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HomeMy WebLinkAbout; Madison Square Development II; 2018-0160644; Public Facilities Fee Agreement/ReleaseI I RECORDING REQUESTED BY WHEN RECORDED MAIL TO: City Clerk CITY OF CARLSBAD 1200 Carlsbad Village Dr. Carlsbad, CA. 92008 DOC# 2018-0160644 1111111 11111 lllll 111111111 111111 111111111111111 1111111111 11111 IIII IIII Apr 24, 2018 08:24 AM OFFICIAL RECORDS Ernest J. Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES: $17.00 (SB2 Atkins: $0.00) PAGES: 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE ASSESSOR'S PARCEL NO. 213-092-26-00 PROJECT NO. & NAME: 1959 Palomar Oaks, Carlsbad CA 92011 NOTICE OF RELEASE OF OBLIGATION OF THE PUBLIC FACILITIES AGREEMENT NOTICE IS HEREBY GIVEN that on March 17, 1988, the obligations for the Agreement between the City and Madison Square Development II, APN No. 213-092-26-00, for public facilities fee on the above described property required by City of Carlsbad Council Policy No. 17 (Requirements Necessary To Satisfy The Public Facilities Element Of The General Plan), as Document No. 87-350146 has been satisfied and is hereby released. APPROVED AS TO FORM: CELIA BREWER City Attorney By: ~~ fvv CELIA BREWER, City Attorney CITY OF CARLSBAD By ~-J,, ~<- Mke1 Peterson, Building Official ATTEST: By -mQilla Oixorn tffi:i BARBARA ENGLESON, City Cl "' CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of :xlA D1eg-O ) On t1)f\l 'Lt2, 2Qllj before me, Jloia,nne :r~ }}ola1!f Pu bl, L Date U p Here Insert Name and Title of the Officer personally appeared r \\ t:e -c-+efSoY'\ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Place Notary Sea/ Above ---------------opnoNAL--------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _____________ Document Date: _______ _ Number of Pages: ___ Signer(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer{s) Signer's Name: ___________ _ Signer's Name: ___________ _ D Corporate Officer -Title(s): ______ _ D Corporate Officer -Title(s): ______ _ D Partner -D Limited D General D Partner -D Limited D General D Individual D Attorney in Fact D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Trustee D Guardian or Conservator D Other: ______________ _ D Other: _____________ _ Signer Is Representing: ________ _ Signer Is Representing: ________ _ • ©2014 National Notary Association· www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 IJJ z 0 ;:: < a:: < ~ u w a a: i[ 0 u O I hereby affirm that I am licensed under , provisions · of Chapfer 9 (commencing -with · Section 7000) of Division 3 of the Business and Professions Code, and my license ·,s in lull force and effect. 1· I hereby allirm lhal I am exempt lrom Ille Conlrac-I · · tor's L'G'nse Law for lhe lollowing reason (S<c 7031.5 I Bu_s,ness fnd Protess,ons Code Any c11y or county whi,t, re-Q~tres a pefrTIJI to. constr_uct. alteL .Jmprove_ demohsh, or I ~~~~1ari 5!:iiu~;:it"7o 1iii!s ~s:~an~e ::!fe:~tf~\h~:~~ I bcens.ed pursuant 10 lhe p,ov1sions-ol the C.:On1rac1or's Lanse Law (Chaple, 9 convnencing with Sec110n 7000 of 0rt1s1on J of lhe Business aod Protessoons Code) or that" ex· empt therefrom aod the basis lor Ille allegea,exemplion. Any v101a11on ol Seclipn 7031.5 by an applica{lt tor a ~rmit sub· jects lh! applicant lo a civil penalty ot nol mote than live hun· dred doil1rs (S500) · . r a: -;--~~ ,~;rs.,:~~~Jnes!'::'1~ir':io1:"':or1.