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Home My WebLink About2508 El Camino Real; F; CBC2017-0163; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 04/19/2017 Commercial Permit Permit No: CBC2017-0163 www .carlsbadca.gov Job Address: Permit Type: Parcel No: 2508 El Camino Real, F BLDG-Commercial 1670305000 Work Class: Lot#: P/M/E Status: Applied: Closed -Finaled 04/06/2017 Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: $0.00 Reference #: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check #: Plan Check #: Description: COFFEE BEAN & TEA LEAF: ADD 2" FLOOR SINK TO EXISTING WASTE. 2 F.U. UNITS TOTAL 2" WASTE AND 2" VENT CONN TO EXIST. Applicant: Co-Applicant: ALCO PLUMBING INC THE COFFEE BEAN & TEA LEAF JACKIE MUHICH 210 N Crescent Way, K Anaheim, CA 92801-6705 714-817-9808 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 858-442-1207 Total Payments To Date: $166.00 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. $0.00 $166.00 r;;FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMAT/APCD {'City of 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 Plan Check No. Cr?,( 7-D \ 1 -(JI b 3 Est. Value Plan Ck. Deposit Date ~ -& -11 SUITE#/~E#/UNIT# APN CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /\-II #-t""Vl>t NA "2 "R-.oo a. S Irv >L. · CLJ tv/VEL.Ti /IV" P' ,vi""'O .2 t\.1 A--s:rt-4 I) £A.rr CotvN, W £..J(..( ~ Tl v4 , EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) ;J:;,a, ADDRESS ZI O ,A). C/2-f:.S.C E-..A./1 /Al ,t y STATE ZIP CITY 4 t::,'.?-&OI FAX CONTRACTOR BUS. ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE LIC. # STATE UC.# 3/3/L. AIR CONDITIONING NoO YEs0No0 ZIP FAX STATE ZIP FAX FIRE SPRINKLERS vESONoO (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 tnat 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 {hat 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. ~have and will maintain workers' compensation, as required by Section 3700 of th r 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 ($10 0 Certificate of Exemption: I certify that in the performance of the wor ch 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' compensatio rage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hu red thousand dollars (&100,000), in addition to the cost of compensation, damages as provi on 3706 of e Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following D D D I, as owner of the property or my employees with wages as their sole com ensation, 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 himsea 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. 0Yes 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): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE - _.C. 0 1111 P L E T E T H I S S E C T I O N F O R N O N • R E S I D E N T I A L B U I L D I N G P E R M I T S O N L Y 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? Cl Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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 infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Cily ordinances and S1llte laws relating to building construction. I hereby autholize 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 pem11t is required for excavations aver 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every pennlt issued by the Building Official under the provisions of this Code shall expire by Hmltation and become null and void if the building· or work autholized by such pem1lt is not commenced within 180 days from the date of such pem1tt or if the building or work authorized by such pem11t is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,/1$ APPLICANT'S SIGNATURE DATE • 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@carlsbadca.gov or Mail the completed·fomn 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 FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS Cl 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 D MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE . PERMIT INSPECTION HISTORY REPORT (CBC2017-0163) Permit Type: BLDG-Commercial ·Application Date: 04/06/2017 Owner: Work Class: P/M/E Issue Date: Subdivision: Status: Closed -Finaled Expiration Date: 10/16/2017 Address: 2508 El Camino Real , F Carlsbad, CA 92008-1203 IVR Number: 2969 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete Date Start Date 04/19/2017 04/19/2017 BLDG-24 020504-2017 Passed Jonathan West Complete Rough/Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes April 19, 2017 Page 1 of 1