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Home My WebLink About2075 LAS PALMAS DR; EXPIRED | MULTI-PERMIT FILE; CB150804; Permitii. l City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-17-2015 Sign Permit Permit No: CB150804 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2075 LAS PALMAS DR CBAD SIGN Lot#: 0 Valu13tion: 2130611900 $3,000.00 Construction Type: 58 Reference #: PC#: Project Title: MIRA COSTA: 1 ILLUM WALL SIGN Applicant: WESTERN SIGN & AWNING OBA STANFORD SIGN & AWNING 261 S PACIFIC ST Owner: CITY OF CARLSBAD Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SAN MARCOS CA 92078 PUBLIC AGENCY 00000 760 736 6070 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee · Electrical Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Total Fees: $89.17 ISSUED 03/17/2015 JMA 03/17/2015 03/17/2015 Inspector: FINAL APPROVAL Date: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively · referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a}, and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: C]PLANNING OENGINEERING L]BUILDING []FIRE LJHEALTH r:::; HAZMAT/APCD «ib ~ CITY OF Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD Bulldlng Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719. Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.c1rlsbadca.gov Date :3 17 15°" lswPPP_·· - JOIADDRPS ITll/$PACI#/ NIT• APN · CT]PllllJE'cf# l!XISTING USE PATIOS (SF) DECKS jSF) FIREPLACE YESQ#. APPI.ICANrNAME (Primary contact) APPUCANTNAME (Secondary Contact) ADDRESS ADDRESS Cl1Y ZIP CITY PHONE FAX PHONE FAX EMAIL EMAIL PROPIRTY OWNmt NAME CONTRACTOR IUS. NAME ADDRESS CITY PHONE FAX PHONE EMAIL EMAIL ARCIVDESIGNER NAME & ADDRESS STATELIC.# (sec. 7031.5 Business and Professions Code: Any C~ or county wtileh requires a permit to construct. atter, Improve, demolish or repair any structure, Prk>r to Its Issuance, also ~ulres the applicant for such permit to file a sl«ned statement that he Is licensed l)Ursuant to the provisions of the contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 ot the Business and Professions COIie) orfllat he Is exempt themrom, arid the basis tor thealle,ed exemption. Any Ylolatlon of Section 7031.5 b)' any applicant tor a permit subjects the applicant to a ctvll penalty of not more tha.n five hundrtd dollars {$500)). WOiken' Compettullo1l'Deolaralion: I heleby affirm under penally of perjury one of the foHowing declarations: D I have and wlll maintain a "nilioale of OOflfflll to Hlf.lnsunt for -11eis' (X)IJ1)&nsalion as provided by SeGlion 3700 of the Labor Code, for the performance of lhe work for v.llich this permtt is issued. 'Si have and wlll mahdalll workers' ~n. as required by Section 3700 of lhe labor Code. for the pelfonnance of lhe work for v.tlich this peimit is issued. My workers' compensation insu~carrier and por,cy numberare:lnswanceCo.~A c~}§~"t \rs5. Co . PolicyNo. 7:Z ~ lifQ'?<(g$,OZs ExpwalionOale_'-/f-f-/..;...1_-f-L'l'-l--*- o=::~:~~pe~-==~00~~-:~t:e.Y~~~an}~~inany::nersoastJ~~f.2~™ . 7LY. , California WARNING: Fal .. reto-ure workers' ODIIIPfflulion ooverage ls unlawful, and shall subject an ~rto criminal penalties and civil fines up to one hundred thousand dollars (&100,000t In addition to tlie oDlt ol-..nsatfon, • ~ for !ft Section 3706 of the Labor oode, lnlemt and attorney's fees. E CONTRACTOR SIGNATU~ GENT DATE ~l!'l!!!'!!~'-"!"'~.,....-~-~-~----..rl--r"!'~~~~'!l"I .>/r1/.J<l.