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Home My WebLink About2270 CAMINO VIDA ROBLE; K; CB051033; Permit05-03-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB051033 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2270 CAMINO VIDA ROBLE CBAD St: K Tl Sub Type: 2130504700 Lot #: $12,128.00 Construction Type: Reference #: SPEC SUITE K- ADA COMPLIANT ESTROOM.ADD 2 WINDOWS & 1 DOOR COMM 0 NEW SAN MARCOS, CA 92069 619-432-6677 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: 2270 CAMINO VIDA ROBLE LLC 685 TURQUOISE ST LA JOLLA CA 92037 ISSUED 03/25/2005 LSM 05/03/2005 05/03/2005 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $122.79 $0.00 $79.81 $0.00 $0.00 $2.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'l Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $283.15 Total Fees:$283.15 Total Payments To Date:$79.81 Balance Due:$203.34 BUILDING PLANS IN STORAGE ATTACHED 7349 05/03/05 0002 01 02 CGR 203-34 Inspector: FINAL Al Date: _L1 R Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fife, dedications, reservations, or other exactions hereafter collectively referred to as lees/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(3), 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, vokl, 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 2£Zo , ,OP K FOR OFFICE USE ONLY PLAN CHECK NO.<J& O S~ IP EST. VAL. Plan Ck. Deposit Validated By Date \M£A*JT Address (include Bldg/Suite Business Name (at this address) Legal Description Lot No.Subdivision Name/Number QffiCf. Assessor's Parcel #Existing Use &AnJJb>o+* Proposed Use OJF=79 ^ Description of Work Cif T #of Stories # of Bedrooms # of Bathrooms (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 napter 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 Kemption. 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]). Address License Class tfC. City 'State/Zip City Business License # -60 » Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q^ 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: Insurance Company fcj"^ift"f6 P\J fS& lUi) .ft^JfftfCif Policy No. OOl ^* lty(j Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS100I OR LESS) 0 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 Worke ts'Jta 111 [5UJ isstk> n Laws of California./^ ^w /WARNING: Failure to secure workers' comperynnlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), Atoddftion to thoAnit of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE_ " it- I^Jl +. DATE 7. OWNER-BUILDER DTCWftAJtON 1 hereby affirm that I am exffipt from the Contractor's License Law for the following reason: LJ 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). Q 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 contractors) licensed pursuant to the Contractor's License Law). D 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. O YES QNO 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 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? Q YES PJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES LJ 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 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 stories in height. EXPIRATION: Every permit issued by the bujjdwerunicial undBr^e pArlpions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenpeMitnin 180 days from ththoJMTof such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc/8 f^r^period.pt180 days (Sfljtmn 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE r**- DATE WHITE: File YELLOW: Applicant PINK: Finance City if Carlsbad Final Building Inspection Dept: Building Engineering Planning CMWD St Lite Fu Plan Check*: Permit #: Project Name: Address: Contact Person: Sewer Dist: Inspected A By: 6f Inspected By: Inspected Bv: CB051033 SPEC SUITE K- ADA COMPLIANT RESTROOM.ADD 2 2270CAMINOVIDA PHILIP CA ~ WINDOWS &1 DOOR ROBLE #K Phone: 7606440043 Water Dist: CA Date t I Inspected: "It ffl(&'l / Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 Approved: $~ Approved: Approved: 07/22/2005 Tl COMM Disapproved: Disapproved: Disapproved: Comments: City of Carlsbad Bldg Inspection Request For: 07/22/2005 Permit* CB051033 Title: SPEC SUITE K-ADA COMPLIANT Description: RESTROOM.ADD 2 WINDOWS & 1 DOOR Inspector Assignment: PY 2270 CAMINOVIDAROBLE K Lot 0 Type:TI Sub Type: COMM Job Address: Suite: Location: APPLICANT C.S.I. GENERAL INC. Owner: 2270 CAMINO VIDA ROBLE LLC Remarks: Phone: 7606440043 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: PHILIP Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/28/2005 84 Rough Combo 06/27/2005 14 Frame/Steel/Bolting/Welding 05/24/2005 17 Interior Lath/Drywall 05/16/2005 14 Frame/Steel/Bolting/Welding 05/13/2005 14 Frame/Steel/Bolting/Welding 05/13/2005 34 Rough Electric AP PY T-BAR NR PY LOCKED DOOR - NO ONE THERE AP PY AP PY AP PY AP PY Information To Build On tilting • Testing Page_l_of. INSPECTION REPORT PROJECT (Name). REPORT Building Permit No.