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Home My WebLink About2780 STATE ST; ; CB050465; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 , 02-15-2005 Commercial/Industrial Permit Permit No: CB050465 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2780 STA TE ST CBAD Tl Sub Type: Lot#: 2031810300 $0.00 Construction Type: Reference #: MAS FINA CANTINA-REPLACE WINDO WITH DOOR W/PANIC HARDWARE COMM 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 02/15/2005 LSM 02/15/2005 02/15/2005 Applicant: RIOPELLE DEVELOPMENT CO DEWHURST FAMILY REVOCABLE TRUST 03-13-90 2935 SAN LUIS REY RD 92054 (760) 493-6344 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 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $59.00 $0.00 $0.00 $0.00 3425 SEACREST DR CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: BUILDING PLANS IN STORAGE $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 $60.00 $60.00 ✓ ATlACHED 1935 02/15/05 0002 01 CGP Inspector: 17 FINAL APPROVAL Date: 2 -.:i-..f-r0'5 -Clearance: ' NOTICE: Please take NOTICE that approval of your project includes the ··1mposition" ot fees. dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days trom the date this permit was issued to protest imposition of these fees/exac\lons. II 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 se1Vice fees in connection with this project. NOR DOES tT APPLY to any fees/exactions of which "OU have nrevious1,, been niven a NOTICE similar to this or as to which the statute of limitatinns has nreviousl" otherwise ex"ired. 0'1 L 60-00 ~ERMff APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 'Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. C6o~{f/~ EST. VAL. __________ _ Plan Ck. Deposit~ Validated By __ ~----~----- Date .;,-/ 15"/Q r-T J 1. PROJECT INFORMATION ...-:..I 'A rii'.2) ~ o ftk..:te.. ~ trn< 6a~ Ca<t?l'bt1a 1 Business Name (at this address) Address (include Bldg/Suite #l Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Desc2Ji;~~f Work -SO. FT. f ~~~~~Yt~t~pp~ftl, olo.or -A , \ -'NName Address # of Bathrooms 3. APPLICANT O Contractor O Agent for Contractor ,0"owner O Agent for Owner Name 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 exempt' n. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fi e hundred dollars [$5001). ~ 0 ~ 6. WORKERS' COMPENSATION \'.Yorkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of cons•mt to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of jPJ! work for which this permit is issued. ~ 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~ CD IY'.l , 1 l:.n f El.<.A o,(_ Policy No. Q'i l.( --00 od-rl, S Q Expiration Date , , -/ I -oS: (THIS SECTION NEED NOT BE COMPLETEif IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 se orkers' col'.Dl!l'IIIT!lllk>n coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred 0,000), in ad iti st of comP, nsation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATU ... DATE d -IS-OS:: 7. 0 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 w ith 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. l have contracted with the following person Jfirm) 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 I 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 I type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ---------------------------------------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is t he 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? 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 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 buildi11g construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH M.'l.Y 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 iLi~ by the building Olficial under the provisions ol this Code shall expire by limitation and become null and void if the building or work authorized by s permit is not coriii'IT ed · s from the date ol such permit or if lhe building or work authorized by such permit is suspended or abandoned at any tim ,r r the work is commenced a p ·od of 1 days (Section 106.4.4 Uniform Building Code). APPLICAr DATE o2 -1s-os YELLOW: Applicant PINK: Finance -~::::::;:::::::::::::::::::::::;::.:;,::::::-=----=======-:___--~~====~:;-;::::::::-::::'..::.::.::.::.::.::.::.::.::::.::::::::::::::::::_:-'.::=--:::;;;;;:::;==========--;:;-----=---------=--- f~ m ea City of Carlsbad Bldg Inspection Request For: 02/25/2005 Permit# CB050465 Title: MAS FINA CANTINA-REPLACE WINDO Description: WITH DOOR W/PANIC HARDWARE Type:TI Sub Type: COMM Job Address: 2780 STATE ST Suite: Lot 0 Location: APPLICANT RIOPELLE DEVELOPMENT CO Owner: Remarks: PM PLEASE Total Time: Description Act Commen;, JlL t2K Inspector Assignment: BN --- Phone: 7604276700 Inspector: -~f_l_ft Requested By: DARREL Entered By: JANEAN CD 19 29 39 49 Final Structural Final Plumbing Final Electrical Final Mechanical /1-- Associated PCRs/CVs CV020207 CLOSED BANNER; CV020346 CLOSED 2 BANNERS: Inspection History Date Description Act lnsp Comments 02/23/2005 14 Frame/Steel/Bolting/Welding AP BN NO CARD @ SITE