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HomeMy WebLinkAbout2732 LOKER AV WEST; ; CB022227; Permit-31-2002 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB022227 Building Inspection Request Line (760) 602-2725 273TLOKER AV WEST CBAD MISC 2090812000 $0.00 Subtype: Lot#: OTHER 0 HISAMITSU DEMO NON BEAR WALLS CEILING AND FLOOR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/31/2002 SB 07/31/2002 07/31/2002 Applicant: BIOSTRUCT INC. 11545 SORRENTO VALLEY ROAD SUITE309 SAN DIEGO CA 92121 858 3507866 Owner: CARLSBAD OAKS LTD L P C/O HAMANN INVS 475 W BRADLEY AVE EL CAJON CA 92020 2724 07/31/02 0002 01 CGR Total Fees:$60.00 Total Payments To Date:$0.00 Balance Due:$60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $60.00 $0.00 $0.00 $60.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO, EST. VAL. 2-227 Plan Ck. Deposit Validated By_ Date 7 ~~ 3 / - - Business Name (at this address) Telephone # gkg>' 'Q'2^Q^^>^{^ *$tate/Zfe Telephone ff (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 dojjars [$500]). Designer Name State License If i^rrfiiQ-T \\ state License # I VZ)J££lSiW2> Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:LjKfl I have and wilt 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. Q 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 insurancecarrier and policy number are: MI Insurance Company ^Jr^jJJfr/ £• -PffifikpM Policy No.dpf/^) { '7*35 ~ CQ Expiration Date f~ \ ~' (THIS SECTION NEED NofsE COMPLETED IF THE PERMIT fe FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 ki Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE '_ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees wrth 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). Q 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). Q 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 YES QNO 2. I {have / 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 / phone number / 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 / address / phone number / contractors license number): 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES fj NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C YES Q 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. 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 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 laws relating to building construction. I hereby authorize representatives of the CitV 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 authorized 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 ajflfiad of tflj^days (Section 106.4.4 Uniform Building Code). f DATEAPPLICANT'S SIGNATURE YELLOW: Applicant PINK: Finance G:\2002-PPOjects\02.05-Hisaraitsu-Biostruct\CAD\l-SITEPLAN\02.05-A1.0.dNg Wed Jul 31 10:49:232002 RBZAHN mm \a ; i"•sKHii! P n i'l3 ^as I '° »'H!i-iilli c/5'0) 3 G:\2002-Projects\02.05-Hisamitsu-Biostnuct\CAD\2-FLOORPLANS\02.05-A2.1D-48.dwg Wed Jul 31 10:49:01 2002 RE -—V----.M PN it/' n '~n— i'T,~lo~ 'T 1U ® iu __ --J "t o=-t"1 \ji |^iJ '-'jj i1 r~M- jll /-L-----7r------\ fjl 'IL^ II vj|l 'l 1 II I1 l| © n—© |l 6 SI e !! >i rK> g U 5 f a e«« a e ae *! IfHf If SiEI : il! H i!0) 9 t-Qd A98A8SC9S8:HOHJ NQI33<I 9Q:ST SQ-tC-iQ COM PKN S ATI ONINSURANCE jssttE 80^ ''.V •'' ' '. '":' '•!•• ''-' 'i"&l'--i'rf? ••'•!•• ••W'*,. •.•:•(»- • '-,-*;" • : .* •'••'• . •'•-•-' ,'. ." - „ , •; ' • ••'• *;— ;-' y/;^,; ,/v;^",, ;•••;;: ^S'.^\>v^;'S:v^'-^; ri >;; ' ;• .„>* .1 ;• ..-.- v.;'>-'"-' ••. .'-v „••./ •;',.'• '-• t- :.•• "•?<:'•• ••,..•- :'•••••• .,..„ .v:. . ',; •: • • -*.. .. -.\ ;•>•• : '. i.v -'..•..•...•:•...'.• £•: . •. ••'.' This Is^t0:qert?fy tt)rt «yie fwVB,Taaued * valid •WQrk^--£p0v«H^tian"3M:^i^Calitdrnia insurance Commlsstoner to tNib empl^VCP- .ntrnod' ^elt^y .tor- fl^^ticy^erigd ' ' ' ' '•' •" • ' " '"• ' '" • ' " ' " ' ""•' ' '. , . .. > . • . ., . . -.This policy is.ftot subiiict to omcelistion ;:by the Fund ' ix^ept 'We .--... ••• .- •should .:thf B. ipbllcy- bie" " ' to the employer. ~ i •?:•:••• ••£ • • ;r --.':t1.^.. .^- ,' ' •., . ' .. pricir te-.;ttis -.norrhil?^xplt*iotv .-"' ' ' . .give you 36 dirts': ^y '' ."'..' ' '" '-'" ''••' . '•'•'"'': ~ ,."• .- .''• ."-•':'.' .-• -'. > ''"••" •-!. .' /'' • ; li . ' • '' •'• ,this^ certificate^ insurance :js,,ho^-«i IHsu^anca pojicy;^d ddfls rat 4wen,cL «Xl^^W « .by the poticiss listed, herein: -ftetv^thstandlrijj any rsqutr^mCTt.^errn.flr :CC^droorf'ot;,iny ''tfoMMCtVor^triBE' documentwith resp*ct'to vtfhldi .this tflrtfftctte .efytnsuwetf'iflii'ssued^'orifnwisrla. Sh« (nSvtfaW^rAfJflriidpy1: the "'rvifc'i * 93HVW .«J v*mbM -v «^p i^at ti i ii,«wbl VI +>ui9ViiniUB *- '^r tj*?i:{:***yw~ • *•*• -" ^T.f+f V ™V** -u-tv • iri-^v* v t^v .*•• * v>uBu4 w^h w»* /policies-d^crlbsd herein Is subjact to att;tli&''.t9|ims,"..^elusJt^ris and icontftton^; pf jsuc^po|<clflfr" •; \ ' --' ': #208«' . , FORMS A'PART OF THIS POLICY. ;^ '-';'- '••' --v", -" : *.'-- •;:- ' T. •• : 1$, AfT«»«l* TO LEOAL -NAME #309-' "- . - • 11555SORRENTO A; 92*121; ;^ WWAflEMEKT, IHC AND/OR »*^WNO;(WMMNY; INC; ANO/0 BIOStRUCT SOURCES, INC. OS- 17:-.<M. P0410 THIS DOCUMENT HAS A Bl_U£ PATTERNED BACKGROUND 'd 'ON Q3M STRUCT June 17, 2002 To Whom It May Concern: In regards to the building permit for the Hisamitsu Pharmaceutical project located at 2732 Locker Avenue West Plan Check number CB021735. Biostruct herby gives Randy Biegenzahn of JKE Design to sign and obtain the permit application for this project only. Thank Yo Steve Hilton Project Manager Biostruct, Inc. Lie. #7 13479 11545 Sorrento Valley Road, Suite 309 San Diego, CA 92121 tel 858.350.7866 fax 858.350.7867 www.biostruct.com