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Home My WebLink About2177 SALK AVE; 190; CB072370; Permit10-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Commercial/Industrial Permit Permit No CB072370 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2177SALKAVCBADS* 190 Tl Sub Type 2120210300 Lot# $53 235 00 Construction Type Reference # SPEC SUITE 1521SF 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/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 $403 06 Meter Size $0 00 Add I Reel Water Con Fee $261 99 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $11 18 PFF (3105540) $0 00 PFF (4305540) $0 00 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $0 00 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 $968 88 $000 $000 $000 $000 $000 $000 $51 25 $3300 $000 $000 $000 $000 77 $1 729 36 Total Fees $1 729 36 Total Payments To Date $1 729 36 Balance Due $000 Inspector FINAL APR Date -12- PROVAL //9A7 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 no jim 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 Description ' Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel # 6PP1CE Existing Use Ex,l em 6FFIC& Proposed Use . (0 Description of Work (rf different from applicant) S SQ FT J52J 5 " #of Stories # of Bedrooms # of Bathrooms Name AP|LICANT ID Contractaiii Address xi City 0r Contractor j^Q Owner jS^gent for Owner State/Zip Telephone Fax # Name 4-. PROPERTY OWNER Address City State/Zip AVE Telephone # C.A Name Address City State/Zip Telephone # (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 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) JXiC ^flSl J>A^IMNJ cT SUITE, loo OM2£5S4-fc>cA $200% 7r0n-93/- Name State License # Address License Class City State/Zip City Business License # / Telephone # l/l/lf S Designer Name _ __ Address City State/Zip Telephone State License # ^Q^J^-*/ t£ WORKERS COMPENSATION ,j|f%M j> ?** 'w**f* ~" ~ ^ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~l I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company$TM^- O)WE>lS/Vne>.M tN5UttA*J£-fe ft)A)J> Policy No 0 Qfi%7(o6 -7 CTt>~l Expiration Date <M — Ol ~ Og~ (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 offvCaWornia s \ WARNING Failure to secure workers compansatipn coverage isVunlajwful ana shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to/the dqsroftorAWpnsati<y d^magesAis provided for in Section 3706 of the Labor^ojjji, injteTest_and attorney s fees SIGNATURE V^ \VVJ\ LlL^A ' DATE I hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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) C] 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) n 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~) YES I~1NO 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 BUILDING 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? fj] 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? D YES C] NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? fj 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 ADDRESS,LENDER S NAME 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 ep and demolition/or coVwtruction of structures over 3 stories in height provislWis of tLs Cod\ shall expire by limitation and become null and void if the building or work ^uch peWiit or iflthe building or work authorized by such permit is suspended or abandoned uilding Code) OSHA An OSHA permit is required for excavations over 5 0 EXPIRATION Every permit issued by the building Official unde authorized by such permit is not commenced within 180 days fro at any time after the work is commenced for a pawa-et80\davs APPLICANT S SIGNATURE DATE YELLOW Applicant PINK Finance ^_, l\ City of Carlsbad Bldg Inspection Request For 12/18/2007 Permit* CB072370 Title SPEC SUITE 1521SF Description Inspector Assignment PY Type Tl Sub Type INDUST Job Address 2177 SALKAV Suite 190 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 12/04/2007 39 Final Electrical 11/27/2007 14 Frame/Steel/Bolting/Weldmg 11/20/2007 84 Rough Combo 10/22/2007 17 I ntenor Lath/Drywall 10/15/2007 14 Frame/Steel/Bolting/Weldmg 10/15/2007 