HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; CB152334; PermitCity of Carlsbad
10-25-2016
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB152334
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
Building Inspection Request Line (760) 602~2725
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 ANDERSON HALL
Owner:
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 BOX 3000
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 i n f whi h h v · I n i n N Tl E im"l r hi r whi h h i i i n h vi I h · ·
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING DFIRE 0HEALTH DHAZMATIAPCD I
·('cityof
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
Plan Check No. CB 15 2-3 ?.>4
Est. Value '3tJrdtlo
Plan Ck. Deposit
Date -··1-Z.4-t~ JswPPP
JOB ADDRESS SUITEf/SPACEt/UNITf 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) ~ ~ ffi { !1 '11. _j
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) !DECKS (SF) FIREPLACE lAIR CONDITIONING IFIRE SPRINKLERS
YESO No[JI YEsONoD YESONoO
APPLICANT NAME ["' --tt-Al'---Primary Contact ' tU ·~A. PROPERTYOWNER Jl, .1' J, A. cl A 1 ll,,(rl ~"""' 1.-tva vv ~~ttCl eoi\M{_ -lf'lt,lc.r<.:.<fl" Jot.,... t
ADDRESS v . 7'i r r ~~ i v~'--' A-v(_ 5o 7 ADDRESU 0 5 Cru l J btt.A f6 l vd f
CITY STATE ZIP
4 .. V\ 1>f~ ll1j 0 ~ lj '"2-( Z...l,.
CITY STATE ZIP w k ~J Ck-C, 'l. oo~
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP CITY STATE,. A zqiP ? .. -n C:,.. ff),Y?_ q II <...--1\f <... fJ Of.
PHONE FAX
EMAIL EMAIL
I STATE uc. # STATELIC.# ?tr5' t?6 6 IIS'/c _ 1 () I ciTY Bus. Lie.#
(Sec. 7031.5 Bus1ness and Professions Code: Any C1ty or County which requ1res a perm1t 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 if, ~ };
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaraffons:
~ave and 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 work for which this permit is issued.
~have and will maintain wor1<ers' om ensatio~, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ins ance carrier and policy
number are: insurance Co. r vt' J..V\ 5 VV. C-eJ • Policy No. C{{p 1{ b {5 h 70CJ / Expiration Date Z:. tJ
~section need not be completed if 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 wor1<ers' 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 for in 3706 and attomey's fees.
£5 CONTRACTOR
I hereby affirm that I am exempt from Contractor's License Law for the following reason: 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 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 tor
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 wilh 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):
£5 PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is tn!i 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 infonnation Is correct and that the lnfonnation on the plans Is accurate. 1 agree to comply>Mth all City ordinances and State Jaws 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 demolition or oonstruction of structures over 3 stories in height.
EXPIRATION: Every penni! issued by the Official under the provisions of this by limnation and become nuU and void if the building or Yl!rk authorized by such penni! is not commenced v.ithin
180 days from the date of such penni! or i authorized by such or abandoned at any time after the for a period of 180 days (Section 106.4.4 Unifonn Building Code).
AS APPLICANT'S zvr-u;,=r
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@cartsbadca.govor Mail the completed fonm 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:-----------------
.65 APPLICANT'S SIGNATURE
(Office Use Only)
CA
ASSOCIATEDCB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
CB152334 2605 CARLSBAD BL
ARMY & NAVY-BATTERY BACK UP
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Final Inspection required by:
0 Plan 0 CM&I 0 Fire 0
sw 0tSSUED
Approved Date
BUILDING
PLANNING
ENGINEERING
FIRE Expedite? y N ~-'0-\S"
DIGITAL FILES Required7 y N
HazMat
APCD
Health
FormsjFees Sent Rec'd
Encina
Fire
HazHealthAPCD
PE&M
School
Sewer
Stormwater
Special Inspection
CFD: y N
Land Use: Density: lmpArea: FY: Annex:
PFF: y N
Comments Date Date Date
Building B-4-05
Planning 1-Zct-15'
Engineering
Fire
Need?
1 ocv.
By
c_'l!'i
Due? By
y N
y N
y N
y N
y N
y N
y N
y N
Factor:
Date
CJ Done
CJ Done
CJ Done
CJ Done