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Home My WebLink About2103 CAMINO VIDA ROBLE; D; CB941578; Permit12/08/94 14:58 Page 1 of 1 BUILDING PERMIT VIDA ROBLE Suite. D IMPROVEMENT Permit No: CB941578 project No: A9402335 Development No: Valuation: Construction Type : VIM Occupancy <*™g f£CREAlt, Reference* WORK ROOMS OUT OF Appl/0wnr : ELME ROBERT DAMMERON VALLEV-*« M *** Fees Required Fees : Adjustments; Total Fees: Fee description 714 268-7941 Status: ISSUED Applied: 12/02/94 Apr/issue: 12/08/94 Entered By: MDP ted & Credits Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plum Enter "Y" for Elect Enter "Y" for Remode * ELECTRICAL TOTAL Enter 'Y' for Mechanic *** ,00 47. 00 93.00 Ext fee Data 72.00 47.00 1.00 120.00 N 10.00 Y 10.00 Y 20 . 00 N RNAj/APPROVAL !NSP../,/ DATE. CLEARANCE €£ PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From list 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO.- ( <f 1 EST.VAL PLAN CK DEPOSIT^ VALID, BY ~ DATE JlA. 2. PROJECT INFORMATION 9788 12/02/94 0001 01 02 C-PRMT 47-00 FOR OFFICE USE ONLY Address Nearest Cross Street V VicU Building or Su.te No. WVAC LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase NoT (JHbUK BKLUW - SUbMllltD: D 2 Energy Calcs D 2 Structural Gales O 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USfr PROPOSED USE DESCRIPTION OF WORK SQ. FT. -L-w»o # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. UJNTALTI FfcKsuN (.a dilterent rrom applicant) NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT jgrXWrRACTOR QAGENTTOR CONTRACTOR NAME Oast name first) \\**,££. \<t(fe»'p CITY STATE ^TRACTOR TJ OWNERT" D AGENTTOR OWNER ADDRESS £^S" lQa.^***rtv Vl\ Qf W< ZtotiZIP CODE DAY TELEPHONE 5. PROPERTY OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE 6. CONTRACTOR NAME (last name first) CITY u STATE UC. STATE ADDRESS £££ £>A»*»«<SO^ \ft^ Of V. ZIP CODE $*f) 8 3 DAY TELEPHONE QS*? Z&& Qfy f LICENSE CLASS f? CITY BUSINESS LIC. # DESIGNER NAME (.last name tirstj CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS* COMPENSATION Workers Compensation Declaration: I hereby affirm that I have a certificate or consent to sen-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE POLICY NO.EXPIRATION DATE Certificate of so as to SIGNA that in the performance of the work for wnich this permit is issued, I shall not employ any person in any manner brkers' Compensation Laws of California. DATE 8. OWNER TON TJwner-Buuaer Declaration: 1 hereby atnrm mat I am exempt irom tneContractors License Law tor the toTIowing reason: 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 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.). D I, as owner of the properly, 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 properly who builds or improves thereon, and contracts for such projects with comractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: (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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basts 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]). SIGNATURE DATE 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 Act? 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 district? 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 AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UUNbTKUl-'llUN LENDINU AGENCY f "hereby affirm that there is a construction lending agency tor the performance ot the work, tor which this permit is issued (Sec 3097(.iJ Civil Code.). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT I certify that inave read the application and statetnat the above information is correct. 1 agree to comply witnall City oramances anoState laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: WHITE: FUe YELLOW: Applicant PINK: Finance FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING WfCB PLANNING U/M WATER PLAN CHECK#: CB941578 DATE: 01/06/95 PERMIT!: CB941578 PERMIT TYPE: ITI PROJECT NAME: CREATE TWO WORK ROOMS OUT OF OPEN AREA ADDRESS: 2103 dAiltNO V^Bft^BBCB SUITE* D CONTACT PERSON/PHONE#: MW/ SEWER DIST: CA WATER DIST: CA INSPECTED «\U DATE BY: L/U^I/O INSPECTED: r^ll\ I ^> APPROVED I/ DISAPPROVED INSPECTED ^ DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: PERMIT# CB941578 DESCRIPTION: CREATE CITY OF CARLSBAD INSPECTION REQUEST FOR 01/06/95 TWO WORK ROOMS OUT OF OPEN AREA TYPE: ITI JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2103 CAMINO VIDA ROBLE ELMES, ROBERT REMARKS: MW/ SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB941578 OCC GRP B2 CONSTR^ TYPE VN STE: D / LOT: 714 268-7941 INSPECTOR AM PLEASE TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 29 39 49 ST Final PL Final EL Final ME Final Structural ^ Plumbing Electrical Mechanical \T ***** INSPECTION HISTORY ***** DATE DESCRIPTION 121594 Frame/Steel/Bolting/Welding 121594 Rough Electric 121594 Interior Lath/Drywall 121494 Frame/Steel/Bolting/Welding 121494 Rough Electric ACT INSP AP TP AP TP TP TP TP AP CA CA COMMENTS WALLS PM INSP (2ND) PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) OTHER TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER DATE ENGINEER DATE C:\WP51 \FILES\BLDG.FRM Rev 11/15/90 PLANNING CHECKLIST Plan Check No. 9»-/ T7fe Address _CAn/tuV i//ft/L "£>' Planner VAN LYNCH Phone 438-1161 ext. 4325 i- Ai (Name) APN: Type of Project and Use /A)f)/lt7~ Zone rW Facilities Management Zone CFD (i 4* « o a s s s (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) Item Complete Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified Environmental Review Required: YES _ NO DATE OF COMPLETION: TYPE &U Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES NO X TYPE DATE:^APPROVAiyRESO. NO. PROJECT NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D D California Coastal Commission Permit Required: YES _ N DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D DD m un C&CI D n Inclusiooary Housing Fee required: YES _ NO (Effective date of Inclusionary Housing Ordinance • May 21, 1993.) Site Plan: Zoning: 1. Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensioned setbacks and existing topographical lines. 2. Provide legal description of property, and assessor's parcel number. Setbacks: D D D )/d/^ Front: jbtt^ Int. Side: -r-gyfi' Street Side: * Rear: MfC' 2. Lot coverage: ^ 3. Height: J/^ 4. Parking: Additional Comments Required Required Required Required Required Required Spaces Required Guest Spaces Required Shown Shown Shown Shown Shown Shown Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE PLNOCFRM City of Carlsbad ***** Fire Department • Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report: Monday, Decembers, 1994 Reviewed by: Contact Name Robert Elmes Address 525 Dammeron Vly Dr W City, State Dammeron UT 84783 Bldg. Dept. No. 94-1578 Planning No. Job Name Remedy Temp Job Address 2301 Camino Vida Roble Ste. or Bldg. No. D_ B3 Approved - The item you have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittat; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. 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 Disapproved - Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1 st 2nd 3rd Other Agency ID CFD Job* 94288 File* 2560 Orion Way * Carlsbad, California 92008 • (619) 931-2121