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Home My WebLink About1935 CAMINO VIDA ROBLE; 100; CB060218; Permit02-01-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB060218 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group; Project Title: 1935 CAMINO VIDA ROBLE CBAD St: 100 Tl 2120921800 $52,500.00 NIMAX1500SFTI OFFICE TO OFFICE Sub Type: Lot#: Construction Type: Reference #: COMM 0 NEW Applicant: WHITE CONSTRUCTION STE 100 5937 DARWIN CT CARLSBAD, CA. 92009 760-931-1130 Status: ISSUED Applied: 01/25/2006 Entered By: SB Plan Approved: 02/01/2006 Issued: 02/01/2006 Inspect Area: Plan Check#: Owner: 1935 CAMINO VIDA ASSOCIATES L L C C/O DOUG MCCORMICK 165 S UNION BLVD #510 LAKEWOOD CO 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 $365.61 Meter Size $0.00 Add'l Reel. Water Con. Fee $237.65 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $11.03 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 $34.00 $35.00 $24.00 $0.00 $0.00 $0.00 $0.00 $707.29 Total Fees:$707.29 Total Payments To Date:$707.29 Balance Due:$0.00 BUILDING PLANS IN STORAGE ATTACHED Inspector FINAL APPROVAL Date: 3 Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, 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 vou 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 O PLAN CHECK NO.1 EST. VAL. Plan Ck. Deposit Validate^ By Date AddresslincFude Bldg/Suite #) Le Business Name (at this address) ubdivision Name/Nimber Description of Work 2. CONTACT PERSON (if different fro, Address City State/Zip Telephone # Address Citv State/Zip Telephone # (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] of 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 applicant to a c^vil penalty of not more than five hundred dollars [i.5001iexemption. Any violatifjj ht-rr/e, NameJame State License Address License Class City State/Zip 7^- elephone # State/2ipDesigner Name State License # Address City coMPSNSAtioN .• .-.;; : = './= • ••=.'=.•;•:..:•..:..: • >:-~-••.-•.•'.:•• .' '•:-•-•'=: •" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 1 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. /htff 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 *ZTj4-T&CrtSfAPtoC^TtGAlX&C, ^frAlfJ Policy No.Ql90&7&0 •*2fl/)& Expiration Datej (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 {$100,0^0), jMbddition to^lbe cost ot compensation, damages as provided for in Section 3706 of the Labor cpde, interest and attorney's fees. SIGNATURE «tWSfc^ ^&~CG ^ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: C] 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). fj] 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 arn 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. 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 persons to provide the work indicated (include name / address / phone number / type of work): _ _ _ __ ______ __ _____ __ _ _ _ __ . PROPERTY OWNER SIGNATURE DATE • :; V : = 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? fj] YES ST NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj YES /M NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES yt5 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. 'SclhMSTRU^ •'•'.. - ;;."= •':= '•-.!il/;' ' ' - : •''...•••. .- • ' . •:••••• ' 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 NAMELENDER'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 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«nder th* provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permjt is not commenced within ISOddyafrom we date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the worin^oiiimrnorjced/frr a petrfd ayfad daydL**\u\\ IUU.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CltytlCirfsftU Final Building Inspection Dept: Building Engineering Planning CMWD St Lite Fire Plan Check*: Permit #: Project Name: Address: Contact Person: Sewer Dist: Inspected Bv: C Inspected Bv: Inspected Bv: Comments: CB060218 NIMAX1500SFTI OFFICE TO OFFICE 1935CAMINOVIDA JOHN CA y fu/*~I ROBLE #100 Phone: 7608016248 Water Dist: CA Date / Inspected: &l Ib / 'Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 /&6> Approved: df Approved: Approved: 03/14/2006 Tl COMM ^Disapproved: Disapproved: Disapproved: City of Carlsbad Bldg Inspection Request For: 03/14/2006 Permit# CB060218 Title: NIMAX 1500 SF Tl Description: OFFICE TO OFFICE Inspector Assignment: PD Sub Type: COMM 1935 CAMINO VIDA ROBLE 100 Lot 0 Type: Tl Job Address: Suite: Location: APPLICANT WHITE CONSTRUCTION Owner: 1935 CAMINO VIDA ASSOCIATES L L C Remarks: Phone: 7608016248 Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: JOHN Entered By: CHRISTINE Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 03/09/2006 34 Rough Electric 02/24/2006 14 Frame/Steel/Bolting/Welding 02/24/2006 24 Rough/Topout 02/24/2006 34 Rough Electric 02/24/2006 44 Rough/Ducts/Dampers 02/09/2006 14 Frame/Steel/Bolting/Welding 02/09/2006 21 Underground/Under Floor 02/09/2006 34 Rough Electric 02/09/2006 84 Rough Combo Act Insp Comments AP AP we AP AP AP AP AP PA PD TP TP TP TP PD PD PD PD PANELS, XMR @ RM 1 1 0 & MISC PATCH-IN RE-LOC. 110 & MISC PATCH-IN RE-LOC. RM 110 & MISC PATCH-IN WALLS WALLS ceiling PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CH OLff O 2-1 ADDBESS DATE -- Oh O ' JU. RESIDENTIAL RESIDENTIAL ADDITION MINOR «$10,000.00) T IMPROVEME PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER DATE I ~ DATE Carlsbad Fire Department Plan Review Requirements Category: TI, COMM Date of Report: 02-01-2006 Reviewed by: Name: Address: Permit #: CB060218 Job Name: NDVIAX 1500 SF TI Job Address: 1935 CAMINO VIDA ROBLE CBAD St: 100 INCOMPLETE The item you have submitted for review is incomplete. At this time, thia office cannot adequately conduct a review to detcrmiiiL lompliance with the applicable codes and/or standards. Please icview carefully all commcnto attached. Plcaac rcsubmit the- necessary plans ond'or apccifications, with changes "clouded", to till a uiil^t Jtor icvi^W ailu ipprOVdi; Conditions: Cond: CON0001065 [MET] Exits sisgns shall be visible in the path of travel leading to exit from any point within that area. It is requested that the exit signs be revised as follows: 1. exit sign at door near Rm 118 should be moved to the center of tile above proposed location with directional arrow towards door. 2. Relocate exit sign in open office above matchline B between 3 and 2, to approximately 4 ft right and 2 ft above current location. This sign should be double-faced with directional arrows pointing North. Entry: 02/01/2006 By: GR Action: AP Cond: CON0001066 [MET] APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 02/01/2006 By: GR Action: AP POLICYHOLDER COPY SO COMPENSATION INSURANCE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-01-20O8 GROUP: 000048 POLICY NUMBER- 0008760-2006 CERTIFICATE ID: 81 CERTIFICATE EXPIRES: 01-01-2O07 01-01-2008/01-O1-2007 CITY OF CARLSBAD ATTN: BUILDING DEPARTMENT 1635 FARADAY AVENUE CARLSBAD CA 92OO8 SD JOB:ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a 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 39 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,OOO,OOO PER OCCURRENCE. ENDORSEMENT I16OO - STEVE WHITE, PRESIDENT,SECRETARY,TREASURER - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2000 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER S P WHITE CONSTRUCTION, CONSTRUCTION 5937 DARWIN CT STE 100 CARLSBAD CA 92008 INC DBA: WHITE SD M0410 {REV.2-OSI PRINTED : 12-17-2005