HomeMy WebLinkAbout2385 CAMINO VIDA ROBLE; 208 | 209; CB900588; PermitPERMITBUILDING
04/17/90 11:11
Page l of 1
Job Address: 2385 CAMINO VIDA ROBLE Str
Permit Type: COMMERCIAL TENANT IMPROVEMENT
Parcel No: 213-050-37-00
Valuation: 12,388
Construction Type: NEW
Occupancy Group: Class Code:
Description: REMODEL SUITE #209
Permit No: CB900588
Project No: A9000693
Development No:
Fl: Ste:
4843 04/17/90 0001 01 02
C-PRHT 595-00
OWNER : HARSHBARER CONST
5928 PASCAL CT
CARLSBAD, CA
*** Fees Required **«!.*>»*%
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
Enter 'Y' to Auto
* BUILDING TOTAL
Enter "Y" for PI
Enter "Y" for Elect
Other
* ELECTRICAL TOTAL ($
Enter 'Y' for Mechanic
Lie
Status: ISSUED
Applied : 04/11/90
Apr/Issue : 04/17/90
Validated By: JPY
438-1159
.ected & Credits ***
.00
94.00
595.00
Ext fee Data
144.00
94.00
2.00
434.00 Y
674.00
N
5.00 Y
10.00 REMODEL
15.00
N
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
FINAL APPROVAL
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Pal mas Dr., Carlsbad, CA 92009 (eigj 438-nei
•RMIT TYPE s"^ ]
A -/QfOMMERCIAL QNEW -X£] TENANT IMPROVEMENT
- D INDUSTRIAL DNEU QTENANT IMPROVEMENT
c - DRESIDEHTIAL DAPAHTMENT QCONDO DSIHGLE FAMILY DUELLING
DDUPL.EX OOEMOUTIOK DISLOCATION QWHILE HOME
DMECHANICAL \^POOL DSPA QBETAIMING WALL DSOLAR
DADDITJON/ALTERATION
94-00
.KJAddressed Envelope
EXISTING USE
BLDG. SO. FTG.# OF STORIES
3. CONTACT PERSON
HAME CANVWD S/VDA #-107
D AGENT FOR CONTRACTOR
ADDRESS
6. CONTRACTOR
NAME
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
STATE LIC. *_LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE
DESIGNER NAME
CITY
7. WORKERS'COMPENSATION
TITLE
ADDRESS
STATE ZIP CODE
DATE
DAY TELEPHONE STATE LIC. #
Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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
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.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATIONOwner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's license Law for the following reason:
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 sate
(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.).
I, as dwner 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).
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 [$5001).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESJPEHTJAL 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 DHO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES DNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES QHO
IF ANY OF THE AHSUERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAT HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET Oft IS MEETING THE REQUIREMENTSOF THE OFFICE Of EMERGENCY SERVICES AW THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30°?(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
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. 1 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 UAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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
work authorized by such permit is not commence^ within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
abar doned at any time after the work^ia-ronmenced for a peric$Lof 180 days (Section 303Cd) Uniform Building Code).f*?*^> \ _^er€>J ' *
C / ^\~T^KTOWNER nWNTRACTOR DBY PHONE MqWilgP:S*iAPPLICAI T IGNATUftEw
WTE:File YELLOW: Applicant PINK: Finance
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER:
PROJECT NAME: _
ADDRESS: _
90-588 DATE:
RECEIVED
5-17-90
1 ft
2385 Camlno Vlda Roble Suite f&tt
PROJECT NO.:
TYPE OF UNIT:
UNIT NUMBER:
CTI NUMBER OF UNITS:
PHASE NO.:
CONTACT PERSON:.