*. Plan File No ~J Govt. Contract No. OSAorOSHPD#- Other ISr ' !?„• n^. 3" f i &ilu. Specialty |fe_ Mechanical fkL:, irNjrtrfoa.1 liiL- Roofing lilr- Concrete fc|_ MasonryiSf!- * tiL*- Struct Steel J|i_Prestress Cone &— Pile Driving I^L—Rreproofing Ip-.- Waterproofing jl^- Non-Destructive L|»_ Soils Technician k_ Batch Plant SjL_Bolt Pull-OutHft.' MATL SAMPLING QTY Concrete Cylinders Cement Mortar Samples Grout Samples Masonry Prisms Masonry Block Firepmofing Units (block or brick) Asphalt Concrete Roofing Reinf. Steel Steel H.S. Bolts Tendon (PT Strands) Other -#" Orhar/'yO^P'y Other MATERIAL DESCRIPTION Rinf.: Rehar Rinf.: W.W.F. Rinf.: Tendons Conr,.: Mix #/psi Conr.: Mix #/psi Conr r Mix tt/psi Grout: Mix #/psi Mortar: Type/psi Units: Blnnk Units? Brirk Steal H.S. Bolts Metal Decking FJartrndns Firpproofinq Othflr INSPECTION CHECKLIST Plan & Specs Positions Sizes Laps Futurn Continuity #/psi Consolidation Mortar Batching , ; ! ElectrodB Storage Torque Applied Corrective action required Corrwrtions co%iplB?riH 4 IFICATtON OF COMPLIANCE: To the best of our knowledge, a« of the reported work, unless otherwise noted, substantially complies with approved plans, ations and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin- or project control. PECTOR NAME PECTOR •-170(2) t>CERT. DATE- Information To Build On • Consulting • Testing |NSpECTION REPORT m«>;Pagej-Lof. jet Name (per plans). Inspection "^/« 2 ; EsGil Corporation In (Partners/tip vtitfi government for 'Buiftdry Safety DATE: 4/4/05 I3_AEEUQANT JURISDICTION: Carlsbad CJ PLArTREVlEWER Q FILE PLAN CHECK NO.: O5-1033 SET: I PROJECT ADDRESS: 2270 Camino Vida roble, Suite 'K' PROJECT NAME: Disabled Accessible Men's & Women's Rest Rooms The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: By: Chuck Mendenhall Enclosures: Esgil Corporation D GA D MB D EJ D PC 3/28/05 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 4 (858)560-1468 *• Fax (858) 560-1576 City of Carlsbad Building Department NOTICE OF REQUIREMENT FOR SPECIAL INSPECTION Do Not Remove From Plans Plan Check No. Job Address or Legal Description Owner You are 4ferefef^ ribLtiiffe$/'#iat in addition to the inspection of construction pro Building Department, an 'apfJroved Registered Special Inspector is required to provide continuous inspection- dtring the perfonnance of the phases of construction indicated on the reverse side of this sheet. The Registered! §pgc^ff^>ectpr shall be approved by the City of Carlsbad Building Department prior tofhejssuance of the building permit. Special Inspectors h aving a current certification from the City^fAS"anlj>iegG, -Los Angeles, or ICBO are approved as Special Inspector are in addition to the^inSpections normally required by the County Building Code. The inspections by a Special Inspector do not change the requirements for inspections by personnel of the City of Carlsbad building department. The inspections by a special Inspector are in addition to the inspections normally required by the County Building Code. The Special Inspector is not authorized to inspect and approve any work other than that for which he/she is specifically assigned to inspect. The Special Inspector is not authorized to accept alternate materials, structural changes, or any requests for plan changes. The Special Inspector is required to submit written reports to the City of Carlsbad building department of all work that he/she inspected and approved. The final inspection approval will not be given until all Special Inspection reports have been received and approved by the City of Carlsbad building department. Please submit the names of the inspectors who will perform the special inspections on each of the items indicated on the reverse side of this