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Home My WebLink About2724 LOKER AVE W; ; CB072673; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-18-2007 Miscellaneous Permit Permit No: CB072673 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type Parcel No Valuation: Reference #: PC#: Project Title: 2724 LOKER AV WEST CBAD MISC 2090812800 $0.00 DEMO INT PARTITION WALLS, Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: DROP CEILING.DUCTS.CAP OFF PLUMB & ELECT-NO NEW Applicant: DESIGN BUILD STEC 9770 CARROLL CENTER RD SAN DIEGO CA 92126 858 549-8455 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Fees: $65.00 PERMIT FEE Owner: FENTON H G COMPANY 7577 MISSION VALLEY RD SAN DIEGO CA 92108 Total Payments To Date: $65.00 Balance Due: ISSUED 10/18/2007 RMA 10/18/2007 10/18/2007 $65.00 $0.00 $0.00 $65.00 Inspector: FINAL APPROVAL Date: /~ -;7,t:1 7 Clearance: ------ $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. City of Carlsbad (i) Plan Check No. ao 7J£ 7 ' 1635 Faraday Ave .. Carlsbad. CA 92008 Est. Value 760-602-2717 I 2718/ 2719/ 2721 Fax: 760-602-8558 Plan Ck. Deposit I / Building Permit Application YLA Date !n /JR/1J7 , , JOB ADDRESS 2724 LOKER AVE WEST SUITEI/SPACEt/UNllll IAPN 209 -81 -2800 - CT/PROJECT t I LOTt I PHASE. I' OF UNITS I# BEDROOMS I BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP SPECULATIVE SUITE V-N B/S-2 DESCRIPTION OF WORK: DEMO 310 LF OF INTERIOR PARTITION. DEMO CEILING GRID & TILE, & FLOORING. DEMO HVAC DUCTING. DEMO AND CAP-OFF EXISTING PLUMBING. DEMO & SAFE-OFF ELECTRICAL. NoN l-DAO ~l-l\1:::? ty~~ ""\t:> ~ ~oeo c,..,_::.l>-{ . EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING rRESPRINKLERS OFFICE/WAREHOUSE OFFICE/WAREHOUSE YES I NO .( YES { NO YES ./ NO CONTACTNAME KAMELA GARCIA/ TONI PINON APPLICANTNAME DESIGN/BUILD Tl ADDRESS 9770 CARROLL CENTER RD, STE. C ADDRESS 9770 CARROLL CENTER RD , STE . C CITY SAN DIEGO STATE CA ZIP 92126 CITY SAN DIEGO STATE CA ZIP 92126 PHONE PHONE 858-549-8455 'FAX 858-530-1779 858-549-8455 'FAX 858-530-1779 EMAIL EMAIL KAMELA@DESIGNBUILDTI.COM KAMELA@DESIGNBUILDTI .COM PROPERTYOWNERNAME H.G.FENTON COMPANY CONTRACTOR BUS. NAME DESIGN/BUILD Tl ADDRESS 7588 METROPOLITAN DR ADDRESS 9770 CARROLL CENTER RD, STE. C CITY SAN DIEGO STATE CA ZIP 92108 CITY SAN DIEGO STATE CA ZIP 92126 PHONE 619-400-0120 IFAX 619-400-0111 PHONE 858-549-8455 FAX 858-530-1779 EMAIL EMAIL KAMELA@DESIGNBUILDTI.COM ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.I IC~ I CllY BUS\ t. \ ~~ (0 466554 .. {Sec. 7031.5 Businen and Prole,sion, Code: Ally City or County whKh req11re1 a permit 1D construct, ~ce~ 1mpr0',1!1 demolish°' "1!1'" any !lruetllre1 P!"'' Ill its issuance, aim "'l""" the applicant b, such penmt ID lie a •gned stacement that he " rice med _Jllnuant ID the provision, of the ContraclDl's license law {Chapce, 9, commending with Section ,ooo of tivi,ion 3 of the Buiine1, and Pro1ession1 Code} °' that he i1 mmpt lherefnim, and the 1»111 bf the alleged ,,.,mpcion. kly violation of Section 7031.5 by any applicant for a permit >Jbjects the applicant Ill , ci>il penalty of not more than f1.., hundred dollars {$500}). Workers' Compensation Declaration: I hereby affinn under penalty of peljury one of the fof/ov.ing declarations: I have and will maintain a certificate of consent to self-Insure for v.orke!S' compensation as prCNided by Section 3700 of the Labor Code, for the performance of the l'IJlk for which this pernit is issued. ./ I have and will maintain workers' compenaation, as required by Section 3700 of the Laba Code, for the perfamance of the v.ork fa which this permil is issued. MyWO/kers' compensation insurance carrier and policy number are: Insurance Co. National Union Fire Insurance Pdicy No. 3757846 Expiration Dale _0_1-0_1_-20_08 _____ _ This section need not be colTl)leted if the permit is for one huncted dalars ($100) er less. Certificate of Exemption: I certify that in the perfcrmance of lhe v.ork for which this perrnt is issued, I shall not en-poy any person in any manner so as to become subject to the Wor1<e!S' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalti89 and civil fines up to one hundred 1housand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of 1he Labor code, Interest and attorney's fees. Jt5 CONTRACTOR SIGNATURE I hereby afflnn that I .rn exempt from Contractor's Ucense Law for the fol/ov.ing reason: I, as ONner of the prqierty or my en-poyees with wages as their sole compensation. wil do the v.ork and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The ContractOl's License Law does not apply to an ONner of prope1y who builds or i"l)foves !hereon, and who does such work timself er through !is ONn ernpoyees, provided that such l"l)fovements are not intended er offered for sale. If, hONever, lhe buiding or ifll)l'ovemeot is sdd 'MIilin one year of completion. the owner-builder will have the burden of p-oving that he cid not build er improve for the puipOse of sate). I, as owner of the property, am exclusively contracting with licensed conlt'actcrs to construct the prcject (Sec. 7044, Business and Professions Code: The ContractOl's License Law does not apply to an owner of property who bulds or Improves thereon, and contracts fer such prcjects llith contractor(s) licensed pursuant