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Home My WebLink About2525 El Camino Real; 221; CBC2018-0662; Permit( City of Carlsbad Print Date: 01/25/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2525 El Camino Real, 221 BLDG-Commercial 1563020900 $0.00 Commercial Permit Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Description: AT&T: INSTALL ELECTRICAL RECEPTACLES & 100A PANEL UPGRADE (NO OTHER Tl WORK) PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: R P I CARLSBAD LP 1114 Avenue Of The Americas, Floor 45 New York, NY 10036-7700 214-660-S232 x21S232 Total Payments To Date: $175.00 Contractor: ROY A MARTINEZ INC 28 Hammond, B Irvine, CA 92618-1640 949-S81-987S 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. Permit No: CBC2018-0662 Closed -Finaled 11/28/2018 11/28/2018 MColl 1/25/2019 2:42:46PM $175.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Suite: Z.,'2-/ Plan Check C0:-20•'Q {Xou)2 Est. Value PC Deposit --------- Date ....,lc>.\_-=2.='o..__-..:...l'o,._ __ APN: _________ _ CT/Project #:, __ T;.....,_,l..,, ______ Lot#:, ____ Fire Sprinklers@no Air Conditioning: <BJ no BRIEF DESCRIPTION OF WORK: /2-5Lf5L. our(-€ TS □ Addition/New: _____ Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ ~ Other: Ar-# r Tl• APPLICANT (PRIMARY) Name: ,f,oy fttµe_:pN§ "l- Address: ;?& /f,ffl(~µJ {) :STE-B City: ;fJ2. VINE State: CA Zip: fl..{./ ,g Phone: 7(4-74 7-/ 76 2 Email: f?/J YA /YAIZ...VN§ '2,.@Aol-, CPW/ PROPERTY OWNER Name: GJLOQl<,f=:11:;;L O f/)~;0. Address: 2s:2-r: ,5,.t-/1,A-JU/A}l) gqAL -:I:. I~ 2 City: t!Atl.L,5 M:(J. State: &4, Zip: Utrl ~ Phone: z1ed:;.;i-+ -N z a Email: 5cfl+ti· SIH,(5 @!V'A:i<ke'-12 ~P.tlGS ~e,r,,..lt-1 Co"'t DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: ______________ Name: goy /14Af.l71VE 2- Address: Address: ,;I B H-4 {,Id URN P STR -8 City: _______ State: ___ .Zip: ____ City: .:+/l:Vt"-Jfi State: cA-Zip: fz /,Iii!. Phone: Phone: 711-11-7-/76 2 Email: Email: ,i) oyJI-M,t,,P....77N E '"2--u! A-Q L, (,t)"'-f Architect State License: State License: 34-77$4 Bus. License:_JJ.._-_,_/ __ _ (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/she 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of2 Rev, 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby 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 provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. ),cl.1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the pe~mance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: /JA,.J, L/4/J, 'f: FJ~/E. PollcyNo.191,uC, '?2-7 9"92 Expiration Date: J{-/7-/f • □ 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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, lnterestandattorney'sfees. <:~~ ~A CONTRACTOR SIGNATURE: ~ ~ --.. □AGENT DATE: //-28-/8 ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's license Law for the following reason: □ 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 forth is reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ 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/ phone/ 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/ address/ phone/ 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/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT DATE: _____ _ --------------------------- CONSTRUCTION LENDING AGENCY. IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: _____________________ _ lender's Address: _____________________ _ ONLY COMPLETE THE FOLLOWING 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 Act? □ Yes )£No ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes JtNo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes Js{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. 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 representative of the City of car1sbad 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 S'O' 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 at any time after the work is commenced for a per\od of 1 ays {S 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 ", PERMIT INSPECTION HISTORY REPORT (CBC2018-0662) Permit Type-BLDG-Commercial Application Dato: 11/28/2018 Owner: Work Class: P/M/E Issue Date: 11/28/2018 Subdivision: Status: Closed -Finaled Expiration Date: 07/23/2019 Address: IVR Number: 15703 Scheduled Date Actual Start Date Inspection Type Inspection No. 12/06/2018 12/06/2018 12/12/2018 12/12/2018 01/24/2019 01/24/2019 01/25/2019 01/25/2019 January 25, 2019 BLDG-33 Service Change/Upgrade 078102-2018 Checklist Item BLDG-Building Deficiency BLDG-34 Rough Electrical 078103-2018 Checklist Item BLDG-Building Deficiency BLDG-34 Rough Electrical 078591-2018 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-85 T-Bar, Ceiling Grids, Overhead 078592-2018 Checklist Item BLDG-Building Deficiency BLDG-Electric Meter 078590-2018 Release Checklist Item BLDG-Building Deficiency BLDG-Fire Final 081796-2019 BLDG-Final Inspection Checklist Item FIRE-Building Final 082169-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final Inspection Status Primary Inspector Failed Michael Collins COMMENTS Need SDGE paperwork. Partlal Pass Michael Collins COMMENTS Walls only. Two at sales & one at BO H Passed Michael Colllns COMMENTS Walls only. Two at sales & one at B O H Overhead sales floor Passed Michael Collins COMMENTS Existing T-grid remained, no alterations Passed Michael Collins COMMENTS Release emailed to SDGE Passed Cindy Wong COMMENTS Passed Paul Burnette COMMENTS R P I CARLSBAD LP CARLSBAD TCT#76-18 2525 El Camino Real , 221 Carlsbad, CA 92008-1208 Reinspection Reinspectlon Passed No Reinspection Passed Yes Passed Yes Yes Passed Yes Passed Yes Passed Yes Passed No No No No No Complete Complete Incomplete Complete Complete Complete Complete Complete Page 1 of 1