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HomeMy WebLinkAbout2282 FARADAY AVE; MULTI-PERMIT FILE; CB020822; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-20-2002 Miscellaneous Permit Permit No: cso2oa22 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2282 FARADAY AV CBAD MISC 2120613300 $2,000.00 ISIS PHARMACEITICALS Subtype: OTHER Lot#: 0 DEMO NON BEARING WALLS & CEILING Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/20/2002 MDP 03/20/2002 03/20/2002 Applicant: GOOD & ROBERTS INC. ~f;~~ARMACEUTICALS INC .12% 03/20/0;? fiOO? 01· 02 CGP 80.00 1090 JOSH.UA WAY VISTA, CA 92083 619-598-7614 2280 FARADAY AVE CARLSBAD CA 92008 \ Total Fees: $80.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES lnspe~tor: --z;z;;;z Total Payments To Date: PERMIT FINAL APPROVAL Date: 1/1(/25 $0.00 Balance Due: $80.00 $0.00 $0.00 $80.00 $80.00 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. FOR OFFICE USE ONLY <PERI\OIT APPLICATION PLAN CHECK NO. f) L,-s z._'2.- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 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 Stories # of Bedrooms # of Bathrooms '.?i · ·;~~ffiifi~:t~~ · r /Vt/N ~elrf~ ~71/p CA 59c?--2wi Ckc/Ck ~ Z....Je:o Ccei.f"RA:tl er o,s:m Name Address City State/Zip Telephone# Fax# ~a. :;·:~!'.P~ic~r,if: ··o c9otr~1;Mr ~'.TI. Ag~~nt tq(Gontr~ctol : J?":ow&;r· .~ :D Agei-;i tor owner ,Z:-u?' ~ce8drlret.r '2,,2-9~ 8)4M>4>-A& Name Address City ; (?hiS' 4'Ae ,, State/Zip Telephone# Name Address City S,tate/Zip Telephone# ·s.' -, -C:dijtAACTOR. ·cq:MMNYNAMEi ,, ·-. - (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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). <'coo ,..,_. /«&m :?:Ac< z:szc, c.ou.zeAJ er CA.xm CA J9f:-26':'Y'. Name Address City State/Zip Telephone# License Class--~/_] _____ _ State License # -~J.,_,,2'--#J._,_,~'>~:>~,.. .... 1 __ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ~~/', \'VOR~eJ;tS"k'¢Ql\'1PEN,~4TJbN·# ~:---,,, -~, -" _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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© 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: J Insurance Company r~ M,ftvlJ Policy No. '3 J 4. J--o } Expiration Date / O -I -o C:... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 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 ompensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE: ______ ,L:.k,.;&~~~~::::::=:::___________ DATE ..J -~(1 -0 l.,. ~i.,.. ,, 'P.WNEfl"ijUJ~Q!:J:3 PEQl,J:\RAJIOIIF , I hereby affirm that I am exempt from the 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 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). 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. D YES 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 / 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 -----------!q<;iMPt;:J:'E;'IHIS S.l,:CTiON'FQa NON4iESIDEN,TIAL BUitliiNG\P!:;RM!TS O!'ll:Y , 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? 0 YES O 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. fa;· _,,.qO,NSTRl.J_CTl~l'Ft"eNt?!N_G AG'E!\ICY, , , _', . . , '" --· -,._ -, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS _______________________ _ ;~., -AP,P,tl<;:Aij'f: C!;RTIFICATi9N .: , , ,,,,_, ' ,,,,, '~, ' '" ~ ~, ,_, , 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 Citt 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 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 authorized 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). APPLICANT'S SIGNATURE ~~ W~YELLOW: Applicant PINK: Finance DATE __ ..,.]'