~~d";~~ ;~!~ ~ 1Ure Is nol intended or ollered tor sale (Sec. 7a.4. Business __, - · and Professions Code'!' The Contrac101·~ License law does 5 not apply to'an owner_ ol p<operly who builds-or ,mpn1111s ID thereon and who does such W'Ofk himseH or 1hrough his own i: .. employees. provided that such improvements are not intend-w : ed or oller!d tor sale. II. however, lhe building ·or Improve-% · · ment Is sold within one_year ol complelion. the owner-builder )t wrU ha111 lhe burden of p~oy(ng Iha! he did not l\lJi!,d or im- 0 p,ove lor Ill!, purpQSe ol sale)_ z 0 ;:: < IJJ z w · Q, 2 0 u IJJ i:c. I.LI l<'. a:: 0 :l ~,.awner of the properly. am exclusively contracting J;1r~ .. ~!~.ensed contractors to construct the pcoiect (Set:-7044, -: Business and Professions COde~ The Conlraclor's License -L•w does not apply 10 an owner ol properly who builds or un-.• p,oves thereon, and who contracts lor each protects with a . contraclDf(S) hcense pursuant 10 the Con1rictor'i license· Law). • •· ·-· · 11 As a ~~r I am improving my home. and lheJollow ,ng cond1teons exist: 1 The work 1s being per1ormed prlOf 10 sale. 2 I-have lived in my home for twelve months prtOr 10 completion of lhis work. 3. I have not claimed lh1s exempUon a_unng tbe last three years. D I am exempt uode, Sec. ______ . B & P C l0< lhls reason -----------'-- 0 I hereby atfum 'that I have a cert1tica1e ol consent 10 self-Insure. or a certificate of Workers· Compensa1ion In- surance. or a cert1lle:,d ~PY thereof t~c. 3800. La.bor Code) POLICY NO. COMPANY ~ Copy is J11e,f' wltl\ the city 0 Cer11lied copy Is t1ereby furnished · CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit Js for one hundred dollars ($100) or less) ~ that iri the per1ormance·o, ihe work lor which this permi{ is issued. I shall not employ any person In any manl\er so as to become subject to the Wbfkers· Comp~- Satt()n Laws of California. ·NojiCE TO APPLICANT..;, ii, all,r 'making this Certificate Of Exemption. you shOuld beeothe sub1ect to the Workers· eo,npensatiOn ptovisions ·of the Lat>or Code. you mus! _lorthw,tt'I comply with such provisions or tt'lls perm,1 shall be deemed revoked. • J. • I r ~"feby aflirm tha) th·e.ra is a construction lending ! ffi Pa°;en::·~.';Of the performance ol the work loz.whl 1s Pet'· t ~ Lendefs Name "" "" -.(. _. f a nl,1 Is ;,sued (5ec~~ I ~ Lender's Address§j~~ 2:;/4., :!, USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT /"'I 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (61 9) 438-1161 APPLICATION & PERMIT JOi qD~ ~b{LJ) /VJ 11-f An~.::7 rd~;~ I 0~;7~1 BUSINESS LICENSE # /, rio7°wo PERMIT NU;ER,I I ,t!:,;;r ~-~ ~I1!;ua'brv 1s10N ' I ASSESSOH PARCEL NCT. ; CONTRACTOR ~C_D_N_T_R-AC-TO_R_S_PH_O_N_E __ .............. Z©-I-N-E'+-=-..t.-1-,-_-CC.....-~ (/.1 /(pi 7) ,_.-r o wNER's NAME ~~ ~ E L~ lj#'~,/ ~r,,/4?~ 1) -,( ~ / • ,,c::::; . /. / ::.~./·s PHONE ._c,.o""N:::::T-..::R:.::A:..C_T_O_R:=c...,'S..:;tfr._:O,,&...D....,f<E=-S ... S~-'-..L.--'....::..-------.-+-S-T_A_T_E_Li_C_E_N""S,..E_N_O_. ---it--------------B-U=-1-LD-IN_G_S_Q __ -F"'OO __ T_A_G_E_-! /"r'~d,,.,,S(t/~~ ~.,.E..,.v;; ~--~Y.: 'Yr -:;;,e ~~-6 / ~,, I I ,I} 09~2~Ak/4 ~ /4 ~ -S:-£cS~22 ?~~ DESIGNER'S PHONE ":6000 DESCRIPTION OF WORK ~ / ~........ ~, / ~~r_,,.:..•...L..~..:....:• d:,;:._;_•_.,,,./,. ___ . ____ ---t'==~~~~-=2~~%~:3=--il )1.C~. Q) u:: >-~ 0 a. E /""'\ _.., ") ~ -++--,._,.