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HomeMy WebLinkAbout1910 PALOMAR POINT WAY; ; CB153796; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-01-2016 Commercial/Industrial Permit Permit No: CB153796 Building Inspection Request Line (760) 60Z-2725 1910 PALOMAR POINT WY CBAD ~;; Tl Sub Type: INDUST Statu : EXPIRED 2121204800 Lot#: 0 Applie ( :.1!?412015 Job Address: Permit Type: Parcel No: Valuation: $16,023.00 Construction Type: 58 Entered By:~ Occupancy Group: Reference# Plan Approved: Project Title: SPEC SUITE: 350 SF OFF TO OFF Tl Applicant: PETER BLISSETT STE 125 13280 EVENING CREEK DRS SAN DIEGO CA 92128-4696 858-793-4 777 Building Permit Add'I Building Permit Fee Plan Check Add'I Building Permit 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 (SB1473) Fee Fire Expedidted Plan Review $176.68 $0.00 $123.68 $0.00 $0.00 $4.49 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Total Fees: $504.62 Total Payments To Date: Owner: Issued: Inspect Area Plan Check #: LANIKAI PARTNERS II PO BOX455 SANT A YNEZ CA 93460 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO 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 $123.68 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $154.00 $44.77 $0.00 $0.00 $0.00 $0.00 ?? ?? $504.62 $380.94 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Governme,nt Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been a1iven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. «~ Building Permit Application Plan Check No. c·~ ( _$-3,Cf b Est. Value <j/1 l,,, 0 2-"':3 .~ CI TY OF 760-602-2717 / 2718 / 2719 I CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 1'1 /4 ( (J lswPPP JOB ADDRESS SUITEt/SPACEt/UNITt ]APN ;12 191 o Palomar Pointe Way -120 -33 - CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENAN1' BUSINESS NAME I CONST~ lYPE I occ. ~ROUP Spec Suite DESCRIPTION OF WORK: Include Squant Feet of Affected Anta(s) 350 SF office-to-office tenant improvement. Remove corridor walls and ceiling. Construct new acoustical ceiling and new doorways. Relocate existing light fixtures and ducts/registers. No new HVAC equipment. No site improvements are part of this permit. EXISTING USE PATIOS {SF) Fl REPLACE Office I PROPOSED USE Office I GARAGE {SF) I DECKS (SF) YESO. I AIR CONDITIONING I FIRE SPRINKLERS N~ YES [Z]No D YEs[Z] NoD APPLICANT NAME (Primary Contact) Smith Consulting Architects APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 13280 Evening Creek Dr. South, #125 CITY STATE ZIP CITY STATE ZIP SanDieqo CA 92128 PHONE 'FAX PHONE 'FAX 858-793-4777 858-793-4787 EMAIL EMAIL peterb@sca-sd.com (Pete Bussett) PROPERTY OWNER NAME Lanikai Partners II, LP CONTRACTOR BUS. NAME ADDRESS ADDRESS P.O. Box 216, 2928 San Marcos Ave, Ste.201 CITY STATE ZIP CITY STATE ZIP Los Olivos CA 93441 PHONE IFAX PHONE irAX 805-693-1314 EMAIL EMAIL gjs@lanikaimanagement.com (Greg Scadudo) ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# IQASS I CITY BUS. UC.# Chervl D. Smith C-11701 (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 O,at 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 [$500)). Wortlers' Compensation Declaration: I hereby afflnn under penalty of peljury one of the following declarations: 0 I have and wtll maintain a certlflc:ate of connnt to self-Insure for W0111eis' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the WOf1I for which this pem,il is issued. D I have and will maintain wortlers' compensation, as re<iuired by Section 3700 of the Labor Code, for the perfonnance of the wOl1I for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date-------- This section need not be completed ~ the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the WOf1I for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the WO!kers' Compensation Laws of California. WARNING: Failure to secure wortlers' compensation co~ Is unlawful, and shall subject an 1111ploytr to criminal penalties and clvtl fines up to ont hundred thousand dollan (&100,000), In addition to the cost of compensation, damages as provided for In Stc:tlon 3706 of the Labor code, ln19rest and attorney's feta. ~ CONTRACTOR SIGNATURE 0AGENT DATE I hereby sfflnn that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, w,11 do the wOl1I and the structure is not intended or off8f8d for sale (Sec. 7044, Business and Professions Code: The Contractol's License Law does not apply to an owner of property who builds or improves thereon, and who does such wOl1I himself or through his OWl'l 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). D D I, as owner of the property, am exclusively contracting with icensad contractors to construct the project (Sac. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves theleon, and conlracis for such projects with contractor(s) licensed pursuant to the Contractol's License Law). I am exempt under Sactlon Business and Promsions Code for this reason: 1. I personaUy plan to provide the major labor and materials for construction of the proposed property improvement 0 Yes Oo 2. I (have / have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction flllclude name address I phone I contradols' license number): 4. I plan to provide pollions of the wor1t, but I have hied the following person to COOldinate, supervise and provide the major wOl1I (lf'ldude name I address I phone I contractors' license number): 5. I will provide some of the wor1t, but I have contracted (hired) the following persons to provide the wOl1I indicated Onclude name I address I phone I type of wOIII): ~ PROPERTY OWNER SIGNATURE DATE Is the applicanror 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-TaMer Hazardous Substance Account Act? Yes ., No Is the lpplicant or future building occupant required to obtain a permn 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 au~e representative of the City of Carlsbad to enter upon the above mentioned property for nspecoon 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: "'1 OSHA permft is required for excavations over 5'0' deep and demolioon or construcoon of structures over 3 stories 11 height EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shaU expire by Imitation and become nul voo if the buildllQ or Y,Qf1( a~ by such permt is not oommenced withll 180 days from the date of such permt or if the bui<lllQ (lf Y,Qf1( a~ed by such ft is sus or abandoned at 'iJll'f lime a ~ APPLICANT'S SIGNATURE Y,Qf1( is coovneuced for ape· of 180 (Section 106.4.4 Uniform Building Code). ,r 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. l ! f' T I F I C A T E 0 F 0 CC U f' A NC Y ( C o rn n1 < r ( I ,t J flt OJ I C ( • () 11 I r Fax (760) 602-8560, Email www.building@car1sbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CO#: {Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Spec Suite V Carlsbad CA B PHONE 11 FAX iF Olllii»-ID-0Mcel9nlrlt~ R.effloitec Office ...... ~ Constl\,t1,...,.ICCUdclfcelir,glA rwllvil ~ •• ..._irnhlln--1rllrkl_:a EMAIL OCCUPANT'S BUS. LIC. No. Office DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: 1910 Palomar Pointe Way 212 CHANGE OF USE/ NO CONSTRUCTION Lf APPLICANT'S SIGNATURE DATE ''f.(J-- \1·5·1'.::> I\ · 12-· l~ /:l/3/rJ ~ \l.Lt""- l1J P/,4,u / P\eµ'" -m U)~ f1;e,£ +56-;L R~r C, e Fe rl -N-Fe_-w/Jh;Yt.J- 6/,pin;o ~ Final Inspection required by: 0 Plan OCM&I O Fire 0 SW o,ssu~o I Dev. Approved , !~ate By BUILDING k/l ,} '1tUA r.A .Jc ll..lr//3 /JM PLANNING . 11-CS-\S ,if.-1 ENGINEERING ll/12../1'5 Vt0 FIRE Expedite? y N w~ ~\ \\-L\-i5 DIGITAL FILES Required? y N HazMat APCD Health Forms/Fees \sent Rec'd Due? By Encina y N Fire y N HazHealthAPCD ~ y N PE&M 11. lf, r r y N School y N Sewer y N Stormwater y N Special Inspection y N CFD: y N LandUse: Density: lmpArea: FY: Annex: Factor: PFF: y N Comments Date Date Date Date Building 1i/l?::,/lf; Planning Engineering Fire Need? _f ll/J ... 1$ £;-,{ )Coone f/.AAT,1./J.,,.zl;/) h,t.i >LJ, .. :, .. 7;,,,,,,? ODone I /v [ (7 ODone ,~ ~Doon; I