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HomeMy WebLinkAbout2210 FARADAY AVE; 110; CB090647; PermitCity of Carlsbad _., 1635 Faraday Av Carlsbad, CA 92008 04-20-2009 Miscellaneous Permit Permit No: CB090647 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2210 FARADAY AV CBAD St: 100 MISC Subtype: OTHER 2121205500 Lot#: 0 $0.00 ABLATION-UNDERGROUND PLUMBING ONLY-PREPARE FOR Tl PERMIT CB090347 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: TSIA CONTRACTING INC. 4350 EXECUTIVE DR SUITE 301 FARADAY POINTE-CA LLC C/O JEANNE ALLEN SAN DIEGO 92121 858-784-3650 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE PO BOX4900 SCOTTSDALE AZ 85261 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspect~· Clearance: ISSUED 04/20/2009 RMA 04/20/2009 04/20/2009 $65.00 $0.00 $0.00 $65.00 $0.00 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 fpllow 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. eit9 of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 · 760-601-2717 tf 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS 4 - c?-;)./ 0 Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS CCC.GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS {SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES D NO D YES D NO D CONTACT NAME (If Different Fom Appllcant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ~~ CONTRACTOR BUS. NAME 7S,<J ADDRESS Jv;:F/5 :!)IJ-~?t:J/ LO J(.vJZ ~ t/tf IA.I, ADDRESS 9 ..S'-:Jf' w/,f f" 176 STATE ZIP ZIP C<J. ~,;;. ,:;._/ FAX _j/ -; ~Ji;!"" Jf ¥-6J /Sec. 7031.5 Business and Professions Code: Any City or ( ficensed J)Urmant to the provisions of the Contractor"s Li Section 7031.5 by any applicant for a permit iubjects which requires a permit to construct, alte~ imp demolish or reP,air any structure, prior to its issuance, also requires the aP,plicant for such rermit to file a signed statement that he is Chapter 9, commending with Section 1000 of · · of the Business and Pro1essions Code} or that he is exempt there from, and the basis for the alleged exemption. Any violation of to a civil penalty of not more than five hundr s {$500}). . :m-@ill~~).tt~~ · ~®trftv~~~<Al'u'O@,G!• ,, ,,> ,,', :·:..,.:. '" v,, ,, i ', '', ',,, ,, '•' ', ::--V '' •, .·: ··.· ··:·, ·-:· ,,,-,,, ','-.,:,: "" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 requirP,y Section 3700 o~e Labor Code, for the performance <f~~ ~ wip this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. Q;()Tb CLJpvf .,7,,/.£'.. p,:Ytv.!} PolicyNo. 2/ · 'O Expiration Date/-/'i:l)lD This section need not be.completed if the permit is for one hundred dollars ($100) or less. D 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 is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compe~~~ 3706 oft~de, intere~t and attorney's fees. PS CONTRACTOR SIGNATURE · // / . DATE y' ·_20.., 69' ·r£>~1~i@w~ibt!Jo\1i.!/@in-0r=1~u:,;;1i.n~vl!@t.u~· ;,;, ,,,, <. ,,, ,~; ,.. ,',, " ?,,', .. ,. ~ > ' , __ , ,---,',-" ,,)-· . • <, ·" . ' >' . ' I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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 improv~s 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). 0 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). 0 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. OYes ONo 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 I phone I 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 I address I phone/ 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 I phone/ type of work): . PS PROPERTY OWNER SIGNATURE DATE "iteit.uJ 1Pii,ilHr§ v i~oi $3'@<s'di.i @Q.l i?'$C& 11€>Rl'~ rP@~o0ixl'i:{tv1Jt:)1t ·m~q~~·ir~®,.:tP@rum:Ov~i '' ,, ®~:Q,)J', ' ,, ''" < '" ... 