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
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