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HomeMy WebLinkAbout2833 STATE ST; ; CBC2018-0076; Permit('city of Carlsbad Commercial Permit Print Date: 04/17/2018 Permit No: CBC2018-0076 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2833 State St BLDG-Commercial 2032940300 $4,500.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Sign DEV2018-0019 Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 02/08/2D18 D2/D8/2018 Plan Check#: Final Inspection: 4/17/2018 11:18:43AM Project Title: SHOREHOUSE KITCHEN Description: SHOREHOUSE KITCHEN: 24 SF ILLUMINATED OVERHEAD SIGN & 10 SF ILLUMINATED SIGN Owner: Contractor: CITY OF CARLSBAD WESTERN SIGN AND AWNING INC 261 S Pacific St SAN MARCOS, CA 92078-2429 760-736-6070 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL S61473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $163.30 Total Payments To Date: $163.30 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $70.61 $49.43 $41.00 $1.00 $1.26 .. 1 { Cicyof Carlsbad Building Permit Application Plan Check No~OJ g-ro 16:, JOB ADDRESS CT/PROJECT# CITY EMAIL ADDRESS >fr711£ CITY PHONE ---~- EMAIL 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 780-602-,271.9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value # BEDROOMS # BATHROOMS TENANT BUSINESS NAME PROPERlY OWNER NAME ADDRESS CITY STATE PHONE FAX EMAIL STATE ZIP FAX STATE LIC. # STATE LIC.# acc. GROUP YES O NOD ZIP (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 ttiat he is licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of D1vis1on 3 of the Business and Professions Code} or fuat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 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: 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 wmo:r ~-;·•~CC!l/llj)~~·•~nn~,.\ilw~-~--as as~--:•q~uj;,~~~~n~3lOO[o~~~b~o~,i"_c7J_~·;_for the 'perform:,,~ 1'119Jwhic~i~p~it is issued. My wor~~' compensal!Pf ~njilra7n e ~9ir and policy number are: Insurance Co._ Y ~ Policy No,~/~ / 7 Expiration Date -'~:.L~/~-~ 11~,f--,.Li~f'l~_.,_ __ _ This section need not be completed if the permit is for one hundred dollars ($100) r less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issu d, I shall not employ any person in any manner so as to become subject to the Worl(ers' Compensation Laws of California, WARNING: Failure to secure workers' compensation coverage is unlawf I, 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 o ·ded for in Sec· Labor code, interest and attorney's fees. /JI I AS CONTRACTOR SIGNATURE --L-<..V.,, 4~(4~;-i-:3 >-"' e 1 ,e; 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). □ t am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major lat>or 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 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 work, but I have contracted (hired) the following persons to provide the work indicated {include name /address/ phone/ type of work): ,It$ PROPERTY OWNER SIGNATURE □AGENT DATE ,• OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plfn, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hezardous Substance Account Act? □ Yes ~ 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 J)rr.No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes l.l.No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS 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 construct1on lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) lender's Name lender's Address APPLICANT CERTIFICATION l certify that I 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 representative of the City of Carlsbad lo enterupoo the above mentioned property for inspection puiposes. 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 excavations over 5'0' deep and demolition or construction of struch.Jres over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Ccxle shall expire by ~mitation and become null and void if the building or work authorized by such pem,it is not commenced within 180 days from the date of such permit or iflhe buil · or'NOrk authorized s it is suspended or abandoned at any time after lhe work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Ccxle). _65 APPLICANT'S SIGNATURE DATE i,-/g /1 i • } ( . PERMIT INSPECTION HISTORY REPORT (CBC2018-0076) ,. Perinit Type: BLDG-Commercial Application Date: 02/0812018 Owner: Work Class: Sign lssuo Date: 02/08/2018 Subdivision: Status: Closed -Finaled Expiration Date: 10/15/2018 Address: IVR Number: 9428 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 04/17/2018 04/17/2018 April 17, 2018 BLDG-38 Signs 055189-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 055190-2018 Checklist Item BLDG-Building Deficiency Passed Michael Collins COMMENTS Passed Michael Collins COMMENTS CITY OF CARLSBAD TOWN OF CARLSBAD AMENDED 2833 State St Carlsbad, CA 92008-1631 Reinspection Complete Complete Passed Yes Complete Passed Yes Page 1 of 1