HomeMy WebLinkAbout2544 CAMPBELL PL; ; CB082191; Permit01-06-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No
Building Inspection Request Line (760) 602-2725
CB082191
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
Project Title
Applicant
S&S ENTERPRISES
2544 CAMPBELL PL CBAD
Tl Sub Type INDUST
2132610700 Lot# 0 Status
$0 00 Construction Type NEW Applied
Reference # Entered By
ARROWHEAD INS- ADD ONE HAND Plan Approved
SINK & WATER LINE W/SEWER HOOK UP AND INSTALL NEW Issued
Inspect Area
Plan Check#
Owner
MODERNA DEL MAR L L C
P O BOX 7271
RANCHO SANTA FE CA 92067
ISSUED
12/04/2008
LSM
01/06/2009
01/06/2009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
Green Bldg Stands (SB1473) Fee
$0 00 Meter Size
$65 00 Add'l Reel Water Con Fee
$0 00 Meter Fee
$65 00 SDCWA Fee
$0 00 CFD Payoff Fee
$100 PFF (3105540)
$0 00 PFF (4305540)
$0 00 License Tax (3104193)
$0 00 License Tax (4304193)
$000 Traffic Impact Fee (3105541)
$000 Traffic Impact Fee (4305541)
$0 00 PLUMBING TOTAL
$0 00 ELECTRICAL TOTAL
$0 00 MECHANICAL TOTAL
$0 00 Master Drainage Fee
Sewer Fee
$0 00 Redev Parking Fee
$0 00 Additional Fees
•" HMP Fee
TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$3400
$000
$000
$000
$000
$000
$000
9?
$16500
Total Fees $165 00 Total Payments To Date $16500 Balance Due $000
ILDING PLANS
. IN STORAGE
.ATTACHED
/I
Inspector
FINAL APPROVAL
Date 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave , Carlsbad, CA 92008
760.-602-2717 / 2718 / 2719
Fax 760-602-8558
www carlsbadca gov
Building Permit Application
Plan Check No 5-19 J
Est. Value
Plan Ck. Deposit
Date
I JOB ADDRESS
5 $CT/PROJEC
| SUITES/SPACES/UNITS
PHASE ft * OF UMTS
DESCRIPTION OF WORK 'include Square Feet of Affected Area(s)
ADD
#BEDROOMS"* BATHROOMS
A 13
TENANT BUSINESS NAME
tP&O'Z
CONSTR TYPE OCC GROUP
/jo/--*R&n?o ?er' 1
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
5^<r5~ £v 7t r* /° Gst -rt^S
ADDRESS
CITY STATE ZIP
r<?v Of&s<j of 9u/oy
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
: CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC It
T .
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES D NO D YES D NO D
APPLICANT NAME
ADDRESS
CITY STATE ZIP
?/?sJ X>-P=tr<3 C-tf- V^/of
PHONE FAX
EMAIL
CONTRACTOR BUS NAME
ADDRESS
/( 3 l/J Cr $1~~ 4* 3/o
CITY STATE ZIP
S/)->J o-n=Zrc, o4 p«a./o/
PHONE FAX
6/9-3/6- rrro. C-'V- £2F-cfY"2.2_
EMAIL
STATE LIC # CLASS CITY BUS LIC H
(Sec 7031 S 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 there from and the basis for the alleged exemption Any violation ofSection 7031S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers' Compensation Declaration / hereby affirm under penalty of penury one of the following declarations
O I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued
[H I have and will maintain workers compensation as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy
number are Insurance Co i^YI^T^- ^-^ipf^P Policy No \ A^ "7 ^ "7 "^ Expiration Date S'l G 4I --j- j
This section need not be completed if the permit is for one hundred dollars (S100) or less
n Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
California WARNING Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages a j,provided for in Section 3^06 oHhe, Labor code, interest and attorney's fees
J£$ CONTRACTOR SIGNATURE ^DATE /_ £~
I hereby affirm that I am exempt from Contractors License Law for the following reason
C!l I as owner of the property or my employees with rages as tneir 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 pro|ect (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)
O lam exempt under Section _ Business and Professions Code for this reason
1 I personally plan to provide the ma|or labor and materials for construction of the proposed property improvement d Yes D No
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) lo provide the proposed construction (include name address / phone / 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 / 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 / type of work)
^PROPERTY OWNER SIGNATURE DATE
i^^-&#&$^m
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 Act7 d Yes d No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 f~l Yes d No
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site7 d Yes d No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lenders Name Lender's Address
''S^^^^^^mt^i^A-
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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Cede shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
] 80 days from the date of such permit or if the building or work authorized by such perrnit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
DATE ;-)-.,
\
City of Carlsbad Bldg Inspection Request
For 01/16/2009
Permit* CB082191
Title ARROWHEAD INS- ADD ONE HAND
Inspector Assignment PY
Description SINK & WATER LINE W/SEWER HOOK UP AND INSTALL
NEW DOUBLE DOOR IN EXISTING INTERNAL WALL
2544 CAMPBELL PL
Lot 0
Type Tl Sub Type INDUST
Job Address
Suite
Location
OWNER MODERNA DEL MAR L L C
Owner
Remarks
Phone 6193165552
Inspector
Total Time
CD Description
19 Final Structural
29 Final Plumbing
Requested By STEVE
Entered By CHRISTINE
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
01/08/2009 21 Underground/Under Floor AP PY
01/08/2009 24 Rough/Topout AP PY
City of Carkbad
Building Department
1635 Faraday Avenue, Carlsbad, CA 92008
Phone. 760-602-7541 / Fax: 760-602-8558
Plan Check Comments / 2OO7 Codes
To: <^ ^e=^ From: Steve Borossay
Fax: -c-?. Pages:
Phone: Date:
[] Urgent D For Review Q Please Reply
Please make corrections on the originals and run TWOnewprints. Red marks on
plans are part of this comment list Please return red marked set also.
