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Home My WebLink About2559 EL CAMINO REAL; ; CB163721; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-30-2016 Demolition Permit Permit No: CB163721 Job Address: Permit Type: Parcel No: Occupancy Group: 09/30/2016 PC#: Building Inspection Request Line (760) 602-2725 2559 EL CAMINO REAL CBAD DEMO Full Demo: N Status: 1563022600 Lot#: 0 Applied: Entered By: Reference #: CB 163211 ISSUED 09/30/2016 SLE Plan Approved: # Dwelling Units: 0 Structure Type: Issued: 09/30/2016 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: LENS GRAFTERS: 742 SF INTERIOR DEMO AHEAD OF Tl (CB163211) Applicant: Owner: ALTA CONSTRUCTION INC CARTER HAWLEY HALE STORES INC C/0 TAX DEPT 369 E BLAINE ST CORONA CA 92879 951-279-2762 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $20.00 $0.00 $45.00 $0.00 $65.00 7W 7TH ST CINCINNATI OH 45202 $65.00 Total Payments To Date: $65.00 Balance Due: FINAL Af.PROVtL Date: I · J-· f Clearance: $0.00 NCJllCE: Please ta<e NCJllCE thct ~ r:i yor ~ect irdldes tha "lrJlXEitiai' r:ifees, dedcatioos, reserv<tioos, ex cthar exa:iia-s taeafter cdledively referra::l to as '1ees'exa:iia-s." Yru have 9J days fran the date tns J:"€1Tlit lf".Kf3 issued to prctest irryu;itim r:i thase fees'exa:tia-s. If~ p-ctest ttan ~ m..st fdloo the p-ctest ptredLres set fath in C?o.terrrrent Ca.::E Sectim OOJal(a), crd file the p-ctest crd arry cther req..ir-00 irtCJ1T81im wth the Oty ~ fex pro:ssirg in ~ IMth Calstm M.ridr:B Ca.::E Stxiim 3.32.030. Falt.re to tirrely fdloothat pw:rl.re IMIIl:H <r¥ su~ lega <dim to attcd<, r-eMew, set aside, vdd, ex amJ their irryu;itim. Yru are t"ffEby Fl.RTl-ER NCJllREDthat yor ri\il! to p-ctest thesp:dfied fees'exa:lia-s OCES NOr APFlYtow:ter and SEMerCOTEdimfees ard ~ty dlcrges, ncx plcrrirg, zairg, ga:irg ex cthar sinilar applicatim pro:ssirg ex service fees in COTEdimiMth tns ~ect. 1\CR OCES IT APFl Y to arry fee:/exa:iim; r:iv.hch have "a.JSI been ·vena NCJllCE sinilartottis ex as tov.hchthe statute r:i linita:ims has ·a.s~ cther'll.ise ·rro. I THE FOLLOWING APFi'!'OVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING DFIRE DHEALTH DHAZMAT/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 Plan Check NoQ31 LO '0 12J JOB ADDRESS CT/PROJECT # EXISTING USE s~u APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL Est. Value Plan Ck. Deposit LOT# OCC. GROUP STATE ZIP FAX STATE ZIP FAX (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 ofthe 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 penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I ~d 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 wcrk for which this permit is issued. ll.d1"have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insu ance carrier and policy numberare:lnsuranceCo. F /?"Jt:, t.f4w/< II -:z:;,~ Cc:tPolicyNo. "JJ& ~a z.. -1/p ExpirationDate _ _,,'r--'-"-+h,.__,~ This section need not be completed if the permit is for one hundred dollars ($1 00) o~ess. 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 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _g CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor'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 Contractors 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). D D 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. Oves 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 1 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): _g PROPERTY OWNER SIGNATURE 0AGENT DATE 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 0 No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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 City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEl' 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 penmrr is required for excavations over 5'0' deep and demolitkln or construction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Official under the provisklns of this Code shall expire by limitation and become null and vokJ if the buiding or work authorized by such pemnit is not commenoed within 180 days from the date of such penmit or if the building or work authorized by such pemnit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectkln 106.4.4 Unifonm Building Code). ~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 form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 . • (Office Use Only) CA DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB163721) BLDG-Commercial 09/30/2016Application Date:Permit Type:Owner: Subdivision:Demo 09/30/2016Work Class:Issue Date: 2559 El Camino Real Carlsbad, CA 92008 Address:Issued - Active 03/29/2017Expiration Date:Status: IVR Number: 717463 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 12/19/2016 BLDG-Final Inspection 006163-2016 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes December 19, 2016 Page 1 of 1