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HomeMy WebLinkAbout2177 SALK AVE; 200; CB100577; Permit04-01-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB100577 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2177 SALK AV CBAD St: 200 MISC 2120210300 $0.00 Subtype: OTHER Lot #: 0 EISI-REMOVE 12 LF WALL BETWEEN 2 OFFICES LEAVING A 4" HEADER AND Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: WHITE CONSTRUCTION 2540 GATEWAY RD CARLSBAD, CA 92009 760-931-1130 ISSUED 04/01/2010 LSM 04/01/2010 04/01/2010 Owner: RIO SD PLAZA II MASTER LLC C/O NEWPORT NATIONAL CORPORATION 1525 FARADAY AVE #100 CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES INSPEC FEE ELECT $65.00 $20.00 $0.00 $85.00 Total Fees:$85.00 Total Payments To Date:$85.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. <^WN Building Permit A \\^^^X 1635 Faraday Ave., Carlsba ^y CITY OF 760-602-2717/2718 /"" A D 1 CD A 1^ Fax: 76°-602-85 CAKLODAU www.carlsbadca., "^ADDRESS^ s^ ^ ^ S^'vW ^00 CT/PROJECT# LOT* ' PHASE* # OF UNITS # BEDROOMS nnlirntinn Plan Check No. C^OOs^ppiication d, CA 92008 Est. Value /2/iy58 Plan Ck. Deposit m Date tf[, ,-£>/ ^T^rfvO SUITE*/SPACE#/UNIT# APN ' # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP • •• **r /*"» 17- •*•" « jET ZSZ /yf€ V DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) ujj &L<^zr EXISTING USE PROPOSED USE GARAGE (SF) CONTACTNAME (If DUff rent Fom Applicant)- n . , a p ADDRESS _ CITY . O STATE ZIP C-A V ^5 y) ci Ji_ £-A. 9 2.O O *? PHONE FAX , It-fJ EMAIL_ PROPERTY OWNER NAME ADDRESS / CITY STATE ZIPt? 2LXC'$? PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# CLASS CITY BUS. LIC.# ^S^/rS K 1202-380 (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: C] 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 js: 0^ I have and will maintain workers' compensation, as reguiredby Section 3700 of tteLabor Code, for the performance of the work for which this permit is issued. My workers' compensaL. number are: Insurance Co. ^Ar>St<T'e'r5 7^ yZfourQi *f{ C-oO ^^ <* <^*iqi No. l^^yfS^, Expiration Dale. '/ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify tFteUnthe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worttere' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up W one hundred thousand dollars (&100.000), in addition to the cost of compensation, dar|ages^,p/ovided for i/Secjtjjjn^Oe of the Labor code, interest and attorney's fees. J&$ CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). G 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 contrador(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ..Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone /contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE LlAGENT DATE THI'S.. s'f'e.fToiM Fp'W:,jii^^-'«*sJi>i;N.arfAiii.',Buiji.0iNc PE'trwTrs"' 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 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? a Yes a No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G Yes D No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I hereby aulhorize representative of the City of Cartebad to enter upon lie 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: Ar OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height it commenced within APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/04/2010 Permit# CB100577 Title: EISI-REMOVE 12 LF WALL Inspector Assignment. Description: BETWEEN 2 OFFICES LEAVING A 4" HEADER AND RELOCATE ELECT OUTLETS Type:MISC Sub Type: OTHER Job Address: 2177SALKAV Suite: 200 Lot: 0 Location: APPLICANT WHITE CONSTRUCTION Owner: RIO SD PLAZA II MASTER LLC Remarks: Phone: 760802487 Inspecto^ Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments 0 Requested By: JOEY Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ACORD. CERTIFICATE OF LIABILITY INSURANCE ^S-f PRODUCER Snapp 6 Associates Insurance Services, Inc. 438 Caraino del Rio So. #112 San Diego CA 92108 Phone:619-908-3100 Fax:619-908-3110 INSURED S.P. White Construction, Inc.Dba: White Construction5937 Darwin Court, Suite 100Carlsbad CA 92008 DATE (MMTDIVYYYY) 01/05/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATICS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A: Colony Insurance Co. INSURERS: Hartford rire Iniursrne. Co. INSURER c: RSTJI Indemnity Company INSURER tt Everest national xnauraooa Co. INSURER t: NAIC# 19682 COVERAGES MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . AGGREGATE UMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. IN5RLTR A B C D UX7LNSRC TYPE OF INSURANCE GENERAL LIABILITY X SBri COMMERCIAL GENERAL LIABILITY ~~| CLAIMS MADE |x | OCCUR «_ AGGREGATE LIMIT APPLIES PER: POLICY r~]jE& 1 ILOC AUTOMOBILE LIABILITY X X X — ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EXC X X ANYAUTO ESSAIMBRELLA LJABIUTY OCCUR | [ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEITJFUPARTNER/EXECimVE OFFICER/MEMBER EXCLUDED? If yw, describe underSPECIAL PROVISIONS botow OTHER POLICY NUMBER 6L950965 72UECKR7873 NHA224736 7600000885101 JT'.1'/^ .''•.. 'i'lSjiii''.'^^1' ii'ilj'BJ^^^^^^^B^Tn'^^^^^^^M 10/01/09 10/01/09 10/01/09 01/01/10 10/01/10 10/01/10 10/01/10 01/01/11 EACH OCCURRENCE UAKMUb IO RENthUPREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AOOREGATE PRODUCTS - COMP/OP ACS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY(P« accident} PROPERTY DAMAGE(PeraccWart) AUTO OI*.Y - EA ACCIDENT OTHERTHAN EAACC AUTO ONLY: ^^ EACH OCCURRENCE AGGREGATE « 1 Wl^&IAIUf- 1 |OlH-XlTORYLIMITS 1 1 ER EL. EACH ACCIDENT EL DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT $1,000,000 (100,000 $5,000 si, 000, 000 $2,000,000 $2,000,000 $ 1000000 $ * { $ $ *S 10, 000, 000 $10,000,000 $ $ $ $ 1000000 $ 1000000 $ 1000000 Be: Operations of the named insured subject to the terms and conditions of the policy. 10* days notice of cancellation in the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN City of Carlsbad NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL ISSS^aradav'^Avie' IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR Carlsbad CA 92008-7314 REPRESENTATIVES. AuriijiiOT-pyEpREstMyBME,. v j^*S T^CJ^S*^*^*^^-" ACORD 25 (2001/08)© ACORD CORPORATION 1988