HomeMy WebLinkAbout2173 SALK AVE; 150; CB072415; Permit10-02-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No
Building Inspection Request Line (760) 602-2725
CB072415
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
Project Title
2173SALKAVCBADSt 150
Tl Sub Type
2120210200 Lot#
$130,13000 Construction Type
Reference's
SPEC SUITE-3718SF SHELL TO V,
OFFICE
COMM
0
-111-
PC070054
Status
Applied
Plan Approved
Issued
Inspect Area
Plan Check*
Applicant
WHITE CONSTRUCTION
STE 100
5937 DARWIN CT
CARLSBAD, CA 92008
760-931-1130
ISSUED
08/28/2007
Entered By
10/02/2007
10/02/2007
KG
Owner
RIO SD PLAZA II MASTER LLC
C/O NEWPORT NATIONAL CORPORATION
1525 FARADAY AVE #100
CARLSBAD CA 92008
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
$700 41 Meter Size
$0 00 Add'l Reel Water Con Fee
$455 27 Meter Fee
$0 00 SDCWA Fee
$0 00 CFD Payoff Fee
$2733 PFF (3105540)
$0 00 PFF (4305540)
$0 00 License Tax (3104193)
$0 00 License Tax (4304193)
$000 Traffic Impact Fee (3105541)
$000 Traffic Impact Fee (4305541)
$0 00 PLUMBING TOTAL
$0 00 ELECTRICAL TOTAL
$0 00 MECHANICAL TOTAL
$0 00 Master Drainage Fee
Sewer Fee
$0 00 Redev Parking Fee
$0 00 Additional Fees
HMP Fee
TOTAL PERMIT FEES
$000
$000
$000
$000
$2,368 37
$000
$000
$000
$1,68000
$000
$41 00
$13500
$4200
$000
$5,202 96
$000
$000
77
$10,652 34
Total Fees $10:652 34 Total Payments To Date $10,65234 Balance Due $000
Inspector
FINAL APPROVAL
Date y//i*( b^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'exactrans 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
1 PROJECT INFORMATION * „ '•-"•»•'
VENlTANl/V EEM. LOT 2. tSOlTE I.' '
FOR OFFICE USE QNLY
PLAN CHECK N
EST VAL
Plan Ck Deposit /</y
Validated By.
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal DescriptionDescription
2.12-02Q-Z3
Lot No Subdivision Name/Number Unit No Phase No Total # of units
SPACE
Assessor's Parcel #
EyASTlMfr
Existing Use
S "7 1 3 Q 5Q FT
Proposed Use
Description of Work
2 .^CONTACT PERSON (if different from applicant)
SQ FT #of Stones
37)3-0 50
.....
# of Bedrooms '# of Bathrooms
Name ' " Address -gy'lTE l"75 "City
3: APPLICANT *D Contractor : Q Agent•fbrlcbntralor: Q Owner ,%"Agent forOwner"
State/Zip Telephone i Fax*
Name
:Ai. PROPERTY OWNER tip"
Address City State/Zip Telephone i
Address City State/Zip TelephoneName
B. ISpNffACfQR. COMPANY NAME :::--^^y^,- ,-. . :W:-.V- '" v!;,
(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])
SflSl IVMg.WN cx3Vi£T fiuVTE- )Ct> . ._"76?Q"<Ts3 I ~IISQ
Name
State License #
Address
License Class
6
City State
City Business License #
#
2-O 2.3>gQ
Designer Name
State License #
Address I~7S City State/Zip Telephone
* COMPENSATION : '.W1' ^V~--~ •• - •-- ™«ss?nn?'— s:^:= •« .. .^;j
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
~&l 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 earner and pdjicy number areA \
Insurance Company fVhOl ( r**jU>lSCXTl (M . /ftSUIffrMXl WVolicy No dQQ%"7(o6- 7.6 Q I Expiration Date fil^Ol ~ Q £
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
n 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 Failure to secure workers' compensation coverage is [unlawful, and Vhall subject an employer to criminal penalties /and civil fines up to one hundred
thousand dollars ($100,000), in addition to the coS< o\ domjUnsatidri, damVges as/provided for in Section 3706 of the Labor ^da, interest andattorney's fees
SIGNATURE _ NKl^^^_^ _ DATE _ uYZ&\O\
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)
n 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)
PI 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 l~| YES flNO
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
. BUILDING PERMITS ONLYB; " "•- ' - :.,;;!!£.; '". Jr.. •• - '••• • ••• ^-'~-
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? l~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d YES Q N0
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
8. CONSTRUCTION LENDING AGENCY " " .• "4;pK- ••"' " ' °. ift ' '": :• . sU.; .. ,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME LENDER'S ADDRESS
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 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 1 SWdays from the je(a!e~oiNsuch 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"pei«pd OM80 dkis (S/ction 10IB 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE L ^\vJ\ U. )^A. ^ J DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 04/15/2008
Permit# CB072415
Title SPEC SUITE-3718 SF SHELL TO
Description OFFICE
Inspector Assignment PY
Type Tl Sub Type COMM
Job Address 2173SALKAV
Suite 150 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
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/Bolting/Weldmg
10/22/2007 34 Rough Electric
AP PY EMR
AP PY T-BAR
AP PY
AP PY
AP PY