HomeMy WebLinkAbout2310 FARADAY AVE; MULTI-PERMIT FILE; CB060693; PermitCity of Carlsbad
~ ~--.. 1635 Faraday Av Carlsbad, CA 92008
03-14-2006 Miscellaneous Permit Permit No: CBO6O693
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2310 FARADAY AV CBAD
MISC Subtype: OTHER Status:
Parcel No: 2120613000 Lot#: 0 Applied:
Valuation: $0.00 Entered By:
Reference #: Plan Approved:
Issued:
Project Title: ANGEL CARE-DEMO NON-BEARING
WALLS & SAFE-OFF ELECTRIC
Inspect Area:
Applicant:
ROSEEN BUILDERS INC
23011 MOULTON PKWY 92653
949-716-7900
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$60.00
·//_/
PERMIT FEE
Owner:
C V S INVESTMENTS L L C
C/O TIMOTHY CONCANNON
100 N RANCHO SANTA FE RD #133
SAN MARCOS CA 92069
Total Payments To Date: $60.00 Balance Due:
~:~~~f~tL Clearance: '
ISSUED
03/14/2006
RMA
03/14/2006
03/14/2006
$60.00
$0.00
$0.00
$60.00
$0.00
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/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 ta this or as to which the statute of limitations has oreviouslv otherwise exoired.
PERMIT APPLICATION
CITY. OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
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FOR OFFICE USE C~L Y . .
PLAN cHECK No. Q3t2,o 6V
EST. VAL. _________ _
Plan Ck. Deposit .
Validated By ~ • tU=
bate "'/ /Ll/ (bl,'
<v 7
Address (include Bldg/Suite Business Name {at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
i):at-\oLm ~,µ ,)~
!fisting Use ~~r WA~~ \\,o:o
Proposed Use
Description of Work SQ. FT. . #of Stories # of Bedrooms # of Bathrooms
Name Address City S.tate/Zip Telephone#
~~qqr,a:r;13~pf0,5'JQ.PIYI.P/:\~Y~4ffi.W,.T·:·-~:
{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 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 that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subject~,Jh-e applicant to a civil p n!l}ty of not more than five hundred dollars [$500]).
· . ~-IV~~ 1,; ::)\.l N.ovi..:r~ \>) '!/" 1-A-A-\ll U\ C/_'fr-h -/,JO
Naine
State License # _YJ.fl--l./...,,J,_'f.__.J'-1_,__ __
Address
License Class _ _.[)_, ______ _
Designer Name Address City State/Zip Telephone
State License# _________ _
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 lhis permit 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 worker's compensation insurance carrier and policy number are:
Insurance Company_____________________ Policy No.____________ Expiration Date. _______ _
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
(j:8::_cERTIFICATE OF E PTION: 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 orkers' Compensation Laws of California.
WARNING: Failure to ure w rkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
Q ddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
~'i'Jii<':'fi!i?W : .iJ~!fli1 : ... · .. :):~IJAll~t(q't,i,~_.,: <5: ·"·~ ~~ ,::',,; :;. ;:; :,;f;:,~;:,:::;;.~: ~ (iE:::t·.: ~2~'.-.ii'.:~f-~i~±-~~--~{.;\ ·:::I;~r ~~7¢~~I,~;:~~~:~-:;:-~~~~f,:.·d...::.~'§~~·.~i1.:. ;,';1:•};;-Ji/
I am exempt from the Contractor's License Law for the following reason:
I, as ow r 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. ·7 , usiness 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 the purpose of sale).
0 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 the Contractor's License Law).
0 I 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. 0 YES ONO
2. I (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 I phone number / 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 / address / phone number/ 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 number / type of work):. ________________________ _,_ _______________________________ _
PROPERTY OWNER SIGNATURE-------------------------DATE_· -----,,------1CONlPfEJfjttHfS~SJ;CfiO~F.OR1@MifiJ{sj.i.ENllA(8tfitoi~G;PSRMiJS:ON(f•\'..'} ~-''{:;.<< \': .-.,, ·:, ,· ::';; t~i':!~<: 7:.'.~,,.;;,-,:'( ·~frs~;;r~!l[;?:';:~Y" ~'7:.;::::~-\, .. ?'.::;'J~S'f:;?-:j
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration ~m or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES e:J\,N0
Is the applicant or future b~ilding occupant required to obtain a permit from the air pollu~ion control district or air quality management district? 0 YES ~ 1110
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES '.~O
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.
Js~I!l<fo1f¢,tilu~":t1o1\Fi!ENDlNG:lG"ENC'V;,;ttl:2'~7~:-:···,>:;_~'.:':·''r;z~·,·.~:r::~::;:r~--~.-.~::·)~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097{i) Civil Code).