to the ContractOl's License Law). I am exempt under Section .Business and Professions Code for tlis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property imp-ovement. Yes No 2. I (have I have nol) signed an application for a buicing permit for the proposed wcrk. 3. I have contracled llilh the fdlONing person (firm) lo provide the proposed construclion (include name address I phone I contractors' license nun-Ile~: 4. I plan lo provide portions of the work, but I have tired the follolling person to coordinate, supervise and p-ovide lhe major work Qndude name I acttess I phone I contractors' license number): 5. I v,;11 provide some of the work, but I have conlracted (hired) the fdlONing persons to provide the wcrk indicated Qndude name I address I phone I type of work): _KS PROPERTY OWNER SIGNATURE DATE ts the applicant or future blilcing occupant required lo submit a business plan, acutely hazardous materials registration fam er risk managemenl and prwention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes ,1 No Is the applicant or futLre buicing occupant required to obtain a pennit from the air pollution contrd cistrict a air auality management cistrict? Yes ./ No Is the faciity to be constructed within 1,000 feel of the outer boundary of a school site? Yes ./ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCAliT HAS MET OR IS MEETING THE REQUIREMEliTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the walk this permtt is issued (Sec. 'm7 (i) Civil Code). Lender's Name NIA Lender's Address N/A I certify that I have mad the application and state that the abow infonnatlon isoorrectalld that the lnfonnation on the plans ls accurate. I agree to comply with all Clfy Olllinances and State laws relallngtobulldlngcoostructlon. I hereby authaize rep-esentative of 1he Qty <i cartsbad to enter l4)0!1 the aoo.re mentioned i:rqierty fa inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM-.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY AO::RUE AGAINST SAID CITY IN CONSEQLENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemit is r9:llired fa excavations OJEr 5'CJ cilep and derrdition a coostruction cl strudlJ'es CJJ!S 3 stooes in Might EXPIRATION: Everf pamil issued by the Blildng Offida under the P'(1Jisions cl ti-is Code shall exp re by irritatioo and becane mJ and vdd if the buildng a ...m authaized by such pemitls not a:mroonced llittin 100days Iran the ctate of such pmril a if t buildn av.al< authaized by such pemit is sl.5fl011(ilda ibanoonedat arr; tirre il!Erthev.ak is OJTmenClldfa a periodri 180 cilys (Section 100.4.4 Unifam Buildng Code). JES APPLICANrs SIGNATURE DATE I City of Carlsbad Bldg Inspection Request For: 12/13/2007 Permit# CB072673 Inspector Assignment: Title: DEMO INT PARTITION WALLS, Description: DROP CEILING,DUCTS,CAP OFF PLUMB & ELECT-NO NEW CONSTRUCTION-Tl TO FOLLOW Type:MISC Sub Type: OTHER Job Address: 2724 LOKER AV WEST Suite: Lot: O Location: APPLICANT DESIGN BUILD Owner: Remarks: Total Time: CD Description 19 Final Structural Phone: 6199545234 Inspector:-~ Requested By: ROBERT Entered By: CHRISTINE -----~-------------------------~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments :-: ••• • Lil I 1/18/2007 Design Build Tenant Improvements 9770 Carrol Ceriter Rd. suite B San Diego, CA 92126 Portland, Oregon 97239 Re: Barrett Business Services, !no. .503 .22Ul9S8 Letter of Self-Insurance for Workers' Compensation Plan Dea:r: Customer: eoo .. ~~4.S66 ~ The purpose 0£ this letter is to provide documentation regarding Focsmias S03121'Ul9i7 Barrett Business Sex-vices' Self-Insured workers' Compensation ~lan. Barrett has been a qualified self-insured employer for Workers' Compensa~ion continuously in Oregon -since 1987, in Washington, Maryland and Delaware www.b·am,t:b:ll!si11o.iH001 since 1994 and in California since 1995. Our claims are managed by our third- party administrators, Pinnacle Risk Management services or SISCO, depending on your location. As the named addressee of this letter, your company's required workers' compensation coverage is provided through Barrett's Self-Insured ?lan. O~r covered California customers can also verify our state ce~tification at www.dir.ca.sov./sip/eip.html; then, in the middle of the page under ~Rosters", click on Private self insured employers; then scroll down to Barrett (the list is alpha by company name.) Additional inforrnation is as follows: Self-Insurance Certification Number: California: 2:C46 Oregon: 1068 Washington: 706,116 Delaware: 152 Maryland: Il.3 65 Design Build TenB.Ilt ~mprovements workers' compensation coverage through Barrett Business Services is effective for Desi~n Build Tenant Improvements services performed for City of San Diego1 San Diego, Ca 92101. Our Excess workers' Compensation Insurance Carrier and Policy Number are as fo11ows: National Onion/American International Group (AIG), Policy No. 460-0723 and ~ssociated !nsurance Company (AICE), Policy No. WCXS07-3. Design Build Tenant Improvements WC Coverage is from: 1/18/2007 through 1/17/2008 For additional info:rrnation, please contact your local Barrett office at (959) 5.97-0522. Ve:ry truly yours, ~~ Michael D. Mulholland Vice President-Finance B.13.9I Office: Sa.n. Diego GOOD Pt.OPLL,. Gooo CO,Mt"AINH.:S ••• GIC?.:l.1\1 RLSUUS!