HomeMy WebLinkAbout1200 CARLSBAD VILLAGE DR; EXPIRED; CBC2020-0200; PermitPrint Date: 09/02/2021 Permit No: CBC2020-0200
PERMIT REPORT
Commercial Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1200 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1949
BLDG-Commercial
1561804600
$0.00
Work Class:
Lot #:
Project #:
Tenant Improvement
DEV2020-0108
Status:
Applied:
Issued:
06/04/2020
07/15/2020
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Expired
Plan Check #:
CROWN CASTLE - CITY INFRASTRUCTUREProject Title:
Inspector:Orig. Plan Check #:Bathrooms:
Description:CROWN CASTLE - CITY HALL: EXCAVATING AND CORING FOR CONDUIT INSTALLATION FOR FIBER OPTIC CABLE & ASSOCIATED
HARDWARE (E-REVIEW)
Final Inspection:
Bedrooms:Construction Type:
Property Owner:
CITY OF CARLSBAD, CARLSBAD MUNICIPAL
WATER DISTRICT
KRISTINA RAY2955 ELMWOOD ST
(760) 434-2957
AMOUNTFEE
BUILDING INSPECTION FEE $351.00
MANUAL BLDG PLAN CHECK FEE $117.00
Total Fees:$468.00 Total Payments To Date:$468.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
Plan Check
Est. Value
PC Deposit
Date
B-1 Page 1 of 2 Rev. 03/20
COMMERCIAL BUILDI NG PERMIT
APPLICATION B-2
APPLICANT (PRIMARY CONTACT) PROPERTY OWNER
Name: ________________________________________ Name: _____________________________________________
Address: ______________________________________ Address: ____________________________________________
City: _________________ State:______Zip: _________ City: ______________________State:______Zip: ___________
Phone: _______________________________________ Phone: _____________________________________________
Email: ________________________________________ Email: ______________________________________________
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: ________________________________________ Name: _____________________________________________
Address: ______________________________________ Address: ___________________________________________
City: _________________ State:______Zip: __________ City: _________________ State:______Zip: _______________
Phone: _______________________________________ Phone: ____________________________________________
Email: ________________________________________ Email: _____________________________________________
Architect State License: __________________________ State License:_____________ Bus. License:_______________
(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/she 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/she 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 {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
Job Address __________________________________________Suite: __________ APN: _____________________
Tenant Name:_________________________________________ CT/Project#: _______________ Lot #:_________
Occupancy:__________ Construction Type:_________ Fire Sprinklers: YES NO Air Conditioning: YES NO
BRIEF DESCRIPTION OF WORK:
________________________________________________________________________
Addition/New: _________________________New SF and Use, ________________________New SF and Use,
___________ Deck SF, ____________ Patio Cover SF (not including flatwork)
Tenant Improvement: ____________ SF, Existing Use ______________ Proposed Use _______________
____________ SF, Existing Use ______________ Proposed Use _______________
Pool/Spa: ___________ SF Additional Gas or Electrical Features? _____________________________
Solar: _______ KW, _____ Modules, _______ Mounted, Tilt: Y N, RMA: Y N, Panel Upgrade: Y N
Plumbing/Mechanical/Electrical Only: ____________________________________________________________
Other: ______________________________________________________________________________________
______________________________________________________________________________________________
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cbc2020-0200
6/4/2020
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( City of
Carlsbad
B-1 Page 2 of 2 Rev. 03/20
( OPTION A ): WORKERS’COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for workers’ compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
I have and will maintain worker’s compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers’ compensation insurance carrier and policy number are: Insurance Company Name: _______________________________________________
Policy No. _______________________________ Expiration Date: _______________________
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 be come
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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney’s fees.
CONTRACTOR SIGNATURE: _____________________________________________ AGENT DATE: _______________
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from 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).
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).
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. YES NO
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 / 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 /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):
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
OWNER SIGNATURE: ______________________________________________ AGENT DATE: _______________
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender’s Name: ___________________________________________________ Lender’s Address: ___________________________________________________
ONLY COMPLETE THE FOLLOWING 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 the Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the 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 IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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 representative of the City 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 360 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 (AB2913).
APPLICANT SIGNATURE: __________________________________________________ DATE: ____________________
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