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Home My WebLink About2045 CORTE DEL NOGAL; ; CB030074; Permit01-17-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB030074 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2045 CORTE DEL NOGAL CBAD Tl Sub Type 2130610900 Lot* $9,332 00 Construction Type Reference # SEASILVER-RECONFIGURE311 SF BATHROOM IN AFT PROCESS AREA INDUST 0 NEW Applicant STEVEN WICKLUND 562 772 0983 Owner Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/09/2003 RMA 01/17/2003 01/17/2003 TEYSSIER LEONARD&MONICA EAMILY THUS]; 10-14 92 60lJ 91'17/03 0002 01 3200 HIGHLAND AVE #B4 2 NATIONAL CITY CA 91950 CGP 02 101.65 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 $9969 $000 $6480 $000 $000 $1 96 $000 $000 $000 $000 $000 $000 $000 $000 SO 00 $000 $000 Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TO TAL MECHANICAL TOTAL Master Drainage F ee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 SO 00 $16645 Total Fees $166 45 Total Payments To Date $6480 Balance Due $101 65 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 i'l PROJECT INFORMATION~ FOR OFFICE USE ONLY PLAN CHECK NO CAP? EST VAL Plan Ck Deposit Validated By / Date 1 Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Description of Work SQ FT #of Stone:# of Bathrooms CONTACT PERSON (if different from applicant) / Name Address X 3 APPLICANT Q] Contractor Q'A^lwrof;Contractor!!:.. Q-Owner TQ Agent for Owneir State/Zip Telephone Fax # Name 4;".'3PRiOreRTY OWNER! Address City State/Zip Telephone tt Address City State/Zip Telephone tt (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 CodeJ or that he is exempt therefrom and the basis for the alleged exemption Any violation of Sectuan 7031 5 by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars [$500]) Name •o *^ -<- x"-*State License tt / xO (T' *" Address ~ ^S~7 License Class City State/Zip j City Business License # X^ Telephone** ?/^^^>7^ Designer Name State License # 6 WORKERS COMPENSAT Address 'lON^s^ilP'8-- •\.ii»-N«: *"*' i City State/Zip Telephone *M--v-j v. Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations L~] 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 iSs •" Insurance Company ^/^fra^f^xj^yjf ^^^ffj*"/^^* Policy MjW^^ -C>\jS%ri ^jlrJ5)^»'Ttf^S*Piration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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^Juiluiu lu jottureworirare rmcpensatiorj^aaxerage is unjawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousafid_dgllars ($100 OOOQ"jh addition to theSeoa^f cormensaud^/damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE ( ~~^?~—^~~f~J^C~~^f^^'^ DATE ~" """ 7 ! OWNER BUILDER DECLARATION /'"::••:•'"""' ,^f '• Jj; r J :'"--••• ; :~ - _sj 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 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) rj] 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 contractors) licensed pursuant to the Contractor s License Law) d I am 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 d YES ONO 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 NO COMPLETE THIS SECTION FOB \NONRESIDENTIAL BUILDING PERMITS ONLY «™ ,.^ Is the applicant or future building occupant required to submit a business plan acutely hazardous rtuitenals registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES [~l Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? |~l 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 i8j""ClONSpiul:tipN LENDING AGENCY"" '.' ~ ^JT'" ™I3-W"" '•• f"" ..... '"""T ....... ~VVi:' ..... : ..... "'i'i ........ "l.p:: " '•'"' " K" ..... 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 _ LENDER S ADDRESS " Am.lCANT ""' '"9 , . .. ,, 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 under the orOvisions of tjas Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced liithm 180 days room the^flate of such^ermit or if the buildmcj or work authorized by such permit is suspended or abandoned at any time after the work is commenceij /or/fijjejiod-of-yESp dfeys (§ection 106_^fUniform Building Cods ) ^-> A % #3APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/27/2003 Permit* CB030074 Title SEASILVER-RECONFIGURE311 SF Description BATHROOM IN AFT PROCESS AREA Type Tl Sub Type INDUST Job Address 2045 CORTE DEL NOGAL Suite Lot 0 Location APPLICANT STEVEN WICKLUND Owner TEYSSIER LEONARD&MONICA FAMILY TRUST 10-14-92 Remarks EARLY AM PLEASE - FIRE HAS APPROVED Inspector Assignment PD Phone 7144122492 Inspector Total Time Requested By FRANK Entered By CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act/? Comment