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? OYes ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYes ONo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes ONo 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. . €© ti) ~\1 l!H!:f@ti'0-@.1t~1 Q,fjf~) ©I.Hi:© @©gw@r/ ,, ., ';<;' ,. ' ~ '" . ' ',," '' .. ,,:-: ," ' 'h ,,,,, ,,,._,, ~ , , -? '' ,, , ' , :, 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 .-~, ----~---, . "., ,,. ,---'' ,. ' ,> ~ a> i:v,f.h th.s, 1JJ.t~ 1r 2@llrfr1Jt?ti<i::t~ti'iJtvm · , ~-',• . , '• , , " ' --, ,. ,' <, ::-·,' , ' 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 authortze representative 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 permitissued by the Building Official under 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 commenced within 180 days from the date of such permit or if the building or work authortzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). PS APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 08/27/2009 Permit# CB090647 Title: ABLATION-UNDERGROUND PLUMBING Description: ONLY-PREPARE FOR Tl PERMIT CB090347 Type:MISC Sub Type: OTHER Job Address: 2210 FARADAY AV Suite: 100 Lot: Location: OWNER FARADAY POINTE-CA LLC Owner: FARADAY POINTE-CA LLC Remarks: can you final? Total Time: 0 CD Description Act Comments Inspector Assignment: TP Phone: Inspector. L Requested By: CHRISTINE Entered By: CHRISTINE 29 Final Plumbing £ ________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection History Date Description Act lnsp Comments 04/30/2009 24 Roughrropout AP TP 1 & 2 FLR RESTROOMS 04/27/2009 21 Underground/Under Floor AP TP 04/20/2009 21 Underground/Under Floor AP TP 1 ST FLR RESTRMS Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: 8157A01 Date Printed: 6/1/2009 CARLSBAD, CA 92008 Project Name: MEDTRONIC ABLATION FRONTIERS, LLC CARLS 2210FARDAY AVE. Client: INTEGRATED PROJECT MANAGEMENT, LLC. A Set No.: 9-00510 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 5/27/2009 6X 12 28.27 28 6/17/2009 6X 12 28.27 28 6/17/2009 6X12 28.27 28H 6/17/2009 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By: PAT SIMMONS Location: ELEV ATOR PIT WITH COLUMN AT ENTRANCE Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS300T31 Ticket No.: Water added at Site: gal. By Cement Type: Mix Time: 90 Remarks: Distribution: CITY OF CARLSBAD-BLDG INSPECTION DEPT. INTEGRATED PROJECT MANAGEMENT, LLC. **LAB COPY** min. CARLSBAD, CA . Load Strength Type of (lbs.) (psi) Fracture 82,900 2,930 Shear ASTM C172 Date Sampled: 5/20/2009 Date Received: 5/21/2009 Concrete Temp: 70 Ambient Temp: 64 °ದF ASTM C1064 °ದF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: 8157A01 Date Printed: 6/1/2009 CARLSBAD, CA 92008 Project Name: MEDTRONIC ABLATION FRONTIERS, LLC CARLS 2210FARDAY AVE. Client: INTEGRATED PROJECT MANAGEMENT, LLC. A Set No.: 9-00469 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 5/8/2009 6X 12 28.27 28 5/29/2009 6X 12 28.27 28 5/29/2009 6X 12 28.27 Specified Strength: 4,000 PSI Sampled By: JOSH HOFFMAN Location: GRADE BEAMS -GRID LINE E, E.5, E.25 / 2 -2.5 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS400P41 Ticket No.: 6592234 Water added at Site: 10.00 gal. By CONTRACTOR Cement Type: Mix Time: min .. Remarks: Distribution: CITY OF CARLSBAD-BLDG INSPECTION DEPT. INTEGRATED PROJECT MANAGEMENT, LLC. **LAB COPY** 6840PSI CARLSBAD, CA . Load Strength Type of (lbs.) (psi) Fracture 140,880 4,980 Shear 196,640 6,950 Shear 189,970 6,720 Shear ASTM C172 Date Sampled: 5/1/2009 Date Received: 5/4/2009 Concrete Temp: 65 Ambient Temp: °ೂF ASTM C1064 °ೂF ASTM Cl064 Slump: 4.00 in. ASTM C143 T{$ted.at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A