Loading...
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 1-2-4-IS' To t.-"::1~~1, ~c41> f~z. l-C-9-IS" ~@ FC- 5f3fcw e<p te.JJ:tu--sw-c 7f31~ (D ·zs--.1 h-&-p;rccf ... ~·< 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