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HomeMy WebLinkAbout2175 CAMINO VIDA ROBLE; ; CB011773; Permit07/24/7001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB011773 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 05/29/2001 Applicant: RICK LIEN 2175 CAMINO VIDA ROBLE CBAD Tl Sub Type: INDUST Lot #: 0 $15,000.00 Construction Type: NEW Reference #: PAC BELL-CHAIN LINK COMPARTMEN TO SEGREGATE EQUIPMENT Owner: Status: Applied: Entered By: Issued: Inspect Area: ISSUED 05/16/2001 RMA Plan Approved: 07/24/2001 5524 07/24/01 0002 01 02 CGP 141.34 619339-7425 Total Fees: $231.16 Total Payments To Date:$89.82 Balance Due: $141.34 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 $138.19 Meter Size $0.00 Add'l Reel. Water Con. Fee $89.82 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $3.15 PFF $0.00 PFF (CFD Fund) $0.00 License Tax $0.00 License Tax (CFD Fund) $0.00 Traffic Impact Fee $0.00 Traffic Impact (CFD Fund) $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: TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $231.16 Inspector: FINAL APPROVAL Date: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 capactiy 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 :*"&£;'; FOR OFFICE USE ONIT PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By / Date Business Name (at this addfi&e? 05/16/01 0002 01 02 CGR Address (include Bldg/Suite #) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use ^Be/roomsDescription of Work SQ. FT.of Bathrooms Name State/Zip Telephone #Fax tt Name Address City State/Zip Telephone # Name Address City State/Zip Telephone # Sr! i MdjONf RACTQR1 GOMPAIfYkNAME •' '" = •' ' > ' •' ' ' •: : | • =: =H''..,-; != ^' P'vJ; :..! i; i: - i;< ;>' MJ.! ;!=;';,;\ ^ A-'A ?]:':::.:.' 'i : £/!'< "'^:%; '•: .':!. ',:, -.:. ,.i:'-:.: '• (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 exft/nption. 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 IS500I). Name Address State License # trJi/ / &Q " License Class J^ Designer Name Address State License # City State/Zip Telephone # City Business License # 'eJ\&frv f-f^ / O / O /*)& "3^-> «-"»• — *— ' / *\tt!L'*sO ^~ City State/Zip Telephone 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. EjiJ" 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: Insurance Company £^?J. <a&ZtUs.l rV //?<* ^^ P°!'<=V No. Z.'pMj.'ZQfl&ysil'Z Expiration Date & / /O//& 2- {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 shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1QfMOO), m addiljoiytgjhe cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE /££*?£-. y^-Z^ £jfak*-^~/&ff2 f^JjA^JI^ DATE 7. OWNER-BtMLDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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~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). D 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, n YES nNO 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 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 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 __„ mIf AWUCAJNTCERTIFICATION : •: ' ; ' . .:;;••);;. •:•.';•::•;;.:..;•-;;• •/_;;-1 v'.'. ;j^h,;. ;•;.*# =•;;:•[r J;:., •_ •';.'. .': ''.- 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 City 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 HAY 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cornntejFised Wf a perio<f3f 180 days (Section 106.4.4 Uniform Building Code). / / APPLICANT'S SIGNATURE fl-^-Ofe^£?*^—~-_ DATE "" WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/21/2001 Permit# CB011773 Title: PAC BELL-CHAIN LINK COMPARTMEN Description: TO SEGREGATE EQUIPMENT Inspector Assignment: Type: Tl Job Address: Suite: Location: APPLICANT RICK LIEN Owner: Remarks: Sub Type: INDUST 2175 CAMINO VIDA ROBLE Lot 0 Phone: 6192615277 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Af \/ Requested By: STEVE Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments EsGil Corporation In Partnership with Government for Building Safety DATE: 5/24/01 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 01-1773 SET: I PROJECT ADDRESS: 2175 Camino Vida Roble PROJECT NAME: Pacific Bell - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: By: Doug Moody Enclosures: Esgil Corporation D GA D MB D EJ D PC 5/17/01 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 4 (858)560-1468 + Fax (858) 560-1576 City of Carlsbad 01-1773 5/24/01 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 01-1773 PREPARED BY: Doug Moody DATE: 5/24/01 BUILDING ADDRESS: 2175 Camino Vida Roble BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: IFR BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) 2275 cb Valuation Multiplier City Valuation By Ordinance Reg. Mod. VALUE ($) 15,000 15,000 $157.33 1994 UBC Building Permit Fee $102.26 Type of Review: Repetitive Fee Repeats Complete Review D Other i—i Hourly Structural Only Hour Esgil Plan Review Fee $81.81 Comments: Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB oirm ADDRESS 3P5 DATE 5/1 id PL RESIDENTIAL RESIDENTIAL ADDITION MINOR (< $10,000.00) NANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER 31 /v\eMor Qngfn -1 ir\\L Cndo^urc PLANNER DATE ENGINEE DATE 1/7/01 Docs/Misforms/Planning Engineering Approvals Carlsbad Fire Department 011773 1635 Faraday Ave. Carlsbad, CA 92008 Plan Review Requirements Category: Building Plan Date of Report: 05/21/2001 Reviewed by: Fire Prevention (760) 602-4660 Name: Address: Rick Lien P O Box 930 City, State: Poway CA 92074 Plan Checker: Job Name: Pac Bell Job#: 011773 Job Address: 2175 Camino Vida Roble Bldg #: CB011773 Ste. or Bldg. No. Approved The item you have submitted for review has been approved. The approval is based on plans, information and / or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. D Approved Subject to The item you have submitted for review has been approved subject to the attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. D Incomplete The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and / or specifications to this office for review and approval. Review FD Job # 1st 2nd 3rrl 011773 FDFile# Other Agency ID 07/24/01 Dear Sirs, Rick Lien is authorized to pull a permit for R. J. Daum Construction Co. for the Pacific Bell collocation project at 2175 Camino Vida Robles, Carlsbad Ca. Sincerely, Walter Stepahin Project Manager tut UZ:IH NU. dlU Of3 r. ui &aa/®. CERTIFICATE OF LIABILITY INSURANCfeg^ PRODUCER Wood-GutAann Insurant* Brokara License #0679263 14192 Franklin Av«., Suite 200 Tuatin CA 92780-7044 Phone i 714-505-7000 Fax:714-573-1770MUTO> ^774* - & HJ Daurn Conauruction CotepanyA Nevada Cori>oration11086 Prairie Ava.Hawthorne CA 90251i MTEfMWDD/YY) 12/29/00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER* General Security Insurance Co. INSURER 8: INSURER C: mSURERP: INSURER E: COVERAGES THE POIXie&e? INSURANCE LISTED BEICW HAVE BEEN IS6UCDTOANY REOWRSMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH AESF^ TO WH^THtt&KnncATE' MAY BE ISSUED OR MAY PERT A*. THE INSURANCE AFFDRi £D BY TUB POLICIES DESCRIBED HB«INISSOaJECTTOAaT>ffiT6RMa£XCW$WMSAIfflCa4DmONSOF6UCM POLICIES. AGGREGATE LIMJTB SHOWN MAY HAVE BEEN REDUCED BY PAD CLAMS, W , A TYPE OF INSURANCE «lMERAJ-LIASUJTY COMMERCIAL GENtftAL LIAflJUfY jCUUMttMADe [x] OCCUR ' GENl AGGREGATE UMIT APPLIES PSR: AUTOMOBILE LIABILITY ANY AUTO ALL OWNCO AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY "~~t I 'tOCCUR CLAIMS MADC,, ' ---— L_...^ DEDUCTIBLE RETENTION * WORKERS COMPENSATION ANO EMPLOYERS' UABIUTY OTHER POLICY NUMBER 22M32000033 uftlFp&DE&Ri* 01/01/01 •S^A^g^ff" 01/01/02 LHMTTS EACHOCCURReMCE flRE DAMAGE (AAy cno fin) MCO EXP {Aiw ant penoftj PWSOHALtAOV INJURY GeNEftALAGGREWTE PRODUCTS • COMhOP ACS COMBWED SNCUJ UMfT ^•aeddwil) BODILY INJURY (Perpmon) BODILY INJURYCPvKOtMnl) PROPERTY OAMASC(P«rwcMwii) AUTO ONLY • EA ACCIDENT ATM»TW^ EA*CC AUTO ONLY: ^ CACHOCCUftRENCE AOGftEGATE X 1 TOAVLiHnfsl ("ER" E.LEACHACCOENT E.L. DISEASE * EA CMPLOYSE EX. DISEASE - POLICY UUfT S s s s $ sl.000,000 Si, 000,000 11,000,000 DESCRIPTION Of C<PERATK)N«fLOCATK)NSAtt*CL£3CXI^^ Cancellation notice ia amended to give 10 days for nonpayment ot premium or nonreporting of payroll. re: Licence fl27760 CERTIFICATE HOLDER N I AwmoiiAL, INSURE*, INSURER LETTER: CANCELLATION CONTOO: Contractor's State License Board P.O. Box 26000 Sacramento CA 95826 SHOULD ANY OF THE ABOVE oesCRifiEo POLICIES BE CANCELLED BEFORE THE EXPIRATION MTETH&RCOF. THE BSUN6IWURCMWIU ENDEAVOR TO MAM- 30 DAYS WRITTEN NDTIP& TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MIT fAILURE TO DO SO SHALL HHPOSG NO OBOGATraN Oft LlAfltt-tTY OF ANY KMO UPON THE IM&URER, FT 3 AGEMT* OR -S \ — .REPR6S6RTATIVES. I S~\ L /rz^Jsr*^ —Jameb »f Qutoann C / ACORD 2£8f7/97) / / ©ACORO CORPORATION 1988