HomeMy WebLinkAbout1089 CARLSBAD VILLAGE DR; ; CBC2021-0252; PermitPERMIT REPORT
(city of
Carlsbad
Commercial Permit
Print Date: 07/29/2022
Job Address: 1089 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1804 Status:
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2033203100 Track#: Applied:
$102,322.00 Lot#: Issued:
Project#: Fina led Close Out:
Plan#:
Construction Type: Final Inspection:
Orig. Plan Check#: INSPECTOR:
Plan Check#:
Description: 7-ELEVEN: T.I -INSTALLATION OF EQUIPMENT AND INTERIOR SIGNS W/ ELECTRICAL (NO CHANGE IN USE)
Applicant:
SAMARAH TECH ELECTRICAL CONTRACTOR IN
2612 S CRODDY WAY, #STEC
SANTA ANA, CA 92704-5236-0RANGE
(714) 926-4471
FEE
BUILDING PLAN CHECK FEE (BLDG)
Property Owner:
ALLAHYARI FAMILY
19 TIERRA VIS
LAGUNA HILLS, CA 92653
BUILDING PLAN REVIEW -MINOR PROJECTS (LOE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
SB1473-GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $771.31 Total Payments To Date: $0.00
CoApplicant:
SAMARAH TECH ELECTRICAL CONTRACTOR IN
2612 S CRODDY WAY, #STEC
SANTA ANA, CA 92704-5236-0RANGE
(714) 926-4471
Balance Due:
AMOUNT
$445.66
$194.00
$98.00
$5.00
$28.65
$771.31
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 FURTH ER 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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
{city of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check Cf:G:2r:;a I. Oo2M
Est. Value
PC Deposit
Date I I
Job Address_,_""'--""""'------"'"""..:.-....__"""-""'"""1'-1-,.__..K..l-'+......,.,...._.Suite: ____ APN: _________ _
Tenant Name:___,, __ -_/ ____ 5,,.__a ___ r_c.._5 ___ _ Lot#:
Year Built: ____ Occupancy: _____ Construction Type· Fire Sprinklers:1v~1~A/C:~CJ
BRIEF DESCRIPTION OF WORK: It 7Jf) '3 -2 t( tJ {I& 1f '3tJ If >-;;___P Cb-,..'r ~1-f" If{}[) J, --I 2-tJ
U o U-Cf --fl Jvt p, f ~ . t).,4A-tf ~ ~ ~ r '.L ~ /Q6 vU ev
D Addition/New: New SF and Use, New SF and Use, --------------------___ Deck SF, Patio Cover SF (not including flatwork}
~nant Improvement: 2-Z. 0 o SF,
_____ SF,
Existing Use ______ Proposed Use _____ _
Existing Use Proposed Use _____ _
□ Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _
om_ om □liil D Solar:. ___ KW, ___ Modules,. ___ Mounted, Tilt: Yes/ ~RMA: Yes /~nel Upgrade: Yes Jm
□ Plumbing/Mechanical/Electrical Only: _/?_/_e....:.a.--"/;'--'--"{l..::..:,'"'"'' w/='---/P-o/_.._,__,' "iO"-/ ____________ _
D other:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT 0
Name: 1----L( $ /-a r It" ·
Address: l t!J ,$ 1 Ur/~~« cf
City: IArlG OJ Stat~: 9:4 Zip: 97-:PbR
Phone: +ff.-'l'Zd-1-2'14-q tfU
Email: »ft'/, f3RtJ,WJl{£J-·ll.(4M
PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0
Name=-----~------------
Address: ___ -'5=--__ a ...... ~----=.---------
City:, _________ .State:. ___ .Zip: ___ _
Phone: _________________ _
Email: _________________ _
1635 Faraday Ave Carlsbad, CA 92008
8-2
Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
Page 1 of 2 Rev. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that J am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under
penalty of perjury one of the following declarations:
D 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. Policy No. ________________________ _
~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. ' l---~ ~ 2--:';i 3 --i....a Expiration Date: __,./...,1~=~14---~-:-Z.-:::~-I _______ _
D 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 $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.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this perm'it is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ______________ ~ ______ Lender's Address:--~-~---~------------
SIGN: ;V&/Js::Z DATE: 7--_g,, Z,/ CONTRACTOR PRINT: fV CO ft/ 5 Jt/'111/l ftlt
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
01, 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).
01, as owner of the property, am exclusively contrac1'1ng 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).
01 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
D "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached.
D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority ta obtain the permit on the owner' behalf.
Proof of identification attached.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html.
OWNER PRINT: SIGN: _________ DATE: ______ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I om the property owner or State of Colifornio Licensed Contractor or authorized to act on the property
owner or contractor's behalf 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.
APPLICANT PRINT: _________ _ SIGN: _________ DATE: ______ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-2 Page 2of2 Rev. 08/20