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HomeMy WebLinkAbout2173 SALK AVE; ; CB072416; Permit09-11-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB072416 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2173SALKAVCBAD Tl Sub Type 2120210200 Lot# $26,530 00 Construction Type Reference SPEC SUITE-662 SF SHELL TO EXCERCISE RM, 96 SF MAIL ROOM COMM 0 Applicant WHITE CONSTRUCTION STE 100 5937 DARWIN CT CARLSBAD, CA 92008 760-931-1130 Status Applied 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 PY 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 $246 87 Meter Size $0 00 Add'l Reel Water Con Fee $16047 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $557 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 $482 85 $000 $000 $000 $000 $000 $000 $2000 $3300 $000 $000 $000 $000 79 $948 76 Total Fees $948 76 Total Payments To Date $948 76 Balance Due $000 Inspector1 FINAL APPROVA Date Clearance NOTICE Please take NCJTIC^fhat 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 111; PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO< EST VAL Plan Ck Deposits-/* Validated By Date LOT MM Address (include Bldg/Suite #)Business Name (at this address) Legal Description 2I2-Q2Q - Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use , Description of Work SQ FT 2 CONTACT PERSON (if different from applicant) .'".'^lfc' ...ait .5 C£££os i so. FT of Bed™ms , 7-fy ftffft ISP 6eAcH Name Address -S^ITE. 3§f":.APPLICANT '41DContractor Q Agerit for'cpntractor .:.[310wner City r Owne'r?u State/Zip Telephone #Fax # Name 1. PROPERTY-OWNER Address City State/Zip I.SZ5 Telephone tt CA ct£ Address City State/Zip Telephone* (oO~l-Name 5 CONTRACTOR - COMPANY NAME (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]) IMC 9f\3>~l J>Aft\Mm CJT 5t>lTE Name State License # Address License Class .5 City State/Zip City Business License # CA Telephone # 1202: Designer Name Address ^y»TE \~),5 City State/Zip Telephone State License # _ S8 jO i. WORKERS' COMPENSATION ' .H^U^.SI" ..... -.:.?V -:il3f " '" "''" r-:' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations PI 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 ^B~^ 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 arid policy nurnb«f-are i / A /» ~l /• /c^ Insurance Companv^-tTlfa tflflfllllllSlTlM JflfflCMU JTjftfl Policy No /jOClX l(f()-/L)O I Expiration Date £)/ ~Q f ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) l~l 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 CalfrorniS f A WARNING Failure to secure workers compensation cbveragi Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000), in addition tp the cosvfcf cornWnnajion, damages as proVuUa for in Section 3706 of the Labor cade, interest and attorney's fees \y^JSIGNATURE _ jl yWX-^- __ DATE 7. OWNER-BUILDER DECLARATION . .. I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~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) (~l 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 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 CH YES PINO 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 iC*dlyiPLETE THIS SECTION FOR /VOAW?f5/D£W7MiBylLp|NG PERMITS ONLY .. " '""''>" f!~ 2iA ' J::';t:- •• ., ~ '• 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~1 YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? fj YES O 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 8. CONSTRUCTION LENDING AGENCY . ;o?" . -i.™ .f'^.'f^""^^ " ' ,s VK ..''•••• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9;iKpPLiCANT!CERTJFiCAfpiir •;' ^ST ' '".:.„ .Xir/ i 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 an^demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official undeAhe 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 withm-W) days fro* the date\olt such permit orjf the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a jiieriod df^u\day!A()Section\Q6 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance eiiyifOrtskal Final Building inspection Dept. Building Engineering Planning CMWD St Plan Check # Permit # Project Name Address Contact Person Sewer Dist Inspected / Bv 6 Inspected Bv Inspected Bv CB072416 SPEC SUITE-662 SF SHELL TO EXCERCISE RM, 96 SF MAIL ROOM 2173SALKAV ROGER Phone 8585181559 CA Water Dist CA <"S7 Date / / 7n/t — Inspected \^ll H ^7f II1 1 Date Inspected Date Inspected Lite (Eirej Date 12/13/2007 Permit Type Tl Sub Type COMM Lot 0 Approved ^ Disapproved Approved Disapproved Approved Disapproved Comments City of Carlsbad Bldg Inspection Request For 09/11/2008 Permit* CB072416 Title SPEC SUITE-662 SF SHELL TO Description EXCERCISE RM, 96 SF MAIL ROOM Inspector Assignment PY Type Tl Sub Type COMM Job Address Suite Lot 0 Location APPLICANT WHITE CONSTRUCTION Owner RIO SD PLAZA II MASTER LLC Remarks status check Unable to locate file Total Time Phone Inspector Requested By CHRISTINE Entered By CHRISTINE CD Description 92 Compliance Investigation lAct Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# PCR07029 ISSUED VEN'l ANA REAL- DEFERRED CURTAIN WALL SUBMIT! AL Inspection History Act Insp Comments AP PY AP PY WC PY PA PY AP PY AP PY Date Description 02/05/2008 39 Final Electrical 12/13/2007 14 Frame/Steel/Bolting/Welding 12/13/2007 89 Final Combo 11/01/2007 17 Interior Lath/Drywall 10/22/2007 14 Frame/Steel/Bolting/Welding 10/22/2007 34 Rough Electric T-BAR CEIL EXERCISE ROOM