CONTACT TELEPHONE:.9«2-«1*0
Bldg, Fir*
INSPECTE
BY:
INSPECTE
BY:
INSPECTED
BY:
DATE ^
INSPECTED: O"
DATE
INSPECTED:
APPROVED
APPROVED
APPROVED
DISAPPROVED
DISAPPROVED
DISAPPROVED
COMMENTS:
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
INSPECTION
DATE 'l INSPECTOR
PERMIT i C&W&SISB PANCK #
JOB ADDRESS
TIME ARRIVE: TIME LEAVE:
CD LVL DESCRIPTION ACT COMMENTS
PERMIT* CB900588
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/23/90
DESCRIPTION: REMODEL SUITE #209
TYPE: CTIJOB ADDRESS: 2395 CAMINO VIDA ROBLEAPPLICANT: JONES, JENNIFERCONTRACTOR:OWNER: HARSHBARER CONST, co
REMARKS: T2/MH/TERESA/942-6160
SPECIAL INSTRUCT:
STR:PHONE: 438-5191
PHONE:
PHONE: 438-1159
INSPECTOR
INSPECTOR AREA MC
PLANCK* CB900588
OCC GRP
CONSTR. TYPE NEW
FL: STE:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
051790 Final Combo
051690 Final Structural
051690 Final Electrical
042790 Interior Lath/Drywall
042690 Frame/Steel/Bolting/Welding
042690 Rough Electric
042490 Rough Electric
042090 Frame/Steel/Bolting/Welding
042090 Rough Electric
041890 Frame/Steel/Bolting/Welding
041890 Rough Electric
041890 Rough Electric
ACT
CO
CO
CO
AP
AP
CO
NR
NR
NR
PA
CO
CO
INSP
MPC
MPC
MPC
MPC
MPC
MPC
MPC
MPC
MPC
MPC
MPC
MPC
COMMENTS
FIRE NDS TO OK
SEE COMMENTS 5-16-90
SEE COMMENTS 5-16-90
SWITCH LEG STILL NDS GRND
REINSPECTION
BX NOT ACCEPTED PER CITY CODE
GRND WIRE IN ALL FLEX RUNS
PERMIT* CB900588
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/16/90
DESCRIPTION: REMODEL SUITE #209
TYPE: CTI
JOB ADDRESS: 2385 CAMINO VIDA ROBLE
APPLICANT: JONES, JENNIFER
CONTRACTOR:
OWNER: HARSHBARER CONST. CO
REMARKS: T2/MH/TERESA/942-6160
SPECIAL INSTRUCT:
STR:
PHONE: 438-5191
PHONE:
PHONE: 438-1159
INSPECTOR
INSPECTOR AREA MC
PLANCK* CB900588
OCC GRP
CONSTR. TYPE NEW
FL: STE:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
39 EL Final Electrical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
042790 Interior Lath/Drywall
042690 Frame/Steel/Bolting/Welding
042690 Rough Electric
042490 Rough Electric
042090 Frame/Steel/Bolting/Welding
042090 Rough Electric
041890 Frame/Steel/Bolting/Welding
041890 Rough Electric
041890 Rough Electric
ACT INSP
AP MPC
MFC
MPC
MPC
MPC
MPC
MPC
MPC
AP
CO
NR
NR
NR
PA
CO
CO MPC
COMMENTS
SWITCH LEG STILL NDS GRND
REINSPECTION
BX NOT ACCEPTED PER CITY CODE
GRND WIRE IN ALL FLEX RUNS
2560 ORION WAY
CARLSBAD, CA 92008
TELEPHONE
(619)931-2121
PROJECT
ARCHITECT
OWNER
OCCUPANCY
^DO/C
foA
Cat? of Carlibab
FIRE DEPARTMENT
PLAN CHECK REPORT
ADDRESS
ADDRESS
ADDRESS
CONST.*J TOTAL SQ. FT
PAGE 1 OF_/_
APPROVED
DISAPPROVED
PLAN CHECK#
Jt
PHONE *-/ "^
PHONE
STORIES
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
1.
2.
3.
5.
6.
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets
Provide two site plans showing the location of alt existing fire hydrants within 200 feet of the project.
Provide specifications for the following:
>rinklerj) stand pipes, dry chemical, halon,
SfTolnstaliatlon.
Permits are required for the Installation of all fire protection systems'
COa, alarms, hydrants). Plan must be approved by the fire department
The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
fUf=#A i X
The following fire protection systems are required:
^G- Automatic fire sprinklers (Design Criteria: /T^
D Dry Chemical, Halon, CO* (Location:
D Stand Pipes (Type:
D Fire Alarm (Type/Location:
7. Fire Extinguisher Requirements:
"^ffl One 2A rated ABC extinguisher for each(c2£X}£2_ sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed £5 feet of travel.
