HomeMy WebLinkAbout2390 FARADAY AVE; ; CB130955; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-11-2013 Demolition Permit Permit No: CB130955
Job Address:
Permit Type:
Parcel No:
Occupancy Group:
04/11/2013
PC#:
Building Inspection Request Line (760) 602-2725
2390 FARADAY AV CBAD
DEMO Full Demo: N Status:
2120621500 Lot#: 0 Applied:
Entered By:
Reference#: CB130813
ISSUED
04/11/2013
JMA
Plan Approved:
# Dwelling Units: 0 Structure Type: Issued: 04/11/2013
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: DR. MEHTA: DEMO IN PREP FOR Tl
CB130813
Applicant:
WHITE CONSTRUCTION
2540 GATEWAY RD
CARLSBAD CA 92009
760-931-1130
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FEES
$0.00
$0.00
$65.00
$0.00
$65.00
Owner:
KW 2390 FARADAY LL C
9701 WILSHIRE BLVD #700
BEVERLY HILLS CA 90212
Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due:
Inspector: Clearance:
$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 ou have revi usl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
. ~ Plan Check No. CB /3 OC/ ~S-«~ Building Permit Application
Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 ~ CITY 0 F 760-602-2717 I 2718 I 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558
www.carlsbadca.gov Date tf/11 / t3 jsWPPP
JOBAOORESS SUITEI/SPACEI/UNITI
IAPN 212 2390 Faraday, Carlsbad, CA -062 -15 -
CT/PKUJt<.;I # 'LOT# I P""'>t # I # Of UNITS I# 0<.uROOMS # .,,.,HAI.NM<> I TENANT "u"'"=ao ....... e r --~TR. <r< I ~ ;uuP
Dr. Ritvik Mehta MD
OESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Demolition Only
EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
Vacant Dr Office YESO NcQ YES 0 No D YESO NOIZ)
CONTACT NAME (If Different Fom App/leant) White Construction, Inc. APPLICANT NAME White Construction, Inc.
ADDRESS ADDRESS
2540 Gateway Rd 2540 Gateway Rd
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Carlsbad CA 92009
PHONE IFAX PHONE I FAX 760-931 -1130 760-931-1171 760-931-1130 760-931-1171
EMAIL EMAIL
angela(.@,whiteconstructioninc.com angela(.@,whiteconstructioninc.com
PROPERTY OWNER NAME Dr. Ritvik Mehta, MD CONTRACTOR BUS. NAME White Construction. Inc.
ADDRESS ADDRESS
9834 Genesee Avenue Suite 111 2540 Gateway Rd
CITY STATE ZIP CITY STATE ZIP
La Jolla CA 92037 Carlsbad CA 92009
PHONE I FAX PHONE I FAX 858-909-0500 760-931-1130 760-931-1171
EMAIL EMAIL
drmehta(.@,sdearcenter.com angela(.@,whiteconstructioninc.com
AACiv'OESIGNER NAME & AOORESS ii STATE LIC. # STATE UC.# IClASS B I CITY BUS LIC.1 202380 SRl-925 Fort Stockton Dr. San Dieaoa N/A 452513
(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 ,ts issuance, also requires the
applicant for such permit to file a signed statement that he ,s licensed pursuant to the prov,s,ons of the Contractor's License Law {Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he ,s exemQt therefrom, and the basis for the alleged exemption. Any vlolat,on of Section 7031.5 by any applicant for a permit subjects the applicant to a CIVIi penalty of not more than five hundred dollars ($500)).
Worllers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declara/Jons D I have and will maintain a certificate of consent to self-insure for worl<ers' compensabon as provided by Section 3700 of the Labor Code, br the peoorma,ce of the wor1( for which this permit is ISSued
[Z] I have and will maintain wo,brs' compensation. as reQU1red bv Secbon 3700 of the Labor Code for the performance of the wori( br which tlus permit IS ISSUed My wori(ers' compensation msurance earner and policy
number are Insurance Co -York Manno and Gonn lnwrance Co Policy No WC138EP00010l9 Expiration Date 0001t201•
~ section need not be completed ~ the permrt is for one hundred dollars (S 100) or less
LJ Certificate of Exemption: I certify that in the performance of the wollt for which this permit ,s ISSUed. I shall not employ any person in any manner so as to become sutiiect to the Workers' Compensation Laws of
California WARNING: Failure to secure ' ati overage Is uni I, and shall subject 1n employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), In
· on 370li of e Labor code, interest and attorney's fees.
AGENT DATE l(/l
I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensat,on, will do the worll and the structure ,snot mtended or offered for sale (Sec 7044, Business and ProfeSSlons Code The Contracto(s
License Law does not apply to an owner of property who builds or improves thereon, and who does such wori( himseij or through his own employees, proV1ded that such ,mprovemenlS are not mlended or offered for
I
sale If, however, the building or improvement is sold within one year of compleoon, the owner-builder witt 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 ProfeSS10ns Code. The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracis for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
ID t am exempt under Section Business and Profess,ons Code for this reason
1. I personally plan to provide the major labor and matenals for construct,on 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 wollt
3 t have conlracted with the bllowlng person (firm) to provide the proposed conslructlon (include name address I phone I contractors' license number)
4 I plan to provide porbons of the worll. but I have hired the followlng person to coordinate, supervise and provide the maior wor1( Onclude name I address I phone I contr.aJrs' llcense number)
5. I will provide some of the worll, but I have contracted (hired) the following persons to provide the wori( Indicated (include name I address I phone I type of wollt)
,g PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the applicant or future building occupant required to submit a business~. 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? D Yes W No
Is the applicant or future building occupant required to obtain a penn,t from the air pollution con trot district or ai,!.!ll!ality management dlStrict? [)ves 0 No
Is the facility" be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes I.LJNo
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 irtomlation is cooect and that the Information on the plans is accurate. I a~ to comply wi1h all City Ofdinances and Slate laws relalingto bliklng ronstruction.
I hereby authOlize rep,esentatiYe of the atyof Cansboo kl enterUJXJl the aboYe mentioned property i:)nlSl)lCOOfl PIIJ)OSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COOTS AND EXPENSES 'M-llQi MAY IN mY WAY ACffiUEAGAINST SAID OTY IN OO'ISEQUENCE OF THE GRANTING OF "THIS PERMIT
OSHA. An OSHA permit is requral b' excavaoons r,,lf)f 5'0' deep and demli1iln or oonstnx:oon of structures over 3 sbies in height
EXPIAA TION: Evert pemlit issued by the Building Official under the p!Ol,isoos of this C.ode shall expire by limi1ation and become nuH and void d the building or v.ork authorized by such permit is not commenced within
100 days from the date of such permit or · bu · · by such penrit is suspended or abanooned at any tine after the v.ork is corrvreoold i:lr a perod of 100 days (Section 106 4.4 Unii:lrm Building C.ode)
~ APPLICANT'S SIGNA DATE t/. I . ~
Ins n ist
Permit#: CB130955
Date Inspection Item
05/01/2013 19 Final Structural
05/01/2013 19 Final Structural
Friday, May 03, 2013
Type: DEMO
Inspector Act
PY AP
PY AP
DR. MEHTA: DEMO IN PREP FOR Tl
CB130813
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