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Home My WebLink About2700 RANCHO PANCHO; ; CB081942; Permit04-21-2011 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: Building Inspection Request Line (760) 602-2725 CB081942 2700 RANCHO PANCHO CBAD COMMIND Sub Type: 2226000100 Lot#: $1,928,774.00 Construction Type: Reference #: PALOMAR KOREAN CHURCH- BUILD NEW 16,796 SF CHURCH, TO INCLUDE 1953 SF COMM 0 5A Applicant: KRISTA LAMODIN STE 112 11848 BERNARDO PLAZA CT 92128 858 592 4710 Status ADf^ied Entered By Plan Approved Issued Inspe' Plan Ctieck#: Owner: PALOMAR KOREAN CHURCH C/O MAGSONG SHE 245 N RANCHO SANTA FE RD SAN MARCOS CA 92069 Building Permit $5,550.14 Meter Size Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00 Plan Check $3,607.59 Meter Fee $0.00 Add'l Plan Ctieck Fee $0.00 SDCWA Fee $0.00 Plan Ctieck Discount $0.00 CFD Payoff Fee $20,304.68 Strong Motion Fee $405.04 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $0.00 Other Building Fee $0.00 MECHANICAL TOTAL $0.00 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee ?? HMP Fee $0.00 Fire Expedited Plan Review ?? TOTAL PERMIT FEES $29,867.45 Total Fees: $29,867.45 Total Payments To Date: $3,618.25 Balance Due: $26,249.20 Inspector: FINALAPPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project indudes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 Govemment Code Section 66020(a), and file the protest and any other required information wilh the City Manager for processing in accordance wilh 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 fee.s/fixadinns of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. (i&OS I Est. Value 1 fip.'Bpy'-f Plan Ck. Deposit SU>lt- Pate iClt(o/Ot CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP 13, Tr. 93-04 lof 2 NA NA Palomar Korean Church V-A A,E JOB ADDRESS 2700 Rancho Pancho Rd SUITE#/SPACE#/UNIT# NA 222 600 01 DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) Palomar Korean Church on Lot 13, Tract No. 93-04 of Rancho Canlllo Village "Q". Phase 1 proposed SF is 16,796sf. It is a 2-story mixed use project with assembty(churdi) and education(daycare) purposes; including a Sanctuary, Multi-Purpose Rm, Offices, Daycare, Library, Restrooms and Commercial Kitchen. There are 110 paridng spaces, including accessible parldng. EXISTING USE NA PROPOSEO USE Church GARAGE (SF) NA PATIOS (SF) DECKS (SF) FIREPLACE YESQ* N0[7] AIR CONDITIONING YES f/l NO 1 1 FlRESPRINKLERS YESf7]N0j~] CONTACT NAME (If Dlttereftfom Applicant) Andyjfinr^ APPLICANT NAME Rev. Myung Sung Suh, Pastor ADDRESS A. vVC/y \ CVJU^ 245U RanchoSantaFe Rd. ADDRESS 245 N. Rancho Santa Fe Rd. CITY HO<V ^ iSS San Marcos ^ >^ CA ZIP 92069 CITY STATE San Marcos CA ZIP 92069 PHONEY^ 858-77fi'fI23 \ 858472-0927 PHONE 760419-5695 FAX 760-736-8490 EMAIL akim^bluestonelodging.com EMAIL NA PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # 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 applioantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Ciiapter 9, commending with Section 7000 of Division 3 ofthe 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 ($500)). WORKERS' COMPENSATION Workers' Compensalion Declaration: / hemby affirm under penalty of perjury ona ofthe folowing declarations: B l have and wlll maintain a certificate of consent to self-Insure for worl<ers' coinpensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of ttie Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy NA Policy No. Expiration Date \!t number are: Insurance Co This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attomey's fees. JS$ CONTRACTOR SIGNATURE DATE OWNER-BUILDER DECLARATION / hereby affirm that I am exempt from Contractor's License Law for the foltowing reason: I I I, as owner of the property or my employees with wages as their sole compensatbn, 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. It, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he dki not build or improve for the purpose of sale). I /1 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 tor this reason: 1.1 personally plan to provide the major labor and materials for construcfion of the proposed property improvemenl. I lYes I INO 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, supen/ise 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): ^fifpROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forni or risk management and prevention program under Sections 25505,25533 or 25534 of the - - .. air qual Is the facility to be constructed within 1,000 teet ot the outer boundary of a school site? I lYes flNo 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 55 plan, i Presley-Tanner Hazardous Substance Account Act? QU^^s I iNn Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? •ves [~1NO CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitify that I have lead the application and state that the above infotmation is conetf and ttiat tlu I hereby authorize representative ofthe City ot Carisbad to enter upon the above mentioned property for inspeclion puiposes. 