HomeMy WebLinkAbout2525 El Camino Real; 226; CBC2017-0157; PermitCommercial Permit
Print Date: 06/20/2018
Job Address: 2525 El Camino Real, 226
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel No: 1563020900 Lot#:
Valuation: $ 2,500.00 Reference#:
Occupancy Group: Construction Type
# Dwelling Units: Bathrooms:
Bedrooms: Orig. Plan Check#:
Plan Check#:
Project Title:
Description: BATH & BODY WORKS: INSTALL SHELVING IN 95 SF AREA
Applicant:
MARY RYAN
Po Box 3749
MISSION VIEJO, CA 92690
949-582-3735
FEE
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
581473 BUILDING STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $ 91.58
Owner:
RP I CARLSBAD LP
1114 Avenue Of The Americas, Floor 45
New York, NY 10036-7700
214-660-5232 x215232
Total Payments To Date : $ 91.58
{city of
Carlsbad
Permit No: CBC2017-0157
Status:
Applied:
Issued:
Closed -Expired
04/04/2017
06/05/2017
Permit
Fina led:
Inspector:
Final
Inspection:
Contractor:
INACTIVE-BOGART CONSTRUCTION INC
9980 Irvine Center Dr, Ste 200
IRVINE, CA 92618-4365
949-453-1400
Balance Due:
AMOUNT
$52.87
$37.01
$1.00
$0.70
$0.00
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.
I
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE 1.:,-.U,-1 $ SIGIIATIJRE pa, 1-4 IK.c-p.
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0ENGINEERING
C •
{'city of
Carlsbad
JOB ADDRESS
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUrrE SPA
#BEDROOMS #BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) I ,.., \ \
~l I V\e ~'0 p C{V,
! V\~ he,1 h J--l ,,_a""_
EXISTING USE PROPOSED USE I R.Lta: GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME-PROPERTY OWNER NAME
ADDRESS
EMAIL
Flv<
CONTRACTOR BUS. NAME~ -D
ADDRESS """:rl 6
CITY ZIP T7 C( r"2
PHONE 'E)L/1 • sl<f -q&.;q
EMAIL
DCC.GROUP
°W qz;;. i q;
I
AIR CONDITIONING FIRE SPRINKLERS
YES ~oD vesffNoO
(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 i a nee, 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 fChapter 9, commendmg with ·on 7000 of Division 3 of the Business and Professions Code} or Ihat he is exem»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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fo/k:Ming declarations:
~e and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by SecOOl1 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~ I have and wlll maintain workers' compen~on. as rooxrEM:l by Sectiort3700 of the labor Code, for the performance of the \\Ork for which this pemilt is Issued. My workers' compensation i suran ca-rier and policy
number are, Insurance Co. :z., ,~,c H ~Ma,c M l'<jlcyNo. w C, °/'6oq-s-£ z E,q;ralionDale--'C'-f..--'-'+-'--;lf---
~ section need not be completed if the permit is for one hundred doUars ($100) or Jess. LJ Certificate of Exemption: I certify that in e 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 Worl<ers' Compensation Laws of
California. WARNING: Fallureto secure ers' pensation 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, d ages lded for in Section 3706 of the Labor code, Interest and attorney's fees.
NS CONTRACTOR SIGNATURE
0
D
I, as owner of the property y 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 Contracux'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 oot intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wiK 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 cootractors to construct the pro;ect (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of
property woo builds or improves thereon, and c:onlracts for such projects with contractor(s) licensed purnuant 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. []Yes 0No
2. I [have I have not) signed an application for a building permit for the proposed work.
3. J have contracted with the following person (finn) to provide the pro?)Sfld construction (include name address I phone I contractorn' license number):
4. I plan to provide portions of the worlr:, but I have hirEM:l 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 YK>rk indicated (include name I address I phone I type of work):
NS PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future buildir,g occupant required k> submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 Of 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required kl obtain a pelTTllt from the alr pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000feet of the outer boundary of a school site? Yes No
tF 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.
I C8ftifythat I haw 198d the application and slate that the abc:Jlle IIOOnnatlon Is oonectand that the lnbnnatlon on the plans Is accurate. I agree to complywllh all Cityoltlinances and Slate laws relatlng1D buldlng consbUc:tion.
I hereby aulhortze represenlative of the City of Carlsbad b enter upoo the atxlw menOOne:i ~ b inspectoo p.Jrp:JSeS. 1 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: AA OSHA permit is required foc excavations <JJer 5'0' deep and demolition or oonstruclion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the BJilding Official under the JJOVisicwls of this Code shall expire by limitatbn and become nuH and -.ti(j if the building or 'AQrk authorized by such permit is not CXllTlmenced within
100 days torn the date of such permit or if the buik:ling orw:>rk authorized by such i:ennlt is suspended or abanooned at any time after the 'MJrk is CXllTlmenced tr a i:ert>d of 100ciays (Section 100.4.4 Unibm &liking Olde).
A:S'APPLICANT'SSIGN~TURE ~ DAlE v( / '-f /1
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form lo City of cansbad, Building DMsioo 1635 Faraday Avenue, Carlsbad, Calrrom~ 92008.
CO#: (Office use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STAlE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DEUVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1.)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
,6$ APPLICANT'S SIONA TURE
OCCUPANT (Listed above)
NO CHANGE IN USE/ NO CONSTIIUCTION
CHANGE OF USE/ NO CONSTRUCTION
DAlE
ZIP
PERMIT INSPECTION HISTORY REPORT (CBC2017-0157)
Permit Type: BLDG-Commercial Application Date: 04/04/2017 Owner: R P I CARLSBAD LP
Work Class: Tenant Improvement Issue Date: 06/05/2017 Subdivision: CARLSBAD TCT#76-18
Status: Closed -Expired Expiration Date: 12/02/2017 Address: 2525 El Camino Real , 226
Carlsbad, CA 92008
IVR Number: 2906
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
04118/2018 04/1812018 BLDG-Fire Final 055518-2018 Passed Cindy Wong Complete
Checklist Item COMMENTS Passed
FIRE-Building Final Yes
June 20, 2018 Page 1 of 1