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Home My WebLink About2470 FARADAY AVE | 6200 EL CAMINO REAL; ; AFP09001; PermitJob Address: 2470 FARADAY AV Permit Type: AFP Pa~elNo: 2090402800 Reference No: Citv of Carlsbad Annual Facilities Permit Lot#: 0 Permit No: AFP09001 Status: Applied: Approved: FINAL 03/09/2009 01/04/2013 01/04/2013 Issued: PC#: Inspect Area: Project Title: BECKMAN COULTER Applicant: SMITH CONSULTING ARCHITECTS STE 200 12220 EL CAMINO REAL SAN DIEGO CA (858) 793-4777 00136104885 BLDG PLAN CHECK Fees: $100.00 Additional Fees: Owner: HAGAMAN FAMILY SURVIVORS 1990 TRUS 5320 SUNNY CREEK RD CARLSBAD CA $100.00 $0.00 Total Fees: $100.00 Balance: $0.00 ' City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 J 2718 J 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2470 Faraday Avenue Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# 209 04 20 CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO AIR CONDITIONING NoD YES0No0 FIRE SPRINKLERS YESONoO CONTACT NAME (If Different Fom Applicant) N d H k II S "th C A h e as e • m1 on. re . APPLICANT NAME Smith consulting Architects ADDRESS ADDRESS 12220 El Camino Real, Ste 200 12220 El Camino Real, Ste 200 CITY STATE ZIP CITY STATE ZIP San Diego CA 92130 San Diego CA 92130 PHONE FAX PHONE FAX 858-793~4777 858-793-4787 858-793.4777 858-4787 EMAIL EMAIL nedh@sca-sd.com nedh@sca-sd.com PROPERTY OWNER NAME Beckman Coulter CONTRACTOR BUS. NAME Good and Roberts ADDRESS ADDRESS 2470 Faraday Avenue 1330 Park Center Drive CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Vista CA 92081 PHONE FAX PHONE FAX 760-438-6313 760-438-6504 760-598-7614 760-598-7659 EMAIL EMAIL DJTaniguchi@beckman.com cglynn@goodandroberts.com ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.# Smith consultina Architects C11701 8377551 B (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 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 declarations: B 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 this permit is issued. 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 workers' compensation insurance carrier and policy number are: Insurance Co Policy No. Expiration Date ________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: 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 Workers' Compensation Laws of California. WARNING: Failure to secure workers' 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. JiS CONTRACTOR SIGNATURE DATE 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 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes 0No 2. I (have I 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 I 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 I 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 I address I phone I type of work): JiS PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business~, 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? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or alL9,!;ality management district? 0Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes 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 thatthe 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 representative of the City 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 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 this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the build. g or work uthorized y ch permit i suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). JiS APPLICANT'S SIGNATURE DATE City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 11111111111111111111111111111111111111111111111111111111111111111 Applicant: SMITH CONSULTING ARCHITECTS Description Amount AFP09001 .00 2470 FARADAY AV CBAD Not valid unless validated by Cash Register PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS Receipt Number: ~0073902 Transaction ID: R0073902 Transaction Date: 03/09/2009 Pay Type Method Description Amount ' Payment Other 100.00 Transaction Amount: .00