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