HomeMy WebLinkAbout2560 ORION WAY; ; CB042604; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-12-2004 Commercial/Industrial Permit Permit No: CB042604
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2560 ORION WY CBAD
Tl Sub Type: COMM
Lot#: 0 Status:
Valuation:
Occupancy Group:
2090502600
$0.00 Construction Type: NEW
Reference #:
Applied:
Entered By:
Project Title: CARLSBAD PUBLIC SAFETY CENTER-
REMODEL CONFERENCE RMS-1,500 SF
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Applicant: Owner:
CITY OF CARLSBAD CITY OF CARLSBAD
PUBLIC AGENCY 00000 PUBLIC AGENCY 00000
Building Permit $0.00 Meter Size
Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee
Plan Check $0.00 Meter Fee
Add'I Plan Check Fee $0.00 SDCWA Fee
Plan Check Discount $0.00 CFO Payoff Fee
Strong Motion Fee $0.00 PFF
Park Fee $0.00 PFF (CFO Fund)
LFM Fee $0.00 License Tax
Bridge Fee $0.00 License Tax (CFO Fund)
BTD #2 Fee $0.00 Traffic Impact Fee
BTD #3 Fee $0.00 Traffic Impact (CFO Fund)
Renewal Fee $0.00 PLUMBING TOTAL
Add'I Renewal Fee $0.00 ELECTRICAL TOT AL
Other Building Fee $0.00 MECHANICAL TOTAL
Pot. Water Con. Fee $0.00 Master Drainage Fee
Meter Size Sewer Fee
Add'I Pot. Water Con. Fee $0.00 Redev Parking Fee
Reel. Water Con. Fee $0.00 Additional Fees
TOTAL PERMIT FEES
PENDING
07/01/2004
KMT
Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due:
FINAzfPP _
Date: ,__-_! ___ _ Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the stat te f limit lions has reviousl otherwise ex ir d.
PERMIT APPLICATION
CITY Ol= CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION ~~o ORtdN u&:Y
FOR OFFICE USE ONLY
PLAN CHECK NO. (;13[f{J.{.pQl..f
EST. VAL. L/:i) C{X)
Plan Ck. Depo~
Validatel Br--Jl$.J.Il..a..!~CC4--------
Date ]_I _ay
Address (include Bldg/Suite #) Business Name (at this address)
n,)\2L-\ (_ .S:trt-:~T!'.
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Cdvffill[NCfi_ fuQ!YlS ,.%11£
Assessor's Parcel #
~l:D-C ON'r1i.-~ 1EQ)IY\~
Description of Work
Existing Use
1.SOo
Proposed Use
• SO. FT.
(
#of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (If different from applicant)
'bo'o '.:&\C Mmtv :4os::: 0-ftl( fry(i_1
Name Address City
0 Agent for Owner .r---
State/Zip Telephone # Fax #
0 Agent for Contractor O Owner
Str(hE.
3. APPLICANT O Contractor
~ Ric~otv
Name Address City State/Zip Telephone #
4. PROPERTY OWNER crrv{ o F (J\-R.L,S7bff.Q
Name City State/Zip Telephone#
5. CONTRACTOR • COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 [$5001).
Name Address City State/Zip Telephone#
State License # ----------License Class----------City Business License # --------
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty 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 permit is issued.
D 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)
D 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 faas.
SIGNATURE DATE---------------------.
7. OWNER-BUILDER DECLARATION
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}.
, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The
ctor'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
p nt to the Contractor's License Law).
D I am exempt under Section ------Business and Professions Coda 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 I 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 I address I phone number 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
number I contractors license number)=-------------------------------------------------
5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
of work):~-::-::~::~:::~:-:::--:~~~~~~~.,,,,.~::~-----------------=-:-=::----:,'}~,:::::?~;ji:;jf"" _______ _
PROPERTY OWNER SIGNATURE ...._..c....:c...c...,~...JC.!:::..e::..-=::::....---------------DATE __ ___,c....... __ ....._ __ _
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 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? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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.
8. 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. 30970) Civil Code).
LENDER'S NAME---------------LENDER'S ADDRESS _______________________ _
9. APPLICANT CERTIFICATION
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 ANO 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 pe mil is suspended or abandoned
at any time after the work is com ed r a ~~yao days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE '/t-tC--DATE
WHITE: File YELLOW: Applicant PINK: Finance
FROM
l -
I
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FAX NO. : Dec. 09 2004 03:53PM P3
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weL01Na PAO(i.l!J)URE 9PEC'ffl1'CATION (WP$) Yee~
PR£QUALIFIED --A---QUALIFIED BY TESTING-----·
or PAOCEDURE: QUALIFICATION RECORDS (POFI)·· · YH 0
c;on,pany ~(h~ &/1:..tk,gJ/¥· --
WtlclYlg Pro«ta.a<•s)~'-1 ~·----·--
Suppo~g POA No.(1 ·---~----
JOJ£o~~v'sihZ~_L----·---···--·
Type: L]TC..-P~
Single~ Doublt Welcl []
Sacking: Vts Cl No .£r
Baoki')g Material.
Root e>p.rlingQ::.fft Root F&.c.:e Dlme1l!llon v---·
Groovt Angle: Radius (J-·U> --·--
Baell Gouging: VM O No)ir Method --·-
BASE METALS~. ·--·····-
Malfl'iet Spec. _____ ]_£__________ ..
TVS)t or Grade----~ .. :.:::_· __ ---rr,-.~··
Thlctneea: Groove __ ._· ·--·-__ Fil/el ./~~..,(
Diameter (Pipe>----·-------···-
FILLER METALS -·-·----··--·---
A.WS Sf,ecmcalio'l __ 15.z '2-_Q ______ _
AWSCl•samcation __ · · T,:g __ ··--·-..
SHiELOiNG-·---·-----·-
Flux •. ~--------Gea _________ _
Comp0,$ilio"l ..... --·-
e1eerrod&-Fl1,1)( (Ctu,t.___ Flow Rat., ---·· _ . --------G!ls CU? Site ···-·--
?REHEAT -····--···----;-·---·---
Prehtel ~mp .. Min_Q)~----··-·--lnterpa99 Tomp., Min,_______ 1vi,1>< __ _
loenllllcatlon # --· ··-·-·-
Revision----·-· bot~--··----
Authortr•4 by ·----------
·ryµe-Manual 5a'
MachineO .
9y ___ _
D••----Seml•AUIOme&lc 0
AutomaticC
POSl'OON --
Posn1un of Groove:~·-· Flllel:~-
Ve!1iCG1 ProgreJ&ion: Up [.) Down Q
iCF.C'fr:ircAL CHAAACTEA1sTics ___ _
Tranerer MMe (GMAW) Short-Clfoultfng O -·
: Olobuf~~_;i Sp,ay 0
Cuirtml: AC ::J qcEF, CJ OCEN)!SJ. P\Jlaec:10
vll'ler -------,-·-.. -..
l'u11g91en Electro~ (G1'AW)
Size: ··--·----
Type:--.. ··-----·---
TEC~NIQUE --..
Stringer or Wu11~ Bead: .,Chi"~ G:;:::::
Multl•l)lliS or Sing~e Pass (~r sid•} '9£ dfz; ..
1,1uml,er ot E1ec1rot1es _._0.,,..,.5---· _
f.lc,ctrode Si,acln~ Longitudinal __ _
Le.te~I ·-------
Angla -------
:f._~./:. ti;, 1;on1ect Tutie to Work Di11t,mce . ~
Peernng ·-
lntarpa&s Cleanlrig· __ ----------
i~OSTWELO 8.f~T -TREATMENT · •
·ramp ·---/IP...2..'6.::_. _____ _
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WELOING Pl 10<:EDLJAE
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W£LDER HUOR.MANCE SHEET ---------------·-----~--------
Mdrcu; 2192 NArlONll~lNUI:, SAN DI_~~.':... c_ .. _n_u_l_f-llot=-ti.a___;s-r.;;.:.:::.:.lty:!...:.:N~o • .;..t _ _;;;;2l~U..:.;..?·,;..;13;.;;.)5;;;... ______ . ___ ----J
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i) Type of El~• (WeW1i11 R:.d): . ·---__;£;..1.:...lT_·f:.__ ________________ _
?) N~rofBcad10tU)V,.:,_ ______ is_,A_S;..S_ES----------·---------------;
JO) CIMIU,f 8ctlll'OCII Panes; · W(RSIRUSH J ---------------------------
11) k~Gmcr.1: li4" I ;..--------------~·-.. ------·---------------------·----! 12) B111:kin1 !Un& or Strip: I ll) ~UI i '1eatm11n1: NIA
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~ 6) Wi,d,cd Speed (Awlllrlla"~): N/A ·----------------
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I n1~ vr,,1:>sRS1CNso MANVJ'ACTU!U!P-c i1mt1ES rttA r rtie
I HA TEMiiNTS MADE IN THIS MPORT ARE COMOCT .vlD ULA l
Hl6 Tl!ST Wtil.DIS W~ P'AEfAllW AND W!t.DeD, ~ 1 t\CCOIU>ANCE W!Tfl THE IU!,QUW!MZNTS Of AWS 01.1.01 I .
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