D An extinguisher with a minimum rating of to be located:
E Other:
8. Additional fire hydrant(s) shall be provided .
EXITS
9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
10. A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit and
doors
11. EXIT signs (6" x 3A" letters) shall be placed over all required exijts and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
13. Bullding(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
14. Additional Requirements. '.
.15. Comply with regulations on attached sheet(s).
"P,an Examined
Report mailed to architect , Met with
Date-
's..Attach to Plans
SAN DIEGO AIR POLLUTION CONTROL DISTRICT
9150 CHESAPEAKE DRIVE, SAN DIEGO, CALIFORNIA 92123-1095
(619)694-3307
AIR POLLUTION CONTROL QUESTIONNAIRE
New State law, effective July 1,1989, (AB 3205, Chapter 1589. Statutes 1988) requires that an applicant for a building permit
provide information indicating whether a permit is required from the Air Pollution Control District This law further
prohibits a City or a County from issuing Certificate of Occupancy unless a business has complied with provisions of the law
that are administered by the Air Pollution Control District. ...
The new law also imposes additional permitting requirements for a facility within 1,000 feet of the outer boundary of a school
(K thru 12).
To determine whether your business is subject to these new requirements, please complete this questionnaire.
Business Name (DBA) _ \
2.^?^ £AMvKD VfC¥\ ICO6»ME
Mailing Address u *• —
Street Address of Proposed Facility
YES: NO:
D IS 1. Will the intended occupant in;
City
City
stall or use an
Contact Person Phone -.
State Zip '
— U ^— — M .
Zip
iy of the equipment listed on the Listing of Air PC
^|- 14-U-"!
>Hution Control
D
District Permit Categories?
(IF ANSWER TO 1 IS YES APPLICANT MUST CONTACT THE APCD DIRECTLY)
2. (Answer only if the answer to 1 above Is YES) wm the subject facility be located within 1000
feet of the outer boundary of a school (K thru 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 provisions of Education Code Section 331907
Briefly Describe Nature of thef IntendecJ J3ysjness Activity.
Of
Name of Owner or Authorized Agent:Title
Signature orOwner or Authorized Agent:
\ f ,- \ perjury that to the best of
YA^- \^ (f Date^nnj \ ^responsesmadehereinare
T 7 ^ t ' ' true and correct
I declare under penalty of
srjury that to the best of .
y knowledge and belief the
Building Inspection Flan File No:
Initials.
APCD use only
STATUS:
EXEMPT FROM APCD
PERMIT REQUIREMENTS
Confirming Stamp
APPROVED FOR ISSUANCE
OF BUILDING PERMIT, BUT
NOT FOR OCCUPANCY
Confirming Stamp
APPROVED FOR OCCUPANCY
(APCD Authority to Construct Issued)
Confirming Stamp
trf jgfent
DEPARTMENT OF HEALTH SERVICES
HAZARDOUS MATERIALS MANAGEMENT DIVISION
For Office Use Only
H
(619) 338-2222
BUILDING DEPARTMENT
QUESTIONNAIRE
(Si nesses which handle, store, or dispose of hazardous substances will be required to provide a chemical inventory and a basic emergency
asponse plan before a certificate of occupancy can be Issued. This plan called a "Business Plan" will become a valuable tool aiding
/ou, your employees, and emergency responders should an emergency occur at your business.
Certain hazardous substances called "Acutely Hazardous Materials11 may require a more detailed emergency response plan known as a "Risk
Management and Prevention Plan" (RHPP). If your business handles Acutely Hazardous Materials and will be located within 1,000 feet of
the outer boundary of a school (1C thru 12) you may be required to prepare an RHPP before a building permit can be issued.
A definition of hazardous substances and a list of Acutely Hazardous Materials are available at the Hazardous Materials Management
Division (HMMO) or your local building department. To determine if your business needs to submit an emergency plan, please complete
this questionnaire.
Business Name (DBA)Telephone
YES NO
1. t 12. []
3. 1 3
4. t ]
5. M
6. [ I
Is your business type listed on the reverse side of this fora?
ufll your business dispose of Hazardous Substances or Medical Wastes In any amount?
Will your business store, or handle Hazardous Substances In quantities equal to or greater than 55 gallons,
500 pounds or 200 cubic feet of compressed gas?
Will your business use an existing, or Install an underground storage tank?
Will your business store, use or handle carcinogens, reproductive toxins, or Acutely Hazardous Materials?
Uill your business be located within 1,000 feet from the outer boundary of a school and handle Acutely Hazardous
Materials?
If the answer to any of the above questions arc YES, your business Hill need to prepare an
questionnaire along with an application fee of S100.00 made payable to "COUNTY OF SMI DIEGO" to:
In person - 1255 Imperial Ave., 3rd Floor. San Diego, CA 92101.
By mail - P.O. Box 85261, San Diego, CA 92138-5261 Attention: Business plan'Review
(Questionnaires will not be accepted without an application fee.)
If all of the above questions are NO, return this questionnaire to your local building department.
Briefly Describe the Nature of the Business Activity or Process
rgency plan. Submit
Printed Name of Owner or Authorized Agent Title
I declare under penalty of perjury that to the
best of my knowledge and belief the responses
made herein are true and correct.
Signature of Owner or Authorized Agent
HHHD use only:
BUILDING INSPECTION DEPT,
PLAN FILE NUMBER
Init. _
EXEMPT FROM HNHD
PERMIT REQUIREMENTS
HNND APPROVED FOR BUILDING
PERMIT BUT NOT FOR OCCUPANCY
NMND REQUIREMENTS HAVE
BEEN MET FOR OCCUPANCY
CONFIRMING STAMP CONFIRMING STAMP CONFIRMING STAMP
THESE STAMPS INDICATE ACCEPTANCE BY HAZARDOUS MATERIALS MANAGEMENT DIVISION (HHMD) AND DO NOT DESIGNATE APPROVAL BY ANY OTHER AGENCY.
DHS:HN-972 (7/89)
f'rt
P.O,Bte'9fr" :
Eneiftitw, CA 'wow
JIAite 209
Fax 438-0209
•1TIMATI NO.
2385 VIda Robles. Carlsbad
01 j. /-__,.HOIM«KH Pi ant/COOK PAT*
1
2
3
4
5
6
7
8
tf
10
n
12
13
14
15
16
17
18
19
?0
21
?5
/
TRADE
ACOUSTICAL CEILING .
CARPENTRY
CARPETING
DEMOLITION
DOORS. & FRAMES
DRAPERY
DRYWALL
ELECTRICAL
FIRE SPRINKLERS
FLOORING
GLASS & GLAZIHG
H.V.A.C.
HARDWARE '
MILLWORK
PAINTING -. ,' . .
PLUMBING
WALLCOVERING
ARCHITECTURAL/ENGINEERING
FIELD LABOR
PERMITS
SITE WORK/LANDSCAPING
GENERAL CONDITIONS
^-^
COMMENTS 'I
Baplarp anrf ^p^Vr
Fxisting protect w/visqgpon, tnpCAt. new u/ti
(1) 4°x7 HUHB H/F timely
(1) ^°V7° H^HP pv»flfi+ +imaly
40' wall fyll helght/20-1?" wall patch
Dl"3? swi1irhfl5 HO^^J phonft 5+11^5 .
R^lnrat.P nnp head min rhArne
1*91 5tnrftf font ft 5^nrA *\f"°*r , ,• ^ „ <
Relocate 2 - nrovide 1 SAB
In doors and frames
Cabinets & countertops
New and existing complete
Suoervisor. proaressive & final cle'anuo
•STIMATED
?KO.?
c I7«s
525"
350
^1,600
1 ^?A
1^n
}gr
? 90^
9^SX
2.202
600
0
j^<?5
800
i*
#
^
^
ACTUAL
•
R, G. CONSTRUCTION CO.
P.O. BOX 941
ENCINITAS, CALIF. 92024
SUBTOTAL
"FEE
TOTAL '
I 10.772 I
i \
12.387.1