HomeMy WebLinkAbout2173 Salk Ave; ; CBC2018-0242; Permit(city of
Carlsbad
Commercial Permit
Print Date: 07/19/2018 Permit No: CBC2018-0242
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2173 Salk Ave
BLDG-Commercial
2120210700
$53,951.60
Work Class: Tenant Improvement
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
05/02/2018
05/16/2018
Plan Check#:
Final
Inspection: 7/19/2018 11:04:59AM
Project Title:
Description: VENT ANA-1ST FLOOR GYM: 1,160 T.I. TO INCLUDE DEMO, NEW INTERIOR PARTITIONS, NEW P/M/E, FINISHES AND
MILLWORK
Applicant:
S P WHITE CONSTRUCTION
SHELLY EDWARDS
760-931-1130 x117
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
BROOKWOOD CB I LLC
138 Conant St
Beverly, MA 01915-1665
978-720-7500
ELECTRICAL BLDG ~OMMERCIAL NEW/ADD!TlON/REMODEL
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $914.43 Total Payments To Date: $914.43
Contractor:
WHITE CONSTRUCTION
2524 Gateway Rd
Carlsbad, CA 92009-1742
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 limitatlon has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$423.72
$296.60
$60.00
$45.00
$71.00
$3.00
$15.11
'THE FOLi.OWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BU1LD1NG OFIRE OHEALTH OHAZMAT/APCD I
.Ccityof Building Permit Application Plan Check No.Cp,r :'.lr, In -(1.:::1 !J
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value jJ ", '3 ' ~-c,-i' ( ,../)
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 .
email: building@carlsbadca.gov Plan Ck. D!!poslt
www.carlsbadca.gov Date L; JJ. I J <A ISWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 212 2173 SALK AVENUE, CARLSBAD CA 92008 GYM -021 -07 -00
CT/PROJECT# I LOT# 1 PHASE# I# o~/;s I# BED;,;s # BATHROOMS ITENANTBUS~·;;·~~~OR GYM I CON;:·;PE I DCC. ;OUP 2 N/A
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING GYM SPACE REMODELED AND EXTENDED -TENANT IMPROVEMENT, INTERIOR WORK ONLY. WORK TO INCLUDE: DEMOLITION,
NEW INTERIOR PARTITIONS, NEW ELECTRICAL, NEW MECHANICAL, NEW PLUMBING, NEW FINISHES, AND NEW MILLWORK.1,160 sf
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
Gym/Office Gym N/A N/A N/A YES0, No[2] vcs[2]No0 vcs[2JNoO
APPLICANT NAME White Construction PROPERTY OWNER NAME Brookwood CB I, LLC & Brookwood CB 11.e 3 Wti.Y·.&PEIMll
ADDRESS ADDRESS 2524 Gateway Rd. 138 Conant Street
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Beverlv MA 01915
PHONE IFAX PHONE IFAX {760) 931-1130 {978)720-7500
EMAIL EMAIL
shelly@.whiteconstruction.com mmcafee@.brookwoodfinancial.com
DESIGN PROFESSIONAL Hurkes Harris Design Assoc. CONTRACTOR BUS. NAME White Construction
ADDRESS ADDRESS
1620 Fifth Ave. Ste. 100 2524 Gateway Rd.
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92101 Carlsbad CA 92009
PHONE IFAX PHONE IFAX {619) 702-0380 {760) 931-1130
EMAIL EMAIL
shernandez@.hhdainc.com shellv@.whiteconstruction.com
ISTATELIC.# STATE LIC.# ICLASS B I cnvBLNR00431-02-2017 1023856
(Sec. 7031.5 Business and Professions Code: Any City or County which reqlJlres a permit to_construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a siJ/;ned statement tliat he is licensed pursuant to the prov1s1ons of the Contractor's License Law [Chapter 9, commending wrth Section 7000 of Division 3 of the B_usmess and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS" COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations:
I D 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 woli< for which this permit is issued. D I have and will maintain workers' compensation, as reQuired by action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My woli<ers' compensation insura ce carrier and policy
number ace: Insurance Co. ,HJ(; N 'fl',\..R 'v\ \Ml"&, Policy No. '[{;(i) 0 /'t I 5 '8 I ~ l E,piration Dale -~' ,_l+-'-~---
p:iii,section need not be completed if the permit is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I certify that in the performance of the woli< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Woli<ers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damaAes as provided for In Section 3706 of the Labor code, interest and attorney's fees.
