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HomeMy WebLinkAbout2525 El Camino Real; 211; CBC2019-0008; Permit{city of Carlsbad Print Date: 07/23/2019 Job Address: Permit Type: Partel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2525 El Camino Real, 211 BLDG-Commercial 1563020900 $0.00 Commercial Permit Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: BESHOCK RAMEN.: GAS LINE TO STE 211 Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBC2019-0008 Closed -Finaled 01/09/2019 01/09/2019 7/23/2019 9:12:52AM RP I CARLSBAD LP PACIFIC DRAIN AND PLUMBING PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 1114 Avenue Of The Americas, Floor 45 New York, NV 10036-7700 214-660-5232 x215232 Total Payments To Date: $175.00 1330 Park Center, 101 VISTA 92081 760-815-5970 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $175.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ~. Building Permit Application Plan Check No. Ci)(' ,Q()/q-t., 1635 Faraday Ave., Carlsbad, CA 92008 ~ i:._: Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date I !Cf //c-~ ISWPPP JOB ADDRESS 2525 El Camino Real,.211> SUITEI/SPACE#/UNIT# IAPN --- CT/PROJECT# !LOT# I PHASE# I#. uF UNITS I# BEDROOMS # BATHROOMS rEN&s~:c: a-· ---, I CONSTR. TYPE I OC1.,. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ..., This is a service gas line for a shell unit at the carlsbad mall off the 78 & El Camino Real EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING j FIRE SPRINKLERS YES0, N<O YES □No□ YES □No□ APPLICANT NAME (Primary Contact) Pacific Drain and Plumbing APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole ADDRESS ADDRESS 1330 PARK CENTER DRIVE #101 9880 Maqnolia Ave #119 -CITY STATE ZIP CITY STATE ZIP VISTA Ca 92081 Santee CA 92071 PHONE l'AX PHONE l'AX (760) 476-9388 619-40S-2648 619-330-4796 EMAIL EMAIL jennifer@permitrunner.net PROPERTY OWNER NAME RPI Carlsbad LP, CONTRACTOR BUS. NAME Pacific Drain and Plumbina N~D ADDRESS ADDRESS 2525 El Camino Real #137 sp211 1330 PARK CENTER DRIVE #101 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 VISTA Ca 92081 PHONE l'AX PHONE l'AX !-rt.fl lotF;-"f/'1· (760) 476-9388 (760) 476-9388 0 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# 1 CLAC36. A 1 'a rd'5 , 1., 1 s-1 :\ -811046 (Sec. 7031.5 Business and Professions Cade: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnorto its issuance, also requires the applicant for such permit to file a si.'(ned statement tnat he is licensed pursuant to the provisions of the Contractor's License LawjChapter9, 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 031.5 by any applicant for a permit subjects the applicant to a ciVil penalty of not more than five hundred dollars {$500}). WQR~ER$' COMPENSATION Worker$' Compensation Declaration: I hereby affirm under penalty of perjUry one of the following dedarat/Ons: 0 I have and will maintain a certificate of consent to self-insure for "MJr1ters' compensation as provided by Section 3700 of the Labor Code, for the performance of the 'Mlrl< for 'Mlich this permit is issued lZ] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work !Or 'MIich this permit is issued. My workers' compensa~on insurance carrier and pol'1cy number are: Insurance Co. EVEREST NATIONAL INSURANCE COM Policy No. 7600016607 Expiration Date 07/U/2020 ~secton need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certlncate of Exemption: I certify that in the performance of the work for 'Mlleh this permit is Issued, I shall not employ any person In any manner so as to t>ecome subject to the Worl<ers' Compensation Laws of California. WARNING: Failure to secure worlun' compensation cove e is unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as rovided for I i~n 3706 of the Labor code, Interest and attorney"s fees. / ~ CONTRACTOR SIGNATURE LCU"'-'= uJ'AGENT I hereby affirm that I cM1I exempt from ConttBctor's LJcense Law for the fol/or.ing reason: □ □ D I, as owner of the property or my employees with wages as lheir sole compensation, will do the worl< 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. 11, however, the build Ing or improvement is sold within one year of completion, the owner-builderwrn have the burden of proving that he did not build or improve for the purpose of sale). /, 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 wth controctor(s) licensed pursuant to the Contractor's License Law). l am exempt under Section ____ Business and Professions Code for this reason· 1. I personally plan to provide the major labor and mater\als for construction of the proposed property Improvement. OYes ONo 2. I (have/ have not) signed an application for a build!ng permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construc~on (include name address/ phone/ contractors' license number)· 4. I plan to provide portions of the wolk, but I have hired the following person to coordinate, supervise and provide the ma_ior 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 I address/ phone I type of worl<): ..@S'" PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THI$ SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future bulldlng occupant required to submit a business plan, a:::utely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pennit from the a!r pollution control district or air quality management district? D Yes O No Is the facility to be constructed within 1,000 feet of the outer bound.ry Of a schOol site? o Yes □ 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. CONSTRIJO:TION LENDING AGENCY I hereby affirm that there 1s a construction lend mg agency fer the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) lender's Name Lender's Address I certlfytttat I have read the application and state that the above lnfonnatlon Is correct and that the Information on the plans is accurate. I agree ID complyv.tth an Clfy ordnances and State laws relallng ID building construction. l hereby authorize rei:resentalive of the City of Carlsbad b enter upcn the atxiw mentoned prq:,erty for ins~ pllJX)SElS. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUT\ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C\TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavatloos over 5'0' deep and demolition or construclion of structures over 3stooes in he,;)ht. EXPIRATION: Every permit issued by the Buildirg CYocial under the provisK:ll'1s ofth' shall expire by ~mitatk>n and become null aid ..00 Wthe buildirg ocwork aulhoriz8:j by such ~I is notoommenaid withn 180 days from the date of such perrritor Wthe building or work uthorized by ·· is suspended or abanoooed at anytime after the WOO{ is com~ Klr a perbd of 180 days {SectKln 106.4.4 Unib'm Building Oxle). AS APPLICANT'S SIGNATURE DATE I PERMIT INSPECTION HISTORY REPORT (CBC2019-0008) Permit Type: Work Class: Status: Scheduled Date BLDG-Commercial P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 01/09/2019 Owner: Issue Date: 01/09/2019 Subdivision: Expiration Date: 01/21/2020 Address: IVR Number: 16397 Inspection No. Inspection Status Primary Inspector 07123/2019 07/23/2019 BLDG-23 Gas/Test/Repairs 098442-2019 Passed Michael Collins July 23, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 098443-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final COMMENTS 24 hr clean clock Passed Michael Collins COMMENTS 24 hr clock R P I CARLSBAD LP CARLSBAD TCT#76-18 2525 El Camino Real , 211 Carlsbad, CA 92008-1208 Reinspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1