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HomeMy WebLinkAbout1925 PALOMAR OAKS WAY; 215; CB004785; PermitCity of Carl$bad 1635 Faraday Av Carlsbad, CA 92008 01/05/2001 Commercial/Industrial Permit Permit No: CB004 785 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 01/05/2001 Applicant: 1925 PALOMAR OAKS WY CBAD St: 215 Tl Sub Type: 2120911800 Lot#: $64,456.00 Construction Type: Reference #: MEDICAL PROTECT SERVICES INDUST 0 IIIN Owner: Status: Applied: Entered By: Issued: Inspect Area: ISSUED 12/18/2000 RMA Plan Approved: 01/05/2001 G & R CONSTRUCTION ~~E~J~sNs i1~~ic~RTIES A~gW~ii~!g~fuA~cTo~E,fl L j2 845 WASHINGTON HEIGHTS RD EL CAJON CA 92019 619 590~9385 Total Fees: $829.79 Bl'.lilding Permit Add'I Building Permit Fe.~ 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 Pee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con, Fee 3890 W NOR1HWEST HWY #400 C:GF' 325 .57 DALLAS TX 75220 Total Payments To Date: $304.22 Balance Due: $525.57 $468.03 $0.00 $304.22 $0.00 $0.00 $13.54, $0.00 $0.00' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add!I· Reel. Water Con. Fee Meter Pee SDCWAFee CFO Payoff Fee - PFF , PFF (CFO Fµnd) Lidense Tax License Tax (CFO Fund) Traffic· Impact Fee ,Traffic Impact (CFO Fund) LFMZ transportation Fee. PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee: Sewer Fee: · Redev Parking Fee: TOTAL PERMIT PEES 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 $0.00 $20.00 · $24.00 $0.00 $0.00 $0.00 $829.79 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 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 capactiy 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 reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE 0 PLAN CHE NO.--',;;::,,'.1~r,;t,'-1~· EST. VAL. -H,,=f-::r-----=-1"':;..__--=---:.--:::- Business Name (at this address) ---v !) "~ ___;__-,-_______ ___;_ ________________________ .,,.,,...,.,___-",I,'---~~ Lot No. Subdivision Name/Number Unit No. of units ";:., Assessor's Parcel # Existing Use Proposed Use ,..:i ~ N (J'1 \-..-• 1\-)UI ' j\} \. _,; r~W8%AD _c.r, 12 1vr IH P/2.at/, a.3agi_ Description of Work SQ. FT. ,-; CARLSBAD. CALIF. {)' >•:>•,,-,•,,A,«•,,-~,"'.""', ,,<•;,• •,_,:;,::·.,: ... "' ;•,:,•, ', ''\ !\.i . .. ,,<<;., . ~---·:,. ·<:E~" Name _ Address City State/Zip Telephone-?(.';:;'... J~tilj"' ~~--r.-:t' --··-~---· ,, ·-rr -· ,, -· --.. --· ,. ·--· ·o·---·~r,-·. ·---·-,-:-,:--,:--. ---~---~--~-----------. --______ ! ----" --~, ;""'\2~~:h~tfa<!for \.u Ap;t t.l§:i~:q9ia _o.wn;~~;,,9ent, f°'r,.P;yf;!/--:' fLli_ir:/'"' · · ,·.,:\~ii;::·-~ t}t;:'il :>~?n[S ' Name Address City State/Zip Telephone# f);¼:Jn";~NER~~;~z:k_s". , 70j;,~ :PA-le9;;;;,·-: -=2~b;;.::g;·· ','} ;::. ·1;;-~·::912.,!i:/i·'·:··: -~--_;,-,-·~::/,.: .. • ·:~~-,,.: ," ~ Name Address City S,tate/Zip Telephone # ~5,;,:,.:;-::,PPJ«.8AQT()R:,::J~PJ'!'l~AN'fNA,MJ; ,,,, · ,, .. ,:,,, . ,. ., . .• --: , ,;, ,, .. .,., (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 aP,plicant to a civil penalt of not more than five hundred dollars [$5001) . . • ~ &». I . ;,.!;) 'DS . ' GTS fD , l§L .TDtJ c+ Name Address City .• State ZiP. Telephone# License Class t3 City Bllsiness,License # / 20.,,l</-C/.,_? State License # . 7 fl. '22. (;,, / /l)IJ.a{;. -/;Tri G[LA-M ;314,o CA-t,,,µr4 Paz. /{ID s=-o S,P CJ+ . Designer Name Address City State/Zip State License # _________ _ [§;.:;;";:w9131J.sR$fQo.Me!~~Ai'.fQ'tf?".,-.. -•. -~~-~~·:·.-::,,·· " ...... :·.: .. ~ . · .-.:. ;\S.-.;,:·.' · · ... ::_~-::::-:~. