The URL can be used to link to this page

Home My WebLink About1935 CAMINO VIDA ROBLE; 240; CB053304; Permit09-20-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB053304 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1935 CAMINO VIDA ROBLE CBAD St: 240 Tl Sub Type: 2120921800 Lot#: $20,000.00 Construction Type: Reference #: SPHERION 1,700 SF OFFICE TO OFFICE INDUST 0 NEW Applicant: WHITE CONSTRUCTION STE 100 5937 DARWIN CT CARLSBAD, CA. 92009 760-931-1130 Status: ISSUED Applied: 09/20/2005 Entered By: MDP Plan Approved: 09/20/2005 Issued: 09/20/2005 Inspect Area: Plan Check#: Owner: 1935 CAMINO VIDA ASSOCIATES L L C C/O DOUG MCCORMICK 165 S UNION BLVD #510 LAKEWOODCO 80228 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $176.69 Meter Size $0.00 Add'l Reel. Water Con. Fee $114.85 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $4.20 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00 Additional Fees TOTAL PERMIT FEES $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 $0.00 $339.74 Total Fees:$339.74 Total Payments To Date:$339.74 Balance Due:$0.00 Inspector:' FINAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" offees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL.0 egg Plan Ck. Deposit Validated By Date ton Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.ivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #T.T.Existing Use Proposed Use Description of Work SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name Address City 3R; i IMPUCAJNT: ;0^ontractor : .|TJ: Agent for Contractor •-:.:Q Owner Q Agent forOwner!' Wo¥ Wfcl-iteo State/Zip Telephone # Fax # Address City State/Zip Telephone Address City State/Zip TelephoneName Sm^mmX^^ •••^: =• ••-•• \~^ •• ••'-^---: • • •'-•• '• ••^-•- •- '••-$''"*'• ^ =t :.;:::;•"• •-'•I J"ff%r&•<-<t^WX^:':' ::••'!. 1 i~r;,;.;f:.lllrr- (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 basts for the alleged exemption. Any. violation of Section 7031.5 bvany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]}.ot more than five hundred CA 00009,-TO- U*0Name State License # Address License Class ft City State/Zip City Business License # .Tfilenhone # Designer Name State License # WmWSStKtm COMPENSAf ION, Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n 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. Efl 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: Insurance Company OTQJTX tltftd Policy No. ^(jQ-^QQ^S Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SlOO] OR LESS) O 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATUREDATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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). Q 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 contractors) licensed pursuant to the Contractor's License Law). C~| 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. Q YES QNO 2. 1 (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 name / 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): PROPERTY OWNER SIGNATURE DATE 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? l~) YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. W&^^^^i^-^^^J^mt^i:- ;>',;L •;.:•. .";::•'•"'."i.-^v- . .' '•'• :. •.-'••:.-: ••' ."•••!"•'• •• :•• ;'. -J!•;:-.. ' •;•• !•>*;".• ' 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 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 CitV 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, 'UDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 'HA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 'RATION: 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 >ed by such permit is not commefnoan wmin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned ne after the work is commence^ fqY a period of 180 days (Section 106.4.4 Uniform Building Code). "S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/27/2005 Permit* CB053304 Title: SPHERION Description: 1,700 SF OFFICE TO OFFICE Inspector Assignment: JM 1935 CAMINO VIDA ROBLE 240 Lot 0 Type:TI Sub Type: INDUST Job Address: Suite: Location: APPLICANT WHITE CONSTRUCTION Owner: 1935 CAMINO VIDA ASSOCIATES L L C Remarks: PLEASE CALL W/ ETA Phone: 7609083765 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: DOUG Entered By: JANEAN Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 10/25/2005 89 Final Combo 10/17/2005 14 Frame/Steel/Bolting/Welding 10/13/2005 14 Frame/Steel/Bolting/Welding 10/04/2005 17 Interior Lath/Drywall 09/29/2005 14 Frame/Steel/Bolting/Welding 09/29/2005 34 Rough Electric AP JM CO JM SUITE SIGN @ ENTRY DOOR AP PC CO JM REMOVE TILE @ CORRIDOR & STAIR WELL WALLS AP JM AP JM POUCYHOLDER COPY P.O. SOX 807, SAN FRANCISCCXCA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE QATB 01-01-2005 COMPENSATION IMSUM AMCB CITY OF CARLSBAD ATTN-: BUH.DING DEPARTMENT 1635 FARADAY AVENUE CARLSBAD CA $2008 SO 000040 OOO87SO-2OOS GROUP: POLICY NUMBER: CERTIFICATE- ID: *1 CERTIFICATE EXPIRES: Ol-O1-20Offoi-oi-2oos/ai-ot-2ooe JOB: ALL OPERATIONST so This is to certify that we have issued * valid Workers' Compensation insurance policy in a-form approved, by the*"-- California Insurance Commissioner to the ampfoyer named betow for the policy period indicated • This policy is not subject to cancellation by th* Fund except upon 30 days' advance written notice to the employer: We will also give you 30 days' advance notice should this policy be cancelled prior to \ts< normal expiration. ' This certificate of insurance is not art insurance policy and does not amend;, extend- or alter the coverage afforded. by the policies listed herein. Notwithstanding any requirement term, or condition of any contract, or other docurnemv with respect' to which this certificate of! insurance may. be issued or may pertain,, the insurance afforded; by; the ,> policies described herein is subject to all the terms, exclusions and conditions of such policies^ • V - •;""-^ AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $J ,000,000. OO PER OCCURRENCE. ENDORSEMENT 12OS5 ENTITLED CERTIFICATE. HOU3ERS' NOTICE: EFFECTIVE O1-O1-2OO5 IS ATTACHES TO AND FORMS A PART OF THIS POLICY. : : : > .*"> v r EMPLOYER WHITE CONSTRUCTION 5937 DARWIN CT STE 100 CARLSBAD CA 92008 LEGAL NAME S P- WHITE CONSTRUCTION 12/17/2OO* THIS DOCUMENT HAS A BLUE paTTERNED BACKGROUND