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HomeMy WebLinkAbout2177 SALK AVE; 195; CB072371; Permit10-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB072371 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2177SALKAVCBADSt 195 Tl Sub Type 2120210300 Lot# $124 355 00 Construction Type Reference # SPEC SUITE 3553SF 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 PY Plan Check* O~l S& Owner RIO SD PLAZA II MASTER LLC C/0 NEWPORT NATIONAL CORPORATION 1525 FARADAY AVE #100 CARLSBAD CA 92008 Building Permit Add 1 Building Permit Fee Plan Check Add 1 Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee < Renewal Fee /^. Add 1 Renewal Fee <^^ Other Building Fee Cr^ 'v Pot Water Con Fee <<Cv,i^ Meter Size _O M N^T ^ Add 1 Pot Water Con T^ee ••/' ^v Reel Water Con Fee / / / $680 25 $000 $442 16 $000 $000 $2611 $000 $000 J^> $000 w> $000 A/V> $0 °°\ Cy $000 <XT sg) $0 00 J -sX^ $0 00 .^C $000 v^ $000 $000 Meter Size Add I Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (31 05540) PFF (4305540) License Tax (31 041 93) License Tax (4304 193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $2 263 26 $000 $000 $000 $000 $000 $000 $51 25 $3300 $000 $000 $000 $000 9? $3 496 03 Total Fees $3 496 03 Total Payments To Date $3 496 03 Balance Due $000 Inspector FINAL APPROVAL Date /2//V07 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 Fa/lure 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 nght 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 PROJECT INFORMATION ain-E \45^ 211-7 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)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 Proposed Use Description of Work SQ FT #of Stories # of Bedrooms # of Bahrooms Name •jgrurpIN, u Address NT CD Owner! City t for Owner-* State/Zip Telephone # Name 4 ^PROPERTYOWNER*t*. Address T5Z& City State/Zip Telephone # 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)1 CJT suiTE-loO Name State License #If 62513 Address License Class &City State/Zip Telephone # City Business License # / "2- O 2, 3> 5<"( Designer Name Address " City State/Zip Telephone State License # "ot5OO _ fi WORKERS COMPENSATION -W" ^ 3*2"" -«^^^-.m^ ^ ^ ^^^^ 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 pij^ 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 ~jf/\ Insurance Company f)TftTE. G0MPEA/SAnO/O |A>5U£MCg P^jhcy NO QbOp / (bQ~Z^OC>~7 Expiration Date D/~ QI^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~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 California^ S \ WARNING Failure to secure workers compensation.coverane is linlawflul and\shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the coslsofActompwisation jdamages as provided for in Section 3706 of the Labor crfde mttfrest_and attorney s fees SIGNATURE f \rXJ\A UijA/y / DATE ~^ ~"^ WL OWNER BUILDER DECTpBlTiqN Jt? [ ' -„ ^~ 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) 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 Q YES l~lNO 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 COMPLETE THIS SECTION FOR /VOA/-/?£S/OBV7Mi BUILDING PERMITS ONLY %=-" T 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? [H 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 O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES CD 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 f* APPLICANT CERTIFICATION , ^-5% ~~"'"""" «^ "" , ^ ~^ 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 stones in height EXPIRATION Every permit issued by the building Official unner 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 commenc8tfw/itFfli'U80V%s from the date of such oerffntxpr if the building or work authorized by such perpiit is suspended or abandoned at any time after the work is commenced f^r a penoaxQj\^da^\(Secliqy\ 106 4 ^niforrji Building Code) APPLICANT S SIGNATURE V DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/18/2007 Permit* CB072371 Title SPEC SUITE 3553SF Description Type Tl Sub Type INDUST Job Address 2177SALKAV Suite 195 Lot 0 Location OWNER RIO SD PLAZA II MASTER LLC Owner RIO SD PLAZA II MASTER LLC Remarks Total Time Inspector Assignment PY Phone 7605356201 Inspector Requested By DEWIE Entered By CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date 12/04/2007 11/27/2007 10/25/2007 10/22/2007 10/17/2007 10/17/2007 10/17/2007 10/04/2007 Description 39 Final Electrical 14 Frame/Steel/Bolting/Weldmg 17 Interior Lath/Drywall 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric 21 Underground/Under Floor Act PA AP AP AP AP AP AP AP Insp PY PY PY PY PY PY PY PY Comments EMR TBAR SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE Hit BP DATE SAM ONLY I - 1 APCD Business Name Contact Person, g£XL lr)T 3 501TE m Telephone Mailing Address 1525 FARADAY City tJUiTP State Zip /^AgL-Sg^. Plan Fife/? Site Address 2117 ArVE City 0-A State Zip Plan File#/Permlt# PART I. FIRE DEPARTMgNT HAZARDOUS MATERIALS -MANAGEMENT DIVISION. OCCUPA.N.rv rl ASSIFICATIQN 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 2 Compressed Gases S Organic Peroxides 3 Flammable or Combustible Liquids 6 Oxidizers 7 Pyrophoncs 10 Cryogenics 8 Unstable Reactives 11 Highly Toxic or Toxic Materials 9 Water Reactives 12 Radioactive? 