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Home My WebLink About2641 GATEWAY RD; ; CB162450; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-22-2016 Permit No: CB 162450 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2641 GATEWAY RD CBAD PME 2131912500 PEETS COFFEE-ADD 4 OUTLETS LIN R ROGERS ELECTRIAL CONTR INC STE 200 2050 MARCONI DR ALPHARETTA GA 30005 770-772-3400 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: REGENCYBRESSILLC ISSUED 06/22/2016 RMA 06/22/2016 06/22/2016 C/0 CORNERSTONE REAL ESTATE ADVIS 100 WILSHIRE BLVD #700 SANTA MONICA CA 90401 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00 r:i ;o.r ptject irdudes u-e "lni:mti ' r:i fees, clecicaticrs, reservatioos, or ether eKa:ticrs hereafter ooledively 00 days frcm tJ-e date !tis penrit 'v\05 issued to prctest ini:xstioo r:i these fees'eKa:tiorlS. If ;w ~est trem, ;w rrust fdlo.vtJ-e ~est µtnrlres sa in <?o.lerrmart Oxle Sedior1 ~a), cl'-d file tJ-e prctest cl'-d any ether rec:p.ired infooratioo wth tJ-e Oty ~ for pocessirg in a:xx:roa-cewth Ca1sba:! M.ndpal Oxle Sedior13.32.030. FailLreto tirrelyfdlo.vthat pucedrewll ta" anysw;eq..iert legal cdiooto attcd<, review, set aside, -.od, or arru tt-eir irrJXB!ion. Ycu ere hereof FlR1l-ER I\OTIAED that ;o.r rigt to prctest tJ-e specified fees'eKa:ticrs IXES NOT APPLY to v..ater cl'-d SBNer CDTiedioo fees and~ ctmges, nor plaTirg, mirg, gajrg or ether sirrilar ~icatioo pocessirg or servioo fees in CDTiedioo wth Ins ptjed. NCR IXES IT APPLY to any fees'eKa:ticrsr:iwic:h have ·cus1 been ·va,aNCJTICEsirrilartottis orastowic:htJ-e uter:ilirritaticrshas · · THE FOLLOWINj APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING DFIRE QHEALTH 0HAZMATIAPCD ' Plan Check No. ( .JiJ / &" :?_ Lj 5 /") Ccicyof Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value V' Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Qe~sit J' email: building@carlsbadca.gov a1r www.carlsbadca.gov f-Date /.IJ /).JI I I lswPPP JOB ADDRESS SUITE#/SPACEI/UNIT# rPN I 2641 Gateway Rd, Carlsbad, CA 92009 --- CT/PROJECT# rOT# 'PHASE# r OF UNITS 1 # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP Peets Coffee DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) L/ Electrical Only/Peets Coffee-Installing) receptacles EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS Commerical Commercial YES[)t NoD YEs0No0 YEsONoD APPLICANT NAME• Lin R Rogers Electrical Contractors, Inc. PROPERTY OWNER NAME Peets Coffee . ·-. ··-..... ·- ADDRESS ADDRESS 2050 Marconi Drive Ste 200 2641 Gateway Rd CITY STATE ZIP CITY STATE ZIP Alpharetta GA 30005 Carlsbad CA 92009 PHONE IFAX PHONE I FAX 770-772-3487 305-397 -2655 EMAIL EMAIL license@lrogerselectric.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Lin R Roaers Electrical Contractors. Inc. ADDRESS ADDRESS 2050 Marconi Drive Ste 200 CITY STATE ZIP CITY STATE ZIP Alpharetta GA 30005 PHONE I FAX PHONE I FAX 770-772-3487 305-397 -2655 EMAIL EMAIL license@lrogerselectric.com ,_,._~,.., _ r,,.. I STATE UC.# STATE UC.# I CLASS C10 ICITY BUS. UC.# I l\_j_j {/(;).J 584017 ~236066 (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 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 {$5001). 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. IZJ 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 workers' compensation insurance carrier and policy number are: Insurance co. Travelers Property Casualty Co of A Policy No. VTC2HUB8571C373 Expiration Date 1/1/2017 This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify thatin 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 (&100,000), in addition to the cost of compensati n, dam for in lion 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTORSIGNATUR I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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). 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). 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. 0Yes 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): ~ PROPERTY OWNER SIGNATURE 0AGENT 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 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 IFANY 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 affirm 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 law.; relating to building construction. I hereby autho!ize representative of the City of Car1sbad to enter upon the aoove mentooed property i:Jr ilspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY a: CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE a: THE GRANTING a: THIS PERMIT. OSHA: An OSHA pennit is required i:Jr excavaoons over 5'0' deep and demolioon or CXlllstruction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Offcial under the provisions of this Code sha! expire by imitatiJo and become nun and ..oo ~ the buildilg or \\Olk autho!ized by such pennit is not commenced v.ithil 100days rom the date of such pen11itor if the i · orv.ork autho!ized by such pennt is suspended or abandoned at any tine after the \\Olk is c:ommenred i:Jr a period of 100days (Section 1~.4.4 Unii:Jrm Buildilg Code). _,g APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. ( I 1-' ; i ' ! •' , ;.. '. > t ") ~ • ,,. ( (. r• rtl J'"I ~ r f I f I I, ~ ~ Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME --- ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (Dn Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: ----CHANGE OF USE / NO CONSTRUCTION 25 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB162450 Type: PME Date ____ Inspection ltem~----~-- 07/18/2016 34 Rough Electric 07/18/2016 34 Rough Electric 07/18/2016 39 Final Electrical Thursday, July 21, 2016 Inspector Act RI PY AP PY AP PEETS COFFEE-ADD 4 OUTLETS Comments AM PLEASE Page 1 of 1