---'U='----=-<J....:'Z-=----- City of Carlsbad ·s1dg Inspection Request For: 01 /W2003 ~ Permit# CB020822 Title: ISIS PHARMACEITICALS Description: DEMO NON BEARING WALLS & CEILING Type: MISC Sub Type: OTHER Job Address: 2282 FARADAY AV Suite: Lot 0 Location: APPLICANT GOOD & ROBERTS INC. Owner: ISIS PHARMACEUTICALS INC Remarks: Total Time: CD Description Act 19 Final Structural AL 29 Final Plumbing f 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs Inspection History Comment Date Description 12/04/2002 89 Final Combo Act lnsp Comments NR TP Inspector Assignment: TP Phone: 6195204048 Inspector:~ Requested By: BOB Entered By: CHRISTINE I GOOD&R0-01KDB DATE (MM/DD/YY) ACORD TM CERTIFICATE OF LIABILITY INSURANCE l 10/3/2001 PRODUCER (858) 541-2900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION · --~.norsdale Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE Cf;RTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ug S. Galloway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4909 Murphy Canyon Road, Suite 510 COMPANIES AFFORDING COVERAGE COMPANY State Compensation Insurance Fund San Diego CA 92123-A INSURED COMPANY B COMPANY Good & Roberts, Inc. C 2320 Cousteau Court COMPANY I Vista CA 92083-8346. D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ·PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co TYPE OF INSURANCE POLICY NUMBER LTR GENERAL LIABILITY ~ COMPREHENSIVE FORM - PREMISES/OPERA TIO NS -UNDERGROUND -EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPER '. -CONTRACTUAL -INDEPENDENT CONTRACTORS ~ BROAD FORM PROPERTY DAMAGE ~ PERSONAL INJURY AUTOMOBILE LIABILITY ,-ANY AUTO ' C ALL OWNED AUTOS (Private Pass) I ALL OWNED AUTOS I (Other than Private Passenger) -HIRED AUTOS -NON-OWNED AUTOS - GARAGE LIABILITY -I ; EXCESS LIABILITY R UMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ RINCL 33-345-01 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER ' DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS '10 days nolice of cancellation provided if for nonpayment of premium• All ::iperanons of the named insured as certificate holders interest may appear. CERTIFICATE HOLDER City of Carlsbad Purchasing D 2075 Las Palmas Drive Carlsbad CA 92009- POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) BODILY INJURY OCC s BODILY INJURY AGG s PROPERTY DAMAGE OCC $ PROPERTY DAMAGE AGG s Bl & PD COMBINED OCC $ Bl & PD COMBINED AGG s PERSONAL INJURY AGG $ BODILY INJURY s (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE s BODILY INJURY & PROPERTY DAMAGE s COMBINED EACH OCCURRENCE s AGGREGATE s s x11,;~n~¥;, I jOJ~- EL EACH ACCIDENT s 1,000,000 10/1/2001 10/1/2002 El DISEASE -POLICY LIMIT s 1,000,000 EL DISEASE -EA EMPLOYEE s 1,000,000 -- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ·- ACORD 25-N (1/95) ~CORDJ;('.'.)RPORA TION .1988 ·-:.· ,, .. :<·~;f •' CHY Of Carlsbad ~ : Final Building Inspection J "'"\.i'OI'" 't Dept: Building Engineering Planning CMWD St Lite FJte Plan Check #: Date: 11/07/2002 Permit#: CB020822 Permit Type: MISC Project Name: ISIS PHARMACEITICALS Sub Type: OTHER DEMO NON BEARING WALLS & CEILING Address: 2282 FARADAY AV Lot: 0 Contact Person: BOB Phone: 6195204048 Sewer Dist: CA Water Dist: CA ~;:pee~~~ Date 11/ t(12---/Disapproved: __ Inspected: Approved: Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ................................................................................ , .......................................................................... . Comments: ______________________________ _ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-02-2002 Miscellaneous Permit Permit No:CB020005 Building Inspection Request Line (760) 602-2725 Job Address: 2282 FARADAY AV CBAD MISC Permit Type: Subtype: OTHER Status: ISSUED 01/02/2002 MOP 01/02/2002 01/02/2002 Parcel No: 21~0613300 Lot#: 0 Applied: Valuation: $6,000.00 Entered By: Reference #: Plan Approved: Issued: Project Title: ISIS PHARMACEUTICALS Inspect Area: ADD DOOR TO ELEC.RM.,ADD WALL UPSTAIRS Applicant: Owner: ISIS PHARMACEUTICALS 1Na947 01/02/02 0002 01 CGP 2280 FARADAY AVE TAK CONSTRUCTION STED 1497 E VALLEY PARKWAY 92027 760 781-4000 CARLSBAD CA 92008 ,_ Total Fees: $120.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 PERMIT Inspector:~~-- FINAL APPROVAL Date: ,(/4f/41 Balance Due: $120.00 $120.00 $0.00 $0.00 $120.00 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 capacliy 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 02 120.00 .._ I PERM~T APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 tl't),C:lr6'N':{ifit~;ir'~ 0 ~ 11' q rf :"· q' FA ti Al !