! 2!, CONTRACTOR SIGNATURE ~_::._... ... __ .. _ 0AGENT 05/01/18
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
1D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the woli< 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).
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)
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. 0Yes 0No
2. I (have I 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 I phone I contractors' license number):
4. \ plan to provide portions of the woli<, but I have hired the following person to coordinate, supervise and provide the majoc woli< (include name I address I phone I contractors' license number):
5. I will provide some of the woli<, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
2!, PROPERTY OWNER SIGNATURE 0AGENT DATE
fOM LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals reg1s1rat1on form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner H,~ardous Substance Account Act? Yes ., No
ls tht opp1icant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes ., No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes .1 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.
I certify that I have read the application and state that the above infoonation Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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: AA OSHA permit is required for excavations over 5'0' deep and demolition or construction of strucb.Jres over 3 stories in height.
EXPIRATION: Eveiy permit issued by lhe Building Official under lhe provisions of this Code shall expire by limitation and become nult and void if the building or 'M:lrk authoriZed by such permit is not commenced within
180 days from the date of such penm or if the butling or wont authorized by such pennit is suspended or abandoned ataoy time after the 'MXk is commenced for a period of 180 days (Section 106.4.4 Unifoon Building Code).
_Rf __ •• _._L_1c_AN_T_·s_s_1G_N_AT_u_R_E __ ~~------______ _ DATE 05/01/18
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560. Email building@carlsbadca.gov or Mail lhe completed fonn lo City of Carlsbad, Building Di~sion 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER:
A$ APPLICANT'S SIGNATURE
OCCUPANT (Listed above) ASSOCIATED CB#------------
NO CHANGE IN USE I NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
'" '" ' ', ''z-~\'.: "
· -or, . PERMIT INSPECTION HISTOR¥ REPORT (CB02018-0242)
',,, 0A ' ' '
Permit Type: BLDG-Commercial Application Date: 05/02/2018 Owner:
Work Class: Tenant Improvement Issue Date: 05/16/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 01/01/2019 Address:
IVR Number: 11088
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
06/28/2018 06/28/2018
07/06/2018 07/05/2018
07/19/2018 07/19/2018
BLDG-34 Rough
Electrical
Checklist Item
BLDG-Building Deficiency
BLDG-17 Interior
Lath/Drywall
063180-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
064412-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
BROOKWOOD C B I LLC
2173 Salk Ave
Carlsbad, CA 92008·7354
Re inspection
Passed
Yes
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Complete
__________ ,, _____ _ -----------~·-·------
July 19, 2018 Page 1 of 1
DATE: 5/10/2018
JURISDICTION: Carlsbad
PLAN CHECK#.: CBC2018-0242
PROJECT ADDRESS: 2173 Salk Ave
~ EsG1I
A SAFEbuilfCompany
SET: I
PROJECT NAME: l•t Floor Gym, Ventana Tenant Improvement
Cl APPLICANT
Cl JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
~ EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: / /;:i Telephone#:
Date contacted: / (byW ) Email:
Mail Telephone
D REMARKS:
By: Jason Pasiut
EsGil
Fax In Person
Enclosures:
5/3/2018
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
Carlsbad CBC2018-0242
5/10/2018
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0242
PREPARED BY: Jason Pasiut
BUILDING ADDRESS: 2173 Salk Ave
BUILDING OCCUPANCY: B
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
1160 46.51
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Cb By Ordinance
. i P rmit F 1997 UBC Build ng e ee ...