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone O 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 t~e Labor Code~for· he perfor(llA1nzj of the work for which this permit is issued. My worker's c pensation i~rance c ier and policy number are: a:J-Cf-0 { . l & 5'.? 7 , / /4 Insurance Company T. -Policy No.)3 f S(),: ~§ '§..*/ Expiration DateC:, / / cJ / 02._ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) ~/ 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become·subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($ ,000), infctllition to the cost pensation, damages as provided for in Section 3706.of the La~ode4nt';Plst and attorney's fees. SIGNATURE , ), . DATE 0/ L.{l.5, / cJ I 2:~J.:Q.w_t,fERtllQ!j;b~tl. $Ri:Al!AT.19N;· ...... · ... , :~ ~~-:_, J ·---~ "::·'·, , .. _ -:_:::> ·. ., -,~ ... ~~~-~:-~.:.'.::;::2,:.:_ <;:2,;:~~-~~>;,0iF:· 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 tc:> provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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 number / 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 n<1me / address / phone number/ 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 number / type of work): _______________________________________________________ _ 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? O YES O NO Is the facflity 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. &~:~""j;gwJ,:r~!"l~.N~NG)\GlN9¥} . .. . --~-: .. :,,:...,. ,. ""·. ,,_-:._ 0:· :::-.::.:C~' '~'f:.":';!txL?Yr:.·:?iJ?' ',-.-.--,, . .., r-,-,,:,,.c:··,·o-:·, · . ., 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 i§;·i •. ,Aee®A~liQ~~.11,t=IQA:rtpN: -:·:.:·· --:::'-:,~'.:::.:·:-:-~.·: '. ' ,,:,-= .. =_.:.:,..:..:::_: _::.:_ -=.,,_:_. _;:,,::,.::, _;_ :="::..:: .. .::_._:::;;_,':;:;·= .... =-:::=.-:::~----:;:,:,'.:::~ =: .:=,:·/=.i.:;:::\=::·_&;:':;:;~;::::.::;:-:,...;:::;,,~--;:::::". .. :::;:;::::,::=.~;;:;:;;:;;._ ;:,_._..:=;;=:., .. ;: .. :=:.:.::;:-: ,:::,-::=,:;-;:·,[::-:. __ ::::;_ :=;-:;;::::;;:;:;:;;:::;::: 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 h(;light. 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 d from the date of such permit or if the building or work authorized by such per ·1 is susp ded or abandoned at any time after the work is co , ed for period o O days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/06/2001' Permit# CB004785 Inspector Assignment: TP Title: MEDICAL PROTECT SERVICES Description: Type:n Job Address: Sub Type: INDUST 1925 PALOMAROAKSWY Suite: 215 Lot Location: APPLICANT G & R CONSTRl,JCTION Owner: UNK Remarks: 0 --- Phone: 6194401633 Inspector:£ Total Time: Requested By: N/A Entered By: ROBIN CD Description Act Comments 1-9 Final Structural ,<J/J 29 Final Plumbing + 39 Final Electrical 49 Final Mechanical -- Associated PCRs lnsRection History Date Description Act lnsp Comments 02101/2001 14 Frame/Steel/Bolting/Welding AP. TP T-BAR CEIL ADDED 02/01/2001 34 Rough Electric AP TP CEIL LITES RE-LOC, 02/01/2001 44 Rough/Ducts/Dampers AP TP DUCTS RE-LOC 01/30/2001 84 Rough Combo co TP T°CEIL SEE CARD 01/30/2001 84 Rough Combo NS TP 01/24/2001 17 Interior Lath/Drywall AP TP 01/23/2001 17 Interior Lath/Drywall· co TP SHORT SCREWED 01/19/2001 14 Frame/Steel/Bolting/Welding AP TP 01/1.9/2001 -34 Rough Electric WC TP 01/18/2001 14 Frame/Steel/Bolting/Welding NS TP 01/18/2001 34 Rough Electric NS TP CltJ 01 Carlsbad • ..,""""..,.,.,,,,,,~;a · . Final Bulldlna Inspection Dept: Building Engineering Planning CMWD St Lite <:f.Jte? Plan Check#: Date: 02/06/2001 Permit#: C8004785 Permit Type: Tl Project