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Home My WebLink About2622 EL CAMINO REAL; B; CBC2021-0222; PermitBuilding Permit Finaled (_ City of Carlsbad Print Date: 03/15/2023 Job Address: Permit Type: BLDG-Commercial Parcel#: Valuation: $0.00 Occupancy Group: A2 #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: 104 Code Edition: 2019 Sp~n~ed: No Project Title: Commercial Permit Work Class: Tenant Improvement Track#: Lot#: Project#: Plan#: Construction Type:VB Orig. Plan Check#: Plan Check#: Permit No: CBC2021-0222 Status: Closed -Finaled Applied: 03/31/2021 Issued: 06/21/2021 Finaled Close Out: 03/15/2023 Final Inspection: 03/14/2023 INSPECTOR: Kersch, Tim Description: THAT PIZZA PLACE: FRAMING ONLY -FULL PERMIT ISSUANCE PENDING CBC2021-0113. Applicant: DARREN MACHULSKY 3508 WOODLAND WAY CARLSBAD, CA 92008-2560 (609) 462-4234 FEE Total Fees: Property Owner: PLAZA SOUTH LLC ROBIN BEALE CAMERON 10721 TREENA ST, # 200 SAN DIEGO, CA 92131-1081 (619) 469-3600 Total Payments To Date: Contractor: CONAN CONSTRUCTION INC 2870 WHIPTAIL LOOP, # STE 225 CARLSBAD, CA 92010-6710 (760) 512-1181 AMOUNT Balance Due: 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. 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 APPllCA TION B-2 (, '(!;c. ')02'/-oi,z-z_ 6'~ 9 , I I IP I;:::] Plan Check ¢;Q2 /1;3, b'(;Q Est. Value j R:7 1 V kf{ PC Deposit --~---+--'---- Date c:3 /31 /;)... / r r , Job Address '2&-2 2.-gz_ ~(!v?J ~ Suite: 15 APN: Tenant Name: 77MT ;'12/ZU-tl. Lot#: Year Built: 1._Z-Occupancy· A -Z--Construction Type· v~/3 Fire Sprinklers:t;J QsJA/C:~~ BRIEF DESCRIPTION OF WORK: D Addition/New:___________ "'-.J-__________ New SF and Use, ___ Deck SF, ____ Patio Cover SF (not including flatwork) ~Tenant lmprovement: _____ SF, _____ SF, Existing Use A 2..-Proposed Use _:...,_/(_2-____ _ Existing Use. ______ Proposed Use ______ _ □ Pool/Spa:. _____ SF Additional Gas or Electrical F~r~ _72~/g,<o/~ D D D Solar:. ___ KW,. ___ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: ---------------------- □ Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authoriz.ed Agent of the owner or contractor. The person listed as the Applicant betoW will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT 0 PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: _________________ ,Name: ~~y zy-f:''f f2e_,vt,,:;.1-, Address: Address: ji((z_ ~ Puot1htl City:. _______ State:. __ ~Zip: ____ City: CW2efl1/?-UJ State: ,5.,f Zip: f'/ 7// Phone: Phone: (-O'l I{(; ·2-If Z-c? i./ Email: Email: /);t-{ .,1-c ftV t'...S b;:/ C, Y dfr{7C-' e cc,,,,-, !) 1rJuch u.,I s kj-1 DESIGN PROFESSIONAL APPLICANT E}. Name: D !(72-fl.{P'-' ruh::-ffUL-5-t,y Address: -:::: bvS--/4,£,,-C/D Vrno 7 vi.,a.,K' City: l/fl2.t5J!"11J State: LA-Zip: f2oo!i- Phone: lor 1/6 2-'z'C--51/' Email: Dµj-q-lu l~"/;:f e -0!7/vO ,&In Architect State License; I'.',. 3os-l 7 CONTRACTOR BUSINESS APPLICANT 0 Name: :f 5' {f-1:-U.,C,::.,,v /!:A-<-fl-!:if2. c,,,.p,+,,</ Address: S'f J7 D.-172-l.0,// Cl-J:/2 /(33, City: -Cfffl:2-S 8S[) State: C4 Zip: 'f 2.u6 £- Phone: I(, 0 .'? / 2.-[I S-.P Email:. ___ =~=------------- State License: 761852 Bus. License: BLNR005263-04-2019 C:i:-TY Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 B-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 I 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: 0 I have and wm 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: lnsuranceCompany Name: Falls Lake Fire and Casualty Cq. Policy No. Fl A00092704 Expiration Date: __,Q,_.8,,_/_,.0,.9,.,/2._0 ..... 2.,_1 _____________ _ 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 penaltles and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for ln 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 tl,e work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name: ______________________ lende2as's Addr . CONTRACTOR PRINT: Shannon Maurer SIGN· ,;(v (OPTION B): OWNER-BUILDER DECLARATION: J hereby affirm that f am exempt from Contractor's License Low for the fo/fawmg reason DATE: June 17 2021 DI, 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). DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 forth is reason: 0 "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 to obtain the permit on the owner' behalf. Proof of identification attached. By my signature below I .icknowledge th.it, 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 bui!t as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable faw, Section 7044 of the Business and Professions Code, is avarioble upon request when this application is submitted or at the following Web site: http.//www.leginfo.ca.gov/calow.html. OWNER PRINT: SJGN: _________ DATE: ______ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf I certify that f have read the application and state thot the above information is correct and that the information on the plans is accurate. f 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 inspect.ion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY fN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demo/ft/on or construction of structures over 3 stories in height. SIGN:~~~"9'<=---::::::::::::=-__ DATE: ~ ~ z,lj-Z72i 02-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 8-2 Page 2 of 2 Rev. 08/20 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0222) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 03/31/2021 Owner: PLAZA SOUTH LLC Issue Date: 06/21/2021 Subdivision: Status: Closed -Finaled Expiration Date: 06/21/2022 Address: IVR Number: 34090 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Date Start Date 03114/2023 03/14/2023 BLDG-Final Inspection 205585-2023 Wednesday, March 15, 2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Status Passed Tim Kersch Reinspection Inspection Passed Yes Yes Yes Yes Yes Complete Page 1 of 1