HomeMy WebLinkAbout1940 Camino Vida Roble; ; CBC2017-0079; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 04/18/2017 Commercial Permit Permit No: CBC2017-0079
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1940 Camino Vida Roble
BLDG-Commercial
2120921300
$12,000.00
www.carlsbadca.gov
Work Class: Tenant Improvement
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Fina led:
Inspector:
Closed -Finaled
02/16/2017
02/17/2017
02/16/2017
PB urn
Description: MBTS: DEMO INTERIOR FIXTURES ON FIRST AND SECOND FLOOR-DRYWALL, INSULATION, CARPET, CEILING TILES, ETC.
(NO STRUCTURAL)
Applicant:
SUPERIOR RESTORATION
ZACHARY WRIGHT
480-636-6182
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
Owner:
TECHPLEX NO 2 LP
1000 Pioneer Way
EL CAJON, CA 92020
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 BUILDING STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $309.95 Total Payments To Date: $309.95
Contractor:
SUPERIOR RESTORATION
3135 Roosevelt St
Carlsbad, CA 92008-3018
760-434-4555
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired.
$0.00
$132.70
$92.89
$41.00
$39.00
$1.00
$3.36
,.---~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~--,
D PLANNING D ENGINEERING D BUILDING D FIRE D HEALTH D HAZMAT/APCD THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:
{'City of
Carlsbad
JOB ADDRESS
A
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEt/UNIT#
Plan Check No. ('Sc..-1.e,c, -at:>"7°(
Est. Value, l. < ooo
Plan Ck. Deposit
Date 1 1(4 ,~ SW PPP
APN
CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~VlfVb, oa."(\,JM,,L I ,rJ~VL-/lp-10~ V'tvlfc., ~,q<;r-Covi\ Cowr"'1fUt,H-CA-e./J:c,r
tlv'i Fl.? c. £,J1.,1A1(, ,--, vf=---8 I
EXISTING USE GARAGE (SF)
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.#
PATIOS (SF) DECKS (SF)
PROPERTY OWNER
EMAIL
CONTRACTOR BUS. NAME
CITY (_
PHONE
EMAIL
STATE UC.#
FIREPLACE
YESO
AIR CONDITIONING
No[] YES0No0
CLASS CITY BUS. UC.#
FIRE SPRINKLERS
vESONoO
\"l.. I
(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 applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations:
D 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. D 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 workers' compensalion insurance carrier and policy
number are: Insurance Co. Dy -\,J 6 Dl d-1.,1.o 3D Policy No. 'wt.-SL.o 1...\<:>1 ,o h,X..t.. c.t) Expiration Date---------
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 lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe 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, da es as P.rovided for in Section 3706 of the Labor code, interest and attorney's fees.
_a5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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 nol 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).
I, as owner of the property, am exclusively contracting with licensed contractors lo construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of
property who builds or improves !hereon, and contracts for such projects with conlractor{s) licensed pursuant to the Conlractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I {have I 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 I phone I 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 I address I phone I conlractors' license number):
5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicaled {include name I address I phone I type of work):
_a5 PROPERTY OWNER SIGNATURE 0AGENT DATE
·····---·· -------------------------------------------------------
I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Acri D 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 districr? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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.
I certify that I have read the application and stall! that the above infonnation is conectand that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to build Ing construction.
I hereby authorize representative of the City of Car1sbad to enter upon the above mentioned property tr inspection purposes. I ALSO AGREE TO SA VE, 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 CXlllstruction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building OffK:ial under the provisions of this Code shall expire by limitation and become null and voe ~ the building or v.ork authorized by such permit is not commenced Vvithin_
180 days from the date of such permit or if the building or v.ork authorized by such permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#-'-·------------D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER: ________________ _
o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBC2017-0079)
Permit Type: BLDG-Commercial Application Date: 02/16/2017 Owner: TECHPLEX NO 2 L P
Work Class: Tenant Improvement Issue Date: 02/17/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 10/16/2017 Address: 1940 Camino Vida Roble
Carlsbad, CA 92008-6516
IVR Number: 1996
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
04/18/2017 BLDG-Final 020666-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final Yes
BLDG-Electrical Final No
03/28/2017 03/28/2017 BLDG-17 Interior 017817-2017 Failed Paul Burnette Reinspection Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
03/29/2017 03/29/2017 BLDG-17 Interior 018024-2017 Failed Paul Burnette Reinspection Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
April 18, 2017 Page 1 of 1
Main Level
27' 3"
26' 7"
r ........ 7'2"--t
Open Area
14' JO"
14'2"
SR-0132
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41' 10"
41' JO"
Cubical Offices
---16'6"--....
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City of Carlsbad
Building Division
FEB 1 7 2017
APPROVED sv'r~ S>
<: ,:;::::; ISSUED BY: __ 0_,_
Rear Hallway
Site Repair
CAL Lab Power Supply
16'4"---fl
43' 3"
Main Level
-
OPEN
OFFICE
FIRE EVACUATION MAP
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Second Floor
5'
Hallway
11' 4"------1i'-'I
Open Offices
Second Floor
SR-0132 2/16/2017 Page: 7