1997 UBC Plan Check Fee •
Type of Review: 0 Complete Review
D Repetitive Fee
..,. Repeats
Comments:
D Other
D Hourly
EsGII Fee
DATE: 5/10/2018
Reg. VALUE ($)
Mod.
53,952
53,952
D Structural Only
f-------ll Hr. @ * $238.731
Sheet 1 of 1
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
Bu ines Name Business Contact
1st Floor Gym M ce le McAfee
Proec ~-------------~ 2173 Salk Avenue, Gym
City~--~~. Carlsbad
M ' City~-~~-, Carlsbad 2173 Salk Avenue, Gym p
Shellv Edwards shelly@whiteconstructioninc.com _ 1(760) 931-11301
The following questions repr en c 1v e , s cific project description.
PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: {not required f~r prqjects wjthin the City Qf San Q!!eQ}: Indicate by circling the Item, whether your business will use. process. or store any of the following hazardous mate als_ If any of the items are circled,
applicant must contact the Fire Protection Agency with junsdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Waler Reactives 13. Corrosives
2 Compressed Gases 6 Oxidizers 10 Cryogenics 14 Other Health Hazards
15 None of These 3. Flammable/Combustible Liquids 7 Pyrophorics 11. Highly Toxic or Toxic Materials
4 Flammable Solids B Unstable Reactives 12. Radwactfves
: If the answer to any of the
questions is yes, applicant must contact the County of an Diego azardous Materials Division, 5500 Overland Avenue, an Diego, CA 92123
Call (858) 505-.6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy 0 CalARP Exempt
I
1
2
3.
4.
5.
6
7.
8
YES NO
D ff D .B' D z
D D D D
D
i ~
.0'
(for new construction or remodeling pro1ects)
Is your business listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Wit! your business store or handle Hazardous Substances in quantities greater t11an or equal to 55 gallons. 500
pounds and/or 200 cubic feet?
Will your business store or handle carcinogens/reproductive toxins in any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Artide 10)?
Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or reaterthan 1,320 anons? California·sAbove round Petroleum Stora eAct.
Date Initials
0 Ca!ARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR P LLUTION CONTROL DISTRICT APCO: Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 9 1 1 a cdcom sd n v (658) 586·2650). rNo stamp required if 01 Yes and Q3 Yes and 04-06 No]. The follo\/lfing questions are intended
to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive
requirements contact APCD. Residences are typicauy exempt, except -those with more than one building' on the property; single bui!dings with more than four
dwelling units; townhomes; condos; mixed-commercial use; deliberate burns: residences foiming part of a larger project. ['Excludes garages & small outbuildings.)
1
2
3
YES NO
B ~ D 0
Will the project disturb 160 square feet or more of existing building materials?
Will any load supporting structural members be removed? Notification may be required 1 o working days prior to commencing demolition
(ANS\IVER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
4. 0 (ANSWER ONLY IF QUESTION 3 JS YES) Based on the sunrey results, will the project disturb any asbestos containing material? Notification
may be required 10 working days prior to commencing asbeslos removal.
5
6.
D
D
Will the project or associated construction equipment emit air contaminan1s? See the reverse side of this fonn or APCD factsheet
{www.sgapcg,grqfinfo/faclsfueunits odO for typical equipment requiring an APCD permit 0 (ANSWER ONLY IF QUESTION 5 IS YES) \Nill the project or associated construction equipment be located within 1,000 feet of a school
bound a
Briefly descnbe business activities: Office Gym Briefly describe proposed proiect: I G I Office ym
I jury that to the best of my knowledge and ber
Paulina Feregrino
res de here· are true and correct.
-wner or Authorized A ent
AL USE ONLY:
Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _
BY DATE· I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BtnLOING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO· APCO COUNTY-HMO APCD COUNTY-HMO APCD
·A stamp m this box .2!J.!x exempts businesses from completing or updating a Hazardous Matenals Business Plan_ Other permitting reqwrements may still apply.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division