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Home My WebLink About2177 SALK AVE; 185; CB072369; Permit10-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB072369 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2177SALKAVCBADSI 185 Tl Sub Type 2120210300 Lot# $50 785 00 Construction Type Reference # SPEC SUITE 1451SF 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 PlanCheck# 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 $390 46 Meter Size $0 00 Add I Reel Water Con Fee $253 80 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $1066 PFF (3105540) $0 00 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $000 TrafficlmpactFee(3105541) $0 00 Traffic Impact Fee (4305541) $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $000 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 $924 29 $000 $000 $000 $000 $000 $000 $51 25 $3300 $000 $000 $000 $000 77 $1 663 46 Total Fees $1 663 46 Total Payments To Date $1 663 46 Balance Due $000 Inspector FINAL APPRO 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 ^ ^uirf )g5 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date _ 3 Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units .Assessor s Parcel #Existing Use <M OFFICE Proposed Use SQ FT "CONTACT PERSIA Of different froiwapplicant)IVSI #of Stories # of Bedrooms # of Bathrooms Q^OTS Name Address City gPLICANT* Q Contractor T3 Agent for^CorctractoF "Q Owner ^^S-Agenffor Owner State/Zip Telephone #Fax # Name ip^pROiERTY OWNER Address City I525 "** "6ll iff 166 State/Zip cA Telephone # Address City State/Zip Telephone #Name 5 ^CONTRACTOR COMPANY NAME Jf ** """"H, **•*£ ^' ,J* (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 70j31 5 by any applicant for ajpermit subjects the applicant to a civil penalty of not more than five hundred dollars [$500J) J LT 7031 N. Name State License # Address License Class lfCf _ City State/Zip Telephone # City Business License # / "2, (3 "2~ i~7S <?C<?Designer Name Address City State/Zip Telephone State License # ^N?)5O « WORKERS COMUNSATIQNSlillilK, IP A """'" tib***fall«r,, I *" "*" **" ^ I*"*"* Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 "Q—'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 fSTAT£ LaMPffiSATI pM TW&V-firHtE f^Alfrpplicy No dQft ^ 1 (0Q ~2°6~7 Expiration Date D I ~0 \ ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ["] 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 & unlawful and/shalhsubject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost|67Xoropensalipn damages ai provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE M^K f\ L^V^~—-^ DATE *%! Z-ffi |Q IH ^ ^ 5jjji — "Y^-'I ^ =7 OWNER BUILDER DEClXRATiolKj, ^ i% X. 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~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 L"D 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 / 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 sCOMPLETE THIS SECTION FOf1irW^£5«JS?TOlHiillNl*PERMITsyNtY . . Z ^i 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? d YES d NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? d 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 30970) Civil Code) LENDER S NAME LENDER S ADDRESS F" APPLICANT CERtlFllftTiON Sf ^ar -^ =- «S!tl ,» 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 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 demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under theuarovisions of tWsCoSle shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within l/KTaays from thewate of such permit or rf the building or work authorized by such pefrnit is suspended or abandoned at any time after the work is commenced for a periofl of ISOsdaJ^Seo^Dn 106^£ Uniform {Juilding Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/18/2007 Permit# CB072369 Title SPEC SUITE 1451SF Description Inspector Assignment PY Sub Type INDUST 2177 SALKAV 185 Lot Type Tl 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 Associated PCRs/CVs Original PC# 070055 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/Weldmg 10/15/2007 34 Rough Electric PA PY EMR AP PY T BAR AP PY AP PY AP PY nni-n-«fuiw IHU uy t>8 fltt CITY OF CARSLBftD FftX NO 760 602 B558 Community Facilities District No 1 NON-RESIDENTIAL CERTIFICATE N<m Residential Land uwner, please read thit option carefully and be euro you thoroughly understand the option* before signing. The option you chow will affect your payment of the developed, Special Tax assessed