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Home My WebLink About2525 EL CAMINO REAL; 9018; CB040565; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-29-2004 Commercial/Industrial Permit Permit No: CB040565 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD St: 9018 Permit Type: Tl Sub Type: COMM Parcel No: 1563020900 Lot#: 0 Status: Valuation: $0.00 Construction Type: new Applied: Occupancy Group: Reference #: Entered By: Project Title: SURF CITY SQUEEZE-REMODL KIOSK Plan Approved: Applicant: HARNESS CONSTRUCTION 909 N AL VA RADO ST 90026 213 820-9323 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $0.00 $0.00 $0.00 Issued: Inspect Area: Plan Check#: Owner: PLAZA CAMINO REAL C/0 WESTFIELD CORP INC 11601 WILSHIRE BLVD LOS ANGELES CA 90025 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund} PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES ISSUED 02/20/2004 rma 03/29/2004 03/29/2004 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $61.00 Total Fees: $61.00 Total Payments To Date: $0.00 Balance Due: $61.00 8595 ~3/29/04 0002 01 CGp FINAL APPROVAL Inspector: Date: --------+-Clearance: ------ 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 f · hi h h v r vi I n i n N Tl imil r hi r i h h limi i n h r i I 02 61-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Assessor's Parcel II Existing Use 3. Na 4. PROPERTY OWNER Name Address &. CONTRACTOR • COMPANY NAME llof Stories City FOR OFFICE USE ONLY PLAN CHECK NO. [!JD 4 o .ib5 EST.VAL.~~~~~~~~~~- Phase No. Total II of units Proposed Use II of Bedrooms II of Bathrooms Fax II State/Zip Telephone II (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 enalty of n t more than five undred dollars ($5001). ~ -'d {.,,, r {JO "'2-0..-- /3 Designer Name City State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION 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 this permit is issued. If:/ I /er? ' I 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 aecure w overa s unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred \ :housand dollars ($100 aetion, damages as provided for in Section 3706 of the Labor code, interest •":4-ttomey's fNs. ~IGNATURE ~ -X DATE '?-:-:J...:O -"~ 7. OWNER•BU / ) I hereby affirm that I am exempt from the Contra r's License Law for the following reason: 0 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). 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(sl 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 I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firml to provide the proposed construction (include name I address I phone number 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 number 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 number I type ofworkl: __________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097W Civil Code). LENDER'S NAME -----------------9. APPLICANT CERTIFICATION 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 Citt 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 of 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 building or work authorized by such permit is suspended or abandoned -..J at any time after the work is commence_gjor a p_.!lriod of 180 ays ction 106. niform Building Code). A APPLICANT'S SIGNATURE / DATE ;z. -2 ~ -4-- PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/27/2004 Permit# CB040565 Title: SURF CITY SQUEEZE-REMODL KIOSK Description: Type: Tl Job Address: Suite: Location: Sub Type: COMM 2525 EL CAMINO REAL 9018 Lot 0 APPLICANT HARNESS CONSTRUCTION Inspector Assignment: RB --- Phone: 2137006551 Inspector: Owner: CHASM ENTERTAINMENT INC <LF> PLAZA CAMINO REAL Remarks: DID NOT SAY WHAT WAS NEEDED Total Time: Requested By: NA Entered By: CHRISTINE CD Description Act Comment 14 Frame/Steel/Bolting/Welding ~ C ____________________ _ _a~~~~__&f_~~~~~~~~ Associated PCRs/CVs lnsgection Histo!}'. Date Description Act 04/22/2004 89 Final Combo PA 04/20/2004 14 Frame/Steel/Bolting/Welding co 04/20/2004 17 Interior Lath/Drywall WC 04/20/2004 24 Rough/Topout co 04/20/2004 34 Rough Electric co lnsp Comments RB TEMP C OF O GRANTED-SECURE SIGN & LABEL SUB PANEL CIRC RB RB RB RB SEE NOTICE ATTACHED