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HomeMy WebLinkAbout2551 STATE ST; ; CB021531; PermitCity of Carlsbad 05-28-2002 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB021531 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ?arcel No: Valuation: Occupancy Group: Project Title: Applicant: BALANCE BUILDERS STEB 2551 STATE ST CBAD Tl Sub Type: Lot#: 2030542100 $2,000.00 Construction Type: Reference #: DEMO PORTION OF BUILDING COMM 0 VN REBUILD NEW WALL TO ENCLOSE BUILDING Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: RP R HOLDINGS LTD PARTNERSHIP 2531 STATE ST #E CARLSBAD CA 92008 ISSUED 05/21/2002 JM 05/28/2002 05/28/2002 2579 STATE ST CARLSBAD CA 92008 Total Fees: $63.91 Total Payments To Date: $24.78 8014 05/28/02 Balance Due: 0002 01 cw:· $ .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· $38.13 $0.00 $24.78 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES FINA~APPR.OVAL Date: -zr,,, ,,-Oz_, 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 $63.91 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 I I hi Tl imll Ii hrwi 02 39-13 ui,°'t(.) ~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.C/3(22/53 / Validated By _ _,.,_..,.___~+.::-+-.:-T"- Date _________ -4......1o<.41,jµ,._,,,,::::::.._ Business Name (at this address) Assessor's Parcel # Existing Use SQ. FT. Name Address 3. APPLICANT }i( Contractor O Agent for Contractor O Owner Name Address 4. PROPERTY OWNER Name Address 5. CONTRACTOR • COMPANY NAME #of Stories City 0 Agent for Owner City City ~at,· OS/,.,P~ N.11,.0,, OTotal # of units LJ./V, W .:.. 1 02 Proposed Use CGP 24 -78 # of Bedrooms # of Bathrooms State/Zip Telephone# State/Zip Telephone# (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 tion. Any violation Section 7031.5 by any a plicant fo a ermit subj cts,Jha.applicant to a ivil penalty of not more than five hundred dollars [$5001). • ~ .. • C. 19 9.: ?'4·~,. / Name State License# ~-Y License Class _4...,,__ ______ _ City State/Zip !~ne # City Business License # 6~ ~ Designer Name Address City State/Zip Telephone State License # _________ _ 8. 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. ~ 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 compensatio insurance carrier and policy nu ber are: ~ C Insurance Company fl ~ M Policy No~'tt_#.SZtt 1 Expiration Date L_-Af:-G 2-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FO 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), n tlon to t~.,_....,f compensation, dama s s provide for In Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE...t:~~~~:...J.~~~~~~~~-~~L~~~~~~~--DATE .s-: A 1--0 r 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 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 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 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 O 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. 3og7(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 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 commenced within 180 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 Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/24/2002 Permit# CB021531 Title: DEMO PORTION OF BUILDING Description: REBUILD NEW WALL TO ENCLOSE BUILDING Type:TI Job Address: Suite: Location: Sub Type: COMM 2551 STATE ST Lot 0 APPLICANT BALANCE BUILDERS Owner: R P R HOLDINGS LTD PARTNERSHIP Remarks: AM PLEASE Total Time: Act Comments Inspector Assignment: PD --- '~J!l Inspect : Requested By: BILL Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing .frl r , J rn----: ,.,., C, 39 Final Electrical 49 Final Mechanical f __ _ Associated PCRs lnsi;iection HistoQ! Date Description Act lnsp Comments 06/17/2002 17 Interior Lath/Drywall AP RC PREVIOUSLY 06/17/2002 18 Exterior Lath/Drywall AP RC 06/11/2002 14 Frame/Steel/Bolting/Welding AP PD 06/11/2002 63 Walls WC PD 06/05/2002 63 Walls WC PD