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Home My WebLink About2627 STATE ST; ; CB994609; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-28-2010 Commercial/Industrial Permit Permit No: CB994609 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2627 STATE ST CBAD Tl Sub Type: COMM Lot#: O Status: Valuation: 2030541700 $28,392.00 Construction Type: NEW Applied: Occupancy Group: Reference #: Entered By: Project Title: EDWARDS TAX & FINANCIAL SERVIC Plan Approved: CONVERT 1014 SF RESID TO COMMERCIAL OFFICE-2ND STORY Issued: Applicant: EDWARDS JERRY K&SAUNDRA G 3980 ADAMS ST CARLSBAD CA 92008 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check 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 (SB1473) Fee Fire Expedited Plan Review $270.03 $0.00 $175.52 $0.00 $0.00 $5.96 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? Inspect Area: Plan Check#: Owner: EDWARDS JERRY K&SAUNDRA G 3980 ADAMS ST CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD 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 TOTAL PERMIT FEES ABANDOND 12/14/1999 RMA Total Fees: $451.51 Total Payments To Date: $175.52 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0,00 $0.00 $0,00 $0,00 $0.00 $0.00 $0.00 ?? $451.51 $275.99 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 • nf,a,hi,-h,,,.,.,,'--•-• ' -'••--,,Llt"\Tlr>~ ' ' • nr ' -1-1,.1-nf' ' ' i.--' -•l.--.. :-----:-.1 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION Assessor's Parcel # 203 -05 -/ O ~;;J;;;r I /V 77iY? @/L 2. CONTACT PERSON (If different from applicant) EST. VAL. -a:=.c'J..l....~-1--.P..__ __ r-= -----111--:---4.----""-,52- Name Address City State/Zip Telephone # Fax # 3 . APPLICANT Na;; EflJk/ 0 Contractor O Agent for Contractor ■ Owner O Agent for Owner M .\ J/ EL)«M,NJ.S 39?0 A--l)_&n,s ST CA/lL(A/M 9'.2efC:,£" vo~7L'l 83 Y6 Address City State/Zip Telephone 4. PROPERTY OWNER Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County 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 is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the 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' 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.______________________________ DATE --:::==-::=-==:=-::::::-~~~---- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the 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). 0 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). 0 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. 0 YES ONO 2. I (have/ 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 number / 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 / phone number/ 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 number / type of workl:. ____________ .,,,. ____ --::---::.....--,------,-----------------r--..------------ PROPERTY OWNER SIGNATURE -~:;,l.~24~'.....,.'4~-t:::..::Z."'-~~,e2~-e::=:::::__ ___ _ COMPLETE THIS SECTION FOR NON ts 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO is the applicant or future building occupant required to 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? 0 YES O 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION I 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 representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY 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 structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform BuildinDgACToEde). ,~ 'l tJ f-d APPLICANT'S SIGNATURE _ _s..~~i44:,£..._£!.._.L.£,,(,U.,.~~l':4~.....:::::::::=--------.,-1-!-,ar PINK: Finance 10/26/2000 EDWARDS JERRY K&SAUNDRA G 3980 ADAMS ST CARLSBAD CA92008 Re: Application Date: 12/14/1999 Plan Check #: CB994609 Address: 2627 STATE ST Expiration Date: 12/13/2000 Permit Type: Tl Description: EDWARDS TAX & FINANCIAL SERVIC CONVERT 1014 SF RESID TO COMMERCIAL OFFICE-2ND STO You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: <.) "Section 304 9d) Expiration of Plan Review 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. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." 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 plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2718. Raenette Abbey Building Department qt/ t-£'- (\P ✓