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Home My WebLink About2626 EL CAMINO REAL; B; CB062977; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-27-2006 Commercial/Industrial Permit Permit No: CB062977 Building Inspection Request Line (760} 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2626 EL CAMINO REAL CBAD St: B Tl Sub Type: 1670307600 Lot#: $18,235.00 Construction Type: Reference #: NC PRIMARY CARE-521 SF Tl COMM 0 NEW NEW PARTITION WALLS, MINOR ELECT,DRYWALL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: WITHDRAW 10/16/2006 LSM KELLY GEORTZ CONSTRUCTION 745 BROCKTON ST VANDERBURG LIVING TRUST 08-22-90 C/0 HUGHES INVESTMENTS-MANAGER PO BOX8700 EL CAJON 92020 658 583 0875 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Dis.count Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $168.99 $0.00 $109.84 $0.00 $0.00 $3.83 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 NEWPORT BEACH CA 92658 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO 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 TOTAL PERMIT FEES $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 ?? $282.66 Total Fees: $282.66 Total Payments To Date: $89.82 Balance Due: $192.84 Inspector: Fl NAL APPROVAL Date: ------Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively referred to as ''fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. · You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Existing Use f:e~o~ i. , CONTACT PERSON (It 0 Owner Name Address ,.4. PROPERTY OWNER Name Address City City FOR OFFICE USE ONLY PLAN CHfCK NO. QE:,o~ ;;)...C, r I EST. VAL. 1$,.:2&--t. 1 ;5oo .1f?rXB- Plan Ck. Deposit~q-~ ~ Validated By_--:-4~.,c....;.~a.&-.:.------- Date IO / i 0 / 00 Unit No. Phase No. Total II of units Proposed Use of Bedrooms II of Bathrooms ~ f'Y\\10o-r~aric. State/Zip Telephone II State/Zip Telephone II i,j, CONTRACTOR • COMPANY NAME (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 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 xe f . Anr;olation of ~on 31.5 by n: applic~/r..;<;r . subjects t e ppl~nt to ci:il pgt o not more than five hundred dolm~,a3- me 4 City S e/Zip Telephone II 5-f:, ate License II :Z(,_f3:)...o License Class B City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ '"j. 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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: Fallure to secure w er e 11 unlawful, and shall subject an employer to criminal pen thousand dollars ($100,000J · a pensation, damages as provided for In Section 3706 of tha ~r SIGNATURE <=--DATE --lf-""LJ~L-..&.....,...'f-.=:_,,_<-- • _7 •, OWNER-BU 0 I, s 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 proxing that he did not build or improve for the purpose of sale). 0 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). 0 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. 0 YES ONO 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 I address I phone number 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 number 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 number I type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ _ 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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. 8, CONSTRUCTIOJ,I LENDIN<i.AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ 9. APPLICANT CERTIFICATION 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 relating to building construction. I hereby authorize representatives of the Citt 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 building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work j uthorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such 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 WHITE: File YELLOW: Applicant PINK: Finance South Beach Contractors P.O.Box. 1670 El Cajon, CA 92020 Phone: 619.957.1730 Fax: 619.303.9267 City of Carlsbad Building Permits Licenle 8784820 Emal: artrnakl48o,atl.com 12/22/06 The project at 2626b El Camino Real with a contract between South Beach Contractors and Ramin Farsad has been canceled. We could not agree on a contract amount. The City of Carlsbad may release the plans or any paperwork associated with this permit to Ramin Farsad or anyone representing him. Kelly Goertz Owner South Beach Contractors CB062977 2626 EL CAMINO REAL B \, NC PRIMARY CARE-521 SF Tl NEW PARTITION WALLS, MINOR ELECT,ORYW.t! Tl COMM Lot#: KELLY GEORTZ CONSTRUCTION ---------------- ~ .~ t:l:Jtnp pol'=1,* S'CL6 t,...IL. / 101 iro 100 -ro c....t~ J f\'2..£---G,S.(,,\ L. w / ~ fl()()/L "~ 10\ r1 /oeo ~ {i;c pc_ 110 I 91 )Q 0 E, ~ (,.-) L-lJ..,,('("'I 1 1 /ll J._?---(t6 Cewf-~ w~ · I.· ail~ cLJ - ' () fuiw-t --ii+ G}'r'?J ~ i l-Y J' -~~ ,::w A ,l JlvUvt.-~ ~ -'._eel <-c)b./L /WI~ ~ J;j-f-~ ~ CV-~ ll.J/-~ W~ 1 ~ IZ~v~ -1~ ~-dJ 9(--~ ~5) ~ ~ --~""':""1.--~-:. ... l ....... ia.™g. I HIALTit DIPY' ------HAZMAT /AIRQUAI. ------OTHER SEWER DISTft TO FROM .ICHOOLFCMM CIIDflORM ..... '. ...... , ---+--+--IPICINIP .PLMCORR .ENG CORR .ESGILCORR FIRE CORR ~ {111}) 'fl~-///.)__