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Home My WebLink About2812 ROOSEVELT ST; ; CB121269; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-18-2013 Commercial/Industrial Permit Permit No: CB121269 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2812 ROOSEVELT ST CBAD Tl Sub Type: COMM Lot#: 0 Construction Type: 5A Reference# Status: EXPIRED Applied: 07/06/2012 Entered By: MOP Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2031820400 $15,000.00 PRONTOS ADD 20 X 20 UMBRELLA ROBERT WILKERSON STEM 2911 STATE STREET 92008 760 434-2152 Building Permit Add'I Building Permit Fee Plan Check Add'I Building Permit 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 Green Bldg Stands (SB 14 73) Fee Fire Expedidted Plan Review $175.87 $0.00 $123.11 $0.00 $0.00 $3.15 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Plan Approved: Owner: Issued: Inspect Area Plan Check #: ROOSEVELT TAMARACK INVESTMENTS LP 6 VENTURE #215 IRVINE CA 92618 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES Total Fees: $7,023.13 Total Payments To Date: $123.11 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,494.40 $3,225.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $7,023.13 $6,900.02 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 h Tl hi hi I' in I' • <&~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Est. Value Plan Ck. Deposit Date JOB ADDRESS~ Ii? , ~ SUITE#/SPACE#/UNIT# CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS OCC. GROUP ( I I g. EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) ADDRESS ,,,,- CITY STATE ZIP PHONE FAX A ARCH/f:S~NER NAME & ~DRESS lJ..-' I ,I..\<., 11\J t 0 STATE LIC. # CLASS CITY BUS. LIC.# (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, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code} or fuat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). 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. I have and will maintain worke. rs' compepsationAs requi d by Se ·on 37 O of the labor Code, for the performanc of the work for which this p rmit is issued. My workers' compensa1ihi~urance carrier and policy numberare:lnsuranceCo. 0"'1 """ O""'\. r, # ;'• PolicyNo. C:.....0\1 ,oo "' Expiration □ate_./~7~/~{L.,__1.._ _____ _ This section need not be completed 11 the permit is for one hundred dollars ($100) or less, · lJ\-\,\T~ ~lP4,(;C---r l O I ' D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, t 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 a vided for In Sectio 3706 of the labor code, interest and attorney's fees. AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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). 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 materials for construction of the proposed property improvement. □ Yes □ 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/ 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/ address I phone I contractors' license number): vide the work indicated (include name I address/ phone I type of work}: AS PROPERTY OWNER SIGNATURE □AGENT DATE ~OM~-1.141'11 THIS Sll!ZTfOJ\I l'OR N<ft.l•!tllUl:!E.!IITIAL IQILDING l'l!RMITS ONLY * "' ' '* j ,, ' * ' ' ' * --* -~' -~ * u, ' ** , ' ' 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? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes D No Is the facility lo be constructed within 1.000 feet 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 certify that I have read the application and state that the above lnfonnation Is colTCCt and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize represen1ative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEflANIFY 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: NI OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heght EXPIRATION: Every pennlt issued by the Buikling Official under the provisions of this Code shall expire by 6mitation and become nul and void if the building orlNOrk authorized by such pennlt is not commenced wilhil 180 days from the date of such pennit or if th · WOO<. authorized by such pennlt is {ipended. or abandoned at anytime after the WOik is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). A!APPLICANT'SSIGNATURE ,__....__,.\Jl/\.'IV L DATE !; -7-' -',__ • 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) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY Carlsbad STATE CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: ,@S°APPLICANT'S SIGNATURE □ ASSOCIATED CB#---····----··· ------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ... . . (~~ CITY Of ~ CARLSBAD Community & Economic Development MAYl,2013 ROOSEVELT/TAMARACK INVESTMENTS STE 215 6 VENTURE IRVINE CA 92618 RE: APPLICATION DATE: 07/06/2012 ., PLAN CHECK#: CB121269 ADDRESS: 2812 ROOSEVELT ST EXPIRATION DATE: 07/05/2013 PERMIT TYPE: Tl DESCRIPTION: INSTALL UMBRELLA www.carlsbadca.gov You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding expiration: 18.04.035 -Section 107.4 amended-Expiration of pion review. Section 107.4 of the California Building Code is amended to read: Applications far which no permit is issued within one year following the date af application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant ar destroyed by the Building Official. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted bv the Building Official does not. bv right. app/v to anv related Discretlonorv Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. 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 the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Building Division CC: ROBERT WICKINSON Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560 £ . ' (.t~.A_ C I T Y O F ~VCARLSBAD ' Community & Economic Development MAY 1,2013 www.carlsbadca.gov ROBERT WICKINSON STEM 2911 STATE ST CARLSBAD CA 92008 RE: APPLICATION DATE: 07/06/2012 ., PLAN CHECK#: CB121269 ADDRESS: 2812 ROOSEVELT ST EXPIRATION DATE: 07/05/2013 PERMIT TYPE: Tl DESCRIPTION: INSTALL UMBRELLA You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding expiration: 18.04.035 • Section 107.4 omended-Expfrotfon of pion review. Section 107.4 of the Colifornio Building Code is amended to read: 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. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted bv the Building Offlclal does not. bv right. aaplv to anv related Dfscretfonarv Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. 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 the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Building Division CC: ROOSEVELT/TAMARACK INVESTMENTS ....,..,. Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560