on your property this option is available only at the tome of the first building pemut issuance. Property owner signature is required before a builcling permit will be issued. Your signature is confirming the accuracy of all information shown Nune of Owner Av>C Telephone / Addict*Project A4iw CHy State Zip Code 02-0 Zip Cod* Awevor i Parcel Handier or APN tnd Let Numb* if Ml yw mbdMdM by County Atftuor BuUdtnf PemH K«Bb«t(t) ptodb.Ai cited by Ordinance No NS-155 end adopted by (he Chy of Cubbed, California, du City ia authorized to levy a Special Tax n Community Fanhtie* Ditto** Na I All noft-reaklettlal ptoperry, upon the (nuance of a MUSa§ permit ahaO have (be opttoit lo (1) pay the SPIClAL DBVBLO>MBNT TAX ONE TIME or (2) aaaame the ANNUAL SPECIAL TAX DEVELOPED PROPERTY At a period not to rxeeed twenty-five (25) yean. Pleaie IndUato your ehoiee by tnitiaHttt t» appropriate Uo* below aa a one-doie payeaeat Amoam of Owner a Initial* OPTION (I) I tl*« to p»ytbo SPECIAL T- One-Tiim fipectol Tu $. OPTION (2)I ekcl to pay the SPECIAL DEVELOPMENT TAX ANNUA exceed - twraty>&ve^.(2S) yetn. Mwdowm I /Owner'* Imldlf pcnod not to Special Tix I DO HEREBY CERTIFY UNDEA PENALTY OP PERJURY THAT THBtfflttEftSIONED IS THE PROPERTY OWNS* OP THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL TAB PROVISIONS AS STATED ABOVE, Tide Print Naa» ^The City of Carlibad hei not indepnutenily verified the Information tfcowa above, Tturefbre we accept no respontibiUty u to the aceruaexor coinpleteneaa of ihii ta/bmxtloo, FY Fwtot AfglSL 3/ QlSSS X t SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY BP DATE. SA/M APCD Business Name Contact Person.*• «£. Telephone MailinoAddress Cicy State Zip Zip 43** Plan File* Site Address 2f77 AVE City State Plan File#/Permit# 2-1 2 -O2-0 PARTI. FIRE DEPARTMENT HAZARDOUS MATERIALS-MANAGEMENT n^SION. OCCUPANCY CLASSIFICATION Indicate by circling the item whether your business will use process of store eny of the following hazardous materials If any of the items are circled applicant must contact the Fire Protection Agency with jurisdiction prior to plan submitta! 1 Explosive or Blasting Agents 4 Flammable Solids 7 2 Compressed Gases 5 Organic Peroxides 8 3 Flammable or Combustible Liquids 6 Oxidizers 9 Pyrophofics Unstable Reactives Water Reactives 10 Cryogenics 11 Highly Toxic or Toxic Materials 12 RadtOBCtiyes 13 Corrosives 14 Other Health Hazards PART n. SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS MANAGEMENT-DIVISION If the answer to eny of the questions is yes applicant must contact the County of San Diego Hazardous Materials Management Division 1265 Imperial Avenue 3rd Floor San Diego CA 92101 Telephone (6191 338 2222 prior to the issuance of a building department permit FEES MAY BE Yes No REQUIRED EAffTIII.SANP.lggp, Is your business listed on the reverse side of this (orm? II your business dispose of Hazardous Substances or Medical Waste in any amount? your business store or handle Hazardous Substances in quantities equal to or greater than 56 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 Substencea (Ca(ARP)? Will your business use or install a Hazardous: Waste Tank System (Thla 22 Article 10) fY AIR POLLUTIONS CONTROL"! CalARP Exempt / Date Initials CalARP Required Date Initials CalARP Complete 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 pnor 10 the issuance of a building department permit YES NO, 1 LJ^Er wl" 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 D D (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 12) as listed in the current Directory of School and Community College Districts published by the San Diego County Office of Education and i^-the current California Private School Directory compiled in accordance with provisions of Education Code Section 33190? 3 I I KT^oes the building or structure for which this permit is requested contain any fnable asbestos? Briefly describe business activity and proposed project l/Api£oVEMF5MT lA) Name of Owner or Authorized Agent u S!gna*u» ofiOwnarbr A ( xvm .gent Date i declare under penalty of perjury that to the best of my knowledge and belief the responses made herein aw true and correct FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY D8ta EXEMPT Ofl NO RfflTHSS INFORMATION REQUIRED COUNTY HMMO APCO RaeASeo fOfl SUH.OING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMMO APCD MUASEO fOR OCCUPANCY COUNTY-HMMO APCD County o/SsnOiego Department of-Environmental Health