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HomeMy WebLinkAbout2819 LOKER AVE E; ; CB101412; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-18-2010 Commercial/Industrial Permit Permit No: CB101412 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2819 LOKER AV EAST CBAD Tl Sub Type: 2090831600 Lot#: $13,650.00 Construction Type: Reference #: ACUSHNET:390 SF REMODEL 2 BATH ROOMS INDUST 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 07/29/2010 JMA 08/18/2010 08/18/2010 DBML INC CANOGA-RINCON LOKER INDUSTRIAL INC DEPT#207 814 DODSWORTH COVINA CA 91724 616 966-8666 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park F~e LFM F~e Bridg~ Fee BTD#2 Fee STD #3 Fee Renewal Fee Add'! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $154.21 $0.00 $100.24 $0.00 $0.00 $2.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $115.00 PO BOX4900 SCOTTSDALE AZ 85261 Meter Size Add'! Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (3105540) PFF ( 4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee ( 4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES Total Fees: $420.32 Total Payments To Date: $420.32 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $420.32 $0.00 Inspector: FINAL APPROVAL Date: 7 · / 'L-· f J.r 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 ·~ees/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 JOB ADDRESS , CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -d I •. ~ 1/J c 'L d1 I ( f-k.'~,/,,t. db+- 'J Plan Check No. Cf:> l O l ( z_. Est. Value Plan Ck. Deposit OCC.GROUP GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# APPLICANT NAME ADDRESS CITY PHONE EMAIL YES D #_ NOD YES D NO D YES D NOD STATE FAX CLAS;_,, o-J ZIP ZIP q,,~J (Sec. 7031.5 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 rei:iuires the applicant for such permit to file a signed statement tnat 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 ($500)). Workers' Compensation Declaration:/ hereby affirm under penalty of perjuiy one of the following declarations: 0 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. g,ri;ave and will maintain worke ' compensation, as re uired by Section 3700 of the Labor Code, for the performance of the work for which is permit is issued. My workers' compensation insurance carrier and policy _ number are: lnsur~nce Co. " V Al Policy No. I ,... 0 0 ' ._ -l/ ..S Expiration Date / -/ .,. :ltJ I ( This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this peri;nit 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 orkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in ddition to the cost of compensation, d a s as prov,ided for in Section 370~or code, interest and attorney's fees. CONTRACTOR SIGNATURE • l _J D AGENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: Cl 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 -~ale. 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). . Cl 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). Cl I am exempt under Section ---~Business and Professions Code fur this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes Cl No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to 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): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated Onclude name/ address/ phone/ type of work): AS PROPERTY OWNER SIGNATURE 0AGENT 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 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? 0 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. '-_, ,t --:-----:-,,: 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). Lender's Name Lender's Address I certify that I have read the application andstatethatthe 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 Cartsbad 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 excava · s over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the B~I ing flicial under the provisions of this Code shall expire by limitation and become null and void ff the building or work authorized by such permit is not commenced within 180 days from the date of such permit or ff e build g or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE ' ~ DATE , .. · tu Inspection List Permit#: CB101412 Date Inspection Item 07/12/201,2 89 Final Combo 07/12/2012 89 Final Combo 12/28/2011 89 Final Gombo Type: Tl 09/23/2010 14 Frame/Steel/Bolting/Weldin 09/23/2010 17 Interior Lath/Drywall 09/23/2010 34 Rough Electric 08/31/2010 34 Rough Electric 08/31/2010 39 Final Electrical 08/23/2010 17 Interior Lath/Drywall Friday, July 13, 2012 INDUST Inspector Act RI PD AP TP CO TP AP TP AP TP AP TP AP TP WC TP AP ACUSHNET:390 SF REMODEL 2 BATH ROOMS Comments AM PLEASE FINAL PENDING COMPLETION OF CAFETERIA RESTRMS CORRECTIONS 1) l,JRINAL MAX HT 17IN FROM F.F. PROJECT AL 14IN FROM WALL 2) 18IN STRIKE SIDE CLRN. FOR R R DOORS II II OFFICE OPPOSITE LOBBY/ RECP. n 11 RESTRM CLNG LITES REPAIR DAMAGE D.W. PRODUCTION FLR RESTRMS Page 1 of 1 Cltv of Carlsbad ; Final Building Inspection Dez:;p;~t ... : ~B"""ulldlng Engineering Planning CMWD St Lite@ Plan Check #: Permit#: Project Name: Address: Contact Person: Sewer Dist: CB101412 ACUSHNET:390 SF REMODEL 2 BATH ROOMS 2819 LOKER AV EAST Phone: CA Water Dist: CA Date: Permit Type: Sub Type: Lot: 0 02/09/2011 Tl INDUST .......................................................................................................................................................... Inspected I Date n /n. / , , By: eAVAilk'Jo· I Inspected:~ Inspected Date By: ------=-----Inspected: ____ _ Approved: L Disapproved: __ Approved: ___ Disapproved: __ Inspected Date By: Inspected: ____ _ Approved: ___ Disapproved: __ .......................................................................................................................................................... , Comments: ______________________________ _ ~ ' A occ.vp .. «.t~ BUILDING ~ c1Tv oF B/f= .. ~pr Plan Check CARLSBAD -=sfi2.,~~l., Comments Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov l ' 2-.. 