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Home My WebLink About2470 FARADAY AVE | 6200 EL CAMINO REAL; ; CB072883; Permit11-10-206'7 Job Address: Permit Type: Parcel No Valuation: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB072883 Building Inspection Request Line (760) 602-2725 2470 FARADAY AV CBAD MISC 2090402800 $10,000.00 BECKMAN COULTER, BLDG 2 Subtype: OTHER Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: WALL EXTENSION, PLUM & ELEC FOR SWAT EQUIPMENT Owner: ISSUED 11/16/2007 MOP 11/16/2007 11/16/2007 SMITH CONSUL TING ARCHITECTS STE 200 HAGAMAN FAMILY SURVIVORS 1990 TRUST 11-07-90 12220 EL CAMINO REAL SAN DIEGO CA 92121 (858) 793-4 777 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: / / l lnspecto~: $189.00 5320 EL CAMINO REAL CARLSBAD CA 92008 PLUM, ELEC PERMIT Total Payments To Date: $189.00 FINAL.1PPRQV,l\Ld Date: I ,:;_ · ,5 ~ DI Balance Due: Clearance: $59.00 $130.00 $0.00 $189.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 76.0-1302-2Y17 I 2718 / 2719 Fax: 760-602-8558 Building Permit Application EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS GARAGE (SF) ZIP ZIP STATE UC.# PATIOS (SF) ADDRESS CITY PHONE EMAIL STATE UC.# Plan Check No. Est. Value Plan Ck. Deposit Date FIREPLACE YESD #_ NO D STATE FAX CLASS AIR CONDITIONING YES D NOD ZIP CllY BUS. UC.# FIRE SPRINKLERS YES D NOD /Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construe~ alteri improve, demolish or rtP.air any structure1 prior to ill issuance, also rtquim the ippliant for such permit to file a signed statement mat he is ricensed ..1mr1uan1 to 1he provisions or the Contractor's Lice111e law {Chapter 9, commending with le<tion 000 or Division 3 or the Business and Pro!ffsions Code} or that he is exempt thertlrOffl, and the bas11 for the aUegtd mmption. Any violation or Section 7031.1 by any applicant for a permit sub~cu the applicant to a civil penalty of not more man flYe hundred dollan {SSOO}). Workers· Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this penmit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonmance of the work for which this penmit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date---------- This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this penmit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. R$ CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or 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 lhe 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. O Yes O No 2. I (have I have nol) signed an applicalion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5 I will provide some of lhe work. but I have contracted (hired) lhe following persons lo provide the work indicaled (include name I address I phone I type of work): R$ 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? 0 Yes O No Is the applicanl or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes O No Is the facility to be constructed within 1,000 feet of lhe outer boundary of a school site? D 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. . I certifytl1atl have read tl1e application and state that tl1e above info1111ation is correct and tl1at tl1e information on tl1e plans is accurate. I agree to complywitl1 all City ordinances and State laws relating to building construction. ~ereby authorize representative of the City of Cal1sbad to enter upon ntioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPEN MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permij is required for excavations <Ner 5'0' mon or construction of structures r:Ner 3 stories in height. EXPIRATION: Eveiy permit issued by the Building Offic" · ions of this Code shall expire by limitation and become nul and void ff the building or work authorized by such pem,it is not commenced within 180 days from the date of such permit or ff the build· by such permij is suspended or abandoned at anytime after the work is conrnenced for a period of 180 days (Section 106.4.4 Uniform Building Code). R$ APPLICANT'S SIGNATURE DATE City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-271•7 I 2718 / 2719 Fax: 760-602-8558 · Building Permit Application JOB ADDRESS T/PROJECT # DESCRIPTION OF WORK: Plan Check No. Est. Value Plan Ck. Deposit Date APN # OF UNITS TENANT BUSINESS NAME ONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D #_ NOD YES D NOD YES D NOD CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# flee. 7031.S 8111int11 and Proff11ion1 Codt: Any City or County which rtquiru a pmnit to coMtnK~ alttr1 impm,, dtmolish or rtP.air any structurt1 p(ior ID itJ is11:1nct. also rtqaim !ht appliaot for wdl ptnml to iff a siptd staltffltftl that h, is fic,md J>urmnt to th, pmi1ion1 of th, Contnctor's LictM, law {Chpt,r 9, comm,ndmc with ltctiOII 000 of Dmsi011 l of tht 8111iness Md Proimioas Codt} or dw ht is t-,i thmhll, Md tht buis for die altgtd HtmptioR. Alty violation or lwion 7031.5 by any applicant for a pmnit subjt«s tht applicant to a ciYi peglty of oot _.. tbn lift hllldrtd dolan {SSOO}~ Workers' Compensation Declaration: I hereby aff,rm under penaffy of perjll)' one of the following declarations: 0 I have and will maintain I certificate of consent to 1etf-ln1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 9t I have and will maintain worke~ compensati~ as ritQuired b)'. Section 3700 of the Labor Code, for the perfoonance of the work for which this Jermit is issued. My workers' compensation insu::7 carrier and policy number are: Insurance Co. i[crrr /Y~ ,r;Js. Policy No. JJJ cz:xr9 ) tL Expiration Dale IQ/ !.../-2608 This seclion need nol be compleled ff lhe permit is fOf 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 vided for in S ion 3706 of the Labor code, interest and attorney's fees. J!:S CONTRACTOR SIGNATURE r hereby affirm that I am exempt from Contractor's License Law (Of /he following reason: 0 I, as owner of the property or my employees wilh wages as their sole compensalion. will do the work and the structure is nol intended or offered for sate (Sec. 7044, Business and Professions Code: The Contractors 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 inlended or offered for sale. if, however, the building or improvemenl is sold within one year of completion, the owner-builder will have lhe burden ol proving lhal he did not build or improve fOf the purpose of sale). 0 I, as owner of ihe properly. am exclusively conlracling wilh licensed conlractors lo conslruct the projecl (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves lhereon. and contracts for such projects wilh conlraclor(s) licensed pursuant to lhe Contraclor's License Law). 0 I am exempt under Seclion Business and Professions Code for lhis reason: 1 I personally plan lo provide the major labor and materials for construclion of the proposed property improvemenl. O Yes O No 2. I (have I have not) signed an application [Of a building permil fOf lhe proposed work. 3. I have contracted with the following person (firm) lo provide lhe proposed construclion (include name address I phone I conlraclors' license number): 4. I plan lo provide portions or the work, bul I have hired the following person to coordinale, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some ol the work. bul I have contracled (hired) lhe following persons lo provide lhe work indicated (include name I address I phone / lype of work): ~ PROPERTY OWNER SIGNATURE DATE ts the applicanl or future building occupant required lo submil a business plan, acutely haza,dous materials registration form or risk managemenl and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accounl Act? 0 Yes O No Is the applicant or fulure building occupant required to obtain a permil from lhe air pollution control district or air qualily management district? D Yes O No Is lhe facility to be construcled wilhin 1,000 feet of the ouler boundary or a school site? O 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. I certify th all haYe read the application and state that the aboYe infoonation is correct and that the information on the plans Is accurate. t agree lo comply with all Ci1y ordinances and State laws relating lo building construction. Uiereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned property for nspectioo purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARtvt..ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations C:Ner 5'0' deep and demolition or construction of structures C:Ner 3 stories n ~ht. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shaA expire by imitation and become nul and void J the buildilg or v«llk authorized by such permit is not commenced 'Mlhn 180 days from the dale of such permit or W the butlilg orv«llk authorized by such pemlit is suspended or abandoned at any line after thev«llk is commenced fa-a period ol 180 days (Section 106.4.4 Uniform Buildilg Code). J!:S APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 12/05/2008 Permit# CB072883 Inspector Assignment: PD --- Title: BECKMAN COULTER, BLDG 2 Description: WALL EXTENSION, PLUM & ELEC FOR SWAT EQUIPMENT Type:MISC Sub Type: OTHER Job Address: Suite: 2470 FARADAY AV Lot: 0 Location: APPLICANT SMITH CONSUL TING ARCHITECTS Owner: BECKMAN COULTER INC Remarks: . Total Time: CD Description Act Comments 19 Final Structural ~ __a~~-!f-~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 12/18/2007 17 Interior Lath/Drywall Act lnsp Comments AP PD Requested By: ERIC MOODY Entered By: CHRISTINE --------~------------ POL!CYHOLDER COPY STATE PO BOX 420807. SAN FRANCISCO CA 94142 0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE !$SUE DATE: 10•01-2007 CITY OF CARLSBAD 163! f'ARAOAY AV! CARLSBAD CA 92008-7314 GHOLiP 000333 PQLICV NUMS!::R: -000034$-2007 CERTiF!CA.,.E ID: 566 CERTIF!CATE EXPIRES: 10-01-2008 10-01-2001;10-01-2oos 1 l:1s is tc certifv ihe,1 we ha\re i$.Sued a va!1d \Norker s' Corn;,en~a-rton insurance policy m a form approved by the Cah~'Jf'ita 1nsurance Corr,rnrssicrn:.v tc~ the ernp:1oyer namf!d l1eiO\•V tor :rre Dol<cy per!od 1nchcate<l. 7'hrs. cert1ficate oi in-sur.ance 1s: nol .an. instJrar,ce policy ano dees. not amend, extend or aite, the coverage-a1ford.ed by l~f~ Pt'1i1cv l;sted herein Not11V1t11~.:.anding ;1r.y raqwremen!, terrn or cond1tior1 at .;mr· ·;ontract or other documorn ·Ni.!.11 ies:p,ect lo Whh-;h this c-ert1flcqtr;. of \r.svrance rn.i.v be isswec:i or to v,i:-:.ic.h !1 may p1:xta111. the ins.urance ..iffor-ded bv the· pdhC'\• descr(bed herem ,s .sub;ect !c nl! the term:; cxcl.G.1;bns • .a::d condrtiont. ot suati .P.o!Jc~1. :>'RESIDENT EMPLOYER'S LlAS!L!TY LIMIT !NCLUOING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 -JACK GOOO CEO -EXCLUOEO. ENDORSEMENT #1600 -t:1.lZASETH GOOD SEC,TRES -EXCLUOEO. ENOO.RSEMENT #2065 ENT!T\.EO C!RTlt'ICATE HOLDERS' NOTICE EFFECTIVE 10-01-2007 IS ATTACHED TO ANO FORMS A PA!n' Of THIS POI.ICY. tN!XlRStMf!lff i¥25'70 ENTITLl!O WAIVER OF SUBROGA'TION 1:F'FECTIVE 2001~10-01 IS ATTACHED TO ANO "fURNS A PART or THIS POLICY' THIRD PARTY NAME: tITY OF CARLS!AD GOOO & ROBERTS, INC 1330 PARK CENTER DR VISTA CA 920!H SD PRINTED fPAF '·1~1 os'-2a~2cio; so