~A 11 SJ- Name Address City %:-?· .11:1:-N1:--·:::cr'~fi~:D'A',t~-jnjjr~:-o;iffe~,;-.fii,;g_ent't;itier .AO Name Address City Name Address City :.5, "CQ.11.{TRAGTO!l.• COMPANY<NAME License Class _,,,B....__~"---~='----- FOR OFFICE USE ONLY PLAN CHECK NO. t::,L--00 S EST. VAL Ccc:90-0 Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ # of Bathrooms .r r f .. 7, z -t .'I (l7J, ii//()/) t 'J/H,/ '/)/U,t')/ c,4 C/2 /7,J State/Zip Telephone # Fax# 'ti). 60 '13 l C/7d7) State/Zip Telephone# S.tate/Zip Telephone# Designer Name Address City State/Zip Telephone State License # _________ _ ~~t _ .. WOJlJ{~l;\S~':'1COMP.~NSATl,ON', -, , , "· ----,~, -~---------'y'r" """ " - Wor)ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [ii( 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. 0 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 ;;.?l:!).P!nsatio insurance carrpr and policy number are: Insurance Company _~===-=~==<1..~::CL-~=---------Policy No .. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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 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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE. _______________________________ DATE _________ _ t1i ' ~QWN!:,R-~!-'!JlQ,gJJ D!:QJ;;ARAT!Qlit. _ . . .. _ . _ . .. I hereby affirm that I am exempt from the 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 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). 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. 0 YES 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 / 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 _________ _ 'J1QMl>'(~ttrHI$' SECTic;>N,, FOR' NQN:RESID.ENiiAfBUll;DJ~ij,P,EijMits' ONl:v' .. : Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials r~~tion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? ~ YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES ~O Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~ 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. t4i.'.J~9,NS!liU91'.19.l\l'.t~ND~N~-M€N_CY' '. ·"~:·::_. ~-.:_.·~ - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _ '.~:.,: . ·.AeP~ICl:\NT:.'·Cl;l'lJ!flPA.llON' - 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 Cit\' 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 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 authorized 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}. APPLICANT'S SIGNATURE ________________________ _ DATE ____________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT AP.PLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ____ _ EST. VAL. __________ _ Plan Ck. Deposit---------,~= Validated By ______ ___,.._...:...:..___ Date. ____ _.:,~1-+c"""-,f--Y-....C.=- Address (include Bldg/Suite #) -Business Name (at this address) Legal Description -Assessor's Parcel # Lot No. Subdivision Name/Number Existing Use Unit No. Phase No. Total # of units Proposed Use SQ, FT. 1:.-1j U)r,.,I.J '~ #of Stories c01-1P /) _ ! of Bathrooms '.cUrf/4 t0 /4() \~:. ..COt,IJ' AC:l; fER$0r-.! (if iliffeter:it.from applicar:i.t) . State/Zip Name Address City State/Zip Telephone# Name Address Telephone# :s, ··-9oij'f13Ac;TQJL-'C'QMPAN'i:r,1AiiiiE-.... '.' :· . --·; (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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone# State License# _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ :1:{;:·:·wo!l'RERS''CON!Pf:'N's.A:t1-0rr., ·: .. ·.:· ·---''. "'"' ..... "' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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____________________ Policy No .. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.______________________________ DATE _________ _ :{•. :·.QWij,Efl~B\/l~Qt;W.DEQJ.ARATIQ(f • ' .. .. ' • . C I hereby affirm that I am exempt from the 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). 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). 