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Home My WebLink About2885 ROOSEVELT ST; ; CBC2017-0626; PermitPrint Date: 11/29/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2885 Roosevelt St BLDG-Commercial 2032910100 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www .carlsbadca.gov Work Class: Lot#; Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Description: DONS COUNTRY KITCHEN: RE-ROUTE GAS LINE, NOT IN CITY RIGHT OF WAY Applicant: PHIL RADO INC ELLEN HARRIS 1485 Poinsettia Ave, 107 Vista, CA 92081-8537 760-729-4914 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Owner: BENCHMARK PACIFIC LIMITED II 550 Laguna Dr, Unit B CARLSBAD, CA 92008 Total Payments To Date: $170.00 Status: Applied: Issued: Finaled: Inspector: Contractor: PHIL RADO INC 1485 Poinsettia Ave, 107 Vista, CA 92081-8537 760-603-0217 Balance Due: 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. Permit No: CBC2017-0626 Closed -Finaled 11/29/2017 11/29/2017 $0.00 $170.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING OFIRE □HEALTH 0 HAZMA T/APCD (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 SUITEt/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) J « .. 1t... , n e..u -1-o -h ~,._pf EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # Plan Check No. Est. Value SWPPP CONSTR. TYPE OCC. GROUP /,-._. ~ AIR CONDITIONING v,s □NoO FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or Coun_tywhlch requires a permit to construct, alter. Improve, demollsh or repair any structure, prior to lts Issuance, also requires the applicant for such permit to file a sl~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of 0lvlslon 3 of the Business and Professions Code) or fhat 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 Workers' Compensation Declaration: / hereby affirm under penally of perjury one afthe following declarations· D I have and will maintain a certificate of consent to self-insure forVJOrkers' compensation as provided by Section 3700 of the labor Code, for the performance of the worl< for which !his permit is issued. ~-end will maintain wor1< 'co pensa • n, as reQuired bv Secti n 3700 of e Labor Code, for he perform~ :f the worl< for which this permit is issued. Myworl<ers' compensalio~u a~ce ca number are: Insurance Co. , olicy No. zJ) / 5 fd 3 -atJ J ?-Expiration Date / ~ This section need not be completed if the permit is for on undred dollars ($100) or less. 0 Certificate of Exemption; I certify that in the performance o he 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' c ion coverage is unlawful, and shall subject an employer to criminal penalties d clvll fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damages iS"ro 3706 of the labor code, Interest and attorney's fees. Jl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law far 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 worl< 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 ronlracts for such projects with conlractor(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. OYes ONo 2. I (have I have not) signed an applir.ation 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/ phone/ contractors' license number)· 5. I will provide some of the worl<, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): Jl5 PROPERTY OWNER SIGNATURE □AGENT 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 folTll or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No ls the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? 0 Yes D No Is the facility to 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the pertormance of the work this permit 1s issued (Sec 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon is correct and that the infonnation on the plans is accurate. I agree to comply with all CHy ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above menOOned property for inspeCOOO purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit IS required for excavatioos over 5'0' deep and demllltbn or construcbon of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisk:Jns of this Code shan expire by limitation and become nun and void Wthe building or\\\'.l!k authorized by such permit is not commenced v.ithin 180 days from lhe date of such permit or if the building orwo · by such permit is suspended or abandoned at anytime after the work is commenced fora period 180 days ·on 106.4.4 Uniform Building Code). ,,6$ APPLICANT'S SIGNATURE DATE ' ' " PERMIT INSPECTION HISTORY REPORT (CBC2017-0626) Permit Type: BLDG-Commercial Application Date: 11/29/2017 Owner: Work Class: P/M/E Issue Date: 11/29/2017 Subdivision: Status: Closed -Finaled Expiration Date: 05/28/2018 Address: Scheduled Date Actual Start Date 11(29/2017 11/2912017 November 29, 2017 lVR Number: 8027 Inspection Type Inspection No. BLDG-23 Gas/Test/Repairs 041887-2017 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 041888-2017 Checklist Item BLOG-Building Deficiency Inspection Status Primary Inspector Passed Chris Renfro COMMENTS Passed Tim Frazee COMMENTS Tear off good, replaces bad fascia and plywood BENCHMARK PACIFIC LIMITED II TOWN OF CARLSBAD AMENDED 2885 Roosevelt St Carlsbad, CA 92008-1620 Reinspection Complete Complete Passed Yes Complete Passed Yes Page 1 of 1