··{, I hereby affinn that I am exempt ircm Contractors licen5e I.art lorthe following reason: D I; as owner ti the propelly or my e~ 'llilh wages as thejr sole oompensalion, wil do the WOik and fie strucluie is no! interided or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's License Law ooes not apply to an OIW1el' of property 'Atio builds or inproves thereon, and who does such WOik himseff or lhrough his own employees, provided Iha! such improvements are not in I ended or offered for sale. If, howeVE!f, the buicmg or rnproyemenl is sold v.ithin one year ti complefion, the owner-builder wil have lhe IMden of proving Iha! he did nol build or improve for the pufJ>Ose of sale). D D I, as owner of the properly, em exclusively (X)lllracting with iic:ensed (X)llfr4'Clm to c;onstruc\ the plOject (Sec. 7044, Business and Professions Code: The Con1raclor's License Law does not apply lo an owner of property who builds or in¥oves thereon, and (X)lllracts for slleh plOjecls v.ilh 0011tractor(s) lic:ensed pursuant to the Contractor's Lil:ense Law). I amexempl under Section ___ ~Business and Professions Code for lhis reason: 1.1 per,onaly plan to provide the rmijorlabor and mall!rials for OOl1$lruction d lhe proposed property improvement. 0Yes 0No 2. I (have/ have nol) signed an application for a building permtt for 1he proposed work. . 3. I have conlracted with the follo'Aing person (firm) lo pR1Yide the proposed (X)nslnlclion (riclude name address/ phone I contraclors' license number): 4, I plan lo provide portions of the work, but I have hired theJclowing pe,son lo (X)ordinale, supervise and provide lhe major work Qnciude name/ address/ phone I con!ractOfS' license number): 5. I will provide some of lhe work, but I have coolracled (hired) the folowing persons lo provide the work indicated f111dude name I address I phone I type of work): ,6$ PROPERTY OWNER SIGNATURE 0AGENT DATE ~------------------------------·---------·--· -----------------··· ·- 7 ~C-10MPLET£ THIS SECTION FOR N'.PN-:n1:i~o'eJ}}-.ia Is 1he app1ican1 a futule buiding occupant required lo submit a business l)laiptefy hazardous malerials regislralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous &bslance Account Act? · Yes _/NO_ · / Is the facility to be oonswcted MIiiin 1,000feet oflhe oulerboundaryof atdlool site? !: Yes_ '. .... No Is the applicant or ruturebuilclingwcupanlreqiiredlo obtain apennilfloin the air polution control ~islrid er~·-, tymanagemenl dislriot? Yes /No IF ANY OFTJIE ANSWERS ARE YES, A FINAL·CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED NLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY~ AND THE AIRPOLLUTION CONTROL"DISTRICT. I hereby affinn that !here is a oonslruction lending agency for lhe performance of the work this pennit is issued (Sec. 3097 (i) CiVJl Code). Lender's Name _ Lender'sAddress . l~tbltl 11M INdllle applc:alon 111d slltltllatllle above~ Is CDIIICtand tllattlNI int,nnatlo!!OII Ille plans lsac:curate. I aC11elllcomply wllll all Cilyonllna~and Sale laws lllallnCID bulclftC~ I hereby aillOrize ~ oflle Ciyof Cnbadi:>ri!r...,ait Ile ~menooned properlybr nspecoon purpqses. I ALSO AGREE TO SAVE, INDEMNFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTALLLIABUTES,JUDGMENTS,COSTSANOEXPENSESWHICHMAY~ANYWAYACCRUEAGAINSTSAIDCITYINCONSEQUENCEOFTHEGRANTINGOFTHISPERMIT. OSHA:hl OSHApeimlisreqtied b"excavmisover5'0' deep lllddernotilnorconstruc:IDnofslruc;lllesClif!lf3sbiesil heijlt. EXPIRATKJN: Every pemi issued by Ile 8uttir,J Official lllderfle provimls of Ills Code shal expire by inilation and beoome null and void K the bu~ilg or \lllllk aullorized by sud! pennil is not COl1111enced v.ilhiJ 180daysiomfledaleohuchpemitoril' buiklilgor\lllllk · by such it is suspended or: at anytime afk!rthewodt is commencedbraperi>d of 180 days (Secoon 100.4.4 Unoorm Buikilg Code) . ..@!APPUCANT'SSIGNATURE DATE 0 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following OHL Y if a Certificate of Occupancy will be requested at final inspe~tion. -'' --;-;--;n;,:·~1 i1 r ' :::--' -.) ,.. ! : ' Fu (760) 602-8560, _Email buildi09@car1sbadca.gov or. Mail 1he completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. COi: (Office Use Only) CONTACT NAM! OCCUPANT NAM! ADDRESS BUILDING ADDRESS CITY '. STATE ZIP CftY· STATE ZIP Carlsbad CA ' PHONE I FAX ,. EMAIL OCCUPANT'S BUS. LIC. No. D£LI\IERY OPl10NS . PICKUP: ~ CONTACT (Listed above) OCCUPANT (Listed l!bove) • CONTRACTOR (On Pg. i) . . ' . . ' ASSOCIATED CB# . MAIL TO: CONTACT (Listed above) OCCUPANT {Listed aboYe) CONTRACTOR (On