sheet. (over) i:\word\forms\buiiding\notice of requirement for special inspection.doc 1635 Faraday Avenue • Carlsbad, CA 92008-7314 Building Counter • (760) 6O2-2719 (760) 6O2-27OO • FAX (760) 602-856O FAX (760) 6O2-8558 SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION: £7/7°\K?A PLAN CHECK NUMBER:OWNER'S NAME: I, as the owner, or agent of the owner (contractors may not employ the special inspector), certify that I, or the architect/engineer of record, will be responsible for employing the special inspector^) as required by the Uniform Building Code (UBC) Section 1701.1 for the construction project located at the site listed above. UBC Secjiep 106.3.J A Signed _ I, as the architect/engineer of record, certify that I have prepared the following special inspection program as required by UBC Section 106.3.5 for the construction project located at the site listed above. Architect's/Engineer^_SejIjnd_Sigiatuje required: j\ Signed 1. List of work requiring special inspection: D D D D D 2. A. B. C. Soils Compliance Prior to Foundation Inspection D Structural Concrete over 2500 PSI D Prestressed Concrete 3§T Structural Masonry D Designer Specified D High Strength Bolting Expansion/Epoxy Anchors Sprayed-On Fireproofing Other Name(s) of individual(s) or firm(s) responsible for the special inspection listed above: fr pfU^yy «i* Lo CQfsJ^<J^ TA AJTC 3. Duties of the special inspectors for the work listed above: A. B. C. Special Inspectors shall check in with the City and present their credentials for approval pjjortg beginning work on the job site. Carlsbad O5-1O33 4/4/05 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1033 PREPARED BY: Chuck Mendenhall DATE: 4/4/05 BUILDING ADDRESS: 2270 Camino Vida roble, Suite 'K' BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN BUILDING PORTION NewRR Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) 250 cb Valuation Multiplier City est _ By Ordinance Reg. Mod. VALUE ($) 12,128 12,128 $122.79 Plan Check Fee by Ordinance Type of Review: Repetitive FeeRepeats Complete Review D Other r- Hourly D Structural Only Hour* Esgll Plan Review Fee $79.81 $68.76 Comments: Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER £g.DATE ADDRESS C&mmo RESIDENTIAL RESIDENTIAL ADDITION MINOR «$1OVOOO.OO1 TOANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGEFAIRE COMPLETE OFFICE BUILDING OTHBE PLANNER DATE ENGINEER DflTE Carlsbad Fire Department 051033 1635 Faraday Ave. Carlsbad, CA 92008 Plan Review Requirements Category: Date of Report: 03/30/2005 Building Plan Reviewed by: Fire Prevention (700)602-4660 Name: Address: City, State: C.S.I. General, Inc. 802 N. Twin Oaks Valley Suite 105 San Marcos CA 92069 Plan Checker: Job Name: Vacant Suite K Job Address: 2270 Camino Vida Roble Job#: 051033 Bldg #: CB051033 Ste. or Bldg. No. Approved The item you have submitted for review has been approved. The approval is based on plans, information and / or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. D Approved Subject to The item you have submitted for review has been approved subject to the attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. D Incomplete The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and / or specifications to this office for review and approval. Review FDJob* 1st ?nd 3rd 051033 FDFile# Other Agency ID CMN STRUCTURAL ENGINEERS PROJECT NAME:<^>*yVU/OT5> \A0A- . WALL CMN STRUCTURAL ENGINEERS PROJECT NAME: PAGE NO. BY: /. DATE: CMN STRUCTURAL ENGINEERS PROJECT NAME: 3PAGE NO. BY: d M DATE: CMN STRUCTURAL ENGINEERS PROJECT NAME: PAGE NO. BY: CM DATE: A /6 .. 5D POLICYHOLDER COPY COMPENSATION INSURANCE FUND P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF 'WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-01-2004 CITY OF SAN DIEGO BUILDING AND SAFETY 1222 FIRST AVE MAI 1ST AT I ON SAN DIEGO CA 92101 ^ SD 301 GROUP: O00046 POLICY NUMBER: 0014720-2004 CERTIFICATE !D: 24 CERTIFICATE EXPIRES: 08-01-2005 08-01-2004/08-01-2005 , JOB: '- ? This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer. We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not art insurance policy and does not amend,. extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. . ; AUTHORIZED REPRESENTATIVE PRESIDENT \ , EMPLOYER'S .LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.OOOJOOO.OO PER OCCURRENCE. EMPLOYER LEGAL NAME DBACKGROUND