LENDER'S N,A_M_E ;:::::.-:_------------LENDER'S ADDRESS _______________________ _
~;[J,XP.,e.l'.!9-~N.r.ig§,l;IJ:!F,j_C'J\il191)1'•, ~~ ;·;.... :. 'o<,·. ·, .. ;..,:.,· ,::-,.:::~:;.:;\.:.,.:-J?.:-::~<-';,;, ;;.;:,; ,:;:). :, ,'•';>·, ,: ~"~ -::::Y:i:·';;:,·.0::;.-::,:...:,·,:;;';;:2;,::..:Cd:,'::Ji'.'/:;:f·-:: .. ;:JZ.,'.,'.:,:~:.:.::-,.si'1}7:~.>-:~::,;-J:~
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 all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned
property 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. .
OSHA: An OSHA permit is required for ex ations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPl~ATION: Every per~it issued by th b 1lding Official under the prqvisions of this Code shall expire by limitation and become null and void if ,the building or work
authorized by sue~ permit 1s not comm n e ithin 80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work Is commen r p d of 180 days (Section 106.4.4 Uniform Building Code). f !
1
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APPLICANT'S SIGNATURE.,,L_.,,L,M~(./Jr_.=:::::=::::::::________________ DATE 4L-°D~
WHITE: File YELLOW: Applicant PINK: Finance
,.
City of Carlsbad Bldg Inspection Request
For: 03/29/2006
Permit# CB060693
Title: ANGEL CARE-DEMO·NON-BEARING
Description: WALLS & SAFE-OFF ELECTRIC
Type: MISC Sub Type: OTHER
Job Address: 2310 FARADAY AV
Suite: Lot
Location:
OWNER CVS INVESTMENTS L L C
Owner: C V S INVESTMENTS L L C
Remarks: DEMO INSPECTION
Total Time:
0
CD Description
19 Final Structural
~Comment
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 9492852004
Inspector: --.1~~. __
Requested By: GREG
Entered By: CHRISTINE
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INSP.
CLElt:,
CITY OF CARLSBAD
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Ff.\l\L APPROVAL
~:a>-DATE~#
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PBRMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL'----------=""'"":-c-\ .
PIAN CK DEPOSIT ~0 °6 '\--&I\.
VAIJD. BY f;:!:::. (._j p
DATE I l { ~{,
A 7~mercial D New Buildmg LYfenant Improvement
B -D Industrial D New Building D Tenant Improvement
C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical O Pool O Spa D Retaining Wall D Solar D Other ____ _
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address <2,. '7.> '\ 0
L
mt o.
CHECK BEIDW IF sOBMI'l'l'Eb:
O 2 Energy Cales a 2 Structural Cales a 2 Soils Report 0 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF 'f(/tf:f-c.,, . '\)8 M.0 o t="
SQ. FT. # OF STORIES
3. WN IACI PERSON (If dmerenf from apphcanO
NAME ~ "-\--r.:;t. c.+-e--<-ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. Al'l'UU\NT UCON'IRAC'IOR DAGEN'!' FoR CONIRACIOR DoWNER DAGEN I FoR oWNER
NAME C_o f\.~C+-or ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
s. =£Rcl~wi1t t_o~f>C\:--r\.)' ADDRESS ~S-0 6-C. l2-~ l<o ~
CITY O.r L.s k7 STATE 0.o... ZIP CODE -u:o'f· DAY TELEPHONE 4~i-~6 3
NAME c_5 + &~L ADDRESS i.t\:G v~Gl'2.at-T55 0-e_ C)ro ~p
CITY s c:tvt. V\,,tcv-c.o J STATE Co ZIP CODE q 7-D b; DAY TELEPHONE 4""3 L -G G 7 ?
. STATE LIC. #S37% 'E> CITY BUSINESS LIC. #
ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of 1ndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY ~t-a--t-c:._ ~v,...._cl
D
D
D
ny person m any manner
3
wner-u1 er arat1on: ere ya irm t at am exempt rom w or t e o owmg 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 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 contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(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 signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing 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]).
SIGNATIJRE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUJLDING PERMITS ONLY:
Is the applicant or future building pccupant 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?
DYES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES tJ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY Nor BE ISSUED AFfER JULY 1, 1989 UNLF.SS TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POU.UTION OONTilOL DISfRICT.
9. wNSIROCl'lbN LENDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPJ.JcAN1' cf:In1FICA11oN
I certify that I have read the apphcat1on and state that the above mformatlon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I A.ISO AGREE 10 SAVE INDEMNIFY AND I<EEP HARMLESS TIIE CITY OF CARISBAD AGAINSf AIL UABIIITIES, JUDGMENTS, OOSIS
AND EXPENSES WlllCH MAY IN ANY WAY ACCRUE AGAINSf SAID CITY IN OONSEQUENCE OF nm GRANTING OF TIIlS 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 Cqle shall expire by limitation and become null and void if the
building or work authorized by such permit is not com enced ithin 365 days from the date of such permit or if the building or work authorized by
such permit is suspended o a o ny time af e thew k is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE .-.r--. DATE: \ \-5"° :-93
. ----.............