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 pemiit Is required for excavations over SO' deep and demolition or constraction of stnjctures over 3 stories in heighL EXPIRATION: Every pennit issued by the Building Offcial underthe provisions of this Code shall expire by limitation and become null and void if the building or wortt authorized by such pennit is not commenced within 180 days from the date ot such pemiit or if the building or wori< authorized by such permit is suspended or abandoned^! any time after the wori( is commenced for a period ot 180 days (Section 106.4.4 Unifonn Building Code). APPLICANTS SIGNATURE /"^^ .,^-"1—^..-^y --yy^ ^ DATE City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Appiication Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SU1TE#/SPACE#/UNIT# APN -- Cr/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESSNAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FlRESPRINKLERS YES • # NO Q YES • NO • YES • NO • CflNTACr NAME iff OHfmflt Fom Applicant) / , ( o T, A N, APPUCANT NAME ADDRESS CITY . " ..^ STATE ^ A ZIP _ CITY STATE ZIP FAX PHONE FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# (Sec 7031.5 Buiinesi and Proieislons Code: Any City or County wliidi requires i pennit to construct, alter: improve, demolisli or repair any stnicture, prior to its issuance, abo requires the appllcuit for such pemit 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 Ihe Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7u}l.5 by any applicant for a pennit subjects the applicant to a dvH penalty ol not more than five hundred dollars ($500}). WORKERS' C O M P E rsf S A T I O N Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ol Ihe following declarations: a I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit Is issued, n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for Ihe perfomiance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the pennit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the perfonnance of the work for which this pemiit 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 provided for In Section 3706 of the Labor code, Interest and attorney's fees. Jg^ CONTRACTOR SIGNATURE DATE OWNER-BUILDER DECLARATION (hereby affirm that I am exempt from Contractor's License Law tor the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the notk 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). • 1, as owner ot 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 lo the Contractor's License Law). • 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. • Yes • 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 Ihe proposed construction (include name address / phone /contractors' license number): 4.1 plan lo provide portions of Ihe work, bul I have hired the following person lo coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but 1 have conlracted (hired) the following persons to provide the work indicated (include name / address / phone / type of wort<): ff^DDnDCDTVnUfUCQCmiJATIlQC COMPLETE THIS SECTION FOR W O N - R E S I D E N T I A I S O I L D I N C PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fornn or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes DNo is Ihe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes O No Is the facility to be constnided vnthin 1,000 feet of Ihe outer boundary of a school site? a Yes O No IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certiiy that I have read the application and slate thatthe above Information Is conect and that the Infbnnatian on the plans Is accuiate. I agree to comply with all Cily ordinances and State laws relating to building oonstnicthin. I hereby authorize representative otthe City of Carlsbad to enter upon the above mentioned property lor nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABimES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA peimil Is required for excavations over S'O' deep and demolition or construction of stmctures over 3 stories in height EXPIRATK3N: Eveiy pernilt issued by the Building C)fflclal under the piwisions d this Ck^ 180 days Inim the date of such pennit or If the building or vnrk authorized by such peirnt Is suspended or 106.4.4 Unifomi Buildrg Code). ^APPLICANT'S SIGNATURE DATE ]s\o<\ Pd exP.e^TiOA) cexrer 6e^x .^..^oq Approved Date By Building Planning Engineering Fire Health / F.O.G. 1 HazMai'Air Quaiity Comments Date Building Planning | 1 Engineering | Fire 5 ^h(&°t Forms/Fees Sent Reed Due? By School 3ro \W Y N ( 1 f PFF —\——h-^ Y N P b & M V N Special Insp. V N Fire V N Sewer Y N Fees Complete Application & Related Docs. Complete ^ BM.J^^.Jf ^ ^f^^ Ci,[3\(0 ^^^^ UPC 76520 No. 2-4940 m HASTINGS, MN