ccityof Carlsbad Building Permit Application 1635 Faraday Ave .. Cartsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit Date SWPPP SUITEt/SPACEt/UNnf -ZSb PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP R. .... b :cs DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) pnl.'k s,~Jt EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECK (SF) AIR CONDITIONING FIREPtACE YES0, Nc0 YES □No□ FIRE SPRINKLERS YES□No□ APPLICANT NAME PROPERTY OWNER NAME CITY PHONE EMAIL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such perm rt to file a signed statement that he is hcensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commendmg with Section 7000 of Division 3 of the Business and Professions Code} or £hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). f)!fM1RKERS' COMPENSATIOI\I • , _ ·_l Workers' Compensation Declaration: I hef9by affirm under penalty of perjuf'/ one of the following declarations: ~ 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 worll for which this permit is issued. 0 I have and will maintain workers' compensation, as reQulred by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' 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. LJ Certificate of Exemption: t certify that in the performance of the work for 'M'lich this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers· Compensation Laws of California. WARNING: Failure to secure workera' 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. 25 CONTRACTOR SIGNATURE ~ C-------- I hereby affirm that I am exempt from Contractor's Ucansa Law for Iha 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, provided that such improvements are not intended or offered for sale. If. however, the building or improvement ls sold within one year of completion, the owner-builder will have \he burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting w~h licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appt)' b an owner of property who builds or improves thereon, and contracts for such projec15 with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Secttofl _____ 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. OYes Oo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. 1 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 I address I 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 I type of work): 2$ PROPERTY OWNER SIGNATURE □AGENT DATE 'COMPLETE THIS SECTION FOR NON•RESIPENTIAL BUILPING PERMITS ONLY , --' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management ar.d prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No ls 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 feel of the outer boundary of a school site? Yes No lF 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. CONSTRUCTION LENPING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) CIVIi Code) Lender's Name Lender's Address I certify that 1 have read the application and state that the above Information ls correct and that the lnfonnation on the plans is accurate. I agree to comply~ all City ordinances and State laws relating to buMding construction. ! hereby authorize representative of the City of Cadsbad to enter upon the above mentioned ~pelfy for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA AA OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures O'l8f 3 stories in height. EXPIRATION: Eveiy pem1it issued by the Buikling Official under the pl'0',15\ons of this Code shall expire by ~mitation and become nul and void W the buildW"lg or work authorized by such permit is not commenced within 180 days from the date of such permit or Wthe building or work authorized by such permit is suspended or abandoned at any time after the WOO. is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE v DATE I? • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR {On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ IS APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP