HomeMy WebLinkAbout2292 Faraday Ave; ; CBC2017-0030; PermitPrint Date: 04/18/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2292 Faraday Ave
BLDG-Commercial
2120614400
$1,200.00
WORKSPACE
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial Permit
www.carlsbadca.gov
Work Class: Sign
Lot#:
Reference#: DEV2017-0013
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: WORKSPACE: INSTALL 15.3 SF EXTERIOR OVERHEAD SIGN NON ILLUM
BUILDING PERMIT FEE VALUATION 500-2k
BUILDING PLAN CHECK FEE (BLDG)
SB1473 BUILDING STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $99.23
Owner:
SHENCO LLC
Po Box 7224 C/0 Scot Cheatham
RANCHO SANTA FE, CA 92067
Total Payments To Date: $99.23
Status:
Applied:
Issued:
Finaled:
Inspector:
Co-Applicant:
THE HAVENS COMPANY
CARRIE HAVENS
2875 Scott St
VISTA, CA 92081-8559
760-473-9879
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.
Permit No: CBC2017-0030
Closed -Finaled
01/19/2017
01/19/2017
$0.00
$57.49
$40.24
$1.00
$0.50
t THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING D BUILDING D FIRE D HEALTH
Plan Check No.(
Est. Value
Plan Ck. Deposit
C_cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Date SWPPP
CT/PR JECT #
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME worts Primary Contact
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DESIGN PROFESSIONA
ADDRESS
SUITE•/SPACE•/UNITI APN'2--t ?.-
# BATHR MS TENANT BUSINESS NAME
DECKS (SF)
PROPERTY OWNER
ADDRESS
CITY
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
00 I -44 -bO
CONSTR. TYPE 0C . R UP
AJR CONDITIONING
YES 0 No0
FIRE SPRINKLERS
YESO NoD
CITY STATE ZIP CITY STATE ZIP CA--wg J
PHONE FAX PHONE
EMAIL EMAIL
STATE UC.# CLASS -10112.. ,~ D4 ITV BUS. UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ 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 Law !Chapter 9, 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 Declaration: I hereby affirm under penalty of perjury one of the following cleclarations:
DI have and will maintain a certificate of consent to self-Insure for wor1<els' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the WOii< for which this permit is issued.
~ave and will maintain wor1<ers' compensation, as reQUired by Section 37(lp:f lhe Labor Code, for the performance of the worl< for v.tiich this permit is issued. My wol1<ers' compensation insurance carrier and policy
number are: Insurance Co. :::Tbt . itU.A ~ ~ Policy No. Expiration Date----------
J:l)§, section need not be completed tt the permit is for one hundred dolla,s & or less. LJ Certificate of Exemption: I certify that in the performance of the work for v.tiich this permit is issued, I shall not employ any person in any manner so as to become subject to the Wol1<ers' Compensation Laws of
Calttomia. WARNING: Failure to secure wor1<ers' 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.
_NS 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 wol1< and the slructure is not Intended or offerad 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 himsett or through his own employees, provided lhal such improvements are nol 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 conlra:ts for such projects with contractOl(s) licensed pursuant lo the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide lhe major labor and malenals for construction of the proposed property Improvement 0 Yes 0 No
2. I {have I have not) signed an application for a building permit for the proposed wol1<.
3. I have contracted with the following person {firm) lo provide the proposed construction {indude name address I phone I contractors' license number}:
4. I plan to provide portions of the wol1<, 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 wol1<, bul I have contracted {hired) the following persons to provide the work Indicated {include name I address I phone I type of wol1<):
_NS PROPERTY OWNER SIGNATURE 0 AGENT 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 Act? a Yes a No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes a No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a 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 have read the application and state that the above lnfonnation Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulholi2e reiresentaliveof the Cityof Cansboo k>enteru!X)ll the above menooned poperty tJr inspecm ~rposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARI..SIW)
AG>\INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN mi WAY ACCRUE AG>\INST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permij is requied tir excavations over 5'0' deep and demolitoo or roistrudion of slJUCtl.Jres over 3 stolies i1 height.
EXP1RA TION: Every permtt issued by the 0.Jilding Olfcial under the ~ of this Code shall expire by linttation and oorome nul and yCJij W the txJik!ilg or YoOlk authorized by such permit is not~ Yt11hi1
100days tom the date of such permttor ijthe butlilgor\'oOlk authorized by such permtt is suspendoo orabanooned at any tine afllrthe YoOlk is~ tJr a perod of 100days (Sediln 100.4.4 UoitJrm 0.Jikfrlg Code).
A5 APPLICANT'S SIGNATURE C1iuw ~C,Vl(L) DATE ~ ' J~ I I "f-'
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C E fl T I r I C A T E 0 f occurArJCY 1comm1.:rc,.il f' r o J c c t '• 0 111) I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELMRY OPTIONS
a PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB# D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION
a MAIL/ FAX TO OTHER:
o CHANGE OF USE / NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
Work Sign
Closed -Finaled
Actual Scheduled
Date Start Date Inspection Type Inspection No.
04/18/2017 04/18/2017
April 18, 2017
BLDG-Final
Inspection
020341-2017
BLDG-Structural Final
01/19/2017
07/18/2017
1513
Inspection Status Primary Inspector
Passed Andy Krogh
2292 Faraday Ave
Carlsbad, CA 92008-7238
Reinspection
Yes
Complete
Complete
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