13 Corrosives 14 Other Health Hazards PART n. SAN DIBGO COUNTY DEPARTMENT OF ENVIRONMENTAI HEALTH .HAZARDOUS .MATERIALS MANAGEMENT DIVISION IHMMDI. 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 Diego CA 92101 Telephone (619) 338 2222 prior to the issuance of 8 building department permit FEES MAY BE REQUIRED Y88x—r, Is your business listed on the r«v«rse 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 6 Hazardous Waste Tank System (Title 22 Article 10) PART III. SAN DIEGO COUNTY AIR POLLUTIONS CONTROL CalARP Exampt Date Initials (jj CalARP Required Date Initials CalARP Complete Date Initials If the answer to any erf 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 CD 3. Wi" the Intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control Dlstnct Permit Categories on the reverse side of this form? 2 LJ LJ (ANSWER ONLY IF QUESTION 1 IS YES ) Will the subject facility be located within 1 000 faet 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 the current California Private School Directory compiled m accordance with provisions of Education Code Section 33190? Does the building or structure for which this permit is requested contain any fnable asbestos? Briefly describe business activity and proposed project Name of Owner or Authorized Agent __ I declare under penalty of perjury that to the best of my knowledge and bellaf the responses made herein are wue and correct FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY Df „ EXEMPT OP NO FURTHER INFORMATION REQUIRED COUNTY HMMO APCD RH.EASSD FOR 8UK.OING PIRMIT BUT NOT FOR OCCUPANCY COUNTY-HMMO APCD REL8A«D FOR OCCUPANCY COUNTY-HMMQ APCO CouniyofSanOiego Department o/-Ertwonmen&l Heallh IHU W b8 fill CITY OF CARSLBftD FftK HO 760 602 8558 P 03 Community Facilities District No 1 NON-RESIDENTIAL CERTIFICATE Non-Residential Land/uwner, 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, Special Tax assessed on your property this option u available only at the dine of theftrst building permit issuance. Property owner signature is required before a building permit will be issued. Your signature Is confirming the accuracy of all information shown 1l*o N«ne of Owner Telephone ' / •2. no/ Addreu 9200 A City Stale Zip Code Cfty Steto V\ AiMitor i Pireet Nnwlw or APN ud Let Number if not y«t tobdWdwl by County AtMuw ByUdtaf PemM MaaMi) |>MtAi cited by Ordteuce No N3-155 wd ado)>ltDd by KM City of C«bb*d, CtU/bmo, du Cily K tutfaorued to levy * Spmiil Tn n Conwnumty FtnhtiM DUnwt N« 1 Att Boft-tMUcMUl l»teptrty upon dw finance of • fmfldfef parmJf, itttH h»v« d» optkw to (1) p«y dw SPlClAi DtVMX>PMlKT TAX ONB TIME or (2) umm th* ANNUAL SPECIAL TAX . DBVEtOPBD PROPERTY ft* a period not to exceed r*tnr/-fiv« (25) ytm. PtuM indicito your chotet by Inidittftf ttw «|iproejrillt UM below- OPTION (I)t «(M4top«yti* SPECIAL T Ooa-Tirw SpecW Tax 1 u ft one-rim* p»>iwn( Amoontof Owncti tnitiU* OPtlOH (2) I elect to pay the SPECIAL DEVELOPMENT TAX ANNUA exceed- tiwgty-nve)^ (25) yem. I DO HEREBY CERTIFY UNDER PENALTY OP PERJURY THAT pcnod not to SpetUl T« >ERSKJNED is THEI W • ••MTM0M* %*M*^*»* » WIIVftM* «U« **•*«• • Wl * b*W \JW+ • • iff* • 1 I T ilTTf |TtLT> fTmUl T JZU 10 i RD PROPERTY OWNER OP THE SUBJECT PROPERTY AND THAT t UNDERSTAND AND WILL SIONS AS STATED ABOVE, Till* The City of Carlibid hu dot Independently verified tae Infomtftion <kew« tbov* Thweftre, we tccefK oo or eotr^lettnai o/itiii i&lbnaltiaa. <ajfi95 X S^rtftLtaAlha FY ta* 2/71 IP Commercial Industrial PROGRESSIVE ELECTRIC CO 2978 WAHUPA RANCH RD ESCONDIDO CA 92029 PHONE (760) 741 1593 FAX (760) 480 6624 LIC 469198 To CITY of CARLS Date 1Z.-01-2.D07 Atten Re BRAD P« £ Progressive Electric Co Lie # 469198 Installed the main distribution located at Progressive Electric Co has met the manufacture specifications on torque ratings during the coarse of installation The manufacture is CliTUgR 14AHME£and the bolt size 3/8 20ft Ibs This letter is to confirm that the distribution was installed with a torque wrench per all manufactures specifications If you have any furt estions or comments please contact me at 760 801-0092 Kevin Pattersdfi VP^ P Progressive Electric Co 2978 Wahupa Ranch Rd Escondido CA 92029