Pg. i) NO CHANGE IN USE/ NO CONSTRUCTION ·. MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION .65 APPLICANT'S SIGNATURE DATE CCityof Carlsbad July 29, 2015 Perm it N um ber:fe13]'5Q~ Issue Date: March 17, 2015 CITY OF CARLSBAD PUBLIC AGENCY 00000 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: SIGN PERMIT (BUILDING) WESTERN SIGN & AWNING DBA STANFORD SIGN & AWNING 261 S PACIFIC ST SAN MARGOS CA 92078 ADDRESS: 2m];AS:.P-ALMAS~DR-~l PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on September 13, 2015 The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "EXPIRATION." Every permit issued by the Building Official under the provisions of this code shall expire by limitat\on and become null and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit E?Xceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period l,lpon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such Work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained priorto commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at 760- 602-2725. , If you have any questions, please contact the Building Inspection Division at 760-602-2700. Maria Emery Senior Office Specialist Community & Economic Development Building Division I 1635 Faraday Avenue Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560fl www.carlsbadca.gov City of Carlsbad 04-06-2015 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB141462 Building lns·pection Request Line (760) 602-2725 Job Address: Permit Type: 2075 LAS PALMAS DR CBAD Tl Sub Type: INDUST Lot#: 0 Construction Type: 5B Reference# Statusi WITHDRAW Applied: 06/24/2014 Entered By: JMA Parcel No: Valuation: Occupancy Group: 2130611900 $0.00 · Project Title: RE-ROOF & REPLACE NC Plan Approved: Issued: Inspect Area Plan Check #: Applicant: Owner: CITY OF CARLSBAD CITY OF CARLSBAD PATRICK MCGARRY PUBLIC AGENCY 00000 760-602-2739 Building Permit Add'I Building Permit Fee Plan Check Add'! Building Permit Fee Plan Check Discount · Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD#2 Fee BTD #3 Fee Renewal Fee Add'f Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'! Pot. Water Cori. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00. $0.00 $0.00 $0.0Q $0.00 $0.00 $0.00 $1.00 $0.00 Total Fees: $2.00 Total Payments :ro Date: PUBLIC AGENCY 00000 Meter Size Add'! Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES $0.00 Balance Due: FINAL APPROVAL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $2.00 $2.00 Inspector: 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 Cartsbad 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. 7' TH~ FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE ~ «-~~ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACE#/UNIT# # OF UNITS # BEDROOMS· # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~/~ .,t--/v,4-e EXISTING USE GARAGE (SF} PATIOS (SF} DECKS (SF} APPLICANT NAME PROPERTY OWNER CITY 'Zt::>OB PHONE EMAIL EMAIL DESIGN PROFESSIONAL ~-~ CONTRACTOR BUS. NAME ADDRESS \,Z,. ~O\ w\\-:,~ ~ ADDRESS 1e--~ STATE CITY C. C4-- Plj9NE · ~\O .---Z.c,..~ . Bt~""Z-PHONE EMAIL S"llll. n,J,./-4 .. Jla/1. lohaJ. Cif!>,t;"I EMAIL STATE UC.# STATELIC.# Plan Check No. Est. Value STATE FAA STATE FAA CIJ\SS 0HEALTH 0HAZMAT/APCD SWPPP ti CONSTR. lYPE OCC. GROUP ZIP ZIP CllY BUS. LIC.# FIRE SPRINKLERS vEsONoO (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 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)). Workers' Compensation Declaration: / hereby affinn under penalty of pe!jury one of the following declarations: D I have and wlll 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor.Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date _________ _ 1]li§, section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exe.mption: I certify thatin 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 Calffoniia. 