HomeMy WebLinkAbout1917 PALOMAR OAKS WAY; 130; CB051681; PermitCity of Carlsbad \J~~w~
05-20-2005
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB051681
Building Inspection Request Line (760) 602-2725
Job Address: 1917 PALOMAR OAKS WY CBAD St: 130
Permit Type: Tl Sub Type: COMM
0
NEW
Parcel No: 2120911900 Lot#: Status:
Valuation: $22,100.00 Construction Type: Applied:
Occupancy Group: Reference #: Entered By:
Projec ·~ BAYSIDE SOUL TIONS 400 SF Tl Plan Approved:
"\ '" \ ,,,\ CREATE 4 OFFICES WHERE THERE WAS 2 EXISTING Issued:
\ ' i 'l
Applicand \
WHITE CONSTRU9TION
STE 100 ,//
5937 DAR)AIIN CT
7\RL-s13AD, CA. 92009
760-931-1130
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 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
$199.79
$0.00
$129.86
$0.00
$0.00
$4.64
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Inspect Area:
OwnJr:
Plan Check#:
REALTY ASSOCIATES FUND V L P
600 W BROADWAY #3150
SAN DIEGO CA 92101
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
TOTAL PERMIT FEES
ISSUED
05/12/2005
SB
05/20/2005
05/20/2005
Total Fees: $403.29 Total Payments To Date: $79.81 Balance Due:
~ING PLANS
· , IN STORAGE $:a.A-"~ B784 05./20/;)5
_ATTACHED
FINAL APPROVAL
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$45.00
$24.00
$0.00
$0.00
$0.00
$0.00
$403.29
$323.48
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 "lees/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 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 ou have reviou I b en iven a N Tl E simil r to this r as to which the lute of limitations has reviousl otherwise ex ired.
~4\ )--~5? FOR OFFICE USE ONLY _-; £.}
PLAN CHECK NO.~ /b4t:>I PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Av_::'f Carlsbad, CA 92008
EST. VAL. { z, lj O 0
Plan Ck. Deposit :Z':t .e I --
~\\;\.Q_LCf\~ I?,
Validated By ~
Date S:{ =:--
1. PROJECT INFORMATION
~ c)
Legal Description Subdivision Name/Number -4 Unit No. Total # of units :r~, &!_(p I
8~ :)2 Asses~or' s Parcel # t'--. Existing Use
#of Stories ·# of Bathrooms ,31 2.. , '2.. -c:>G\ -"-' \ lo DPn c::..e.
3
-M;..G~ tJ Contractor l:ii( Agent for Contractor O Owner O Agent for Owner
Address
Name Address City State/Zip Telephone#
4. PROPERTY OWNER
~Tci p~<:>
Name Address ~,e ',OO City State/Zip SD
6. CONTRACTOR -COMPANY NAME
(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 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 1$5001). Wtltf~ c..oN,ST. 5%, ~IN ~:r 1:S16-\00 ~S~1CA °)2£X:>~ ,)'13l-ll3o
Name Address City State/Zr· Telephone #
State License# ~"2-~ \3? License Class f> City Business License# 2o 23 i'"O
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
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.
~ 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: g ! /
Insurance Company STffie; FLJ t-...l D Policy No.ct) O 7 8'" o-2oOS' Expiration Date 'l! _ O(&,
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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: Failur ' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
s ( 100,0001. in addition the cost of com ensation, damages as provided for in Section 3706 of the Labor code, interest and auorney's fees.
SIGNATURE=~;;;2si.:=~~===h~~~~~~~--=~-DATE /}1Au ,4r=oJ
7. OWNER-BUILDER DECLARATION J
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 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).
0 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(s) licensed
pursuant to the Contractor's License Law).
0 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. 0 YES ONO
2. I (have 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 I address I phone number I 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 I address I phone
number I 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 I address I phone number I type of work):. __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 O 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME---------------LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 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 co · hin 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 wor · ommenced for a erio o days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/01/2005
Permit# CB051681 Inspector Assignment: BN
Title: BAYSIDE SOULTIONS 400 SF Tl
Description: CREATE 4 OFFICES WHERE THERE WAS 2 EXISTING
Type: Tl Sub Type: COMM
Job Address: 1917 PALOMAR OAKS WY
Suite: 130 Lot 0
Location:
APPLICANT WHITE CONSTRUCTION
Owner: REALTY ASSOCIATES FUND V LP
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural IL
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
lnsQection Histor~
Date Description Act lnsp Comments
05/25/2005 17 Interior Lath/Drywall AP BN
05/25/2005 18 Exterior Lath/Drywall WC BN
05/23/2005 14 Frame/Steel/Bolting/Welding AP BN
05/23/2005 34 Rough Electric AP BN
Phone: 7608016248
Inspector: ::j2__
Requested By: JOHN
Entered By: CHRISTINE
CilY of Carlsbad
· Final Building Inspection
Dept: Building Engineering Planning CMWD St Lite Fire ---Plan Check#: Date: 07/01/2005
Permit#: CB051681 Permit Type: Tl
Project Name: BAYSIDE SOULTIONS 400 SF Tl Sub Type: COMM
CREATE 4 OFFICES WHERE THERE WAS 2 EXIS1ING
Address: 1917 PALOMAR OAKS WY #130 Lot: 0
Contact Person: JOHN Phone: 7608016248
Sewer Dist: CA Water Dist: CA ..........................................................................................................................................................
lnspecte91/':? Date taf;-/e& By: L:1?fte--< Inspected: Approved:)( Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
. . . '
PLANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER CB O ~ ~ , . / DATE
ADDRESS __ / _9i_/ _7--+-_· 1r_~.:a::;__;__.i;... ....,L..L.I..L...--...J,,, . .:;.._. ,. ()('._· /_;_· _·u_,~-+-'I _· _
"RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
PLANNER
D0ts1Mtsforms1Planning Engineering Approvals
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
DATE 5/;6/;5 ---+-, .....__,.{~---
Carlsbad Fire Department 051681
1635 Faraday Ave.
Carlsbad, ·cA92008
Fire Prevention
Plan Review Requirements Category: Building Plan
Reviewed by:
,~~60
Date of Report: _0_51_19_1_20_0_5 _______ _
Name: Inter Arch
Address: 8160 La Jolla Shores Dr.
City, State: La Jolla CA 92037
Plan Checker: Job#: 051681 -------
Job Name: _s_ay_s_id_e _so_lu_ti_on_s _________ B_ld---=g=--#_: eA tJ ~ / 0 8/
Job Address: 1917 Palomar Oaks Ste. or Bldg. No. 130
~ Approved
D Approved
Subject to
D Incomplete
Review
FD Job#
------
The item you have submitted for review has been approved. The approval is
based on plans, info:rmation and I or specifications provided in your submittal;
therefore any changes to these items after this date, including field
modifications, must be reviewed by this office to insure continued conformance
with applicable codes and standards. Please review carefully all comments
attached as failure to comply with instructions in this report can result in
suspension of permit to construct or install improvements.
The item you have submitted for review has been approved subject to the
attached conditions; The approval is based on plans, information and/or
specifications provided in your submittal. Please review carefully all comments
attached, as failure Ito comply with instructions in this report can result in
suspension of perm:it to construct or install improvements. Please resubmit to
this office the necessary plans and I or specifications required to indicate
compliance with applicable codes and standards.
The item you have submitted for review is incomplete. At this time, this office
cannot adequately conduct a review to determine compliance with the
applicable codes and I or standards. Please review carefully all comments
attached. Please resubmit the necessary plans and I or specifications to this
office for review and approval.
1st 2nd 3rd Other Agency ID
051681 FD File#