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Home My WebLink About2744 CARLSBAD BLVD; 114; CB053541; Permit11-02-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB053541 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2744 CARLSBAD BL CBAD St: 114 Tl Sub Type: COMM 2031722701 Lot#: 0 Status: ISSUED $5,000.00 Construction Type: NEW Applied: 10/12/2005 Reference #: Entered By: MDP SPEC CLOTHING STORE Plan Approved: 10/12/2005 INSTALL DEMISING WALL & BATHROOM.STORAGE WALL Issued: 10/12/2005 Inspect Area: PY Plan Check*: Owner: CORSO CONSTRUCTION 4924 PARK DR 92008 760434-9710 SIMONS JOHN&MAUREEN 2744 CARLSBAD BLVD #209 CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $61.19 MeterSize $Q.QQ Add'l Reel. Water Con. Fee $39.77 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $1.05 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00 Additional Fees TOTAL PERMIT FEES $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.00 $35.00 $24.00 $0.00 $0.00 $0.00 $0.00 $202.01 Total Fees:$202.01 Total Payments To Date:$202.01 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project indudes 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 you 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. Plan Ck. Deposit Validated By Date Address {include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work —-*>. S sj ) J SO. FT. yfyfrfjou /«%£. F°° tf Stories # of Bedrooms # of Bathrooms State/Zip Telephone # Fax Address &7 """%-^fc State/Zip Address City State/Zip Telephone it (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 Codel 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 tha applicant to a civil/enalty of not more than five hundred dollars I$5001). Name State License # Address License Class City State/Zip City Business License ff Telephone ft Designer Name State License # Address City State/Zip Telephone f Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. 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 insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) "5o 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 doNarsfl$100,000), inladdition^K^he cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ^SIGNATURE .jr^^t 'l^- {^&LtsLj/ DATE I hereby affirm iriat I am ewampt from the Contractor's License Law for the following reason: Q 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). l~l 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 contractors) licensed pursuant to the Contractor's License Law). [D 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 [~)NO 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): 5. 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 .FOR wiMiiBjaptf^ =. i.i • ' ."•«•! ;•;.;'; ;i ; \: *.- : 'v : '{'• ! : '-.'' l:!-^!-! : ' T-nK '"I • ^'2^:. ^. ':•• '!:" :f ; \ N ::'S ; • '•' : '.? • I- ... H '; 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 [~1 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. fg;;;f»N^RMW^ '.. . :-;:"!:-'' = /?"M" • '• - " ". ' = •='= =\ '••• =• : ' .'.=>" V:';. •'••• ' •' ' > ':- ' ':: /•' 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 Coda). 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 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 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 permil is not commenced within 180 days fromJhe dale of such permit or if the building or work authorized by such permit is suspended or abandoned jt any time after the work is comme^peofl for a periyfl of 1 8(}xJ(§«nSection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance ' City of Carlsbad Bldg Inspection Request For: 12/28/2006 Permit* CB053541 Title: SPEC CLOTHING STORE Description: INSTALL DEMISING WALL & BATH ROOM,STORAGE WALL Inspector Assignment: PY Type:TI Sub Type: COMM Job Address: 2744 CARLSBAD BL Suite: 114 Lot 0 Location: APPLICANT CORSO CONSTRUCTION Owner: Remarks: ok to expire permit? Send to Code Enfo? Total Time: Phone: Inspector: Requested By: CHRISTINE Entered By: CHRISTINE CD Description 92 Compliance Investigation Act Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Date 01/25/2006 01/24/2006 11/18/2005 11/17/2005 11/16/2005 1 1/03/2005 10/31/2005 10/31/2005 10/24/2005 10/18/2005 Inspection History Description 89 Final Combo 89 Final Combo 89 Final Combo 89 Final Combo 89 Final Combo 18 Exterior Lath/Drywall 14 Frame/Steel/Bolting/Welding 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Welding 14 Frame/Steel/Bolt ing/Weld ing Act CO NR MR NR we NR PA PA PA NR Insp PY PY PY PY PY PY PY PY PY PY Comments need handicap dressing room NO ONE THERE NEED REVISED FLOOR PLAN yr°$fy>A —«J I - -ni—i L n I f •, 11 J?OV. -/ L_ V t/\ QJ CU ' > -t 1J itf> - or o_<3: '- 3i-S.s£'*ii£ S S 9> v ^ -^^) i <: f " « «- ^~S--i -> iJ! o •-TJ ALK3N WTH TOILET ROOM WALL PHONE JACK, TYP -0 oc City ol BUILi CARLSBAD BLVD. 3U1TE FLOOR PLAN II .si i I : o oli il o