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Home My WebLink About2612 EL CAMINO REAL; 213; CBC2017-0619; PermitPrint Date: 01/23/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2612 El Camino Real, 213 BLDG-Commercial 1670307600 $ 74,416.00 Commercial Permit Work Class: Tenant Improvement Lot#: Reference#: Construction Type Bathrooms: Orig. Plan Check#: Plan Check #: Ccityof Carlsbad Permit No: CBC2017-0619 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Closed -Expired 11/27/2017 Description: THE DANCE STUDIO: 1600 SF -ADDING PARTITION WALL AND T-BAR CEILING WITH RECESSED FLOUORESCENT LIGHTIN• Owner: FLYING V COMPANY LLC 2373 Wilt Rd FALLBROOK, CA 92028-8477 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MANUAL BUILDING PLAN CHECK FEE MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $ 1,007.91 Total Payments To Date : $ 361.72 Balance Due: AMOUNT $516.75 $361.72 $60.00 $0.60 $45.00 $3.00 $20.84 $646.19 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. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ~ ' ( Cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 780-602~719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check NoC ~C( 1-~ / "f Est. Value 1 4 '-l{ !.,. . cD Plan Ck. Deposit Date/ f -;) JOB ADDRESS b-cc~2.~'-~''-'-----=c I C -.._ , -'"' SUITE#/SPACE#/UNIT# 13 APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 'l.rh a.....,J.. EXISTING USE J/,u...., PROPOSED USE I Oo..--c.~ ,;Jvc-, ;;i GARAGE (SF) APPLICA CITY ZIP PHONE EMAIL DESIGN PROFESSIONAL NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# PATIOS (SF) EMAIL PHONE ?,10 - FIREPLACE YES □# __ NO □ STATE AIR CONDITIONING YES □ NO □ ZIP e,;q--- FAX 2... 7 I STATE Cl"l- FAX EMAl,1.---- /t'c,,__V\ cs:r s"''""'•<-e."' v_s,t-. STAT~l';-'f s-7 7 FIRE SPRINKLERS YES □ NO 0 (Sec, 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, rior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of D1vis1on 3 of the B_usiness and Professions Code} or [hat he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars [$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued · ed by S_fftion 37 0 of the Labor Cod.fJo.r tlJ~ ~Or!ljnce of the work for which this permit is issued. My workers' compensation insur,ance carr·er and policy number are: Insurance Co. -' -....C\ ~ • .CZ.. .J.-...,~licy No, Ob ,s-,z,..,-1 L \ 3 ExpiraUon Date _ _,/~o".J'$..-"'"./-./-./--- This section need not be completed if the permit is for one hundred dollars {$100) or less. D 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 sec ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in for in Section 3706 of the Labor code, interest and attorney's fees. I hereby afflrm 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 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). □ L 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. D Yes O No 2. I (have/ 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/ phone/ 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/ 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/ address I phone I type of work): ,N$ PROPERTY OWNER SIGNATURE □AGENT DATE , WNY,,= V , W www"'.\'."\'.,""~~ ~OMPLl!TE THIS Sl!CTION FOR NON•RESID~,!,tTIA;L BUILDING Pl!RMIT$ 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? D 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 lnfonnation is correct and that the lnfonnation on the plans is acx:urate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the Cily of Cartsbad 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: Ari OSHA permit is required for excavations over 5'0' deep and demolition or consbuction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Ccx:le shall expire by li'nitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such pennit or if the building or work authorized by sudl permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Unifonn Building Ccx:le). ,6$ APPLICANT'S SIGNATURE DATE