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Home My WebLink About2700 Rancho Pancho; ; CBC2017-0285; PermitPrint Date: 12/04/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2700 Rancho Pancho BLDG-Commercial 2226000100 $ 3,Q00.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: Patio Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Fina led: Permit No: CBC2017-0285 Closed -Finaled 06/01/2017 06/26/2017 12/04/2017 Inspector: AKrog Description: FAITH COMMUNITY CHURCH: INSTALL 650 SF SHADE SAIL STRUCTURE OVER PLAYGROUND Applicant: FAITH COMMUNITY CHURCH DOUGLAS BAKER 760-822-3957 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $ 91.72 Owner: FAITH COMMUNITY CHURCH BY-THE-SEA 2700 Rancho Oancho C/0 Faith Community Church CARLSBAD,CA 92013 Total Payments To Date : $ 91.72 Balance Due: $ 0.00 $52.87 $37.01 $1.00 $0.84 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. .('city of 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 SUITE#/SPACE-#/UNIH JOB ADDRESS l) .A _ _ • _ f') z. ,ov ~ '"-A,-..;.c..tr= ,:'.\ 2-PP '1 Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT# LOT# PHASE# TENANT BUSINESS NAME fyh~ C P>'<' WI .;,, rl-C ),._ V\ SWPPP OCC. GROUP EXISTING USE I PROPOSED USE IGA~,•~F) PATIOS (SF) I DECKS (SF) I FIREPLACE 1-1 l t'< ,JI f'r YESD llAIR CONDITIONING I I FIRE SPRINKLERS N@_ YES IEJ_No D YEsl)fl "L APPLICANT NAME fm"T'H' w"""'"'r-,1y e.-}w,~ PROPERTYOWNEffl, bo,.,,-' u=t-.s B~ ADDRESS l?--A-N""-tr"' f-AN .c.-+tt) ADDRESS WMC,z-e c..V'I~ J.-1 Pz> 'l--Pb I STATE ZIP CITY C ~ l ~i:5 f-\-C> STATE?(!,. ZIP q :Z,pp "'1 CITY C. ~ \ ~~ c.p,..-q ;)..pp4 PHONE I FAX 7 bP-C\ 3D -p 4-r;,p 7 '-P --;-"\ !, i.:.> ~D4-P'f P!l>j"lv-822~~~~'7 l'"½bv~q30 -04--p'f EMAIL wwvJ, ~ °'7TC1?f'V\.""1V.V"\ ITV. \,,J..S EMAIL "' •t 1> A~ T1>'2-'t, P 1,1. .6 e Ft',, Tl-\ CO'"" f"t\ i-t "1 ·v, W DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ' ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE UC.# STATE UC.# I CLASS I CITY BUS. UC.# (Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License LawjChapter 9, comme_nd1ng with Section 7000 of D1v1sion 3 of the Business and Professions Code} or 01at he is exempt therefrom, and the basis for the alleged exemptmn. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a c1v11 penalty of not more than five tiundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: DI 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 whfCh 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 workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No.~---------------Expiration Date _________ _ ection need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance of the work for which this pem1it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of rnia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for ln Section 3706 of the Labor code, interest and attorney's fees. ,N$ CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUILDER DECLARATION ~ h eby affirm that I am exempt from Contractor's Ucense Law for the following reason: l, 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 Contractof'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 comp~tion, the owner-builder will have the burden of proving that he 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: 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). 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 pro~rty improvement. Qes Do 2. I (have I have not) signed an applicatioo 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 (include name I address I phone 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 I phone I type of work)' 11·1:· Pd Z !1 ft 1 i! 18111 ff •fi■ f ·f i■if •f :'Pil fl•·• 1:' t 1 II P I' HZ 'I PilfPd Iii:':! tta·• :·• 1· Is the applicant or fubn bulking occupant required to submit a busi:?E:Zy hazardous materilWS registration bm or risll: managanent and pnwantion program under Sectiona 25505, 25533 or 25534 d: lhe Presley-Tanner Hazardous Substance Accoont Ad/ Yes No r.;:-.,. Is the applicant or future bulking occupant required to oluin a permit pollwon control clstrict or al~agement district? Yn ~ Is the facility to be consbuC1sd willln 1,000 llet of the 001er bou1dary of a scho(j sits? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U APPLICANT HAS IIET OR IS IIEETING THE REQUIREMENTS OF TIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLWTION CONTROL DISTRICT. \\ hereby affim, that there is a cooslruclion lending agency for the perlonnance of the work this permit Is issued (Sec. 3097 (0 Civil Code). l' Lenders Name Lenders Address APPLICANT CERTIFICATION lcertlfyttu•l-nNldthe_,..,.and_thetthea--ls-andMthelnfomlallonontheplansls_l_lDcomptfwlhlllCttronlnanceoand ___ ,.ilDbulkl,.i-. I temby au1haize ropresenlaliYa of Ille City of cartsbad k> entar 1,1100 Ile """8 ""'11k>ned prq,erty Ir i1Bpedi0n p.,poaes. I ALSO AGREE TO 51,VE, INDEMNIFY AND KEEP HAAIII.ESS lHE CITY OF CAIUBAll AGAINST ALL LIABILITIES, JUIJGMENTS, COSTSAIO EJIPENSES WHICH MAY IN /Wf WAY ACCRUE AGAINST SAD CITY IN OONSEQUENCE OFlHE GRANTINGOFlHIS PERMIT. OSHA:An OSHApamillsl9CJURdtr"""""1ioos<M!lrlO'deepand-orCXll1SlruGtionofsruclullsa,e,3sllri!sil heiglC. EXPIRATKlN: Every permit-by 1he Btildi,g Ollciel inlerlhe pnN!si)nsof tis Code !ihall e,q,ie by ilrilatlco and baalma rul and void Ille buldill orworkaulhJrized by such pami1 is naoarne11ced 1'illn 180 days tom Ille dale of such pami1 or W 1he buiding or work ""1<lizlld by such permit ii~ or-at•ny line aflerlhe work • "'11, .,,IC8d tr a pelild of 180 days (SedkJr1 106A.4 Uniform llJl<ill Code). -"--~~-1::,,,Q' -;,.,,.,"-.L \ 2--v,1 (_ • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-ll560, Email buUdjng@cadsbadca gov or Mall the compleled form to City of Csrlsbad, Building llivism 1635 Faraday Avenue, Csrlsbad, California 92008. CO#: (Office UN Only) CONTACT NAME OCCUPANT NAME tJ>DRESS BUILDING ADDRESS CllY STATE ZIP CllY STATE ZIP ca~sbad CA PHONE I FAX EMAIL OCCUPANTS BUS. LtC. No. DELIVERY OPTIONS PICKUP: CONTACT (Lllled above) OCCUPANT (Uoted above) CONJRACTOR (On Pg. 1) MAIL TO: CONTACT (Lllled above) OCCUPANT (Listed above) ASSOCIATED CIH CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION .IS' APPLICANT'S SIGNATURE DATE Penrnt Type: BLDG-Commercial Application Date 06/01/2017 Owner: FAITH COMMUNITY CHURCH BY-THE-SEA Work Class: Patio Issue Date: 06/26/2017 Subdivision: CARLSBAD TCT#93-04 RANCHO CARRILLO VILLAGE Q PHASE 01 Status: Closed -Finaled Expiration Date: 01/08/2018 Address: 2700 Rancho Pancho Carlsbad, CA 92009 IVR Number: 4072 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 07/11/2017 07/11/2017 BLDG-11 028347-2017 Passed Andy Krogh Complete Foundation/Ftg/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency 4pc column footings Yes 07/25/2017 07/25/2017 BLDG-Final 029643-2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes December 04, 2017 Page 1 of 1 EsGil Corporation In a>artnersfiip witfi qovernment for IJJui{aing Safety DATE: June 7, 2017 JURISDICTION: Carlsbad □ APPLICANT )4"JURIS. /□ PLAN REVIEWER □ FILE PLAN CHECK NO.: CBC2017-0285 PROJECT ADDRESS: 2700 Rancho Pancho PROJECT NAME: Faith Community Church SET: I Sail Shade □ □ □ □ □ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: d) Date contacted: r Telephone#: (by:~ Email: Mail Telephone Fax In Person ~ REMARKS: Specify on the plans that the e California State Fire Marshal approved. By: Kurt Culver EsGil Corporation D GA D EJ D MB D PC Enclosures: 6/2/17 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 'Carlsbad CBC2017-0285 June 7, 2017 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Kurt Culver BUILDING ADDRESS: 2700 Rancho Pancho BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Shade Struc. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance -------~-, Plan Check Fee by Ordinance -~j Type of Review: D Repetitive fee ..,,. ! Repeats a••••j Comments: Complete Review D Other D Hourly EsGil Fee PLAN CHECK NO.: CBC2017-0285 DATE: June 7, 2017 Reg. VALUE ($) Mod. 3,000 3,000 $52.50! $34.131 D Structural Only $29.401 Sheet 1 of 1 macvalue.doc +