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Home My WebLink About2525 El Camino Real; 114; CBC2017-0388; PermitPrint Date: 11/30/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2525 El Camino Real, 114 BLDG-Commercial 1563020900 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check It: Plan Check#: Description: H&M: ELECTRICAL TO 5 INTERIOR SIGNS Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBC2017-0388 Closed -Finaled 07/24/2017 07/24/2017 R P I CARLSBAD LP THE SIGNS AND SERVICES COMPANY PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 1114 Avenue Of The Americas, Floor 45 New York, NY 10036-7700 214-660-5232 x215232 Total Payments To Date: $166.00 10980 Boatman Ave Stanton, CA 90680-2602 714-761-8200 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. $166.00 $0.00 · {cityof Building Permit Application Plan Check No.rAc1.Q 11 "'o.38 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 78CMI02 2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.carl§:Qgg;!~a.gov 1 /~L./J 17 Date JOB ADDRESS 'L Co;:, '2. s C\ /2-t-" I SUITE#/SPACE#/UNIT# IAPN Cf.\~~"'O I\ '-1 - - - CT/PROJECT# ·1Lb"f• I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS lTENANT~N:,~ I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ( i II vVV',,n,~ ). \ ,, tt ,, s i"~r: , .... r ""II\\.\ c:...;q~ M V - EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESD # __ NOD YES D NOD YES O NOD APPLICANT NAME (Primary Contact) ~ '-{ "'"' {\a (1,. rrc... PROPERTY OWNER NAME '2,-ov~-e 'f)t 11? t.rli es. ( ~ e. ")C t.t,,,, ' ADDRESS \ I.) C\8~ ~ o e... Trt\ °""' f'rve ADDRESS t, '2. 2. ~ ,.;. s;: tt\. +e, Ht.,.J'"' CITYS~1r1~ STATE ~t)l':R{) Cl~, STATE ZIP ~-V•l\q ~Pc-,"!)~e PH~ I FAX • PHONE )e,• 1 I FAX ~I ,1,l~-'ZS~t, 2/'1-SSlo· S'°ll'I. EMAIL ~ • $.\-c.. °'"'v,i ,-r\-, II"'' @) '?\ l'"f\-.·' \, ~ EMAIL DESIGN PROFESSIONAL NAME coNTRAcro• ""'1'\rl Si C\ 0 ., l Serv,c.t. (' co .L1,~. ------------ADDRESS ADDRESS I~ q t10 ~Cl "'-r I'('\~ 1'1V-(.. -CITY--STATE ZIP CITY (--h,,'l)JI}.f'\ :1+: QQl,t,o PHONE I FAX PHONE rl'-1-71.-1 -82..U~ FAX EMAIL EMAIL • I STATE LIC. # STATE LIC.# c.,i '-I ~ 7 S-CLYS 1,ri euf:•" (,:. ,JJ (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or re~air an; structure, grior to its issuanci:cri1~ requires the a llcant for such ermit to file a si ned statement that he is licensed ursuant to the revisions of the Contractor's License Law C a ter , corn men m with Section 70 0 of D1v1s1on 3 of the pp p ' "' ' p p ' ' ' [' ,p . g . . . B_usiness and Professions Code} or fhat he 1s exemQt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars [$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afflrm under penalty of perjury one of the following declarations: l:l I have and will maintain a certificate of consent lo 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. ~ave and will maintain workR~ compe~sation,.as re~ired by Secti~?OO of the Labor Code, for the performance of the wo~r ~ic!l,ili.;:mit is issued. My workers' com pens Ii nd policy number are: Insurance Co. :p:t'::C V\ l J/\ J, . CU , Policy No."ZA:\,J L :L. ·t,, ~ .5...Q l 00 Expiration Date ~--+--1-~-1-~~--- This section need not be completed if the permit is for one hundred dollars ($100) or less. l:l Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Lav.'s of California. WARNING: Failure 10 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag as provided for in Section 37 of the Labor code, interest and altorney's fees. _fl$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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 comple~on, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O 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) O 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 D Yes O No 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): ,8$ PROPERTY OWNER SIGNATURE 0AGENT DATE ,J:' 0 M P L E T E T H I $ $ E C T I O N F O R N O N • R E S I D E N TI 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? 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? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 aod state that the above information Is correct and that the Information on the plans isareurate. I agree to oomplywith all City ordinances and State laws relating to bulldingoonstructioo. I hereby authorize representative of lhe City of Cartsbad to enter upon lhe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEfv'NIFY 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 pennit is required for excavations over 5'0' deep and demolition or construction of strucll.lres over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Official under the provisions of this Code shall expire by rnlitation and become null and void if lhe building or'Ml!K authorized by sudl pennit is not commenced within 180 days from lhe date of sudl permit or if lhe building orwor11: authorized by such permit is suspended or abandoned at any time after the worn is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE " ' ' ( ' , , ";,,) PER'!111J;,,INSPECTION HISTORY REPORT (~Bf 2017-038,Sl . , . Pcrrnit Type: BLDG-Commercial Application Date: 07124/2017 Owner: R P I CARLSBAD LP Work Cla~s: PIMIE Issue Date: 0712412017 Subdivision: CARLSBAD TCT#76-18 Status: Closed -Finaled Expiration Date: 0512812018 Address: 2525 El Camino Real, 114 Carlsbad, CA 92008-1206 IVR Number: 5222 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 11/28/2017 11/28/2017 BLDG-34 Rough 041686-2017 Passed Michael Collins Complete Electrical Checklist lten1 COMMENTS Passed BLDG-Building Deficiency Signage size & location Yes BLDG-Final 041686-2017 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency See card No BLDG-Electrical Final No 11/30/2017 11/30/2017 BLDG-Final 042064-2017 Passed Michael Collins Complete Inspection Checklist lte1n COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Electrical Final Yes BLDG-Electrical Final No BLDG-Building Deficiency See card No November 30, 2017 Page 1 of 1