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HomeMy WebLinkAbout2011 PALOMAR AIRPORT RD; ; CB040147; Permit06-27-2012 City of Carlsbad 1636Far«l«yAv Cartsbad, CA 92008 Commercial/Industrial Permit Permtt No: CB040147 Building inspection Request Line (760) 602-2725 Job Address:2011 PALOMAR AIRPORT RD CHAD Permtty Type: TT Sub Type.COMM Status: ABANDOND Parcel No: 2130612600 Lot#:0 Applied: 01/13/2004 Valuation: $21,330.00 Constructwn Type:NEW Entered By: SB Occupancy Group:Reference#Plan Approved: Issued: Inspect Area Ran Check#" Project Title: PALOMAR TRIAD ONE 711 Tl IN LOBBY AREA Applicant:OwT>er. TONY MAN SON P T CARLSBAD ASSOCIATES CAD MADISON SQ PROP INC SUITE 111 6414 0BERL1N OR #140 6897 0BEUNDR 92121 SAN DIEGO CA 92121 868-668-1509 BuldInQ Permtt $192.09 Meter Stze Adtfl Buidng Pemrt Fee $0.00 Addl Red. Water Con Fee $0.00 Plan Check $124.06 Meter Fee $0.00 Addl Building Permtt Fee $0 00 SDCWAFee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motioh Fee $4.46 PFF (3106640)$0.00 Park Fee $0.00 PFF (4306640)$0.00 LFM Fee $0.00 License Tax (3104193)$0 00 Bndge Fee ^$0.00 License Tax (4304193)$0.00 BTD#2 Fee $0 00 Traffic Impad Fee (3106641)$0 00 BTD#3 Fee $0.00 Traffic Impad Fee (4305541)$0.00 Renewal Fee $0 00 PLUMBING TOT/y.$0 00 Addl Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Other Buldng Fee $0.00 MECHANICAL TOTAL $24.00 PoL Water Con. Fee $0 00 Master Drainage Fee $0 00 Meter Stze Sower Fee $0.00 Adrfl Pot Water Con. Fee $0.00 Redev Parking Fee $0.00 Red Water Con. Fee $0 00 Addrtonai Fees $0.00 Green BkJg Stands (SB1473) Fee 7?HMP Fee ?? Fire Expedidted Ran Review •79 Green BIdg Starxiards Ran Chk 77 TOTAL PERMIT FEES $365.43 Total Fees:$386.43 Total Payments To Date:$124.86 Balance Due:$240.67 Inspector FINAL APPROVAL Date:Clearance. KOTK£: PteewtaiaNOTKEtMtapprowior your pnydmctriMttelmpostlon'dfetSdBdPrtijn^i sea >sto»,crolwrgacton»hererftBra:*e(*sly retared to SB f8M)aackn' YouhMOOda)«fmni{hBdateMpenritMiasuedtoprotadtrTipo«ttonoftheMliBtttanaborB. ff)ajproMtnm,)OJiTuit folow ths proM prxsdures M( forth to Qoswrvnent Code Secbon 66020(4 ato fie f» protost «iy otinr requrod bitormalon wtti tw Manager for proceastogtotccoriarKsvdh(>tobadMifikipdCodeSecicna.32.030. Felure to frafy fokur M prrxedure mI bar eriy iitoMquent leQa aAon to alKjc, re^ew, Mt ittde, vod, or nul twtr toip^dtna You an hereby F1JRT>€R fKmRH) thflt your right to praW the ipedfod feee/ocactDni DOES NOT APPLY to Mtor arfo 8MW cornecflori feee end capacty dtangee, nor ptennto9,zonnfl.iy«ing or other eknttor a^pfcsflcr of wnece twin conneclfonwto tha projact. NOR DOES TT APPLY to «iy faoeteacflorMQtehHiTOjhMaWiWuek boon NOTICE itTTig to ft^ or M to itoWi the gtgkjteotkTfeflDrwhHacTtM(MNc*ittv*etta*Bd PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE O PLAN CHECK NO EST. VAL.?■ I -'S Hi 3.0 yPlan Ck. Deposit [ ^ Validated By.Date I / 1"^Z!l Address (include BIdg/Suite #) _ _ ^ Business Name (at this address) »acll QMalAfiUL. k>M<^ <1^ -Loe&y aABI*) )oal Oescrlption Lot No. Subdivision Nsme/Numbef Unit No. PhasiLegal Description L jOOj r. )2 Phase Nd— "total # of unite Assessor's Parcel M Existing Useck. -UX^6>V Proposed Use ^ ^ofT) —Lo^ gyof Bedrooms # of B^rooiDescription of Work SQ. FT.#of Stories NBW C^\U^< AC -^11 C-CCONTACT PERSON {if (Werant from ^l^icantl X rvhi-f^3. APPLICANT D Contractor Q Agent for Contractor /v\ Name Address Telephone w iQ Owner City 'QTAgent for Ownervgent ror uwner State/Zip Fax # _ U. . ^ ^ ac7S.6^IH fh'l S CA Name 4. PROPERTY OWNER Address City State/Zip Telephone Teleohone #«<i(1519Name Address City State/Zip 5. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish 6r 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$S00|). Name State License # Address license Class City State/Zip City Business License # Telephone # Designer Name Address City State/2^p Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration; I hereby affirm under penalty of perjury one of the following declarations; 0 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 ($100) OR LESS) (~| 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 Secrion 3706 of the Labor code, interest artd attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION ' 1 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 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 ha did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code; TheContractor'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. O YES l~tNQ 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 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 / address / phone number I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VDN-/7£SfO£V7X4L BUILDING PERMITS ONLY 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 2S505, 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? G YES G NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION i certify that 1 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 Citt 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 M^3HirA«(Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavpfions over S'G" 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 workauthorized by such permit is not commen^d within 180 day^rom the date of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is commenc^for a period of todays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK; Finance 11/02A2004 J.3:41 FAX 8585589221 MANSOITR ARCHITECTURE 0002 City of Carlsbad Building Department 11/01/2004 TONY MANSON SUITE 111 5897 OBELIN DR92121 Re: Application Date: 01/13/2004 0:00:00 Plan Check#: CB040147 Address: 2011 PALOMAR AIRPORT RD Expiration Date: 01/12/2005 0:00:00 Permit Type: Ti Description: PALOMAR TRIAD ONE 711 TI IN LOBBY AREA You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." — In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. 1 Project Abandoned - I will pick up plans within 10 days Project Abandoned - Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2702. Robin Nuschy Building Department