Associated PCRs/CVs Inspection History Date 03/24/2003 03/20/2003 03/19/2003 03/03/2003 02/24/2003 02/21/2003 02/19/2003 02/14/2003 01/23/2003 01/21/2003 01/21/2003 Description 89 89 89 17 17 17 24 24 11 21 22 Final Combo Final Combo Final Combo Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Rough/Topout Rough/Topout Ftg/Foundation/Piers Underground/Under Floor Sewer/Water Service Act CO NS CO AP AP AP AP CA AP AP AP Insp PD PD PD PD PD PD PD PD PD PD PD Comments DONE ON WED SLAB Carlsbad Fire Department 030074 1635 Faraday Ave Carlsbad, CA 92008 Plan Review Date of Report Fire Prevention - (760)602-4660 Requirements Category 01/14/2003 Building Plan Reviewed by Name Address City, State Plump Engineering 13210 Florence Ave Santa Fe Springs CA 90670 Plan Checker Job Name Job Address Seasilver Job# 030074 Bldg # CB030074 2045 Corte Del Nogal Ste or Bldg No Approved The item you have submitted for review has been approved The approval is based on plans, information and / or specifications provided in your submittal, therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements D Approved Subject to The item you have submitted for review has been approved subject to the attached conditions The approval is based on plans, information and/or specifications provided in your submittal Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards O Incomplete The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards Please review carefully all comments attached Please resubmit the necessary plans and / or specifications to this office for review and approval Review FD Job# 1st 9nH 3rd 030074 FDFile# Other Agenry ID Carlsbad Fire Department 030074 , 1635 Faraday Ave Carlsbad, CA 92008 Plan Review Date of Report 01/14/2003 Reviewed by Name Address Plump Engineering 13210 Florence Ave City, State Santa Fe Springs CA 90670 Plan Checker Job Name Seasilver 030074 Fire Prevention (760) 602-4660 Job Address 2045 Corte Del Nogal Ste orBldg No If one does not exists consider installing [EXO] Emergency EXIT Light fixture within restroom I.C.E. Builders, Inc. January 16,2003 City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 Dear Sir or Madam Please allow this letter to serve as authorization for our employee Daniel DePaul to sign for licenses and building permits on behalf of I C E Builders, Inc Sincerely, Robert A Moore President and CEO cc file ICE Builders, Inc • 421 E Cerntos Avenue • Anaheim, CA 92805. (714)491-1317 . FAX (714) 491-2833 Lie No 775947 A • B • C8 • C2I • C36 • C5I ACORD^ CERTIFICATE OF LIABILITY INSURANCE PRODUCER (270)651-8837 FAX (270)651-8127 Pedigo-Lessenberry Ins Agency, Inc 103 Pin Oak Lane P 0 Box 1899 Glasgow, KY 42142-1899 INSURED ICE Builders, Inc 421 East Cerntos Ave Anaheim, CA 92805 i DATE (MM/DD/YY) 09/30/2002 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVE RAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A American Zurich Insurance INSURERS American Guaranty & Liability Insurance Co INSURER C INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ITR A A B A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE [X | OCCUR GEN L AGGREGATE LIMIT APPLIES PERn POUCY njpERc°T n^-oc AUTOMOBILE LIABILITY X X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS Hired Physical Dmg GARAGE LIABILITY ANY AUTO EXCESS LIABILITY X | OCCUR |~ | CLAIMS MADE DEDUCTIBLE RETENTION % WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER GL03865506-00 3AP3865507-00 $500 DED COMPREHENSIVE $500 DEO COLLISION AUC3865504-00 WC3865505-00 POLICY EFFECTIVEDATE (MM/DD/YY) 10/01/2002 10/01/2002 10/01/2002 10/01/2002 POLICY EXPIRATIONDATE [MM/DD/YY) 10/01/2003 10/01/2003 10/01/2003 10/01/2003 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accidenl) AUTO ONLY EA ACCIDENT OTHER THAN ^ ACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE Y WC STATU OTH"* TORY LIMITS ER EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT $ 1,000,000 s 300,000 $ 10,000 $ 1,000,000 $ 2,000,000 % 2,000,000 $ 1,000,000 $ $ $ $ $ $ s 25,000,000 s 25,000,000 s s s s 1,000,000 s 1,000,000 s 1,000,000 icense #775947 CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION Contractors State License Board P 0 Box 26000 Sacramento, CA 95826 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Trt^OMrAJ^JS^GJ^S/OR^I^RE^N^TIVESy AUTHORIZED REPRESENT/VTW!;'"**^ ' ' t*&l>:*4SCjyCS&*f^ PEDIGO-LESSENBERRY INSURANCE VCORD 25 S (7/97) «gency inc&ACORD CORPORATION 1988 O UJ m mCO Q-; T— <£ CO CO in w ?? LU £ OOC£ 5, LL Q. > O t LUO < H > UJ^CO Q~ O a:LU D h-Q CO CO Otr <"> ^ f -H.o "^C I— ft CD LU < _ "oo OT m i— -i 0H i