34 Rough Electric Act Insp Comments PA PY EMR AP PY T BAR OK NR PY AP PY AP PY AP PY IHU W WJ fitl CITY OF FftX NO 760 602 8558 P 03 Community Facilities District No 1 ier,NON-RESIDENTIAL CERTIFICATE Non Residential Land/v—, please read this option carefully and be cure you thoroughly understand the option* before signing. The option you chose will affect your payment of the developed,Special Tax assessed on your property this option is available only at the time of thirl(hit building permit issuance. Property owner signature is required before « building permit will be issued. Your signature is confirming the accuracy of all information sjtown ftp flM T*fo> r*t>Mir HAftSt, N«ne of Owner telephone M/C Addrea Project Addtew 9200 ft City Sttte Zip Code State Zip Cod* AiMMor i Ptreet NwnJw or APN ind Ut Numbet If not yM WtxlWdwJ by Coomy AtMiiar At cited by Onttunce No NS-155 ind ido}>M by tf» Cfty cf CwlsbAd, CtUfbreil, tk« City >« »uthoraed to tevy » Specid Tm n Comraumty Ftntifcw Duirirt No I All Mft-mUcMbl fitepttty upon Oe iuvinc« of • boOKnt pamdt Uufl K*v« 6* option to (1) p*y *• S>BClALDSVtLO>MlMTTAXONB TIME or (2) urnm thu ANNUAL SPECIAL TAX DEVELOPED PROPBRTy ft* a period not to txtte* t**ny-fiv« (25) yew. P|UM Indlcite your chote* by lnirtilfa| At ipproprtatt Us* below 1 «toet to p*y Ao SPECIAL T/ ' -. fi/ecfe| Ttt $_' OPtW)N(l) OPTION (2) I DO HEREBY CERTIFY UNDER PENALTY OP PERJURY THAT THBtOTOERSIONED IS TUB PROPERTY OWNBR OP THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL COMPLttWlTIf THB PROVISIONS AS STATED ABOVE I elect to (My dw SPECIAL DEVELOPMENT TAX ANNUA1 d, twmty>0y« (22) yem. Mtxfemn C+ Cf a«^ Owner**ImMilf Owara* tnitbli pcnod not to Ttx Tide D»t8 / The City of Carlibtd hu dot Independenily verified tike lnlbm»tion (hew« tbove, Tbereftre, we iccepl no 7 respowibility u to the tcoutcy.or concjIeteMu of ifali I&JbraMtioo. 6MSAf«MC LndUie FY Ftctot f^f^l^ ^/ C^tjflft} X Square ft SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY H# BP DATE. SA/M APCD Business Name Contact Person Telephone Mailing Address 1525 City Slats Zip ^Ag LS<&/\> Plan Fi/aA Site Address City (LA State Zip Plan File/P/PermltX PABTI. 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 items 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 0_xtdizers 9 Pyrophoncs Unstable Reactives Water Reactlves 10 Cryogenics 1 1 Highly Toxic or Toxic Materials 1 1 Radioactive; _ 13 Corrosives 14 Other Health Hazards PABT II. SAN DIEGO COUNTY DEPARTMENT OF ENVIROIMMEMTA1 HPftl TH HAZARDOUS M^TFFKALS MANAGEMENT DIVISION (HMMOI If the answer to any of the questions Is yes applicant must contact the County of San Diego Hazardous Materials Management Division 1265 Imperial Avenue 3rd Floor San Oiego CA 92101 Telephone (6191 338 2222 prior to the issuance of a building department permit 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 56 gallons 600 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 (CalARP)? Will your business Use or install a Hazardous Waste Tank Syatem (Title 22 Article 10) CalARP Exempt; Date Initials CalAHP 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 prior to the issuance of a building department permit YES NO 1 D & wl" the Intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control Distnct Permit Categories on the _ reverse side of this form? 2 Q LJ (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 1 2) ss 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 Code Section 33190? 3 I lyx Does the building or structure for which this permit is requested contain any friable asbestos? Briefly describe business activity and proposed project \ M IN Name of Owner or Authorized Agent Signatur - — I declare under penalty of perjury that to the best of my knowledge and belief the responses made herelN are t\i'e and correct FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION 8Y . . _ .. Date EXEMPT Oft NO RfflTH6ft INFORMATION REQUIRED COUNTY HMMO APCO HRMSeO TOO SUH.OINO P8RMIT BUT NOT f-OR OCCUPANCY COUNTY-HMMO APCD RELEASED FOR OCCUPANCY COUNTY-HMMO APCO County o( San Oiego Department ol-Enwonmente! Health