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Home My WebLink About1932 KELLOGG AVE; ; CB013150; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 · 11-07-2001 Commercial/Industrial Permit Permit No: CB013150 Building Inspection Request Line (760) 602-2725 Joi;> Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 11/07/2001 1932 KELLOGG AV CBAO Tl Sub Type: 2121700400 Lot#: $5,200.00 Construction Type: Reference #: LA COSTA LIMOUSINE/ INSTALL INOUST 0 NEW Status: Applied: Entered By: APPROVED 10/02/2001 CB Plan Approved: DRAIN WITH OIL WATER SEPERATOR Issued: ) Inspect Area: Applicant: Owner: DSO MECHANICAL INC LA COSTA LIMOUSINE 7736 ARJONS DR SUITE B fi SD 1932 KELLOGG AVE ,)(\)\' 92126 CARLSBAD CA 92008 (\.\ , .. 858-2209 v) \ Total Fees: $176.76 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 F13e 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 RecL Water Con. Fee Inspector: Total Payments To Date: $200.00 Balance Due: ($23.24) $68.89 $0.00 $44.78 $0.00 $0.00 $1.09 $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 CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES FINAL APPROVAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $176.76 Date.: _ __,__,_ __ _ Clearance: _____ _ 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 capactiy changes; nor planning, zoning, grading orother similar application processing or service fees in connection with this project NdR DOES IT APPLY to any 'fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. '. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT · 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No?e?t2{S6 EST. VAL. B Plan Ck. Deposit ::z__dQ ;' Q Validated By_=c£?:;_· --="-------- Date / Q .---i..,--o I Address (include Bldg/Suite #) 1 Business Name (at this address) 1 laT 40 CARJSP-Af> ""U?ACT N 0. '.a\ ::4b Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units COMME';CJAL.r SAN\'E=. Name Address City 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 Bu$iness and Professions Code] or that he 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 [$5001). D, . . CAL . 3 CtZ. e 8 SAN D11:i"<ct? · ,5"30-2-]ff/ Name Address Cit State/Zip Telephone# State License # 489Ei1-B License Class e2o t C. 3 (p City Business License # /2-0 ':i'CJO? Designer Name State License # Address City State/Zip Telephone ~~~:f£QRK~t\~~qfflp~~$'~Jl<t~ \v~ -~~«--~»~~:=~~:;::,=,-::!..:..),,~~~~~~£:\3~~s:~~~~~~;5~J~'S\:~_:/;<'~~~R:~12Jf~~;7:r_::};;:~?:~-==~1t 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. liJ 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 compensation insurance carrier and policy number are: Insurance Company ~T'E;.. FY"10 PolicyNo. {{p077/e?f Expiration Date /2~3f-Oj (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 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 w kers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10...-............. d io o the cost of compensation, damages as provided for in Section 3706 of the Lab r co , interest and attorney's fees • ..tJ SIGNATURE,_,,;~i,::::..¢i.-.£!:.::!:!!l:il~:::_.1..,.-________ --,--__ ...,......________ DATE ~--'""-l-'~'----"<-+---- &i_[,1::j[W,N_~{Olf;_pjlt~Q.EP. ~ _ ·. QtlC. :..!-~:: ;"_:;: :.::-.::::::-:.:·:'.~·'.: .. :.-.:G"~-:s~;;,~-~-,-£2}:F ,~·:c§:~_:,;;,'::.!},½;,---:£'._~}E~t-~~::~::iili::::1-:i,,., 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 compensati!m, 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 die,! not build or improve for the purpose of sale). D 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(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions coae 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 (hav!I / 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 pro11ide 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): ________________________________________ --,-____________ _ 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? 0 YES J:ij 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 OCJ NO Is the facility to be constructed within 1,000 feet of the outer boundary·of a school site? 0 YES D(I 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. l~;a'.:;;:~gJl$~ttoH#Nru.~a A9tfiqy~;,.,~ ... J.;.~~-:::~~~==1:-~±:-~:;;;7:;:;::s:~:r,~,11~~~~-:--;:3~!?~{:~1~},.~~l-:~1~-~~~'~C'.1 !·hereby affirm that th:)5 a~ruction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME /Y.__O N:_c::, . LENDER'S ADDRESS ii, 0,~tl!.1;1C~R1:llf.JP-~illQN'.... ~--~~,,:.:.,;;:,,.:.,......:.,._:,.,.:.:..,._ ,.:,;:._:,~~"":::.."':.....-=-~;:;/;:;;!,;:r:;:::;:::.,=;:~;-~= __ :;:,;::;:_-,;: ___ :;:_~!;::;:L~-;::;_,-_:;::~-r;;;~;;:_ ,==,,:;::"s:":;,.,;,.:;,~:;::;;::::;-;:;,:,,!;_:;:;;-k,::;_:.';:;;i.,,;;;:;.':i:,;;;;i.;::;2.=7"""';;;~;;;:"::;0,::;~;;;; __ ;:_:,::r.:;:'(~::;;:;,:;:'}.,,;:;,;:;;?'.~;:;:.':"-:;-:,::;,:,;:-;::,;-=.r:;·;ZJ 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 r!lpresentatives 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 od f 1 days (Section 106.4.4 Uniform Building Code). /4! APPLICANT'S SIGNATURE _2;6 ~~~;.;:::d-----'--~------''----DATE /0 /_.f)/ 4---"-,/f--""'--£-_-"'._,_ ______ ~_ WHITE: File YELLOW: Applicant PINK: Finance ,4 -,-. NOVEMBER 5, 2001 CITY OF CARLSBAD BUILDING DEPARTMENT · ·· · 1635 FARADAY AVENUE CARLSBAD, CA 92008 D.S.D. MECHANICAL, INC. RE: PLAN CHECK NO. CB013150 ··GENTLEMEN: WE WISH TO WITHDRAW OR ABANDON THE PERMIT PROCESS FOR THE ABOVE REFERENCED PLAN CHECK NUMBER. WE HAVE BEEN INFORMED THAT THE SUBJECT BUILDING IS BEING SOLD AND OUR CLIENT "IS RELOCATING. PLEASE RETURN OUR PLANS AND DOCUMENTS OR NOTIFY US WHEN THEY ARE READY FOR PICK-UP. THANK YOU FOR YOUR COOPERATION. SINCERELY, 7736 ARJONS DRIVE "B" • SAN DIEGO; CA '92126 • (858) 530-2209 • FAX (858) 695-8513 STATE LICENSE NO. 489548