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Home My WebLink About2177 SALK AVE; 199; CB072372; Permit10-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB072372 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2177SALKAVCBADS* 199 Tl Sub Type 2120210300 Lot# $3 955 00 Construction Type Reference # SPEC SUITE 113SF 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 PlanCheck# OI 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 <5 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 $58 35 Meter Size $0 00 Add I Reel Water Con Fee $37 93 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $100 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 $71 98 $000 $000 $000 $000 $000 $000 $2000 $3300 $000 $000 $000 $000 9? $222 26 Total Fees $222 26 Total Payments To Date $222 26 Balance Due $000 Inspector FINAL AP Date Clearance NOTICE Please take NOTICE /at 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 FO*RMAfiONL- (LEAL- LOT 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 #Existing Use Proposed Use Description of Work SQ FT #of Stones # of Bedrooms # of Bathrooms CONTACT PERSONA different f1rort» applicant) ™* 111, *% 5 CgfrgoS AYE 5TUT>fO)7S OV Name Address City faotor O AgenffoBCor»tracW%^D Owner^Er^lnt for bvWt State/Zip Telephone # Fax # Name Address 4 _. PROPERTY OWNER I**" City State/Zip Telephone # AV£ Name Address J& CONTRACTOR COMPANY NAME"" * •< *ii ^ (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 appjjcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001) Name State License ft Address License Class City State/Zip City Business License # Telephone # Z-Q2 3^^-^ - CA Q Designer Name State License # «""""WORKERS COMPtNSAltoN Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 ~~&- — 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 toW^ Insurance Company "^TtxTf: f jQMP£Ai"S«asrb^ (A^UeANC^-olicy No Aflft?5~7C?C>-2--OC>T Expiration Date O\—O\~O ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) O 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—comDensatibA coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition tdsme tostW comWnsatiAn damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE V^VA VQw^-^ DATE %| 2£\0~1 /-**> „p7 OWNER'BUItDElDECLARAflON^** " ^, 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) F~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 C] YES 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 i tCOMPLETiTHIS SECTION fOJjJN&faflZSlDfNTJAl BUILDING PERMITS ONLY 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 [H NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES 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 NO 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 NAME LENDER S ADDRESS_ 9 "TxiPflCANT CERTIFK3VT15N 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 deep and demolition or construettqn of structures over 3 stories in height EXPIRATION Every permit issued by the building Official jjQder the provf^ons of thl^Cod/shall\xpire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 at any time after the work is commenced for a period of 1 APPLICANT S SIGNATURE ;h pei 4 4 Unil the building or work authorized by suoti permi Ode) DATE WHITE File YELLOW Applicant PINK Finance is suspended or abandoned (H- City of Carlsbad Bldg Inspection Request For 12/18/2007 Permit* CB072372 Title SPEC SUITE 113SF Description Type Tl Sub Type INDUST Job Address 2177 SALKAV Suite 199 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# Date 11/29/2007 10/25/2007 10/22/2007 10/17/2007 10/17/2007 10/15/2007 10/15/2007 10/04/2007 Inspection History Description 84 Rough Combo 17 Interior Lath/Drywall 17 Interior Lath/Drywall 17 Interior Lath/Drywall 24 Rough/Topout 14 Frame/Steel/Bolting/Weldmg 34 Rough Electric 21 Underground/Under Floor Act AP AP NR we AP AP AP AP Insp Comments PY CORRIDOR T BAR PY PY PY PY PY PY PY nm-n-«fi)OB IHU w !