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Home My WebLink About2719 LOKER AVE W; D; CB152374; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-11-2015 Demolition Permit Permit No: CB152374 Building Inspection Request Line (760) 602-2725 Job Address: 2719 LOKER AV WEST CBAD St: D Permit Type: DEMO Full Demo: N Status: Parcel No: 2090813901 Lot#: 0 Applied: Entered By: Occupancy Group: Reference #: Plan Approved: PC#: # Dwelling Units: 0 Structure Type: Issued: Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: PALOMAR BREWING-DEMO BY SAW CUTIING SLAB FOR PLUMBING & SEWER LINES-IN Applicant: Owner: ANGELA FAIRWETHER RHATIGAN THOMAS&KA TH LEEN 937 PRISM DR SAN MARCOS CA 92078 760 845-6596 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $65.00 $0.00 $65.00 1074 BEACON BAY RD CARLSBAD CA 92011 ISSUED 07/27/2015 RMA 07/27/2015 07/27/2015 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: FINAL APPROVG Date: <g..-(0,-I I Clearance: ------ $0.00 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 f hi h v r vi I T E im'I r · f 1· i i h r vi I THE FOLLOWING ~PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING {'cicyof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITU/SPACE•/UNIT 2719 Loker Ave W 0BUILD1NG D FIRE Plan Check No. SWPPP 39 02 -PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP Palomar Brewing. Co. DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE Demolition : Cut concrete and dig areas where plumbing/sewage lines will be installed. J,,,.. ~ 7 p-~ -('!J 15 J.. oJS PROPOSED USE GARAGE (SF) PATIOS(SF) DECKS(SF) Brewery FIREPLACE YESQI AIR CONDITIONING No[] YES 0 No 0 FIRE SPRINKLERS YES0 NoD APPLICANT NAME Prima Contact Ben Fairweather PROPERTY OWNER NAME Angela Fairweather ADDRESS 3885 Nautical Dr. CITY STATE ZIP Carlsbad Ca PHONE FAX 7608456524 EMAIL Ben @palomarBrewin~.com DESIGN PROFESSIONAL ADDRESS CITY PHONE Qr' t, I · 71 EMAIL l , or, ClNf V:-" So.I /.,"o STATE ZIP STATE UC.# 92008 ADDRESS 937 Prism Dr. CITY STATE ZIP San Marcos Ca 92078 PHONE FAX 7608456596 EMAIL afairweather23@yahoo.com CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# CLASS CITY BUS. UC.# (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 mat he is licensed pursuant to the provisions of the Contractors 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 ($500)). Workers' Compensation Declaration: I hereby affinn under penalty of peqwy 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 lhe performance of the work for which this permit is issued. D 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. Policy No. Expiration Date --------- ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 Califomia. 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. ~ CONTRACTOR SIGNATURE 0AGENT DATE hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: (a I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slructure 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 inlended or offered for sale. If, however. the buiding or improvement is sold within one year of completion, the owner-buider will have the burden of proving that he did not buid or improve for the purpose of sale). D D I, as owner of the property. am exdusively 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. Q ves 0 No 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 (indude name address I phone I C011tractors' 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 (indude 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): I ~~~~PR~O~P~ER~TY~OW~NE~R~S~IG~N~AT~U~RE:_l.tl!_~~~~!t,._j~~~~~~~~~--~~~J[J~A~G~E~NT~~~.....!'.~:.__.:.ll.:.l.~!Jll~l.:~~~~-1 Is the applicant or Mure building occupant required to S1Jbmit a business ri1.5. 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 a,r 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 IF ANY OF THE ANSWERS ARE YES, A ANAL 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 certifytllatl have read tile application and state tllattlle above infonnation is correct and that the infonnation on tile ~ans Is accurate. I agree to comply with all City ordinances and State law.; relating to buRdingconstruction. I hereby authorize rep-esentative ex the City of Coosbad to enter upcr, lhe abow mentioned pq>elty fer ilspedion purposes. I ALSO AGREE TO SAVE, INDEM',IIFY AND KEEP HARM..ESS THE CITY OF CARL.SEW) AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES v.,.iiCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT. OSHA An OSHA permit is requi'ed fer excavatioos <N« 5'0' deep and demolition or construdion of sl!uctures (Ml( 3 stories in height EXPtRA TION: Every permit issued by the Buiding Official ooder the provisioos of lhis Code shaU expie by Imitation and become nul and vad if the buidilg or wcxlc authorized by such permit is nol commenced wi1hn 180 days mn the date ex sudl permit or if the bui!ilg orwal< authaized by such permit is suspended or abandoned at any line after the wa1< is commenced b-a period ex 180 days (Sedial 106.4.4 lklibm Bulilg Code). A!5APPLICANT'SSIGNATURE ·-&i: ~ DATE 7 /2-7 I '2 0 Is • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. : (-.. F \l C (" IJ ' ,; r,,. ( '!' . r ,, rn n· , ~ : '. ~1 r '. ' 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. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX I~ OCCUPANT'S BUS. UC. No. l)!!LIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION AS APPLICANT'S SIGNATURE DATE "' ' I " . ' Inspection List Permit#: CB152374 Date lnspec:ti~n __ ltem _ 08/10/2016 19 Final Structural Thursday, August 11, 2016 Type: DEMO Inspector Act PB AP PALOMAR BREWING-DEMO BY SAW CUTTING SLAB FOR PLUMBING & SEWE Comments Page 1 of 1