-DESIGNER'S ADDRESS , /2_ STATE LICENSE NO. \.. '_Gi ll.~~' ,,,.._c..., 44,cm d ~ .i 1 • _,, ~ VB'~ ?~ .. / ~5'°'~...:?'/Z C/~-;:b? 1.-55980u(:) ~ QTY. I -I Ql'Y. ' I F/P FLR ELEV. ~ES ~GP ,,.~DU. I. I ~t=="!C.E... ':g_, bb ' vO NO / l~~-v& 1'1~ CENSUS TRACT -PARKING SPACE ; 7 1 PLUMBING PERMIT· ISSUE 7.50 ,-t/ / EACH FIXTURE TRAP ")h . ..llJ EACH BUILDING SEWER v/'_ . .J~ EACH ~ATER.HEATE R A('JO-,OA VENT ~-" EACH GAS.SYSTE.M 1, TO 4 ·ouTLETS EACH GAS SYSTEM ~ OR MORE EACH INST AL. ALTER. REPAIR WAT ER PIPE EACH VACUUM BF!EAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE l TOIAL PLUMBING I /~- ELECTRICAL PERMIT · ISSUE ·s.o o NEW CONST EA AMP SWl llK~ 1 PH ( /3 PH 'J'v<.,1' Y EXIST BLOG EA AMPISWT ·~ , lPiC" 3,PH REMOOEL 'AL HR_ PER CIRCUIT TE MP POLE ?00 AMPS .OVER?OOAMPS TEMP oct:uPANCY 130 OAYsr TOTAL ELECTRICAL I ·/~- GRADING PERMIT ISSUED I REDEVELOPMENT AREA -...L. YO ND vO N7S- QTY. Ml:eCHANICAL PERMIT -ISSUE -~ INSTALL FUR N. DUCTS uP TO 100.000 BTU . OVER 100,000_.Bl ,U _ OCC LOAD FIRE SPR Not Valid Unln r Machine Certified 15.00 SUMMARY/ACCOUNT NUMBER I llUILU)N{j P~RMlT 001·810-00-00·8220 ' SIGN PERMIT .. 001-810·00·00·8221 f BOILER /COMPRESSOR UP TO 3.HP. ,,.; q ,, ~~--1-------------------------,,.-11--4----:-,.--_-1 PLAN CHECK 001-810·00-00-B891 BO I LER/COMPR ESSO R j,i~ HP.-, ~'-· - I METAL FIREPLACE A. .,, .... (C7 VE NT FAN SfNGlE !ftl(T MECH EXHAUST HOQO!OU<;'rS RELOCATION OF EA FURNACEIH_FAT'ER ~--~ .. 1 ~L....l .,Jb,,> -rer..- TOTJ;L MECHANICA:L ,, • ~·· .- ~7 - -"1-- 7 --v.- QTY. MOBILE HOME SETUP CAR PORT AWNING GARAGE • / . . '" // ,\. /[.1 " . '\ r ,~· \~ . . . 11 'f ,,..,o A,'/ TOTAL PLUMBING 001-810-00·00·8222 ELECTRICAL 001-810-00-00-8223 rl)f)b - MECHANICAL 001-810-00·00·8224 rv- MOBILEHOME 001·B10-00-00-8225 SOLAR. -001-810·00·00·8226 STRONG MOTION B80·519·92·33 FIBE SPRINi<LERS 001.;B10-00·00·8227 ·-PUBLIC FACILITIES FE'""' Ji'20-B19-oo-oo-8740 BRIDGE FEE 360-810·00-00-B7 40 PARK-IN-LIEU (AREA TIF 312-B 10-00-00-8835 q fdY)- LA COST~ TIP 31H10·00-00-B835 FMF , 'f-o -}'J-1,,,00- LICENSE·TAX~ j' 00 1·810·00·00-B162° ,- MFF1A:], lab y.._ I 5q,¥0·519·92-57 I f CREDIT DEPOSIT TOTAL F.EES PAYABLE I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E•piration. Every per_m,_t issued by lhe Building Oflicral under lhe prov151ons ol 1h,s * AN OSHA PERM:l IS REQUIRED FOR ~CAVATIONS OVER ON HEAEO C UD G THE ~'"'!haTT"i1°pll.e by hm1tat1on and become null and void 11 the buIldIng or work 5• 0 , DEEP D DE..,.,.ITION C,.....ST OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFOAMATI N IN /S IN auIhorrzedbysut hpermil lsnot commenced w,1h,n l80dayslromIhedateolsucll · AN __,._ OR...,... RUCTION DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PEA :, permiL or rf 1he burldrng or w.9rJ< authorized by such permit rs suspended or ,sTRUCTVR£S OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUil CON-abandoned al any tim~eMl'fework IS commenced for a oerrod ol 180 davs ~~:~c:!~~L~~s~~~Ac~Eg~~iA~~=!t A~~~~~ AIL~~~~B~3~~~-~~5~~~~~-i~~r :~~D ~A~~~m~~rGriN~A:T~U~R~~E~ .. ~=~~~==~o~w~,~~~~ccEo~N~T~R~A~C~T~O~A~OJt°:A~P~P~AC0~~71e31y;------""".'.'----=~-;;...11-_-,J-i EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUEN~ -:;;;...-~ BY PHONE [] O 1 ~ d4'2 GRANTING OF THIS PERMIT. ~ _ ~J", L-~ ~ A • I 1 ~ "I" C '° u a. a. <I'. I 0 (/) (/) Q) (/) (/) <I'. I 3: 52 Q) >- Q) u C '° C LL 0 u Q) a. IJJ C Q) .c ~