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HomeMy WebLinkAbout1610 FARADAY AVE; ; CB090088; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-23-2009 Commercial/Industrial Permit Permit No: CB090088 Building Inspection Request Line (760) 602-2725 Job Address: 1610 FARADAY AV CBAD Permit Type: Tl Sub Type: INDUST Parcel No: 2121304300 Lot#: 0 Status: Valuation: $10,000.00 Construction Type: NEW Applied: Occupancy Group: H-3 Reference #: Entered By: Project Title: LIFE TECHNOLOGIES: 130SF FOUND Plan Approved: ATION W/PREFAB BUILDING FOR HAZ. MAT. Issued: Applicant: NORTHPAW, INC. P.O.BOX 910023 SAN DIEGO CA 92191 858-793-9200 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 (SB1473fFee .. Total Fees: $232.49 Inspector: Inspect Area: Plan Check#: Own~r: ··. •· .· " :BL..iGKMOJ~~ LOT 99 INVESTMENT . p .QiB.QX 1810 . ·. > R.AN0HO-$ANTA FE CA 92067\ ' "' ,<'{, ;'' ' , ,,,' ' $117.81 $0.00 $76.58 $0.00 $0.00 $2.10 .. $0.00 $0.00 $0.0Q $0:00 $0,00 . $0;00 .$0.00 .$0:00 $0.00 $0.00 $0.00' $1.00 Meter Size Add'I Reel. Water Con. Meter Fee SDCWAFee CFO Payoff Fee PFF (3105q40)· · PFf (4305540) Ljc~nse Tax (3104193) license Tax (4304193) -Vr;affic Impact Fee (3105541} Traffic Impact FJ~e (4305541} fi?LUMSING TOTAL l . ELECTRI.GAL TOtt,% MECHANICAl TOTAL ·Master Drainage Fee Sewer Fee . R~aev Parking Fee Aaaitional Fees HMPFee T6TAL PERMITFEES ISSUED 01/16/2009 JMA 10/23/2009 10/23/2009 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $232.49 $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 imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020i(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030.1 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. I You are hereby FURTHER NOTIFIED that your)right to protest the specifiid fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application proces ing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exacti ns of which ou have reviousl b en iven a NOTICE simil rt thi or as to which the statute of limitations has reviousl otherwise ex ired. Cit~ of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS /~ID ~ LOT# # OF UNITS # BEDROOMS Plan Check No. C Est. Value Plan Ck. Deposit Date l SUITE#/SPACE#/UNIT# #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CT /PROJECT # --1----~rt. Te d}r::i.blo~,u. v-e:, --DESCRIPnON OF WORK: Include Square Feet of Affected Area(s) j • Co~11!,0C110~ ()r /i:;Ol-l~70M Po//! 71lt:-f7lee. -~ ~ D ~{)t)!!:, ~AL-..i()Ju:;:J~~. kscuHEp ~~4 ,t,wnlb~. PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) /<If APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP PHONE FAX EMAIL ADDRESS CITY PHONE /l.P • &::,i Cjl,oo FAX EMAIL STATE UC.# STATE LIC.# t; .. 1 (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 re~ulres the applicant for such permit to file a signed statement tliat 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 exemP.t 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)). i WORl<ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the folto'4ng 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 perfonnance of the work for which this pennit is issued. B I have and will maintain workers' compensation, as ~~i~ r?~~ion 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance ca~r and policy numberare:lnsuranceCo &,C)kQ.. CoYY\vl""P-"' ,on \n~UfOn~ P~licyNo. :,13-co:2.gy,o ExpirationDate ::J • \· O::J. IJ;!i§, section need not be completed if the permit is for one hundred dollars ($100) or less. I Pu h d LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit 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), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. HS CONTRACTOR SIGNATURE ---I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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. 0Yes 0No 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (Include name address I phone I 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 (indude name I address I phone I 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 I address I phone I type of work): HS PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to subm~siness.Jl!wl, 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? l2SI Yes LJNo ..,,i, Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a;ality management district? 0Yes ll!iJ No Is the facility to be constructed within 1,000 feet of the ouler boundary of a school site? 0Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certifythatl have read the application and statethattheabove Information Is conectand that the information on the plans is aa:urate. I agree to comply with all City onlinances and Stale 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 SA VE, 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 wid 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 uthorized by such permit is suspended or abandoned at any time alter the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . ..@S' APPLICANT'S SIGNATURE ""\ DATE oCJ