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HomeMy WebLinkAbout2793 LOKER AVE W; ; CB011011; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05/04/2001 Commercial/Industrial Permit Permit No: CB011011 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2793 LOKER AV WEST CBAD Tl Sub Type: 2090811500 Lot #: $52,080.00 Construction Type: Reference #: ASHWORTH/ 200 SF OFFICE-OFFICE 1536 SF OFFICE TO MANUFACT IN DUST 0 NEW Owner: Status: Applied: Entered By: Issued: Inspect Area: AL DIDONATO ASSOC SUITE 100 CHARTER GOLF INC C/0 HALINA BAL YF 2791 LOKER AVE W CARLSBAD CA 92008 39391ST AV SD 92103 619-299-4210 . (->r 6 Pr<1,IJ f'j"(\. qJ ~ CB Plan Approved: Total Fees: $634.20 Total Payments To Date: $237.65 Balance Due: $396.55 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: $365.61 Meter Size $0.00 Add'I Reel. Water Con. Fee $0.00 $237.65 Meter Fee $0.00 $0.00 SDCWA Fee $0.00 $0.00 CFO Payoff Fee $0.00 $10.94 PFF $0.00 $0.00 PFF (CFO Fund) $0.00 $0.00 License Tax $0.00 $0.00 License Tax (CFO Fund) $0.00 $0.00 Traffic Impact Fee $0.00 $0.00 Traffic Impact (CFO Fund) $0.00 $0.00 PLUMBING TOTAL $0.00 $0.00 ELECTRICAL TOT AL $20.00 $0.00 MECHANICAL TOTAL $0.00 $0.00 Master Drainage Fee: $0.00 Sewer Fee: $0.00 $0.00 Redev Parking Fee: $0.00 $0.00 Additional Fees: $0.00 TOTAL PERMIT FEES $634.20 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 capactiy 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 qiven a NOTICE similar to this, or as to which the statute of limitations has previously otheiwise exoired. V~tl PERMIT .APPLICATION CITY·OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NoC6oll o-f J EST. VAL. 5 )Q.PfJ_, ~ Plan Ck. Deposit ;). 51:(Q 5 Validated By _ _C,---:-,..,~......,m---c~-..,-;-;,---Dai~ 3 1 1 ?{Io~9 _ Ul OL .... z::;-;-.ss Address (include Bldg/Suite #) 1. PROJECT INFORMATION '2.?l-3'b44 ~ ~vi: . w Business Name (at this address) -z '-{ 7.--/ Legal Desc~ti 0 on e;, l-I -6~/,ff" Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units opccc. c-L Assessor's Parcel # Existing Use IS'){ Proposed Use ~'Tll,L. J'QFT C4.IIIJG.( Description of Work (t~EL c~,c.~ + 2. CONTACT PERSON (If different from applicant) # of Bedrooms # of Bathrooms (~I\) c!>c. '"'" Name Address City State/Zip Telephone # Fax # 3. APPLICANT O Contractor i6 f;t...;u (L-t u 0 Agent for Contractor O Owner D Agent for Owner ::zcr13 LcJe..<...e;tL Ave' '-.1. C..~~ 1 CJ1t qzob} ( 766) '·BJ-f. I /-0 Name Address City State/Zip Telephone# 4. PROPERTY OWNER ('O ( t~.H (l--n,.j Name 'Z.. ', 71 '-Ok.t'{L *' ( Address vJ • OH-'-f~,tu' ot <:t'Z..OO J City State/Zip (76,~) '(?f-,lf<:, Telephone# 5. CONTRACTOR • COMPANY NAME (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 dollars 1$500]). Name Address City State/Zip Telephone# State License # ----------License Class---------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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 the 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 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) D 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 Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DA TE 7. OWNER-BUILDER DECLARATION --::==========-: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). D 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). 0 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. D YES ONO 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 I address I phone number 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 (include name I address / phone ~mb~/oonmcto~keme~m~~:---------------------------------------------- 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 number/ type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE -----------------------DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 01/03/2002 AL DIDONATO ASSOC SUITE 100 3939 1ST AV S 092103 Re: Application Date: 03/14/2001 Plan Check #: CB011011 Address: 2793 LOKER AV WEST Expiration Date: 03/14/2002 Permit Type: Tl Description: ASHWORTH/ 200 SF OFFICE-OFFICE 1536 SF OFFICE TO MANUFACT 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. __ 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) 602-2718. Raenette Abbey Building Department