Name: MEDICAL PROTECT SERVICES Sub Type: INDUST Address: 1925 PALOMAR OAKS WY #215 Lot: 0 ContactPerson: N/A Phone: 6194401633 Sewer Dist: CA WaterDist: CA •••••••• 11111111111111111111111 ·~··••••••••••• I 1111 ••••••••••1111111••••••••••••_1111111111,1111111111 Ill 111111111111111 •••••• ••••••••••••111111111111111111 Date Inspected: Inspected Date Approved: <../'' Disapproved: By:---'----------Inspected:~· _____ Approved: ___ Disapproved:-. _ Inspected Date By: Inspected: ______ Approved: ___ Disapproved: __ .......................................................................................................................................................... , Comments: _________ --'---------------------------- EsGil Corporation In Partnership with Government for Building Safety DATE: 12/29/00 JURISDICrlON: City of Carlsbad PLAN CHECK NO.: 00-4785 SET:I PROJECT ADDRESS: 1925 Palomar Oaks Way Suite 215 PROJECT NAME: Medical Protective ~ervices -TI DA~T CP JURIS: D PLAN REVIEWER D FILE o· The plarts transmitted herewith have been corrected where necessary and substantially comply . with the jurisdiction's building codes. [81 The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the remarks below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list ~as been sent to: -~ Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plc;1n check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person ~ REMARKS: Applicant to note on the plans "No AC or Romex cabling allowed!' per City of Carlsbad. By: l)oug Moody Esgil Corporation D GA D MB D EJ D PC Enclosures: 12/20/00 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 /'\ .t City of Carlsbad 00-4785 1,2/29./00 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody . PLAN CHECK Nb.: 00-4785 DATE: 12/29/00 BUIL.DING ADDRESS: 1925 Palomar Oaks Way Suite 215 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: IIIN BUILDING AREA Valuation Reg. VALUE ·PORTION ( Sq. Ft.) Multiplier .Mod. Tl 2302 28.00 _, Air Conditioning Fire Sprinklers TOTAL VALUE Jurisqiction Code Cb By Ordinance [ 1994 UBC Building Perrnit Fee •I / 1994 use. Plan Check Fee Type of Review: 0 Complete Review D Structural Only []'Repetitive Fee i=E]Repeats Comments: Oother D Hourly ._I ____ ~ Esgil Plan Review Fee ($) 64,456 64,456 I 467,.951 304.171 243.331 Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 00 Lt 7 ~ 5 "RESIDENTIAL · RESIDENTIAL ·ADDmoN·;MINOR I <$10,000.00) ENGINEER..,_.· _ .... [ ..... L ______ _ -~ . · -·:. :;:PLAZA ~IND REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING DATE \ \d [01 DATE./ /J/d} t I Carlsbad Fire Department 004785 1635 Faraday Ave. Carlsbaa, OA 92008 Plan Review Requirements Category: Fire Prevention (760) 602-4660 Date of Report: _12-,-1_21_12_0_0..,..o __________ _ Building Plan Reviewed by: Name: Rick Lien Address: PO Box 930 City, State:. Poway CA 9207 4 Plan Checker: Job #: 004785 Job Name: Medical Protective Bldg #: 08004785 --,------------------ Job Address: 1925 Palomar Oaks Way Ste. or Bldg. No. 21'5 ~. Appmved 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, information 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 constrwct 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 to comply with instructions in this report can result in saspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / 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 / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and/ or specifications to this office for review and approval. 1st 004785 2nd FD File# 3rd Other Agency ID