The URL can be used to link to this page

Home My WebLink About2836 STATE ST; ; CB112623; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-14-2011 Commercial/Industrial Permit Permit No: CB112623 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2836 STATE ST CBAD Tl Sub Type: COMM Lot #: O Status: Valuation: 2031811300 $0.00 Construction Type: 5B Applied: Occupancy Group: Reference #: Entered By: Project Title: SKYLAR$ HOME & PATIO-OPEN UP Plan Approved: 5 FOOT SECTION OF WALL BETWEEN 2836 & 2840 STATE ST TO Issued: Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 760-729-3965 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 $0.00 $0.00 $0.00 $60.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $130.00 $0.00 $0.00 $0.00 $1.00 $0.00 Inspect Area: Plan Check#: Owner: WARD FAMILY TRUST 01-20-89 945 S ORANGE GROVE BL VD #D PASADENA CA 91105 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 Green Bldg Standards Plan Chk TOTAL PERMIT FEES ISSUED 12/14/2011 RMA 12/14/2011 12/14/2011 Total Fees: $232.00 Total Payments To Date: $232.00 Balance Due: Inspector: FINAL APPROVAL Date: c::? -I 1 · f 2-Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $232.00 $0.00 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 imposrtion 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 GarlWad 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 tees 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 I x i n f which u h ve revious been iven a NOTICE similar to this or as t whi h th t I limi i n r vie sl o h rwi ex ir • • «1~ Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. ~ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca,gov CT/PROJECT# te'f ~ PHASE# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK, Include .... ; [/li ·'wid' eh~ ON C.QmCT NAME (If Different Fom Appl(ca~) t::::>Y'CC>KS \t\Joyi'Y) \(l ADDRESS :PO t=.3c,,c \b"'-\ \ ONE ,w) 7d--9 · zFI 1.;.;5 Est. Value AlR CONDITIONING FIRE SPRINKLERS YES O NOD YES □ NO □ ZIP 9d->6 I 8 AX iPD {Sec. 7031.5 Business and Professi Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prlor 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. Arr, violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS· COMPENSATION Workers' Compensatkln Declaration: / hereby affirm under penalty of perjury one of the following declarlllions: □ I have and wiU maintain a cefffflcate 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. }?J. I have and wlll maintain wo~B' compoo,atlon, " __ ,oqrn<eJj,by S.Otion 3700 of the Labo, Code, fu, fue perloonance of~-~~"" "."lch ~Is'""'" Is i'!"'d-My wori<e~' oompensa'i'.n ln~""'"N"'"" end ~Icy numberare:lnsuranceCo.J/)U,Jfy /Oc. f'O. o-f= NV PolicyNo. WD ':f....3 3JOi2JT:1IO Explrat1onDate~/~•{_~•~l~'b=---- This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Cartlfk:ate of ExampUon: I certify that in lhe performance of the work for which this permit h~ issued, I shall not employ any pe™Jn in any manner so as to become subject to the Worl\ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawfu~ and shall subject an employer lo criminal penalties and cfvll fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensaUon, d or In Section 370 of the Labor code, Interest and attorney's fteL _ft5 CONTRACTOR SIGNATIJRE ./'' _,.,' I hereby affirm that I am exempt from Contractor's License Law for e foll ·ng reason: □ I, as owner of the property or my employees with wages as th e 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 lo an Offller of property who builds or improves thereon, and who does such worir. himself or through his own employees, provided Iha! such improvemenls are not Intended or offered for sale. If, however, the building or improvement is sold wilhin one ye21 of completion, the owner-builder wiU have the burden ot proving that he did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively conlracling with licensed contractors to construct the projecl (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buffets or improves lh8f80n, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law). □ I am exempt under Section, ____ Business and Professions Code for this reason: 1. r personalty plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2.1 (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ 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 I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the followmg persons lo provide lhe work indicated (include name I address/ phone/ type of work): ,II$ PROPERTY OWNER SIGNATURE □AGENT DATE ' ' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future buUding OCCtJpant required lo 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? □ Yes □ No Is the applicant or future building occupant required lo obtain a permit hum the alr pollution control district or air quality management disbict? □ Yes □ No Is the facility to be conslrucled 'l'lilhin 1,000 feel of Iha outer boundary of a school site? □ Yes □ 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 is a construction lending agency for the pertormance of the work this permit ts issued (Sec. 3097 (i) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the alxwe lnfomlation Is correct