HomeMy WebLinkAbout1969 Palomar Oaks Way; ; CBC2017-0365; PermitPrint Date: 08/14/2017
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial Permit
www.carlsbadca.gov
Permit No: CBa017-0365
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1969 Palomar Oaks Way
BLDG-Commerclal
2130922000
$1,000.00
WorkClass:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orlg. Plan Check #:
Plan Check #:
VERSUM MATERIALS
VERSUM: 1 NON-ILLUM WALL SIGN
Sign
DEV2017-0145
Owner:
VERSUM MATERIALS US LLC
Status:
Applied:
Issued:
Rnaled:
Inspector:
Closed - Rnaled
07/07/2017
07/07/2017
Contractor.
SIGNTECH ELECTRICAL ADVERTISING
7201 Hamilton Blvd
AUENTOWN, PA 18195
4444 Federal Blvd
SAN DIEGO, CA 92102-2505
BUILDING PERMIT FEE VALUATION 500-2k ^
BUILDING PLAN CHECK FEE (BLDG)
SB1473 BUILDING STANDARDS FEE
STRONG MOTION-COMMERCIAL
$53.63
$3734
$1.00
$0.50
Total Fees: $92.67 Total Payments To Date:$92.67 Balance Due:$0.00
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.
n . '
You are hereby FURTHER NOTIFIED that your rlght^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 FT 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.
[the f=OaOWlNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □ PUNNING □ENGINEERING □BUILDING □fIRE □HEALTH □hAZMAT/APCD
Building Permit Application
1635 Faraday Ave., Carlsbad, OA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
OEV2DICity of
Carlsbad
Plan Check -OaCpS"
^Est Value l/Ooo.oo
Plan Ck. Deposit
Date 7-7-/7TOB ADDRESS J ^ ^ C| ^SUrTE#/5PACE#/UNrT# lAPN
CT/PROJECT#LOT#PHASE##0F UNITS # BEDROOMS tf BATHROOMS TENANT BUSIPCSS NAME CONSTft TYPE
)
OOC.GfWUP
CAj^ AiOAi - ud/^UL
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)RREPLACE
YES I k, N0| I
AIRCONDmONING
YES □noQ
FIRE SPRINKLERS
tes| |no| I
PROPERTY OWNER iPALOrl/l/Z. S Ai%aCI/^T\aAJ
RESS r^, . ^ _ADDRESS lOlO
APPUCANT NAME ^ ^ .Primary ContMct 1
ADDRESS KjAPl^ ^
CITY (5MJ oit-ao ""tAI ' HZ I ZTZZTTfax
ZIP 77-) (I ^CITY<S^N t>/t:rCr6 STATE ^c/)ZIP
PHONE >sni -7(/75'PHONE FAX
EMAIL ^^■e-ve- ^ 1 -c-ec-h.co/n EMAIL
DESiaN PROFESSIONAL CONTRACTOR BUS. NAME «al»C?y^C4u
ADDRESS ADDRESS ^vD
OTY STATE ZIP CITY c5i5a1 STATE ZIP Izudi-
PHONE FAX PHONE _ , ^ VLpfi >Sz7-C>/<?0 FAX
EMAIL EMAIL
H5,1H0u CfTY BUS. UC.#Dua. uu.ff . 1
(Sec. 7031.5 Business and Professions Code: Any City or County wtilch requires a permit to construcL alter, improve, demolish or repair any structure, prior to Its Issuance, also requires theapplicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law rch^ter 9, commendln&wif """" 'Business and Professions Code) or mat he Is exempt merefrorn, and the basts for the alleged exemption. Any violation of Section 7031.5 by any applicantig with Section 7000 of Division 3 of thetibrEra permit sutijects the applicant to a
W O R K E.R S ' COMPENSATION
Workan'Compensation DetitnUon'. I hereby alftm underpenaty of one o( the forming dedarstkms:
I haveind wll malntiki icortfflcatBofconiBntto lotf-lnsure for worters'compensation as provided by Section 3700 of the Labor Code, for the performance of the worit for which this permit Is Issued,
lhaveandwil nttintaln wortiere' compeneaBoo, as required by Secfion 3700 of the Laba Code, for the pertormance of the *Kxt( for which this permit Is Issued. My workers'compensation Insurance carrier and pokyCvVvT (numbef are; Insurance Ca ^Vi£KH-/)n<=yg\c T/MS C<i Policy No U)CSS)S7'TOO Expiration Date lo-l-n...
