HomeMy WebLinkAbout2618 EL CAMINO REAL; ; CB090399; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-11-2609 Miscellaneous Permit Permit No: CB090399
Building Inspection Request Line (760) 602-2725
Job Address: 2618 EL CAMINO REAL CBAD
Permit Type: MISC Subtype: OTHER Status: ISSUED
Parcel No: 1670307700 Lot#: 0 Applied: 03/11/2009
Valuation: $0.00 Entered By: MDP
Reference*: Plan Approved: 03/11/2009
PC#: Issued: 03/11/2009
Inspect Area:
Project Title: VACANT SPACE & SMART & FINAL
DEMO FOR HENRYS MARKET, CB09-336
Applicant: Owner:
CENTRE BUILDERS VANDERBURG LIVING TRUST 08-22-90
C/0 HUGHES INVESTMENTS - MANAGER
P 0 BOX 8700
NEWPORT BEACH CA 92658
Miscelaneous Fee#1 PERMIT $65,00
Miscelaneous Fee #2 $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $65.00
Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00
r FINAL APPRO
Inspector: \\~-S - Date: [\U [ \ %/~[ Clearance:
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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602^2717 /,2718 / 2719
, Fax: 760-602-8558
„ www.carlsbadca.gov
Building Permit Application <£ 0 ** 03
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT #LOT*PHASE # # OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESD #NOD
AIR CONDITIONING
, YES D NOD
FIRE SPRINKLERS
YES D NO D
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME
ADDRESS ADDRESS $4
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS
covr ptf<ro--V-e.~
ADDRESS w.* Sf.
CITY ATE
£A
ZIP CITY STATE ZIP
CA
PHONE FAX
EMAIL EMAIL v-crxt*^ ,*\-e*~H
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS CITY BUS. LIC.#
(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 Tile a signed statement that he is
licensed mirsuam to the provisions of the Contractor's license law {Chapter 9, commending with Section 7000 ol Division 3 ol the Business and Professions Code} or that he is exempt there from, and the bash 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: / hereby affirm under penalty ol perjury one ol (he following declarations:
n 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.
rkers' 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 insurance carrier and policy
&h»jr-fc. PuiA4J _ Policy No. / *7 % ^*& QQ-* "Zop fr Expiration Date M~ *f •* "J.OG *l
This section need not be completed if the permit is for one hundred dollars ($100) or less.
CJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&1 00,000), in
addition to the cost of compensation, dant^gbs as provided for in-Section 3706 of the Labor code, interest and attorney's fees. ^_
£$ CONTRACTOR SIGNATURE L^Z*)^ ( ^^- -- ' - • DATE &1 H ( * \ ,
number are: Insurance Co.
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
n 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).
n 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).
O I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, d Yes d No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): .
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE DATE
^^, >i* ^ "~'S-"~-.*'W-^ •.^-'•'••v- •' '
Is the applicant or future building occupant required to submit a business fjark 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? O Yes o/NIo
Is the applicant or future building occupant required to obtain a permit from me air pollution control district or airjjuality management district? D Yes J^No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes JslNo
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 hereby atfirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the ftAling Official under the provisions of this Code shall expire by limitation 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 permit or ifmamuilding or work authorized bysjjch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 07/23/2009
Permit* CB090399
Title: VACANT SPACE & SMART & FINAL
Description: DEMO FOR HENRYS MARKET, CB09-336
Inspector Assignment: PC
2618 ELCAMINOREAL
Lot: 0
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
OWNER VANDERBURG LIVING TRUST 08-22-90
Owner: VANDERBURG LIVING TRUST 08-22-90
Remarks: FINAL
Phone: 00000000000
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
Requested By: NA
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments