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Home My WebLink About2177 SALK AVE; 180; CB072368; Permit10-16 2007 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB072368 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2177SALKAVCBADSt 180 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# ° ^ ' Owner RIO SD PLAZA II MASTER LLC C/0 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 $6 70 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 $580 94 $000 $000 $000 $000 $000 $000 $51 25 $3300 $000 $000 $000 $000 77 $1 12922 Total Fees $1 129 22 Total Payments To Date $1 12922 Balance Due $000 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 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 1 PROJECT INFORMATION «*10 r gMil Addi SUITE \8b 2111 ' FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date ddress (include Bldg/Suite ft)Business Name (at this address) Legal Descn -2S Lot No Subdivision Name/Number OFFICE. &MLi>tNlb Unit No Phase No Total # of units Assessor s Parcel #Existing Use iXJ E>35TlMfo Proposed Use Z Description of Work 2 iof Stories T=T # of Bedrooms # of Bathrooms . . __ ,, ar*.A,nM/F <fl\)bift H5 SQLAMfr fl^CH /*•//fiSK Name Fax# Name s j^^pRiiero'R 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 basi for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a ciyjLpenalty of not more than five hundred dollars [$500])\MttiTE MosmucnoM. IMC &m btoiri cr SUITE i0t> cwteskbtA^ccft /6Q-<?5J- Name State License # Address License Class City State/Zip Telephone # City Business License # I "2-£> "2—^>SOns -satA/A BEACH-CA 020-75 Designer Name Address City State/Zip Telephone State License # ' Jf> O^ 6 WORKERSgCQMPEWSATtQN 1^ * JHPT ™- — — - ™— ^ t Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~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 HWL"J| have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for whu h this permit is Issued My worker s compensation insurance carrier aid policy number ar.e . , . —,,, """l" ' ' " " hjY\J Policy No (11)6% I bQ -Insurance Company Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 cpjrjjpensation cavfetege 19 unlawful \ind shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition/to trracftst of cdVrtpensdtton dbmag^s as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE \ XysjO^ IjLxyV—•/ DATE 7 DOWNER BUlDERlDECLARATION - ^i, 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 oi 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) n 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 O YES C]NO 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 / contractor 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 COMPLETE THIS SECTION FOR/VO/V/?fS/DflV7Mi BUILDING PERMITS ONLY x ^ ,jjjr , "' 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? l~l YES l~l 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 8 .JfirSllfRUCTIONJJNDING AdlNCY" "**"* .JLeL < "''"*""" ^K '- 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 ^ APPLICANT CERTIFICATION «, 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 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 and demolitior^fiFc'Bnstruction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official underW provisions o/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 frorAme datAif suchbermit dr if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a pe/trjcNjJ %> \ays ((Section W)6 4 4 blnifonift Building Code) KlOJW^^ DATE 2APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/18/2007 Permit* CB072368 Title SPEC SUITE 912SF Description Inspector Assignment PY 2177 SALKAV 180 Lot Type Tl Sub Type INDUST Job Address Suite 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 Date 12/04/2007 11/20/2007 10/22/2007 10/15/2007 10/15/2007 Associated PCRs/CVs Original PC# Inspection History Description Act Insp Comments 39 Final Electrical 84 Rough Combo 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Weldmg 34 Rough Electric PA PY 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 Business Name Contact P \ 7 Telephone Mailing Address 1525 City State Zip Plan File if Site Address 2I-77 City Stete Zip Plan FileJ/Permlt* iZ.l'Z.-OZO- PARTI. FIRS DEPARTMENT HAZARDOUS MATERIALS -MANAGEMENT n|V;g|ON. 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 rterrts are circled applicant must contact the Fire Protection Agency with Jurisdiction prior to plan submlttal 1 Explosive or Blasting Agents 4 Flammable Solids 7 2 Compressed Gases 5 Organic Peroxides 8 3 Flammable or Combustible Liquids 6 Oxldizars 3 Pyrophoncs Unstable Reactives Water Reacttves 10 Cryogenics 11 Highly Toxic or Toxic Materials 12 Radioactives 13 Corrosives 14 Othei Health Hazards PART II. .SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS MANAGEMENT DIVISION 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 Dtego CA 92101 Telephone ($19) 338 2222 prior to the issuance of a building department permit FEES MAY Yes BE REQUIRED 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 to 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 (CalARPi? Will your business Use or install a Hazardous Waste Tank Syatom <Tftla 22 Article 10) SAN DIEGO CQUMTV AIR CalARP Exempt / Date)Initials CalARP Required Oate Initials Q CalARP Complete _L Oate Initials DISTRICT^ If the answer to any of the questions is yes applicant must contact the Air Pollution Control District 9150 Chesapeake Drive San Diego CA- 92J23 Telephone (858) 6SO-45SO prior to the issuance of a building department permit YES NQ 1 D & Wl" the Intended occupant install or use any of the equipment listed on the Usting of Air Pollution Control District Permit Categories on the reverse side of this form? 2 D U (ANSWER ONLY IF QUESTION 1 IS YES I WMI the subject facility be located within 1 000 feet of the outer boundary of a school (K through 12) as listed in the current Directory of School and Community College Districts published by the San Disgo County Office of Education and the current California Private School Directory compiled in accordance with provisions of Education Code Section 33190? _Does the building or structure for which this permit is requested contain any friable asbestos? Briefly describe business activity and proposed project ~~ M I declare under penalty of perjury that to the best of my knowledge and belief the responses made herelN ar7t\ie and correct FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION.- EXEMPT OR NO FVRTHSR IN? OftMATtOV RSQUIfteO COUNTY HMMO APCD RB.£AS€D FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMMO APCD RELEASED FOR OCCUPANCY COUNTY-HMMO APCO County <rf San Oiego Department of-EnwMmensi Heatlh IHU UW W fill CITY OF CARSLBftD FflX NO 760 602 8558 P 03 Community Facilities District No 1 NON-RESIDENTIAL CERTIFICATE Non Residential Lan/<L—, please read this option carefully and be cure you thoroughly understand the options before signing. The option you chose will affect your payment of the developed^pecial Tax assessed on your property this option is available only at the tone of the first building permit issuance. Property owner signature is retired before a building permit will be issued. Your signature i J confirming the accuracy of all information shown Ato SArJ T>\&*> fl*UTl fWRC*-, LL£. N*me of Owner Telephone '~/ M/C^jytE'ta) *Z. t-Vi/ ^**AV*- A *•**- Addreu Project AAfcw 9200ft City Sitte ZipCodo C|ry Sure Op Code AiKMor i PtKtl Number or APN Md Lot Number if not y«t mbdMdM by County AtMuor Ai cited by Ordteuce No N9-I55 end tdoptod by the Cftjr of Carlsbad, CtlUbrno, tka City i« tuthmued to levy » Specid TM n Community Ftnhtiw DiMnel No I Att Bott-tMUefttUI proptrty, upon fl» Iitoince of • tmOdiat pwmtt. thtfl km dM optfoo to (1) pty dM SPBCtAL DtVHLO>MlKT TAX ONE TIME or (2) urnm th* ANNUAL SPECIAL TAX DEVELOPED PROPERTY tut a period not to exceed twenty-five (25) yean. P|UM Indicate your chotoe by lnirWfe| Hit ipptopHtr* UM below- // OPTION (I) I fl»et to p%ytj« SPECIAL TAX XM^.TtMB**' u I one-rio* p»vt»nt Anoanlftf Oo*>Tinw SpWieJ Tax S 7 /> u>c)r „* Owner i Initfeli / OPTION (2) I eieel to pty Ow SPECIAL DEVELOPMENT TAX ANNUALLY for* pcnod not to exceed, twntfyava (JS) yem. Mtodmuin ^msj./Sti«tUl Tix I / L» f(R^ Owner*!ImrlUi I DO HEREBY CERTIFY UNDEA PENALTY OP PBRJUXY THAT THBtClWERSTONBD IS THE PROPERTY OWNBR OP THE SinUECT PROPERTY AND THAT IIWDERSTAND AND WILL TUB PROVISIONS AS STATED.ABOV8 Tide PrMMam/ / The City of Carlibid hu tot Independently verified the ItiTonwtion •*<>*• »b«ve Therelbre, w* tccepl no / respowibtlity u to (Ko teettM^or tomplettneu of ihii {albmtttioa. LtodUte FY Fwtor fj