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Home My WebLink About2270 CAMINO VIDA ROBLE; O; CB940369; Permit04/29/94 12:51 BUILDING PERMIT i Page 1 of i Job Address: 2270 CAMINO VIDA ROBLE Suite- t> Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 213-050-47-00 T ^ Valuation: 3,500 Construction Type: NEW Occupancy Group: Reference*• Description: ADD GROW ROOMS FOR MUSHROOMS Permit No: Project No: Development No: CB940369 A9400524 Appl/Ownr : WILKINSON, ROB 638 SUNSET DR VISTA, CA 92083 *** Fees Required *** 619-758-9704 Status: Applied: Apr/Issue: Entered By: ISSUED 04/06/94 04/29/94JPY ** * Fees : Adjustments: Total Fees: Fee description Fees Collected & Credits * * * 12^.00 .00 125.00 Total credits: Total Payments: Balance Due:t Fee/Unit Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL «\V *'/ Enter "Y" for Plumbing Issue Fe*eV\t> Enter 'Y" for Electric Issue Fee £ Enter "Y" for Remodel ^ v~> * ELECTRICAL TOTAL ^* Enter 'Y' for Mechanical Issue Fe®> .00 41. 00 84.00 Ext fee Data 63. 00 41.00 1.00 105 . 00 N 10.00 Y 10.00 Y 20 . 00 N I FINAL APPROVAL INSP 0. %Z HATF CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 -X&SnUUb ft* Q;'VJi 2075 las Pains Dr., Carlsbad, CA 92009 (619) 438-1161 XJgg^ I. PEKMT1 TYPE y"^r^T*"^ //~ -^ <f* For Residential Projects Only: From List 2 (see back) Rive Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION , / Address •y7~7T} OJ/W/^'0 Gr(D*4 Building or Suite No. >•> Nearest Cross Street^ c^*-*-/*. V ^/T'A^--' ^^£-)- PLAN CHECK NO. ^7 T — ^3^ [ JJ^LJ^FO -/^^Tft^CEST. vAfa^rTp-**^ <— <j; ^ ^~ PLAN CK DEKQT ^ ', fijl-- VAUD. BY ^X DATE t//X* / «?c/ I FOR OFFICE USE ONLY LLOAL DLbLRIP 1 ION Subdivision Name/Number Unit No.Phase No. LHLLK BLLCJW It bUBMll ILD: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE SQ. FT.# OF STORIES # OF BEDROOMS # OF BATHROOMS 3. (JUNIAL,! FtKbUH {u aiiierent rrom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICAN1 UCONlKACrOH NAME (last name first) CITY U AGtN 1 *OH LUN 1KALIOR ADDRESS ZIP CODE EftJWNhR Q AGENT FOR OWNER STATE DAY TELEPHONE ^/-<Sf7g 5. PROPERTY OWNER NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE 6. CONTRACTOR NAME (last name first) CITY ADDRESS STATE STATE LIC. # ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # DESIGNER NAME (last name first) CITY STATE ADDHhSS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSAI1ON Workers' Compensation Declaration: T hereoy affirm that I have a certificate or consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner :o the Workers' Compensation Laws of California. DATE Gr-f-SIGNATURE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I tiereoy attirm that I am exempt rrom the Contractors License Law lor the tollowing reason: K£-, 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.). D 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). D I am exempt under Section Business and Professions Code for this reason: (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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or thatjieis exempt-therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjectsfM appHcanrtA a civil penalty of not more than five hundred dollars [$500]). SIGNATURE Y [O^jfl^—, DATE COMPLETE •mis' SECTION FOR N ON-RESIDENTIAL BUILDING PERMITS OTJLY: 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 S. 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 B-NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES B NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby attirm that there is a construction lending agency tor the performance'or'tlie~work tor which this permit is issued [Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 1O. APPLICANT ChKllFILAIlON I certify that I have read the application and state that the above information is correct. 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 AGAfflST ALL LIABIIJTIES, 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 S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aBand^ned at atty time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE V It ,J/( DATE: V~6 '/</ WHITE: File YELLOW: Applicant PINK: Finance FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING PLANNING U/M WATER PLAN CHECK#: CB940369 PERMIT*: CB940369 PROJECT NAME: ADD GROW ROOMS FOR MUSHROOMS DATE: 12/16/94 PERMIT TYPE: CTI ADDRESS: CONTACT PERSON/PHONE#: MW/ROB SEWER DIST: CA WATER DIST: CA INSPECTED BY: ^INSPECTED BY: INSPECTED BY: DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: APPROVED APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED COMMENTS: CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB940369 FOR 12/19/94 DESCRIPTION: ADD GROW ROOMS FOR MUSHROOMS TYPE: CTI JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2270 CAMINO VIDA ROBLE WILKINSON, ROB PHONE PHONE PHONE INSPECTOR AREA PY PLANCK# CB940369 OCC GRP CONSTR. TYPE NEW STE: O LOT: 619-758-9704 REMARKS: RS/ROB/431-6978 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT! TYPE C0940001 COFO AS940051 ASTI STATUS ISSUED ISSUED CD LVL DESCRIPTION 39 EL Final Electrical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 101194 Rough Electric NR PY 090794 Interior Lath/Drywall AP PY 081194 Frame/Steel/Bolting/Welding AP PY COMMENTS PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEME PLAZA CAMINO REAL VILLAGE FAIRE OTHER r COMPLETE OFFICE