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. 0 YES 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 / 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 _________ _ [CQMPL'.EJ;E .THIS SECT:IQN. FORN,,;iN,RESIDENi/A~ el;IitDiNG PERMI'.(~ '9ri14v : . 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 O 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IFANY 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. ;a:,:-:·~oNSTRUCTic;>Ni.~jipJN<fAG'~NCY . ·: .... "" .. '. ~-··:::~·, :. :-/ I hereby affirm that there is a construction l~nding agency for the performance of the work for which this permit is issued (Sec. 3097(i} Civil Code}. LENDER'S NAME ----------------LENDER'S ADDRESS _______________________ _ c ~ ;-· Al?PLl,CAJ\lt Gl:Jl'.flFIC'ATJON, . . . 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 Citt 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 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 authorized 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). APPLICANT'S SIGNATURE ________________________ _ DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB020005 Date Inspection Item 01/22/2003 19 Final Structural 06/20/2002 89 Final Combo 06/18/2002 89 Final Combo 06/17/2002 89 Final Combo 06/11/2002 19 Final Structural 04/25/2002 19 Final Structural 04/24/2002 89 Final Combo Wednesday, January 22, 2003 Type: MISC OTHER Inspector Act TP AP TP AP TP NS TP NS PD CA TP co TP NR ISIS PHARMACEUTICALS ADD DOOR TO ELEC.RM.,ADD WALL UPS Comments OK TO FINAL PER TIM PHILLIPS 2ND FLR DOOR, ONLY 1 ST FLR IMPROVEMENTS DELETED SEE NOTICE ATTACHED NEED PLANS, CARD Page 1 of 1 City of Carlsbad Bldg Inspection Request For: 06/17/2002 Permit# CB020005 Inspector Assignment: TP --- Title: ISIS PHARMACEUTICALS Description: ADD DOOR TO ELEC.RM.,ADD .WALL UPSTAIRS Type:MISC Sub Type: OTHER Job Address: 2282 FARADAY AV Suite: Lot 0 Location: APPLICANT TAK CONSTRUCTION Owner: ISIS PHARMACEUTICALS INC Remarks: Total Time: Phone: 6195204048 Inspector: ..k..- Requested By: BOB Entered By: KAREN CD Description Act Comments 0,_p'-f ~ ~ Al JlL_ zJ ~tdL--,;/)olJ L--~ 1 .ff ~ut-~.~.o~tl'J()ZeJ?' 19 Final Structural J 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lnsQection History Date Description Act lnsp Comments 06/11/2002 19 Final Structural CA PD 04/25/2002 19 Final Structural co TP SEE NOTICE ATTACHED 04/24/2002 89 Final Combo NR TP NEED PLAM~, CARD • Citv of Carlsbad · Final Building Inspection Dept: Building Engineering Planning CMWD St Lite~ Plan Check #: Permit#: C8020005 Project Name: ISIS PHARMACEUTICALS Address: 2282 FARADAY AV Contact Person: WAYNE Sewer Dist: CA Phone: 7605190705 Water Dist: CA Date: 04/24/2002 Permit Type: MISC Sub Type: OTHER Lot: 0 ·························································································································································· lnspectede By: . ~ Date '(/ :i.-/4 Inspected: ;J O 2... Approved: L/ Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ........................................................................................................................................................... Comments: _____________________________ _ l B U I L D I ~ G P E R K I T Cl 1:, / i l I ~I j 1 I) : 5 ·~. f?d.tjE· i (1 £ l .)'-,t, A·'l<:~[<::·ss: 2...:,:,::.: FARADAY A\/ Permit Type: MISCELLA~EOUS l:'i,:CC<.::·l i\o: ;~l2-Ut,J.-j3-ll0 Valuation: ,J <~'c,nst rue ti (,n Type: NE1V ::,ui te: Lot#: uccupancy Group: R,;;-f erenc::::·#: Description: DEMO CONCRETE/VEGETATION PER : K£LLEY Appl/Ownr: ISIS PHARMACEUTICALS 2Z92 FARADAY AVENUE CARLSBAD, CA 9200t:,-·· ···· _,.,,.. ,,,,,., -' }'L(1J:.:'Ct 7\'.t_,: J\'·J,.~!;~t•t.,,~-, [>t,:>V1::-lc1pf1::'L t 1., ·: 2716 06/.1.1/$'3 0001 01 02 C-PRMT 23aO{;c Ar·P J.:. <?d : ApL' /.:;: s ;:; w::c• : U ,:, / .i l , ' :.' 3 Er1t<2re .. 'i ~·.v; Fee:.:: Required , ~--• / , ./~ , >,, V -• ;:::..~-...... -~"-... .:'.lo ... ,.. .-.,, --~ ,.... ' • . , "', . .:. . . f,:,:r>,;,., ,t _,_I,~cted L• t-reJ;.t.:, .. 