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 iii Section 3706 of the Labor code, interest and attorney's fees. ,85 CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 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). ~. as owner of the property, am exclusively contracting with licensed contractors lo 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). D I am exempt under Section _____ Business and Professions Code for\his reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) 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): ,8$ PROPERTY OWNER SIGNATURE OAGENT DATE 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 REQlJIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certifythatl have read the application and state that the above infonmation is correct and that the infomiation 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 proJ!erly 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 pe1mlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pe1mit issued by the Building Ofti::ial under the proviskms of this Code shall expire by limitation and become null and void if the building or mrk authorized by such pe1mit is not commenced within 180 days from the date of such pe1mit or if the building orv.ork authorized by such pe1mlt is suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Section 106.4.4 Unifo1m Building Code). _,g APPllCANT'S SIGNATURE : .. DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEPTlf IC ATE OF OCCUf>Al'JCY /Commercial Projects 0 n I y l Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the co~pleted form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. ' . . CO#: (Office Use Only) CONTACT NAME. 0 OCCUPANT NAME '' ,,. ~ ,. ADDRESS ,' BUILDING ADDRESS " ' '' ,' ,-, . ,,.: -,', " ·CITY " ,, ' STATE C .ZIP CITY STATE ZIP '' " .. ', C Carlsbad CA C, : ., ., .' "' 'PHONE ,-l '' . I FAX.· '' --" -,,' EMAIL, '' OCCUPANT'S BUS. LIC. No. " ' ' ,, . ' DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) 'ASSOCIATED CB# CONTRACTOR(On Pg.1) NO CHANGE IN USE/ NO CONSTRUCTION ,, · MAIL/FAXTOOTHER: '. .. , , -,, CHANGE OF USE/ NO CONSTRUCTION .. " ,. JiS APPLICANT'S SIGNATURE ,. DATE ,·. Citv of Carlsbad Tenant Improvement Job Address: 2075 LAS PALMAS DR Permit Type: Tl Parcel No: 7601664800 Lot#: 0 Status: Applied: Permit No: CB011811 ABANDOND 05/18/2001 Approved: Reference No: Issued: PC#: Inspect Area: Project Title: MODOTEK -Tl 5279 SF Applicant: LUND VANDRUFF H 3970 SORRENTO VALLEY SAN DIEGO CA 92121 858-451-6860, 00136104885 ;BLDG PLAN CHECK I 00136104885 ;BLDG_PLAN_CHECK _ Fees: , $1,234.92 ; Additional Fees: I Owner: CITY OF CARLSBAD PUBLIC AGENCY $473.38 ; $473.38 : $0.00 1 'I Total Fees: ; $1,234.92 Balance: $761.54 Vil/-9/ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 ~(760) 438-1161 EST. VA!-. -1-...._.."P""-l~'""-,-~"""'""''"=""-+r- Plan Ck. DeR::-...,....a....,.----=r.-1~+.:::1-b<- Validated By_...,_..IJ-½---=+..,....,.-+--:--- Date_~~-~--------...,_..,_,_,,,,..,t-'-_ 9839 05/18/01 Address (include Bldg/SuiJ;.e #) 2075 vt\~ _ ~ qf\ ·N-' Business Name (at this address) (;HL,$ Ur: 9'2a:?2: .. · , Legal Description · Subdivision Name/Number · Unit No. Phase No. Total # of units· t~?-'.'.-;:gQ.f)lit!.!l\.<mi!l:,QQ_!\'llfJ}:l)IX:«~M-E:"'C::.'._~-;:~,--,-~7':0~--;::-·~--~ ·.: •. ~--;_ ~ : .: :.: ·"·; .. ; .%. ". --:'. :. . ~ ·"'· -~""'-,.: .. ~ -:.~3 "-<_,:;,:::-· -~--,,-.. (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 th\! provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 ,Qf Division 3 of the Business -and Professions Code] or that he is exempt therefrom, and the basis for the alleged exempti~n. Any violation of Section 7031.~ Q.Y any applicant f°)\~permit subjects the apP.li:art to a -~ii penalty of; not more than five _hun<!.[ed dollijrs [$~00]), 1 .. ----_ struc::t\O'Yl -TO -ND z., S . 2uJO '?I). C , -7 Nania Address City State/Zip Telephone# State License #------~~--License Class _________ _ City Business License # ----~--- Designer Name tdress 1Jf10 v( City <;;l) State/Zip Telephone ~'S~ . _s~ate_ License#, --___ -,--,·•,--~----· .. ·--·r·-~((~::;f_j~/-~_'-~_:_f-/. . -~----,9f,..