and that the lnfonnatlon on the plans Is accurate. I agree ID comply with all Qty oldlnances and State 1aws relating ID building construction. I heraby aulhorize repn,senlative of Ile City of Carisbad t> 111~r upon Ile above rronliJned property for i1specoon purposes. I ALSO AGREE TO SAVE, lt-!DEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL UABILITJES, JUDGMENTS, COSTS IWJ EXPENSES WHICH MAY IN l>N(WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is requred br excavatioos over 5'0' deep and demoilkln or oonstruc:lkm of structures over 3 sbies h height. EXPIRA TK)N: Every pennit issued by the Buiding Ofli::ial l.llder the provisklns of this Cocle shall expire by linilaOOl'l and become nuH and YOO if ht buadi'lg or work auhJrized by sum pemit is oot corrmenced 'Mthin 180days lorn lhe do;, of sucll pemitor if b · or""1< · by such pennl is suspended or abandoned atanylilre af\er~e ""1< is """""'1Qld fora peood of 180 days (Secfun 1116.4.4 ll'fum &Jildrg Code). ~ APPLICANTS SIGNATURE ,...,,.,, ·"' DATE 12 / 14 / 1 1 ·----------··-· ,, ll ~2r3 <<~')> Building Permit Application Plan Check No. 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date lswPP JOB ADDRESS , SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □# __ NO □ YES O NO □ YES □ NO □ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX ,_ ... AIL /AIL PROPERTY OWNER NAME I CON~OR BUS. NAM~~ -A• c:::/7, I 0 ,....,... -o,-. rl""> ADDRESS I ADDRESS r."-•1 -• --:; ,/1<.• ,.,cct c;.11,e-10!/A.•/tiC\ -- CITY STATE ZIP I CITY STATE ZIP --· .. ---cA t:tZOSI.J I PHONE I FAX PHONE IFAX 7(,,.0 '2/t. ~"(5 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # '-.... STATE LIC.# lei!-ICITYB~Q,Jel) ,,c:a.,q Si (Sec. 7031.5 Business and P_rofessIons 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 per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawjChapter 9, commending with Section 7000 of DIvIsIon 3 of the B_us ess and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a cIv:· p nalty of not more than five hundred dollars {$500}). Workan' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: ,r 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 pennit is issued. □ I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurar.ce ca number are: lnsurar.ce Co. ______________________ Policy No, ______________ Expiration Date ____ _.-1'J~IL'--- This section need not be completed if the permit is for one hundred dollars ($100) or less. g Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of t~lifomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages a r In Section 3706 of the Labor code, interest and attorney"s fees. _,,w$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my em~oyees 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 buiids or improves thereon, and who does such work himseH 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 ap~y to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License law). D I am exempt ur.der Section _____ Business and Professions Code for this reason: 1. I personally !)an to provide the major labor ar.d materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have notj signed an applicaijon for a building permit for the proposed work. 3. t have contracted with the following person (firm) lo provide the proposed construcHon (include name address I phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ 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)· ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE m m City of Carlsbad Bldg Inspection Request For: 02/13/2012 Permit# CB112623 Inspector Assignment: PD --- Title: SKYLARS HOME & PATIO-OPEN UP Description: 5 FOOT SECTION OF WALL BETWEEN 2836 & 2840 STATE ST TO ALLOW TENANT IN 2836 (SKYLAR'S) TO Type:TI Job Address: Suite: Location: Sub Type: COMM 2836 STATE ST Lot: 0 APPLICANT WORTHING INC, B. A. Owner: Remarks: Total Time: CD Description Act Comments Phone: 7605297867 lnspectorlj ~ Requested By: MIKE Entered By: JANEAN 19 Final Structural .if---- 29 Final Plumbing 39 Final Electrical 49 Final Mechanical ----------------- ---------------------------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histo!)". Date Description Act lnsp Comments 02/09/2012 14 Frame/Steel/Bolting/Welding AP PD NOT FINAL 02/09/2012 34 Rough Electric AP PD 02/09/2012 39 Final Electrical NR PD -------·· «~t' ~ CITY OF CARLSBAD BUILDING PLANCHECK CHECKLIST QUICK-CHECK/APPROVAL Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for ¢B 11· 2623 Project Address: 2836 ST A TE ST Project Description: Tenant improvement ENGINEERING Contact : Linda Ontiveros Phone: 760-602-2773 RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$20,000.00) CARLSBAD COMPANY STORES OTHER: Date: December 14, 2011 APN: 203-181-13-00 Valuation: Email: linda.ontiveros@carlsbadca.gov Fax 760-602-1052 l✓i TENANT IMPROVEMENT PLAZA CAMINO REAL · COMPLETE OFFICE BUILDING r .. -··-··-··-··-··-··-··-··-.. -.. -··-··-··-.. -.. -.. -··-.. , OFFICIAL USE ONLY ENGINEERING A THORIZATION TO ISSUE BUILDING PERMIT BY: DATE: tz(rcf(r; Notification of Engineering APPROVAL has been sent to via on -··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-" E-36 Page 1 of 1 REV 4/30/11