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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. --.