I section need not be completed tf the permit is for one hundred dolars (J100)orl8ss.I Ceitincatt of Examptlon: I certify that In the performance of the work for which this permit Is Issued, I shal not emplcy any person In any manner so as to become subject to the Workers' (Compensation Laws of
CaHomla WARNOfO: Fallurs to secure worture' compentitlonraxrae Is unlawbl, snd shall subjsct an amployv to criminal panalttss and civtl flnss up to one hundred thousand dolire (&100,000), In
addition to the cost of compensation, damioai as provided for» Section 3706 of ttalLibor code, biterest and attorney's fees.7^7^/7/CONTRACTOR SIGNATURE 13 agent DATE
O WN ER -BUILDER- DECLARATION
I hereby affirm th^ I am exempt from Conbader'sUcenseljiw for the fokming reason:
□ I, as cwner of the property or my employees w8h wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Buskiess and Professions Code: The Contractor'sLicense Law does not apply to an owner of property who bulds or Improvea thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered forsale. If, however, the buliUng or Improvement Is sold wtthh one year of completion, the owner-bulkier wi have the burden of proving that he did not buld or Improve for the purpose of sale).
□ I, as Qwnerofthe property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Buskiees and Professions Code: The Contractor's License Law does not apply to an owner ofproperty wtio biJIds or Improves thereon, and contracts for such projects nvith contractor(s) Icen^ pursuant to the Contractor'E License Law).
I I I am exempt under Section Bushess and Professions Code for this reasom1.1 personally plan to provide the major labor and materials for construcflon of the proposed property ImprovemenL □Yes HHno
11 (have / have not) signed an application tor a building permS for the proposed work.
3.1 have contracted with the following person (firm) to provtdo the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of ffie work, but I have hired the fotowing person to coordinate, supervise and provide the major work pnciude name/address/phone/contractors' fcense number):
5.1 will prevtdesomeof tbework, but I have contracted (hired) the following persons to provide Ihe work Indicated (inctude name/address/phone/type of work):
PROPERTY OWNER SIGNATURE □agent DATE
M. P L E t.E T«H l,Si^"." S E-C .T.| 'O NVK OjR ,, N/b.Ki'-i A'tV ^^U-iiib'l Jrt.GV. P E R;IVi rl^f S\0;N L YM/. v'- :"■-:■•» —-Lj'-y ■ > -.■■• ■ . -v»-^-g"s-»- -.y > v- »•■ #= Vv-.»<.'-■.-■•■-i >ki;^ •; v A-. •_ .r.' , 3
Is flie appllcait or future buHdkig occupant required lo submH a business plan, acutely tiazardous materials reglstraflon form or risk maragemert and prevention program under Sections 25505,25533 or 25534 of ttiePresiey-Tanner Hazardous Substance Account Act? OYes ONoIs tbe applicant or future building occupant required to obtain a permit from Sie air pollution control Sstrict or air quality management dbtrict? OYes BNoIsttiefadBty to be constructed within 1,000 fe^ of the outer boundary of a scliool site? CIYes BNoIF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED UNLESS THE APPLICANT HAS UET OR IS MEETTNtJ THE REQUREHENTS OF THE OFftCE OF
EMERGENCY SERVICES AND THE AD? POLLUTXJN CONTROL DISTRICT.
::.C -O' N i? -U. C Til .O-.nL- L E; N D" r.N G -f a:. G..E,N;.C.tV-.
I hetBby affinri that there Is a cxxiatmction lending agency for the perfomHnce of the worft this pemft Is Issued (Sec. 3097 (i) CIvO Code).
Lender's Name Lender's Address
P P.I;M^ A M. tr' .p E. R-XF | -J j-OliN
I co^ttiat I have read ttre application atxl state that tfteabove jnfbnnation Is conectand that the hfbrrnation on the plans Is accucata I agree to comply with aDCftyordkiances and state laws lelaltng to buldlngconstiuctloa
I hereby autwftzBiBpiBsenlaJve of flieCIly of Carlsbad to enter upon fie atxwe mentioned property ferktspedon purposes. I ALSO ACRE TO SAVE, IBDSfJIFYAhEKEH'HAfRMESSTTECfTYOFCAfa.SBAD
AGAINST ALL UABIUTIES, JUDGMBfTS, COSTS AND EXPB4SES WHICH MAY IN ANY WAY ACCFtUE AGAINST SiAC CfTY IN CONSEQUBICE OF TfE GRANTING OF THIS PBTMIT.OSHA; An OSHA permit Is recfired for excavafions over STT deep and demoBton or construdkin of strucUes ewer 3 stories In heightEXPFATXJf?: pern* Issued by the BuBting Official under flie pncvtslcm of tib Code shall atqjire by Waflon and beconie nu D arto voW f Ihe buMng or work authorized by such pemt Is not cornrnenced wa*i180 days tan flie tto of surfli pennft or tf the blidtog or work auliqjwtl^ such pffTitt Is suspended or abandoned at any &Tie after fie rwrk Is connrnenced tor a period of 180 d^ (Sectai 106.4.4 LInfcrm Buidtog Code).