1-.1 -------------------------¼--/ ,' Fees: Adjustments: 4 .~ .. ! ? ' Total Fees: 25.vn ---~ ,~--~ .. > ~ --'.,. ___ / "-'.,,,,{~,, --~------------------~------ \ ' l~, r, . , ' . . . rI'~:;t2tl p~ \itr,en t . .=:: , .B.:ilance' .Du,;: r, (1 .. .., .. 2 5 • (: !) F•.:>t::l description · · ·· · · -. . ·_ ·. Un,tt:s ,. ;::,is:;=-/:vn ~~ Ext f,?,:-D.:;:::a. -----------------------·--------~ ..... ~-'--~·:::;~~<;<,-,, ----/~,~--' ---------------------- Miscellaneous Fee #l ~ > 2t4bo 25.00 KE~LEi ,, i•HSCELLAi-;EOUS TOT.AL-.· , 1. 0 2S.1:0 \ ', \ ,< "': ,· '-:",~ :- ,'-, /' 1 t L .. t ." '•. f JI \ \.. 1:1'·1·, '.· '-s,,: ,I y ),_ ._ _ _jl \ :-,.-:J; I _,,,, A APPROVAL INSP. ~=---DATE 1f#/2i CLEARANCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PEIU.1IT APPUCATION PLAN CHECK NO. f>~~_:$ ?3 City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL'------------PLAN CK DEPOSIT _______ _ VAIJD.BY __________ _ I. PERMII l'YPR A -D Commercial B -D Industrial 0 New Building D Tenant Improvement D New Building D Tenant Improvement DATE C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Horne D Electrical O Plumbing D Mechanical D Pool O Spa D Retaining Wall D Solar D Other ____ _ 2. PRQJECf INFORMATION o. nit No. CHECK BEIDW IF SOBMII IEb: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSES DESCRIPTION OF WORK ~\T\"Cl-.::> SQ. FT. ;;/;fl_(O • # OF STORIES ISON (u dmerent from apphcan0 NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICAN1 NAME D CON l'MC'IOR Li AGEN'l FOR WN l'RACIOR ADDRESS Li OWNER Li AGENT FOR OWNER CITY STATE ZIP CODE DAY TELEPHONE 5. :~ER:li' oWNRll ~:P? pH~~:[l°CA-L.> 2,wz f74;f2AOA"t A.vrz. _ STATE l'A ZIPCODE4Zt0B DAYTELEPHONE 6_iG\-4::,l-z_,~, REss&,;;,"3> C:\~ W\Cl,( 'Pe.. ~ ~ \-Z-0 STATECA. ZIP CODEC,2-('22.. DAY TELEPHONE 8..°l-'3'9.1-7D10 STATE IJC. # CITY BUSINESS IJC. # DESIGNER NAME IJCENSE CLASS ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. WORKERS' w.MPENSAIIDN Workers' Compensation beclaratlon: I hereby affirm that I have a certificate of consent to self-msure issued by the Director of lndustnal 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 POIJCY NO. EXPIRATION DATE ceruhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNRll-BOUDER DECL\RA'11oN owner-Builder Deciarat10n: I hereby affirm that I am exempt from the Contractor's Llcense 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.). 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 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 a civil penalty of not more than five hundred dollars ($500]). SIGNATIJRE DATE COMPLETE THIS sECndN FOR NON-RESIDENTIAL 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? DYES 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? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF THE ANSWERS ARE YFS, A FINAL CERTIFICATE OF OCCUPANCY MAY Nor BE~ AFfER JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUlllEMENTS OF THE OFFICE OF EMERGENCY SERVICFS AND THE AIR POU.UTION OON1ROL DISllUCT. 9. UJNsnlOCltON rnNDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V11 Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCANT CIDltflllcA'nON 1 certify that I have read the apphcatlon and state that the above mforrnation 1s correct. I agree to comply with all City ordmances 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 CTlY OF CARLSBAD AGAINST All. UABILITIES, JUDGMENTS, CDSTS AND EXPENSES Wl-IlCH MAY IN ANY WAY ACX:lUJE AGAINST SAID CTlY IN OONSEQUENCE OF THE GRANTING OF 11IlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of strucrures over 3 stories in height. Expiration. Every permit issued by the Building~1cialtnder the provisions of this Code shall expire by limitation and become null and void if the building or work authorized)>¥,su~~s no comm need within 365 days from the date of such permit or if the building or work authorized by such permit is suspendeg_..e£ a~¢01fed at fo.y t' e afte the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPIJCANTS SIGNA: DATE: _____ _ File YELLOW: Applicant PINK: Finance -< ~