>8 fill CITY OF CARSGfeD FflX HO 760 602 8558 Community Facilities District No 1 NON-RESIDENTIAL CERTIFICATE Non Residential Land please read this option carefully and be cure you thoroughly understand the option* before signing. The option you chott will affect your payment of the developeoVSpecial Tax auetted on your property this option u available only at the dine of tj^e first budding permit issuance. Property owner signature is required before a building permit will be issued. Your signature Is confirming the accuracy of all information shown N«rae of Owner Telephone / / Addresi Project A4*nu CHy SMc Zip Code City Zip Cod. AiMMor i Pweel NundMT or APN vA Let Number if not y«t labdMdut by Coanty Astttior BuUdtafPemitNunitofi) , Ai cited by OrdJunee No NS-155 wtd adopted by d» Chy of CubbAd, CtUfbnut, *• CSty it tutfaoraed to tevy > Special Tw in Cwwnunrty F|ni\tiM DUtHei No 1 Att aott-tetUcMbl pteptrty upon (he I isvince of • bufldtog pwmH, duO b*v« «• optiM lo ( 1 ) j*y tta S>lCtAL D4V*LO?MBNT TAX ONB TIME or (2) UMM the ANNUAt SPECIAL TAX - DBVBLOttt PROPfiHTY fe* a period not to exceed t*tnty-fiv« (35) yetn. Pte*» Indleite your ehoJot by InllUliftf *• i^proprtatt UM below OPttON(l) OPtlOM(2) t «)Ml tn j*y tte SPECIAL T> One-Tiim 8peci»l Tu S_ Amoontof Owner < I «Jecf to p»y the SPECIAL DEVELOPMSKT TAX ANNUA exceed. twmty-Dv« (25) yein. Mttdmim S / Q». <Tf fl« , Owner'* ImHilf pcnod not to SpefekL Twc I DO HEREBY CERTIFY UNDE& PENALTY OP PERJURY THAT ItfBttJWfiftSIONED IS THE PROPWTY OWNBR OP THE SUBJECT PROPERTY AND THAT I UNDERSTAND AND WILL TH8 P>OyiSIONS AS STATED ABOVE Till* Dan The City of Carlibtd hu dot Independently verified Utt Infbtmfttion ri«w* »bov», Therefor*, we iccefrt no responribdtty u to the tcoaatw^or ijomplettntsi of ihU InfbnMtioe. FY Ftrtot « , 0 - 106) SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY BP DATE. SA/M APCD Business Name - LOT 3 Contact Par SUITE :SEFF SR\J65E/\V Telephone -42.82 Mailing Address 1523 City tiUiTE Stats Zip fO\|gL-S£>M> Plan File* Site Address 2117 City State Zip Plan File*/Permlt# 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 follow/Ing hazardous materials If any of the rtems are circled applicant must contact the Fire Protection Agency with Jurisdiction prior to plan submittal 1 Explosive or Blasting Agents 4 Flammable Solids 7 2 Compressed Gases 5 Organic Peroxides 8 3 Flammable or Combustible Liquids 6 Oxidizers 9 Pyrophoncs Unstable Reactives Water Reactives 10 Cryogenics 11 Highly Toxic or Toxic Materials 12 RadioBctives 13 Corrosives 14 Other Health Hazards PABT II. SAM DIEGO COUNTY DEPARTMENT OF ENVIRONMENTS! HI=ALTH. HAZARDOUS VATPBIALS MANAGEMENT DIVISION 1HMM01. If th« 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 1619) 338 2222 prior to the issuance or a building department permit FEES MAY BE REQUIRED Yae No Is your business listed on the reverse side of this form? 2 rj g*- Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3 LJ S Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 eallons 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 (CalARP) ? Will your business use or install e Hazardous Waste Tank System (Title 22 Article 10) CalARP Exempt Date Initials CalARP Required Date Initials Q CalARP Complete Date Initials If the answer to any of the questions Is yes applicant must contact the Air Pollution Control District 3160 Chesapeake Drive San Diego CA 92123 Telephone '(858)650-4550 prior to the issuance of a building department permit YES NQ 1 D S Wl" **» 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 D D (ANSWER ONLY IF QUESTION 1 IS YES I 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 ,, the current California Private School Directory compiled in accordance with provisions of Education Code Section 33190? 3 l~l J*L Does the budding or structure for which this permit is requested contain any fnable asbestos? Briefly describe business activity and proposed project OFFICE IN Name of Owner or Authorized Agent PlBHE^__ I declare under penalty of perjury that to the best of my knowledge and belief the responses madfe herelN are tKi'e and correct FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION 6Y . Date. EXEMPT Ofl NO RJRTH6K INFORMATION REQUIRED COUNTY HMMO APCD RREASeO FOfl 9UH.OING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMMO APCD REUAKO FOR OCCUPANCY COUNTV-HMMD APCD County oi&anOtego Department of-Environmental Health