HomeMy WebLinkAbout1921 Palomar Oaks Way; 300; CBC2019-0310; Permit(city of
Carlsbad
Commercial Permit
Print Date: 07/17/2019 Permit No: CBC2019-0310
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1921 Palomar Oaks Way, 300
BLDG-Commercial
2120911800
$12,000.00
Work Class: Sign
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
tnspector:
Closed -Finaled
06/21/2019
06/21/2019
Plan Check#:
Final
Inspection: 7/17/2019 4:37:36PM
Project Title:
Description: CENT AU RI: ILLUMINATED 17" BLACK CHANNEL LETTERS W/ S" DEEP BLACK RETURN: ELECTRICAL ALREADY EXISTS
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $229.9S
Owner:
BROOKWOOD PACIFIC OFFICE I LLC
72 Cherry Hill Dr Brookwood Financial
BEVERLY, MA 0191S
Total Payments To Date: $229.9S
Contractor:
CQSIGNS
902 S 33Rd St
San Diego, CA 92113-2627
619-SlB-4877
Balance Due:
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. 1f 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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov
$132.70
$92.89
$1.00
$3.36
{cicyof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check Cf!,Cc?OJOJ -tJ,3/0
Est. Value ft').., /?OO
PC Deposit ---------=.--& -2, 1 -1 '7 Date ------~--
JobAddress {7~( f11:f9fti11tt!'.
Tenant Name: ( e ~,a O J,;:
<?tri:J ~uite: .1 (..,V APN: __________ _
CT/Project#:. _________ Lot#: ___ _
Occupancy: _________ Construction Type: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: I f'Sd -I:llvc,; N--<lr;,:./
D Addition/New: ___________ New SF and Use, ___________ ,New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement: ______ SF,
_____ SF,
Existing Use ______ Proposed Use ______ _
Existing Use Proposed Use ______ _
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? -------------
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: _________________________ _
~Other: __________________________________ _
APPLICANT (?1'MARY) PROPERTY OWNER
Name: L Q... 5i):1'1.Jo
Address: 90L 5. JS~ ,,-
City: SAr< 'J:Ji State: CA-Zip: ':ra:t• 1
Phone: bl~ !j, 'f,E-?)
Email: :Smer e: ( Q .F•3'11 Cd,,..,
DESIGN PROFESSIONAL
Name: _________________ _
Address: ________________ _
City: _______ State: ___ .Zip: ___ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
Name: ___________________ _
Address: ___________________ _
City: -------------'State: ___ .Zip: ____ _
Phone: ___________________ _
Email: ____________________ _
7
City: ._:,..,~:,:::.__J-..c..!I.{Jc-11__,.
Phone: --'~"--',-"'-LfJ'-"''::--"--11-,J-.L_ ______ _
Email: ---'J.L.½~a-;;~;';7p>..1.1.:..J!::!.;!,..,_~~:!..._---
(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/she 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/she 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}).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
Jit:1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
0 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. ______________ Expiration Date: _________ _
~ertificate 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 be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers com sation coverage Is unlawful, and shall subject an employer to
crlmlnal penalties and clvll fines up to $100,000.00, in addition the to the cost of compensatlo amages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: □AGENT DATE: -------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ 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).
□ 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).
□ I am exempt under Section ________ ,Business and Professions Code for this reason:
1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
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/ 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):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ______________________ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plari, 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
ls 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
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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 representative of the City 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 S'O' 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 commenced within 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 work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code .
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBC2019-0310)
Permit Type: BLDG-Commercial Application Date: 06/21/2019 Owner: BROOKWOOD PACIFIC OFFICE I
LLC
Work Class: Sign Issue Date: 06/21/2019 Subdivision: CARLSBAD TCT#81-46 UNIT#01
Status: Closed -Finaled Expiration Date: 01/13/2020 Address: 1921 Palomar Oaks Way, 300
Carlsbad, CA 92008-6525
IVR Number: 19929
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
07(17/2019 07/17/2019 BLDG-38 Signs 097638-2019 Passed Michael Collins Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Pe plan. Existing circuit Yes
BLDG-Final 097639-2019 Passed Michael Colllns Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Per plan, existing circuit Yes
BLOG-Electrical Final Yes
July 17, 2019 Page 1 of 1