~:l~t.iJ.,r ~fJ;~~~<? f••.,, ~WQRJ{l;I\S, ·CQMP£N~AJION~,' _,' · · • ,_ •'--., • ,_,_-.,-~ ',w•,: .. "., .. '""" ,, , ·-·,-. _, '•' ¼"+,:-.,.·,,:, .:> "•• ,-'""'-"' &i ., .c>•,, ···•·, ',,-,l,./.C•'•,. -,,'',:'.,;·<•' ' 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 S\llf-insure for workers' compensation as provided -by-Section 3'700 of the Labor Code; for the performance of the work for which this permit is issued. 0, I, have and will maintain workers' compensation, as required by Se~tion 3700 of the Labor Code, for the performance of the work for which hhis -permit is issued. My worker's compensation insurance carrier and policy number are: ! ! · Insurance-Company____________________ Policy No. Expiration Date _ __, ____ ~~ (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 manher so as to become subject to the Workers' Com-pensation 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 ($100,000), in addition to the cost of compensation, damages a_s provided for in Section 3706-of theoLabor code, interest and attorney's fees. SIGNATURE'------~,-----------------------DATE_~-,-,--~,--,,.,.--- j}:{;z'.iQWfi~RTB))J((i~ij_Q~!!~fJQl'f -, ... · .. _. '• . .:.::--.~::.. --~ :·::.· ....... , .... .,, . "'" .. ------· 0::h;;;_'-.}_ > .:t1.:,L;:.:.ZJ-'.. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: p I, as owner of the property or my employees with wages as their sole compensation, will do, the work . and the structure -is not intended or offered for ~ale ($ec. 7044, &usiness 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 ~old 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). ·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 suet, projects with contractor(sl licensed pursuant to the Contractor's License Law). · ' . D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materi11ls for construction-of the proposed property improvement. D YES ONO -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 number / 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 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a_ir qLJali_ty man.agement district? D YES O NO Is the -facility to_ be constructed within 1,000 feet of the -outer boundary of a school site 7 D YES ,o 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. ~--~P-~.l?:tflV~'!19jJ,_1;ID>J~q,Aq'1;ti~'.'fl--,~:;~~~~:~:;;'~~-~ =~:~: .,,._..._~~-";., __ .::-:: ~~ ~: 7.~-~:· .. I hereby affirm that there is a construction lending agency for the performanqe of the work for which this permit is issued (Sec. 3097(i) Civil Code). 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 representatives of the Cit\' 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, J,UDGMENTS, COSTS AND EXPENSES'WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CIT:YIN 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 arid become null and void if tlie building or work authorized by such permit is not commenced within 365 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 co menced,.t.or a perio f 1 days Section 106.4.4 Uniform Building Code). 'APPLICANT'S SIGNATURE . MV V) DATE 5-~ ~ -O. \ WHITE: File YELLOW: Applicant PINK: Finance 03/06/2002 LUND VANDRUFF H 3970 SORRENTO VALLEY SAN DIEGO CA 92121 Re: Application Date: 05/18/2001 0:00:00 Plan Check#: CB011811 Address: 2075 LAS PALMAS DR Expiration Date: 05/18/2002 0:00:00 Permit Type: Tl Description: MODOTEK -Tl 5279 SF You applied to have your plans checked on the date noted aoove. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions-of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be .returned to the applicant or destroyed by the Building Official. In order. to renew action on an application after expiration, the applicant shall resu~mit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. -.,--Project Abandoned -I will pick up plans within 1 O 9ays __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Depa ent at (760) 602-2718. Raenette Abbey Building Department