f n
r^c A r Tl Lf-111 f» 0 ^\ Jr^^* ff^l V^V. \ * *^* J^
?TMi us^ o 0>^ ^
- SL
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4,
Contact Hours for Steve Borossay: Tuesday through Friday, 1pm - 5pm
Carlsbad Fire Department
Plan Review Requirements Category TI, INDUST
Date of Report 01-05-2009
Name S & S ENTERPRISES
Address
Reviewed by
Permit # CB082191
Job Name ARROWHEAD INS- ADD ONE HAND
Job Address 2544 CAMPBELL PL CBAD
B),D<5. DEPT COPY
INCOMPLETE review is incomplete At this time, this office cannot
review
ith changes "clouded",
adequately conduct a review to
carefully all comments^aaehed**P^a^eresubmit the necessary plans and/or speciff
to this officeTor review and approval
Conditions:
Cond CON0003231
r[MET]
** APPROVED
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A
BUILDING PERMIT
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT
NOTATIONS,
CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND
REGULATIONS
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW
Entry 01/05/2009 By cwong Action AP
Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 2
Department of Consumer Affairs
GOV Contractors State License Board^CLX
Contractor's License Detail - License # 639790
fr.\ DISCLAIMER A license status check provides information taken from the CSLB license database Before
relying on this information, you should be aware of the following limitations
"••* CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to public complaint disclosure, a link
for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information
» Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disclosed
» Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration
•;• Due to workload, there may be relevant information that has not yet been entered onto the Board's license database
License Number
Business Information
J339790
S&S ENTERPRISES
113 WEST G STREET #310
SAN DIEGO, CA 92101
Extract Date 12/04/2008
Business Phone Number (619) 316-5552
Entity Sole Ownership
Issue Date _ _03/14/1992 _ _ _
Expire Date 03/31/2010
License Status This license is current and active All information below should be reviewed
Classifications
CLASS DESCRIPTION
G EN E RA_L__B U I_L_Q I NG__CQN_TRACIQR
CONTRACTOR'S BOND
Bonding
This license filed Contractor's Bond number 6036154 in the amount of $12,500 with the
bonding company
SURETY COMPANY QETHE.PACIFIC
Effective Date 01/01/2007
Contractor's[.Bonding .History
Workers' Compensation
This license has workers compensation insurance with the
STATE COMPENSATION I.NSURANCE_FUND
Policy Number 1297973
Effective Date 08/07/1992
Expire Date 08/01/2009
Workers^Compensation Histqry
Personnel List
http //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 12/04/2008
POLICYHOLDER COPY
SK
PO BOX 420807, SAN FRANCISCO,CA 94142-0807COMPENSATION
INSURANCE
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 12-17-2008 GROUP
POLICY NUMBER 1297973-2008
CERTIFICATE ID 33
CERTIFICATE EXPIRES 08-01-2009
08-01-2008/08-01-2009
WELLS FARGO BANK SK
SBA - BDG LOAN OPS INSURANCE
PO BOX 47745
SAN ANTONIO TX 78265-8745
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer
We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded
by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or to which it may pertain the insurance
afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy
<*Wv
ITHORIZED REPRESENTATIV6O PRESIDENT
UNLESS INDICATED OTHERWISE BY ENDORSEMENT. COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER,
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS, EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE
EMPLOYER
SCHECHTER, STEVE DBA S & S ENTERPRISES C/0
PMB 310
113 W G ST # 310
SAN DIEGO CA 92101
[VR1 CN]
(REV 2-05I PRINTED 12-17-2008
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