BUILDING PLANNER DATE ENGINEER DATE / / C:\WP51\FILES\BLDG.FRM Rev 11/15/90 PLANNING CHECKLIST Plan Check No. 9*- 3 6 f Address Z~Z~7O Planner VAN LYNCH Phone 438-1161 ext. 4325 h a _J > (Name) APN: Type of Project and Use / JVtoA IWL//J91~- Zone P S\A Facilities Management Zone CFD (u Legend u o uV « VJC JC £u u us s s a. a. a. (It property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) Item Complete Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified D Environmental Review Required: YES DATE OF COMPLETION: TYPE Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES NOAC TYPE DATE:APPROVAL/RESO. NO. PROJECT NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval California Coastal Commission Permit Required: YES DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval City of Carlsbad 94087 Fire Department * Bureau of Prevention Plan Review: Requirements Category: Building Plan Check j Date of Report: Wednesday, ApriH3.1994 Reviewed by:_ Contact Name Rob Wilkinson Address 638 Sunset Dr City, State Vista CA 92083 Bldg. Dept. No. 94-369 Planning No. Job Name Choice Organic Mush Job Address 2270 Camino Vida Roble Ste. or Bldg. No. O_ [3 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 modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. 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 Disapproved - Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1 st 2nd 3rd Other Agency ID CFD Job* 94087 File* 2560 Orion Way * Carlsbad, California 92008 * (619) 931-2121 Hazardous Materials SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Management Division *r IM BIIII Business Name n Or A Contact Parson Telephone ^lan File*Mailing Address Citv State Zip Sue Address City State Zip Plan File* 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 following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. 1. Explosive or Blasting Agents 4. Flammable Solids 2. Compressed Gases 5. Organic Peroxides 3. Flammable or Combustible Liquids 6. Oxidizers 7. Pyrophorics 10. Cryogenics 8. Unstable Reactive* 11. Highly Toxic or Toxic Materials 9. Water Reactive* 12. Radioactive* 1 5. Corrosives 14. Other Health Hazards PART II: COUNTY OF SAN DlEGO HEALTH DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION: CONTINGENCY PLAN REVIEW: If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Management Division, 1 255 Imperial Avenue, 3rd Roor, San Diego, CA 92186-5261. Telephone (619) 338-2222 prior to the issuance of a building permit. FEES MAY BE REQUIRED Is your business listed on the reverse 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 Acutely Hazardous Materials? OFFICE USE ONLY | | RMPP Exempt Date Initials [H RMPP Required Data Initials ["") RMPP Completed Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92123. Telephone (613) 694-3307 prior to the issuance of a building permit. YES NO^ 1. [—l ^TjWill the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on the \ ' reverse side of this form? 2. |—I Q3 (ANSWER ONLY IF QUESTION 1 IS YES.) 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 provision* of Education Code Section 33190? BrTsfiy i OP Name of Owner or Authorized Agent CJ Signature of Ownefr or Aifthor>zed Agent: kdaclare under penalty of perjury that to tha best of my knowledge and belief the responses made herein are true and correct. S // / // /, / , / / ill 1 f it {Lji_^ I 1 4j --- _ Date: H~ \C Do not write Below thTsline FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY:Data: EXEMPT FROM PERMIT RCOumEMENTS COUNTY-HMMD APCO APPROVED FOR BUILDING PERMIT BUT NOT OCCUPANCY COUNTY-HMMD APCD APPROVED FOR OCCUPANCY COUNTY-HMMD APCD Enviromneoul HuUlh Service* DHS:HM-9171 (6/92) County of Su Diefo Dcfwtoxnt of Hcakfa Service* INDUSTRIAL WASTE DISCHARGE PERMIT APPLICATION CBNo, SENo. APPL NO._ IND. CLASS BUSINESS NAME SITE ADDRESS gZ7C CONTACT PERSON (at business). PHONE NUMBER £i ~*> ( -msss:^^^^^=s^^^^^^^^^^^^^=ss= Type of Business (check all that apply) ^^-Agricultural [ D Assembly [ D Automotive [ D Chemical Handling D Electronics DFood D Government D Laboratory D Laundry D Manufacturing D Medical D Metal Work D Office D Photo Lab D Retail D Service Station D Warehouse D Other DESCRIBE WASTE OTHER THAN DOMESTIC (Chemicals, Particulates, etc.) DESCRIBE BUSINESS ACTIVITY:0F GENERAL DESCRIPTION OF ONSITE WASTEWATER PROCESSING: (chemical & physical characteristics^ Is business presently in operation at site? EYES D NO Has Wastewater Discharge Permit been applied for through the Encina Water Authority? D YES Applicant's Name Title Phone Please Print Agency:. Signature:.Date Date Signature of City Representative D EXEMPT D NOT EXEMPT Date forwarded to Encina P:\POCS\N1SFQRHS\FRN00045 REV. 2/10/92 era D D D D MD STID nan Inclusionary Housing Fee required: YES (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Site Plan: Zoning: 1. Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensioned setbacks and existing topographical lines. 2. Provide legal description of property, and assessor's parcel number. Setbacks: CL Front: ^ Int. Side: ^ Street Side: / Rear: /M(^ 2. Lot coverage:f WC' 3. Height: <yC-^ 4. Parking: Additional Comments Required Required Required Required Required Required Spaces Required Guest Spaces Required Shown Shown Shown Shown Shown Shown Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE PLNCK.FRM