r APPLICANT'S SIGNATURE DATE T-7W1
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPAMCY (ConimcrciHl Projects Only)
Fax f7601602-8560. Emal buildirKjK^carlsbadca.aov or SteD the combl^ form to Cltv of Carlsbad, Buildlna DMskxi 16
(
35 Faraday Avenue, Carlsbad, Califomla 92008.
CO#: (OfHce Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDII4Q ADDRESS
CITY STATE ZIP CTTY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIOffS
□ PICK UP: □ CONTACT (listed above) □ OCCUPANT (Listed above)
□ CCNTTtACTOR (On Pg. 1)
□ MAIL TO: □ CONTACT (Listed above) □ OtXtlPANT (listed above)
□ CONTRACTOR (On Pg. 1)
n MAIL/FAX TO OTHER:
□ ASSOCIATED CB# -
□ NO CHANGE IN USE/NO CONSTRUCTION
□ CHANGE OF USE/NO CONSTRUCTION
>fS"APPLICANrS SIGNATURE DATE
Permit Type: BLDG-Commercial
Work Class: Sign
Status: Closed - Rnaled
AppHlcation Date:
Issue Date:
Expiration Date:
IVR Number
07/07/2017
07/07/2017
02/12/2018
4858
Owner: VERSUM MATERIALS US LLC
Subdivision: P/\RCEL MAiP NO 12354
Address: 1969 Palomar Oaks Way
Carlsbad, OA 92011-1307
Scheduled Actual
Date Start Date
Inspection Type Inspection No. Inspection Status Primary Inspector Relnspection Complete
08/14/2017 08/14/2017 BLDG-38 Signs 031564-2017
Checklist Item
BLDQ-Flnal
Inspection
BLDG-Building Deficiency
031663-2017
Checklist Item
Passed Michaei Coiiins
COMMENTS Passed
Passed
COMMENTS
Michael Coiiins
Yes
Passed
Complete
Complete
BLDG-BuildInQ Deficiency Yes
August 14, 2017 Page 1 of 1
2 [7"/Q ' hereby affirm that I am llcenasd urxderU / piFdvtaJons of Chapter 9 (comrner>clng with
2 Sectk)n 7000) of Dtvliton 3 of the Business
ar>d Profeaslona Coda, and my license Is In
full force and effect.
I hereby aftirm thai I am txempi trtxn the Contrac
tor's Licarne 1^ tor the totowing reason (Sec 7031 5
Busmess ar>d Professions Code Arty city or county wtucri re-
qures a permt to construcl, alter, Lmprove, demolah. or
repair any structure, prior to its issuance also reqiures the ap
plicant lor such permit to file a signed statement that he is
hcensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commenang with Section TtXX) of
OrvTSOn 3 of the Business and ProTetsJons Code) or that rs ei-
•mpt therefrom and the bass tor the alleged exemption Anyvoialion o( Section 7031.5 by an applicant tor a permit sut>-
jects the applicant to a cml penalty of not more than five hun
dred dolars (S500)
I I I, as owner of the property, or my emptoyees with wages
as thev sole compensation, will do the work, and the struc
ture Ls not mlended or offered lor sale (Sec 7044, Business
and Professions Code The (Donlracfor's License Law does
not apply to an owner of property who bmkls or improves
thereon and who does such wont himself or througfi his own
employees, provided that such vnprovemenls are not intend
ed or ottered tor safe t1, however, the buddmg or improve
ment IS sold wilhtfi one year of completion, the owner-binWer
w4 have the burden o( proving that he did not budd or im
prove for the purpose of sale)
I I 1. as owner of the property, am awlusrvefy contracting
with licensed contractors to construct the prefect (Sec 7044,
Business and Protessnns Code. The Contractor's License
Law does not apply to an owner ot property who builds or im
proves ttiereon. and who contracts for each pro}^ with a
contractor(s) hcense pursuant to Uw Contracta's License
Law)
l~] As a hometwnar I am mproving my home, and the follow
ing conditnns exist
1 The work ts being performed poor to sale
2 I have lived m rny home tor twelve monthspoor to completion of tha work
3 1 have not daimed this exemption during the
last three years
□ I am exempt under Sac..tor this reason 3&PC
I hereby affirm that 1 have a certificate ot coneent toe^-iniure or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sac 3800 LjaborCode)
POLICY NO
COMPANY
Copy IS filed with the j
furnish
CERTIRCATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Tlue section need not ba compteted if the permit
19 for one hundred dollara (S100) or less)
O I certify thai in the performance of tha wort! lor wtnch
this permit le lesued I shall not employ any person in anymanner eo as to become aubject to the Workers Comperv
tatkm l.aws of (3aJifomia
NOTICE TO APPUCANT II. after making Ihie Certificate
of ExemptiorL you ehoukJ becorrie eubtect to the Workers'Compensation provisiona of the L^or (3ode. you must
forthwith comply with auch proviucne orlhti permit thall
be deemied revoked
Q 1 hereby affirm that there it a construction lending
agericy for thia performance of the work for which this per
mit 19 iMued (Sec 3097. (3ivil Code)
l-ender'e Name
Lender a Addreas^
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, OA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV. ST.RD. THOMAS BROS NO.
