HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; CB152332; PermitCity of Carlsbad
10-25-2016
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB152332
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2605 CARLSBAD BL CBAD
Tl Sub Type: COMM
Lot#: 0
Construction Type: NEW
Reference#
2030410200
$30,000.00
ARMY & NAVY-BATTERY BACK UP
SYSTEM FOR POOL
Owner:
Status: EXPIRED
Applied: 07/24/2015
Entered By: SLE
Plan Approved:
Jssued:
Inspect Area
Plan Check #:
CALAFATA CONSTRUCTION
STE34
ARMY&NAVY ACADEMY CARLSBAD CALIFORNIA
5173 WARING RD
SAN DIEGO CA 92120
619 279-3006
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Building Permit Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD#2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Fire Expedidted Plan Review
$278.49
$0.00
$194.94
$55.06
$0.00
$8.40
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2.00
$0.00
P 0 BOX3000
CARLSBAD CA 92018
Meter Size
Add'l Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
HMP Fee
Green Bldg Standards Plan Chk
TOTAL PERMIT FEES
Total Fees: $538.89 Total Payments To Date: $50.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$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
??
??
$538.89
$488.89
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 ex i s f which h v r vi I Tl imil hi i h h f · i i · h · I
------~-~-------------------------
THE FOLLOWI"G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH OHAZMAT/APCD
Plan Check No.CB 15 233 2_
Plan Ck. Deposit
·(_City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Datei-Z4 -(~ jSWPPP
JOB ADDRESS 1-5' "L ~ SUITEt/SPACEt/UNIT# I APN
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) t/ ,, II
'::lV tt-e.J' f ~ A j(.. 'l=-1'-~+c...flt~ rio A
~a\ poO\
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
YESO
I AIR CONDITIONING IFIRE SPRINKLERS
No[] 1 YES ONo D YESO NoD
APPLICANT NAME .£\,. I 1 Primary Contact I V\l1 'tt" A\~ 1 "'-PROPERTY OWNER ,41 _ l A. • I Ar-~ u f /If &tV"/ t/Tt..~
CITY . STATE
)c,A D~s o VA-ZIP .q z. { t-'-
PHONE6 tq ~s4 Cf 3 s.s-I FAX
PHONE
;,, 7'15' ~72..-~ FAX
EMAIL EMAIL _fll\4 tt@ -::1.11 /HI Prwl. ,,..,._c., CC)YV\
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME <!,_(A t&..k+~
ADDRESS ADDRESS
t1'5Z S"' Cas 5 S+-
CITY STATE ZIP STATE cA
PHONE PHONE J r; ~~ ~ 11 > ~o c. FAX
EMAIL EMAIL
I STATE LIC. # CLASS !CITY BUS. LIC.# B/c-to
(Sec. 7031.5 Bus~ness and Professions Code: Any C1ty or County which requ1res a permit to construct, alter, 1m prove, demoliSh or repa1r any structure, pnor to 1ts 1ssuance, also requ1res 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 penalty of not more than five hundred dollars ($500}).
• WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: 0 I have and will maintain a certificate of consent to self·lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~have and will maintain work rs' COil) nsation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compen~aJioJ insurance carrier and policy
number are: Insurance Co. r ' d:.t/'1. C) • Policy No. '-l ~ ? It? "'i! ~ 7 ()" I Expiration Date '1 r I I "ZAJ I (p
]]li§,section need not be completed ff the permit is for one hundred dollars ($100} or less. U 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
Califomia. 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, provided for In Section 3706 code, interest and attorney's fees.
Ji5 CONTRACTOR
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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 Contracto(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 for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 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 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):
Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE
' ' , 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 Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
I certify that I have read the application and state that the above lntonnation Is conect 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 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 pennn is required for excavations over 5'0' deep and demolnion or oonstructk>n of structures over 3 stories in height.
EXPIRATION: Every penni! issued by the Building Official under the provisions of this Code shall i ~mnation and become null and void ~the building or v.Qrk authorized by such penni! is not commenced within
180 days from the date of such pennrt or if the building orv.Qrk authorized by such pennit is at any time after the v.Qrk is oommenoed for a period of 180 days (Section 106.4.4 Unifonn Building Code).
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 buildinq@carlsbadca.gov or Mail the oompleted form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:----------------
~APPLICANT'S SIGNATURE
(Office Use Only)
CA
ASSOCIATED CB#'------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
CB152332 2605 CARLSBAD BL
ARMY & NAVY-BATIERY BACK UP
1-2-4-IS ---tc:> c~LI 1 p1u.11nL!'K:,0;/~~
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Final Inspection required by:
D Plan D CM&I D Fire
sw DISSUED
Approved Date
BUILDING
PLANNING
ENGINEERING
FIRE Expedite? y N 'b/'5 /IS
DIGITAL FILES Required? y N
HazMat
APCD
Health
FormsjFees Sent Rec'd
Encina
Fire
HazHealtMPCD
PE&M
School
Sewer
Stormwater
Special Inspection
CFD: y N
LandUse: Density: lmpArea: FY:
PFF: y N
Comments Date Date
Building 'i$-4'\S
Planning I -ZC\-IS
Engineeri~g
Fire
Need?
--------------
D
I Dcv.
By
c__w
Due7 By
y N
y N
y N
y N
y N
y N I
y N I
y N
Annex: Factor:
Date Date
ODone
ODone
ODone
ODone