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HomeMy WebLinkAbout2680 CARLSBAD BLVD; ; CB100259; Permit12-14-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB100259 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2680 CARLSBAD BL CBAD MISC 2031710100 $0.00 Subtype: OTHER Lot#: 0 DEMO UNDERROUND STORAGE TANK Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ABANDOND 02/11/2010 JMA Applicant: GEMS ENVIRONMENTAL MGMT P.O.BOX 5001 BAY POINT CA 94565 925-709-1944 Owner: STATE OF CALIFORNIA DEPARTMENT OF FORESTRY PUBLIC AGENCY 00000 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $65.00 $0.00 $0.00 $65.00 Total Fees:$65.00 Total Payments To Date:$0.00 Balance Due:$65.00 Inspector: FINAL 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 lees/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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. .,, .a. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Q3> \ OQ Est. Value Plan Ck. Deposit Date 2-1II to JOB ADDRESS CT/PROJEC™torr # OF UNITS I # BEDROOMS Surre#/SPACE#/UNlT# DESCRIPTION OF WORK: Include Square Feet of Affected Areaft) * BATHROOMS TENANT BUSINESS NAME (LA- CONSTR.TYPE I OCC. GROUP PROPOSED USEEXISTING USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D # NOjSS AIR CONDITIONING YES D NO J8T FIRE SPRINKLERS YES a NO£. CONTACT NAME (U Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX f 2 EMAIL EMAIL 2> PROPERTY OWNER NAME~CONTACTOR BUS. NAME JTT-'C ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHON FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.#CLASS CITY BUS. UC.# civil penalty of not more than five hundred dollars ($500)). WTQ.R K E'JR $> '"VC.O.W P. E N S A-;T>I'':0"N: 3, prior to its issuance, also requires theending with Section Topo of Division 3 of the,5 by any applicant for a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: C3 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 workers' compensation insurance carrier and policy number are: Insurance Co. ^llf(-^>f I i-C^^^-n/C^ CotW>^-^y PolicyNo. Ql OK.g.mZ'-Z.OlXc.-afaO Expiration Dale V/C» // Q _ This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 (&100.000), in addition to the cost of compensation, damages as providedJor in Section 3706 of the Labor code, interest and attorney's fees.~ * — *~~^ CONTRACTOR SIGNATURE •••O W N E R - B U f I'D E.R:' ,0'* C'L'A'KA TtQ N -SJAGENT DATE , /I / 2~[ }f I \ I hereby affirm that I am exempt from Contractor's License Law for the following reason: 3 I, as owner oMhe 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). O 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: O Yes D No1 . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 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 OAGENT DATE N 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? O Yes -d^No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YesIs the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes JffNo IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. IC'-O'tt-S-T: RU C T I O Nt;6"N'0-."l.'NJ«J,: 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 /^ | A Lender's Address A P P i i c A;w T ;:! 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 m/firgO' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by IheBujIdirig^^LLns^rtipTOvBcim^is 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 pemjt^rlitieb^Mr^ work autrKxized by APPLICANT'S SIGNATU!DATE CITY OF V CARLSBAD Community & Economic Development DECEMBER 07, 2010 GEMS ENVIRONMENTAL MGMT SERVICES, INC P 0 BOX 5001 BAY POINT CA 94565 f\\ [£ (p R n nn iwww.carlsbadca.qovUj L5 w LE u l[/ [,:;,, . ^ DEC 092010 l'!< RE: APPLICATION DATE: PLAN CHECK #: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 02/11/2010 CB100259 2680 CARLSBAD BLVD 02/10/2011 MISC REMOVE 500 GAL. UNDERGROUND TANK You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding expiration: 18.04.035 - Section 107.4 amended—Expiration of plan review. Section 107.4 of the California Building Code is amended to read: Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted by the Building Official does not, by right, apply to any related Discretionary Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. Project Abandoned -1 will pick up the plans within 10 days ^Xf Project Abandoned - Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Building Division CC: CA DEPT OF GENERAL SERVICES Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560 © n ppIn-! X n s Hi< £ 2^ fifi Osa: O fc ^1trat K-S H O ^ -