SUBDI VISION ASSESSOR PARCEL NO.
OWNE H'S NAME OWNER'S PHONE
OWNER'S MAILING ADDRESS
DESCRIPTION OF WORK
CENSUS TRACT PARKINGSPACE RES UNITS
DATE ^ APPLICATION
CONTRACTOR / ^
:ONTRACTOR'S ADDRESS ^ ^
DESIGNER
DESIGNER'S ADDRE
F/P FUR ELEV
yD nQ
GRADING PERMIT ISSUED
Y □ N □
REDEVELOPMENT
AREA
yD nD
NO
STORIES
TYPE
CONST
USINESS LICENSE *
CONTRACTORS PHONE •
qH-
STATE LICENSE NO
DESIGNER'S PHONE
state license no.
6mi
OCC LOAD
I HAVE CAREFULLY EXAMINED THE COMPLETED -APPLICATION AND PERMIT" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT 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 TH
GRANTING OF THIS PERMIT
EDO
yD nD
VALUATION
ZONE
PERMIT NUMBER
BUILDING SO. FOOTAGE
5929 04/06/89 0001 01 02BldPmt 61-OCl
Not Vtbd Unless Uachint Cerutied
QTY.PLUMBING PERMIT - ISSUE QTY.MECHANICAL PERMIT - ISSU SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 0-)
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221 't
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891
EACH GAS SYSTEM 1 TO A OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYST EM b OR MORE METAL FIREPLACE ELECTRICAL 001-810-QO-OQ-8223
EACHiNSTAL , ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD'DUCTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE)DRYER VENT STRONG MOTION 880-519-92-33
TOTAL MECHANICAL EIRE SPRINKLERS 001-810-00-00-8227
total PLUMBING j PUBLIC FACILITIES FEE 320-810-00-00-8740
QTY.QTY.MOBILE HOME SETUP
BRIDGE FEE 360-810-00-00-8740
bLhUIHIL^AL PLHMI 1 - IBSUb PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BKR CAR PORT TIF 312-810-00-00-8835
1 PH 3 PH AWNING U COSTA TIF 311-810-00-00-8835
EXIST BLDG EA AMP/SWT,'BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810-00-00-8162
REMODEL'ALTER PER CIRCUIT MFF 880-519-92-57
TEMPPOLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
total eleltrigal TOTAL TOTAL FEES PAYABLE -7 U ^
Expiration Every permit tatued by the Building Official under the provifions of thiiCode thall expire by limitation and t>ecome null and void if the building or workauthorized by such (Mrmit is^t corjjfwenced within 160 days from the date of suchpermit or if the buiidinaym wprlT autnbrized by such permit is suspended orabandoned at any tirT>e ajwr tb^work is aommenced for a period of 180 davsA^^ / OWNER n CONTRACTQb)^
BY PHONE n
* AN RMfTlS REQUIRED FOB EXCAVATIONS OVER5 0' JIODEMOUTION OR CONSTRUCTION OF
STB I OVER 3 STORIES IN HEIGHT
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SH^R
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & 0RYWALL
PLUMBING
□ SEWER AND" BL/CO □ PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR wAtER
'■
ELECTRICAL
□ ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
heat — AIR COND. SYSTEMS
VENTILATING SYSTEMS
1 !
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
r\A
v
FIELD INSPECTION RECORD - • ,
- REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLfS
special MASONRY
PILES CAISSONS
V '
\-
■
- •- - r. --.