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Home My WebLink About1935 CAMINO VIDA ROBLE; 210-230; CB053651; Permit10-25-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB053651 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1935 CAMINO VIDA ROBLE CBAD Tl Sub Type: 2120921800 Lot#: $25,000.00 Construction Type: Reference #: SPEC SUITES T-BAR CEILING, ELEC AND DUCTWORK COMM 0 NEW Applicant: WHITE CONSTRUCTION STE100 5937 DARWIN CT CARLSBAD, CA. 92009 760-931-1130 Owner Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 10/21/2005 SB 10/25/2005 10/25/2005 LLC 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 $215.19 $0.00 $139.87 $0.00 $0.00 $5.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Add'l Red. Water Con. Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee 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 $404.31 Total Fees:$404.31 Totar Payments To Date:$0.00 Balance Due:$404.31 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please tate NOTICE trat approval of yojrpr^in^ referred to as "fees/exactions." You have 90 days fromthe 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 CotteSectkm 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 NOTIRED that your right to protest tJiespecffiedfees/exactfons DOES NOT APPLY to water a^ changes, nor planning, zoning, grading or other similar appllcatkxi processing or servte fees In connect NOR DOES IT APPLY to any fees/exactions of which vou have previously been oven a NOTICE similar to this, or as to which the statute of limitations has orevfouslv otherwise exoired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Plan Ck. Deposit usiness Name (at iis address) Unit No. Phase No. Total 9 of units Name Address State/Zip Telephone # Fax * (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. Anyviplaljon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name State License # Address License Class City State/Zip City Business License # telephone # DsignerName State Licence # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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 C5 TT^TTS AcXV* jQ Policy No. OOCftn fof) -oUQrTS" Expiration Data O ' ~&' ~Q£ff (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [»100] OR LESS) Q 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: FaNura to, secure woriurs' cdmaenswon coverage Is unlawful, and chad subject an employer to criminal penalties and dvi finea up to one hundred thousand doflara (twaOfl^ hxawftlof^tm c^ Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE JHlXjO^^- yNJi^*"^ ' DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 en 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 o1 the property, am exclusively contracting with licensed contractors to construct the project tSec. 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). Q t am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major tabor and materials for construction of the proposed property improvement. Q YES QNO 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 name / address / phone number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following parsons 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 e 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? Q YES S£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 jtf NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES ^LfQ 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. 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 *A/y^TT 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 ell City ordinances and State laws relating to building construction. I hereby authorize representatives 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 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 commenced within 1 60 davsJrom 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 Jor ajeritxl>efTl(Sqaysjr6ectlori1 06.4.4 Uniform Building Code). _ DATE <£?-£/ -~OJ"APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/06/2005 Permit* CB053651 Title: SPEC SUITES T-BAR CEILING, Description: ELEC AND DUCTWORK Sub Type: COMM 1935 CAMINOVIDAROBLE 210-230 Lot 0 Type: Tl Job Address: Suite: Location: APPLICANT WHITE CONSTRUCTION Owner: 1935 CAMINO VIDA ASSOCIATES L L C Remarks: I inspector Assignment: RB Phone: 7605009104 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: STEVE Entered By: CHRISTINE Act Comment Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description 11/22/2005 14 Frame/Steel/BoNing/Welding 11/16/2005 14 Frame/Steel/Botting/Welding 11/16/2005 14 Frame/Steel/Bolting/Welding 11/16/2005 24 Roughm>pout 11/16/2005 34 Rough Electric 11/16/2005 44 Rough/Ducts/Dampers Act Insp Comments AP JM AP RB CO RB WC RB AP RB AP RB PER LETTER DRAFT STOPS ON T-BAR SYSTEM { SEE NOTICE) MISSING DRAFT STOPS - SEE NOTICE CEILING City of Carlsbad Bldg Inspection Request For: 11/16/2005 Permit* CB053651 Title: SPEC SUITES T-BAR CEILING, Description: ELEC AND DUCTWORK Type:TI Sub Type: COMM Job Address: 1935 CAMINO VIDA ROBLE Suite: 210-230. Lot 0 Location: APPLICANT WHITE CONSTRUCTION Owner: 1935 CAMINO VIDA ASSOCIATES L L C Remarks: CEILING Total Time: Inspector Assignment: Phone: 7605009104 Inspector: Requested By: STEVE Entered By: CHRISTINE CD Description Act Comment 14 Frame/Steel/Boltlng/Weldlng frF 24 Rough/Topout A_-& x*34 Rough Electric iff C^e- 44 Rough/Ducts/Dampers r / ^ f ' j * c frP ^ Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE / /TIME LOCATION 3J PERMIT NO. /^^ ' FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE CODE ENFORCEMENT OFFICER POLICYHOLDER COPY P.O. BOX 807, SAN FRAISICISCO.CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: O1-O1-200S COMPENSATION INSURANCE CITY OF CARLSBAD ATT*: BUI LOING DEPARTMENT 1635 FARADAY AVENUE CARLSBAD CA 92008 SO OOOO48 0008760-200B GROUP: POLICY NUMBER CERTIFICATE ID: *1 CERTIFICATE EXPIRES: 01-O1-200* 01-O1-2006/O1-Ot-2O06 JOB: ALL OPERATIONS' so -. .-•-•*'-•• r/v This is to certify that we have issued a vaHd Workers' Compensation insurance policy in r form approved, by the*"*-• California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the 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 it* normal expiration. This certificate of insurance is not an 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 document • 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 aH the terms, exclusions and conditions of such policies. : V - -.<* -v AUTHORIZED REPRESENTATIVE PRESIDENT :':&•-'" ' -*L^.. t . * - •;*" >u-:• •. * '-vfc EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS; 11,000.000.OO PtROCCURRENCE, '[ , --, BNDORSCMENT J20BS ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-O1-2O0S IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ' : ; '*i •'$ '' • •~^:^^:v: • $r ,*'" • ^- ,"*, ^ -~">v . '''" ' "jj. "', ' -*,';:_•>* * *- ••'.%•• -*,i:. v'".'•".--.y- •"" .^'<-;'f'-^&&l&& •': '"•^".T^^t^'?Arf-r*-?-': • v .^j5S»W«..W.^r' EMPLOYER LEGAL NAME WHITE CONSTRUCTION 5937 DARWIN CT STE I00 CARLSBAD CA 92008 S F* WHITE CONSTRUCTION^ INC . /"•" .. ^7 jwyj-oa pRtiurm-12/17/2004