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HomeMy WebLinkAbout2173 SALK AVE; 125; CB072413; Permit10-02-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB072413 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2173SALKAVCBADS1 125 Tl Sub Type 2120210200 Lot $60,13000 ConstructiorvType Reference # SPEC SUITE-1719 SF SHELL TO OFFICE COMM 0 Status Applied Applicant WHITE CONSTRUCTION STE 100 5937 DARWIN CT CARLSBAD, CA 92008 760-931-1130 Plan Approved Issued Inspect Area Plan Check# Owner RIO SD PLAZA II MASTER LLC C/O NEWPORT NATIONAL CORPORATION 1525 FARADAY AVE #100 CARLSBAD CA 92008 ISSUED 08/28/2007 Entered By 10/02/2007 10/02/2007 KG 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 $432 46 $000 $281 10 $000 $000 $1263 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (43041 93) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $1,09437 $000 $000 $000 $780 00 $000 $41 00 $13500 $51 00 $000 $2,425 44 $000 $000 77 $5,253 00 Total Fees $5,253 00 Total Payments To Date $5,253 00 Balance Due $000 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions' 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 limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 S1.;;:: 'PROJECT1 INFORMATION "...:,;:. „. LOT Z FOR OFFICE USE ONLY PLAN CHECK NoCpQ I*- 7/3- EST VAL " Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description 2.IZ -62-0- Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel Existing Use Proposed Use . & Description of Work CONTACT PERSON (if different from appiicant) SO FT..,nis *#of Stories # of Bedrooms # of Bathrooms AV£ Name 3.' APPUCAflSf Address t5VJ»'T~E- H Icbrriractor Q Agent for Contractor QlOwnsr City Agent ''forOwner State/Zip Telephone # Fax # lf&. :•• • iu«s Name Address City State/Zip Telephone # 1525 AVE Name Address City State/Zip Telephone (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]) \Mt4\TE. CONST P-UCTI ON. INC 5137 BWmMcT 5vrf£IOQ c^g-fbEAb c*. -J(0Q -<?3J 'I Name State License # Address License Class6 _ AVF' City State/Zip City Business License # Telephone # CA Designer Name Address -gUNTEL |~].S City State License # OO <jO 6. ,' wbRKEfiS' COMPENSATION / """""""" " " ^.^^^T^^ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~| | 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 {he work for which this permit is issued 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. . Jr\5UmUWj Puld Policy NoInsurance Company frtplte /^L LET "7 ^,Q ' 2~OC>~1 Expiration Date Q\ -QI " 0% (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~| 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 LawsK?f California ., - ^ WARNING Failure to secure workers' compensation cjpWage isuinlawfulf and shah subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition /fo~Tha dpsV of doi^pensatibn, damages as provided for in Section 3706 of the Labor cotie, interest and attorney's fees SIGNATURE _ ^- X^X )\ Uv-Ar^ _ ^^ _ DATE 7= OWNER-BUILDEft I hereby affirm that I am exempt from the Contractor s License Law for the following reason f~l 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) Q 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 contractor(s) licensed pursuant to the Contractor's License Law) l~l 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 Q YES l"~lNO 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 iCOMPLETEJHIS SECTION FOR /VOW^eSTDeVTMinBUILeiN&iPERMITS ONLY ^ <= JV 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 [] 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES CD MO 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 [&;., CONSTRUCTION LENDING AGENCY ,::^: fi:isij- - ....: : •••:•: 4- . "c "" S"~ "'" !' 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 9. APPUCAWCERTIFiCATibN;.: • •• . "-^ ,.'...... ' "• I;:'; -f'' '• •• 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 CitV 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 stones in height EXPIRATION Every permit issued by the building Official under the provisions oftK|is Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 daysYr^nrthe^ate o|[ such permit or if the building or work authorized by such permit is suspended or abandoned DATE at any time after the work is commenced for a pej APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Final Building Inspection Dept Building Engineering Planning CMWD St Plan Check # Permit # Project Name Address Contact Person Sewer Dist Inspected i Bv L- Inspected Bv Inspected By Comments CB072413 SPEC SUITE-1719 SF SHELL TO OFFICE 2173SALKAV #125 ROGER Phone 8585181559 CA Water Disl CA Date / / ^••^7<^*"/ Inspected i/M/0o Date Inspected Date Inspected Date Permit Type Sub Type Lot 0 Approved ^" Approved Approved 04/15/2008 Tl COMM Disapproved Disapproved Disapproved City of Carlsbad Bldg Inspection Request For 04/15/2008 Permit# CB072413 Title SPEC SUITE-1719 SF SHELL TO Description OFFICE Inspector Assignment PY Type Tl Sub Type COMM Job Address 2173SALKAV Suite 125 Lot 0 Location APPLICANT WHITE CONSTRUCTION Owner RIO SD PLAZA II MASTER LLC Remarks Phone 8585181559 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By ROGER Entered By JANEAN Act Comment /3 Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/05/2008 39 Final Electrical 12/13/2007 14 Frame/Steel/Bolting/Welding 11/01/2007 17 Interior Lath/Drywall 10/22/2007 14 Frame/Steel/Boltmg/Weldmg 10/22/2007 34 Rough Electric 10/09/2007 21 Underground/Under Floor PA PY EMR AP PY T-BAR AP PY AP PY AP PY AP PY City of Carlsbad Bldg Inspection Request For 02/05/2008 Permit* CB072413 Title SPEC SUITE-1719SF SHELL TO Description OFFICE Inspector Assignment PY Sub Type COMM 2173 SALKAV 125 Lot Type Tl Job Address Suite Location APPLICANT WHITE CONSTRUCTION Owner RIO SD PLAZA II MASTER LLC Remarks Phone 8585181559 Inspector Total Time Requested By ROGER Entered By CHRISTINE CD Description 39 Final Electrical Act Comments Date 12/13/2007 11/01/2007 10/22/2007 10/22/2007 10/09/2007 Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Description Act Insp Comments 14 Frame/Steel/Boltmg/Weldmg 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Weldmg 34 Rough Electric 21 Underground/Under Floor AP PY T-BAR AP PY AP PY AP PY AP PY