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Home My WebLink About2794 JEFFERSON ST; MP; CB163662; Permit09-27-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB163662 Building Inspection Request Line (760) 602-2725 2794 JEFFERSON ST CBAD St: MP PME 0000000000 Lot#: 0 TIME WARNER: METERED PEDESTAL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/27/2016 SLE 09/27/2016 09/27/2016 AUDIT MASTERS & COMMUNICATIONS INC TIME WARNER CABLE 469 E MISSION RD SAN MARCOS CA 92069-1822 760-535-1091 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 10450 PACIFIC CENTER CT SAN DIEGO CA 92121-4338 858-805-7330 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATi:J;lCl\/\J SIGNATURE BC >f{Jf3 NO i~~c-\\00<:' I'\() ~C:~OY-'fl!~ +, \~ Inspector: FINAL APPROVAL Date: 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 x i n f whi h r vi I Tl E imil r hi r whi h h f Ii i i n h r vi I h rwi THE FOLLOW~G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILD1NG O FIRE O HEALTH 0 HAZMAT/APCD l C Cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit SUITEI /SPACEI/UNITI EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) PHONE ?-13 Date FIREPLACE YESC}I SWPPP CONSTR. TYPE QC • R UP AIR CONDITIONING vEs O NoD FIRE SPRINKLERS YEsO NoD EMAIL EMAIL M O:I \<.. s .J.4n he \J @--4w C ~b lt . (P W\ DESIGN PROFESSIONAL CONTRACTOR BUS. NAM EA d I M ~ I ' (' -I "' I u. \-t-~~.tvS » Ul~Mllnlt QhoY\ ..LNl , ADDRESS ADDRESS 4b9 E.. VV\16S10V"I ~a.d -- ZIP ~'d-o b_q __ --. CITY STATE ZIP PHONE FAX CITY SQ.rt w1A( CDS PHONE '1/oo -5 35-O°t I ~~rE~M~A~ll~~~~-EMAIL o.~c. s e. Co STATE LIC. # STATELIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 D1v1s1on 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 c,v,1 penalty of not more than five hundred dollars [$500)). WORKERS ' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pequry one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' rompensatlon as provided by Section 3700 of the Labor Code, for the performance ol the work for which this permit is ,ssued. ~ 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 ,s issued. My workers' compensation insurance carrier and policy number are:lnsuranceCo WESC.o lr'Sv i!9"1U:. CtrMfA-tJt PolicyNo.wwe,:;,:u.to'i ExpirationDate () -Ol-'Z.Ol This section need not be compleled if the permtt is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that ,n the performance of the work for which this pennit is issued, I shall not employ any person on any manner so as to become subject to the Workers' Compensatoon Laws of California. WARNING: Failure to secure work ' mpensation 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, d ided for in Section 3706 of the Labor co 'nterest and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 1D lo D I, as owner of the property or my employees with wages as their sole rompensation, w,11 do the work and the structure 1s not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff or through hos 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 rompletion, the owner-builder will have the burden of pro'l1ng that he did not build or improve for the purpose of sale). I, as owner of the property, am exdusively contracting with licensed rontractors to ronstruct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bullds or improves thereon, and rontracts for such prOJectS wtth contractor(s) licensed pursuant 10 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 matenals for construction of the proposed property improvement. 0 Yes 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 (include name address I phone I 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 (indude name I address I phone I rontractors· license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (1ndude name J address J phone J type of work): 25 PROPERTY OWNER SIGNATURE 0 AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or rtsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acfl Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control d,strtct or air quality management distrtct? Yes No Is lhe facility to be constructed within 1,000 feel of the outer boundary of a school site? Yes 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 ,s 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 certify that I have read the application and state that the aboYe information is correct and that the information on the plans is accurate. I agree to comply \\ith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecoon 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 requred for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Bu!ld1ng Official under the provisoos of thlS Code shall expll'e by lirrntatoo and beoome nul and void l the building or work authcnzed by such permit is not commenced within ::::::::::;i·~~~-·•-••--••~m<· .. -~:-rfli7/Jl'-100A4,_~ ... ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C[RTIFICATE o r occurAl\iCY (Comml'rc1;,I r: r o f l c t s or: I y I Fax (760) 602-8560, Email building@cartsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. l CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# --MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION -- ~ APPLICANT'S SIGNATURE DATE ( City of · Carlsbad February 28, 2017 Owner/Tenant 2794 JEFFERSON ST, Suite MP Carlsbad CA PERMIT NUMBER: CB163662 ISSUE DATE: 09/27/2016 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: BLDG-Commercial, P/M/E ADDRESS: 2794 JEFFERSON ST, Suite MP Our records indicate that your building permit will expire by limitation of time on 03/26/2017. 18.04.030 Section 105.5 amended -Expiration: Every permit issued by the Building Official under the prov1s1ons 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 calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. ____ Project abandoned. A new permit will be obtained prior to commencing work. Permit 180 day extension request, with written explanation including phone number and email address. Request will not be considered without explanation ____ Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. Community & Economic Development Building Division I 1635 Faraday Avenue Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov