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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 (' " FAX NO. : Dec. 09 2004 03:53PM P3 -5 -S~;L-}, CC,,-,/-c-p¢ft-, 8oJ, C .u r c.,_rih ··c., Id 9 : : J~--l.c..., fc..,r,l we:-! c-J /~t;l-i_, fl~ov /3d /:/-' 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.::_. _____ _ ·nme ··-----:·-··------··--·---------·----·-·--·--·-------·---·--·-.... ·-----··-·-----··------ WELOING Pl 10<:EDLJAE ~·0, I :-;..~~~·l c;~n1 ·-==r-·-··-1··-···1 ! ;,·-- • j , ~elo / I l l Type & ! ,6J:,pf! or Wire 1 'I Travel I I ~~s) Proceaa ~oss j .. Oi,,m. ! .. Pol<uil!._j_ F••" Sue~. >~11• _t_ so,eU Joil\\Oo.... J II I l I() .. I /JO . I 20,.1-: 1-kry· t9.5~ t,.,CC,1/l., I \ ~o J2. · ~ l :0 0 1 .b:~ / ii _ · i i ~ ~11-al ! I 2 z.. -z I I r L ~/ I \ · jj:-l'A . 1 f, 6 ·. i I I I I I C I . I y;t . I 1 1 : 1 , ~," i ' ~ r c:::;;::r ·. · ! . i _! ·' I ps-! . I >tr' LJ -~-•---------.1----·--·__J --··~-·-'--·-.. ,-.....J.. ' I Foti'.' f:,1';<=.::,n1) --·-·---------··' •• / I .... {i:2-:. _ .. JU,U IIIIOm ll,"ttf' II II, ... Sa11 ~. CA 92W . (619) ZJ4-H04 (6J 9) ZJ"49J J E~:te 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 Welder: ~TAI.MllllH S,.llk•Ua•i .lWUU.l~I I O ••~<Moot i :: '""' "'"" .... ; ...... , . TbltQJ~s oS ~c.rial: A$'ThtA36 1· ') Type uf Joint; 8-U2A-GF -----' $) rG1111on o( Wcldina: 3()14(; I I 6) Current Cblrgtnri111: UC (•lN . 7) Site ol liltCll'ou (Weldin& 11.t..i;: S/64' I 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 ' IC) Ptt·Ht•Und/or P1>11Jbat: _ . ---··--.:...Nl.:...A.:.....---------------------------l ~ p l'>'Pc o/ Flwc tAulOmltic), .•. . ___ __;,;Ni..;.'A.:__. ______ , ____________ _ ~ 6) Wi,d,cd Speed (Awlllrlla"~): N/A ·---------------- ~'?) Olbc:r Ccitei1: 'NIA I 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 . ! i 95tlM11= I Dale SIONID: ---,----~------------Mlll~tae1Yret: Wli3T!!.RH STEEL 0Sf1Hi\l2 0:ale i -· ~ I ~ f EST RESULTS, IW>loGu,,r, -ACC:EPTEII CONF(i«MS ro SPBC:=o·-"'-'S----.~---- l .... u_,.,,_~_us_: ---------- 'ON Xtl.::l WO~L:I