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