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HomeMy WebLinkAbout2840 STATE ST; ; CB011853; PermitV I 6 0'-\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05/29/2001 Commercial/Industrial Permit Permit No: CB011853 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 05/29/2001 Applicant: 2840 STATE ST CBAD Tl Sub Type: Lot#: $13,440.00 Construction Type: Reference #: SOMEWHERE IN TIME ANTIQUES 188 SF OFFICE & 260 SF STORAGE COMM 0 NEW Owner: PACIFIC WATERS CONSTRUCTION Status: Applied: Entered By: Issued: Inspect Area: ISSUED 05/23/2001 RMA Plan Approved: 05/29/2001 1462 WESTMORE PL OCEANSIDE CA 92056 0574 05/29/01 0002 01 :J2 760 806-9952 Total Fees: $383.13 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 Inspector: ~ ; s CGP 29:1.,3.!. Total Payments To Date: $84.82 Balance Due: $298.31 $130.49 $0.00 $84.82 $0.00 $0.00 $2.82 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $130.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TOT AL MECHANICAL TOTAL Master Drainage Fee: Sewer Fee: Redev Parking Fee: Additional Fees: TOTAL PERMIT FEES FINAL APPROVAL Date: 2-lC·tJ/ Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.00 $383.13 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 capactiy 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 vou have nreviousl" been njven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. PERMIT ·APPi.i CATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION al OD 577'-tfF sp1.gc-r Address (include Bldg/Suite #) Business Name (at this address) Legal Description Assessor's Parcel # 11 e SO.FT. WA-> -Of different f m applica t) ~ ;.('. 3. APPLICANT Name 4. PROPERTY OWNER 5 -rn-17?" $' Name 6. State License # _________ _ 6 . WORKERS' COMPENSATION Address Address City D Owner D Agent for Owner City City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip State/Zip State/Zip Telephone# Fax# Telephone# Telephone# Telephone 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. D 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 [$100) OR LESS) Jg; CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as /~~~ecome subject to the Workers' Compensation Laws of California. WARNING: Failure to se ure workers' compensation erage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 00), in ad · · n to he o_mpensation, damages as provided for in Section 3706 of the Lab code ntarest and attorney's fees. DATE -Z,.,l C 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with w ages 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). D 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(sl licensed pursuant to the Contractor's License Law). D 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. D 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 work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ 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 form or risk management and prevention program under Sections 25505, 25533 or 25534 of t he Presley-Tanner Hazardous Substance Account Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the out er boundary of a school site 7 D YES D 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. B. 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 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 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 comma d within 180 days from the da e of h permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comma a period 80 d S .4 Uniform Building Code). _ / . / APPLICANT'S SIGNATURE DATE ? 2 -JL°r- PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/18/2001 Permit# CB011853 Title: SOMEWHERE IN TIME ANTIQUES Description: 188 SF OFFICE & 260 SF STORAGE Type:TI Job Address: Suite: Location: Sub Type: COMM 2840 STATE ST Lot 0 APPLICANT PACIFIC WATERS CONSTRUCTION Owner: Remarks: Total Time: Inspector Assignment: GG --- Phone: 7605254196 Inspector: ----- Requested By: N/A Entered By: ROBIN CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lnsi;iection Histo!Y Date Description Act lnsp Comments 07/06/2001 19 Final Structural co GG SEE NOTICE 07/05/2001 19 Final Structural WC GG 07/05/2001 29 Final Plumbing WC GG 07/05/2001 39 Final Electrical co GG SEE ATTACHED NOTICE 07/05/2001 49 Final Mechanical WC GG 06/18/2001 17 Interior Lath/Drywall AP GG 06/14/2001 14 Frame/Steel/Bolting/Welding AP GG OK TO DRYWALL 06/13/2001 14 Frame/Steel/Bolting/Welding PA GG OK TO DRYWALL OFFICES 06/13/2001 31 Underground/Conduit-Wiring AP GG 06/07/2001 14 Frame/Steel/Bolting/Welding NR GG 06/06/2001 14 Frame/Steel/Bolting/Welding NR GG SEE ATTACHED NOTICE CIIJ DI Carlsbad ~ ·; Flnal Bulldlnu lnspecuon .~-._ Dept: Building Engineerin Plan Check#: Permit#: Project Name: Address: Contact Person: Sewer Dist: CB011853 SOMEWHERE IN TIME ANTIQUES 188 SF OFFICE & 260 SF STORAGE 2840 ST ATE ST Phone: Water Dist: Fire Date: 07/05/2001 Permit Type: Tl Sub Type: COMM Lot: 0 1111 I 11 I I I I I I I 11 Ill 1111111IIII111111II111111111111111111 I I ■■II I I I II I I I I ll 1111111111111II11111111111111111II11 11111 111111111111 Ill I 111111111 I 1111 I 11111111 I lnspec~ By: \ , n&k Date 1/l~ /t,\ Inspected: Approved: / Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ■■■II■■ 111 I I I••••••••■ ■I I I I I■ I I 111111111111 I 11 I I I I I I II 11111111 I Ill 11 I I 1111111111 I I I I I I I■ 11111111111111111 I ■■■■11111111 Ill I 1111 I II I 1111111 I I I 111 ■ ••••••••••t Comments: _______________________________ _ ( . . ... City of Carlsbad Bldg Inspection Request For: 07/06/2001 Permit# CB011853 Title: SOMEWHERE IN TIME ANTIQUES Description: 188 SF OFFICE & 260 SF STORAGE Type:TI Job Address: Suite: Location: Sub Type: COMM 2840 STATE ST Lot 0 APPLICANT PACIFIC WATERS CONSTRUCTION Owner: Remarks: OR 525-4196 Total Time: Inspector Assignment: GG --- Phone: 7608069952 Inspector: ----- Requested By: NA Entered By: CHRISTINE CD Description Act Comments 19 Final Structural (J)_ ______ _ Associated PCRs lnsgection Histo[ll Date Description Act lnsp Comments 06/18/2001 17 Interior Lath/Drywall AP GG 06/14/2001 14 Frame/Steel/Bolting/Welding AP GG OK TO DRYWALL 06/13/2001 14 Frame/Steel/Bolting/Welding PA GG OK TO DRYWALL OFFICES 06/13/2001 31 Underground/Conduit-Wiring AP GG 06/07/2001 14 Frame/Steel/Bolting/Welding NR GG 06/06/2001 14 Frame/Steel/Bolting/Welding NR GG SEE ATTACHED NOTICE -~-L,,., ~I : '/ i 5rl ""/ . -/ . ._, £ t · (,,/ M/v.;'f c..~ tJtvJ i,.__()uvf\..~ ue-o, .. J -f-l-i 't tt-rs. 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