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Home My WebLink About2177 SALK AVE; 175; CB072367; Permit10-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB0723()7 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2177SALKAVCBADSt 175 Tl Sub Type 2120210300 Lot# $31 920 00 Construction Type Reference # SPEC SUITE 912SF INDUST 0 NEW Applicant WHITE CONSTRUCTION STE 100 5937 DARWIN CT CARLSBAD CA 92008 760931 1130 Status ISSUED Applied 09/13/2007 Entered By JMA Plan Approved 09/14/2007 Issued 09/14/2007 Inspect Area Plan Check* 0~7 Owner RIO SD PLAZA II MASTER LLC C/O NEWPORT NATIONAL CORPORATION 1525 FARADAY AVE #100 CARLSBAD CA 92008 Building Permit Add I Building Permit Fee Plan Check Add I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add I Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add I Pot Water Con Fee Reel Water Con Fee $27717 Meter Size $0 00 Add I Reel Water Con Fee $18016 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $670 PFF (3105540) $0 00 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic I mpact 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 $580 94 $000 $000 $000 $000 $000 $000 $51 2*' $33 00 $000 $000 $000 $000 77 $1 129 2* Total Fees $1 129 22 Total Payments To Date $1 12922 Balance Due $000 Inspector FINAL APRROW\L Date l Clearance NOTICE Please take NOTICE (fiat 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 vou 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 PROfiCT IMfQBMlTION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description2 12.-O2-0-Lot No Subdivision Name/Number Unit No Phase No 1 otal # of units Assessor s Parcel # L i , 40^0" Existing Use i/i 0*Nst>\AA /\/\ , •, /ml(X jfiiulo Proposed Use ^0 Description of Work 2 CONTACT PERSON (if different from applicant) SO. FT #of Stories \ ^ # of Bedrooms #of Bathrooms Name Address 3 APPLICANT fTJ cWtFaetor^Bl|,en.f«I1 City 'or Owner State/Zip Telephone i Fax # Name f^lWPERTY OWNER Address City State/Zip _ 19 2,5 Telephone # 9 g Address City State/Zip Telephone #Name 5 CON TRACTOR 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 strut ture 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 basi 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 (£5001) . IXfl 9*f57 bAE-WiAJ cT SUiTE )6T> ••-•-"-'"- Name State License # Address License Class City State/Zip Telephone # City Business License # I ZXJ^-J'gCx GA QZol^ &<&:' Designer Name State License # Address !"/£,City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~l 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 'SO*O I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for whi h this permit is 'Issued My worker s compensation insurance carrier and policy number are Insurance Companv^TATE C0Hi>EHtffnOto rMfl)£MJC£ FOAifc- Policy No ft 66%~7(gC> - Z-OO~7 Expiration Date Q) ~O I - OK (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 Califgrjua WARNING Failure to secure workers compeniilhion fepveraoje 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 Jtbst of Mompehsatiory damages as provided for in Section 3706 of the Labor cod4 interest and attorney s fees SIGNATURE _ L \'vKJ\\ .M-Aj^^^X _ DATE _ Q '2j& Q"7 7 OWNER BUILDER DECLARATION ^ ^ T7~^ > ?1*r" "- «~^ I hereby affirm that I am exempt from the Contractor s License Law for the following reason D 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 01 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~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 fJD YES ONO 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 / prnne number / type of work) _ PROPERTY OWNER SIGNATURE DATE SECTION FOR /tfOAApSrOfitfTMt BUILDING PERMITS ONLY.si ~~ v j " '""" ......,„. 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? O 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 YES f~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES d 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(0 Civil Code) LENDER S ADDRESSLENDER S NAME 9 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 deeoand demolition ofEonstruction of structures over 3 stones in height EXPIRATION Every permit issued by the building Official under thfeWovisioftsXof tliis Code Viall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from thi aate of sqcn permit or if tra building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod/oTTtK) dlayte (Section 106 4\4 Uniform Builffling Code) l \S^XJ\ V^JyV-^ DATE tOT 01APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/18/2007 Permit* CB072367 Title SPEC SUITE 912SF Description Inspector Assignment PY Type Tl Sub Type INDUST Job Address 2177 SALKAV Suite 175 Lot 0 Location OWNER RIO SD PLAZA II MASTER LLC Owner RIO SD PLAZA II MASTER LLC Remarks Phone 7605356201 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By DEWIE Entered By CHRISTINE Act - Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 12/04/2007 39 Final Electrical 11/20/2007 84 Rough Combo 10/22/2007 17 Interior Lath/Drywall 10/15/2007 14 Frame/Steel/Bolting/Welding 10/15/2007 34 Rough Electric PA PY EMR AP PY T BAR AP PY AP PY AP PY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY H# BP DATE. SA/M APCD um/JTpT Business Name tors Parson 6lLviSSeAU Telephone Mailing Address State f5UITE.CA Zip Plan File* Site Addrass zm /\v£City State CA Zip Plan File#/Pemilt#2.12- -020 PART i. FIRE DEPARTMENT HAZARDOUS MATERIALS -MANAGEMENT DIVISION. OCCUPANCY CLASSIFICATION Indicate by circling the item whether your business will use process or store any of the following hazardous materials If any of the if ems ara circled applicant must contact the Fire Protection Agency with Jurisdiction prior to plan submittal 1 Explosive or Blasting Agents 4 Flammable Solids 2 Compressed Gases 5 Organic Peroxides 3 Flammable or Combustible liquids S Oxldizers 7 Pyrophoncs 8 Unstable Reactives 9 Water Reactives 10 Cryogenics 11 Highly Toxic or Toxic Materials 12 Radioactive? 13 Corrosives 14 Othei Health Hazards PART II. SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HA7ARPQUS MATERIALS MANAGEMENT DIVISION (HMM01. If the answer to any of the questions Is yes applicant must contact the County of San Diego Hazardous Materials Management Division 1255 Imperial Avenue 3rd Floor San Diego CA 92101 Telephone (619) 338 2222 prior to the issuance of a building department permit FEES MAY BE REQUIRED Yes No_ Is your business listed on the reverse side of this form? Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal w or greater than 55 gallons 500 pounds 200 cubic feet or 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 (Ca/AflP)? Will your business Use or install a Hazardous Waste Tank Syatem (Title 22 Article 10) 7SAN DIEGO COUNTY AIR POLLUTIONSCONTRaC DISTRICT CalARP Exempt / Daw Initials CalARP Required Date Initials Q CalARP Completa -L. Date Initials If the answer to any of the questions Is yes applicant must contact the Air Pollution Control District 9150 Chesapeake Drive San Diego CA 92123 Telephone (858) 650-4550 prior to the issuance of a building department permit Y6S NO 1 O 0- wi" the Intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories on the reverse side of this form? 2 Q Q (ANSWER ONLY IF QUESTION 1 IS YES ) Will the subject facility be located within 1 000 feet of the outer boundary of a school (K through 121 as listed in the current Directory of School and Community College Districts published by the San Diego County Office of Education and , the current California Private School Directory compiled in accordance with provisions of Education Coda Section 33190? 3 i~1-T> Does the building or structure (or which this permit (8 requested contain any friable asbestos? Snefly describe business activity and proposed project TEN/VJT Name of Owner or Authorized Agent itOwrwr or Autbotlzed Age it ftate ' MONICA 1L2 I declare undar penalty of perjury that to the best of my knowledge and belief the responses madeWkreln are true and correct FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY . _ _ Daw EXEWPT OS NO RIHTHEfl INFORMATION BSOUIfleo COUNTY HMMO APCO RREASSD TOO 8UR.OING PERMIT BUT NOT FOR OCCUPANCY COUNTY -HMMO APCO BS16AS6D FOB OCCUPANCY COUNTY-HMMQ APCO County ol San Oiego Department o(-£nvirorimen<a( HeaKfi rmi-u-«fuim IMJ u« b8 fttl CITY OF CAR&SftD FftX NO 760 602 8558 Community Facilities District No 1 NON-RESIDENTIAL CERTIFICATE Noo-RwidentiaJ Land pleas* read thil option carefully and bo sure you thoroughly uodentend the option* before signing. The option you chost will affect your payment of the developed/Speclal Tax assessed on your property this option is available only it the time of th> fint building permit Icraance. Property owner tignature is required before a building permit will be issued. Your signature is confirming the accuracy of all information shown Nine of Owner Telephone / •2.11V' Ad*eu CvrtriML 9200 ^ City Stite ZipCoito CJ»y i Pireel Number or APN iiw Lei Nuo&er If not y«t lobdMdM by Coonty AtMuor Buildtaf Pern* NwnlwKi) Ai cited by Ordinance No NS*155 ind adopted by tf» City of Ctfbbad, CtUfbnut, dM Cily it authorized to tevy » Specitl TM n ComnMnify Ftnltow Dutritt N« 1 AU MW«iWe«Ul |tMe«rty upon die iuoince of i botttof permJI, tluO k«v« «M opttoo to (1) pay dM SPBC1AL DBVBLOPMBNT TAX ONE TIME or (2) umm dM ANNUAL' SPECIAL TAX - DEVELOPED PROPERTY tut a period not to exceed r*tnty-fiv» (25) yew*. Ptuie'indleito your choice by Inftiiskii fte ipprep>ktt UM below OPtlON(t) OPTION (2) I 00 HEREBY CERTIFY UNOBA PENALTY OP PERJURY THAT TOBtCfTOEKSTONlD IS THE PROPERTY OWNBR OP THE SUBJeCT PROPERTY AND THAT t UNDERSTAND AND WILL IONS AS STATED ABOVE 1 ctoet to p*y OM-T<IM I eleef to pay to SPECIAL DEVELOPMENT TAX ANNU exceed^, tuwjjjy-ttva (2J) ycm. Mudmim I / U*. CfA' _ Owner'lImMil* Amooatftf Owner « taitbli penod not to SpefcUl T« Tltfi PrinlNiai* t D»« The City of Cvltbtd hu dot independently verified (be Infomtf tiou ik«w« tbov* Thef eftrt, we Mcepl no responsibility u to lh« tcautcxor eomplettntM of ifali (nJbrntttioa. FY