3. By: Steve Borossay (C_ontact Hours for Steve: Tues.-Fri., 1pm-5pm) Phone: 760-602-7541 Permit: C-f2 l O l 4 l 1---Address: :z.B } ~ Loker Ave-fu..sd-: Date:~~/ 10 • When corrections from all departments are received please run new prints. • ~ D Provide: A statement on the Title Sheet of the plans stating that the project shall comply with the 2007 CA Building Code, 2007 CMC, 2007 CPC, 2007 CEC and the 2008 CA Energy Efficiency Standards. D Provide: A note titled "Scope of Work" describing the work to be performed under this permit. Arch -::shee-+-A ---01 ,..-\oo A-0'3 'c:.'-6 V\ See-J.c)Q("' .. (!_ BJ ll "E:> -\ 1:::::> c crrkchJ) $WL.t'\j +· k n.e.e. de~a.vcc..<2--~r r e..,M. ...J_ Vrl.L-~ \lA-0D 3 ~~ ~crv, I Approvedon:--.i,/-i/...L...!i,~~<!:..f-z-"--;o __ By: _ ___.~=:.,_------1 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB (6 ,. I c/1 1- RESIDENTIAL RESIDENTIAL ADDITION MINOR C < $17,000.00) OTHER DATE_____...{1_-i,,_/_t_o_ TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING --------------- DATE_t;__/_~ ____ /;_J_ Docs/Mlsforms/Plannlng Engineering Approvals «t~ ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying tq the City of Carlsbad for the following type(s) of construction permit: ~ Building Permit D Right-of-Way Permit Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler D My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria jZ1I) My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP} because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria 0 My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vetiicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria 0 My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more· of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria D My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or 0 My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, 0 My project is located inside or within 200 feet of an environmentally sensitive area {see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of sto~m water runoff or non-storm water discharge(s). I certify to the bestof my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to Citv Standards. Project Address: Assessor Parcel No. *The City Engineer may authorize minor variances from the Stonn Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 fj.lft9 Lo/(e.r#v OWner/OWne~s Authorized Agent Name: tJA-(,I 1£. JIV/ 11v-f.-o Page 1 of 1 Date: Rev.03/09 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 10-1412 i>ATE 7/29/10 ADDRESS 2819 Loker Avenue West RESIDENTIAL ADDITION- MINOR {<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER remove, replace fixtures, partitions, mirror, new flooring PLANNER ~ f()e)doY\_ DATE 7-;;).C, --/0 ENGINEER'-----------DATE ______ _ 11:\ADMIN\COUNTER/PLANNING/ENGINEERING APPROVALS ' SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# ______ _ HV# _______ _ BP DATE, _ __.,_ ..... __ _ Business Name~ A-c VS h Jt-e Telephone# Project Address 4 l L-A ? I 1 tJ ,,.., c r"'" rh11-- Zip Code Mailing Address J )3 U1 £... City Zip Code The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by cirGling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None ofThese. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 31u floor, San Diego, CA 92101. Call (619) 338-2222 prior to the issuance of a building permit. FEES ARE REQUIRED. Expected Date of Occupancy: _____ / ___ ... / __ _ YES 0 1. D 2. D 3. D 4. 5. 6. D D D Is your business listed on the reverse side of this form? (check all that apply). Will your business· dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? D CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolition or renovation of residential structures offour units or less. Contact the APCD for more information. YES 1. D 2. D 3. D 4. D Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Public and private schools may be found after search of the California School Directory at http://www.cde.ca.gov/re/sd/; or contact the appropriate school district). Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? Will there be demolition involving the removal of a load supporting structural member? Briefly des1ribe proposed project: flll t:P 'Tt::..rt'I ~ f I<. e,-i.: /:.-, I I'\ that to tl;l~ best of my knowledge and bel' ft e r -=:c......a~-.;.__---"----'-/...;../....;;V_'f-__;;.O___ """==,:...:=;c.=.........,."'---=<'--.::..c..-+------'7 /cl°,//0 Name of owner or Authorized Agent Date FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:, _____________________________ _ BY: _________________________ _ DATE:--~'--~'--- EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO APCO COUNTY-HMO APCO COUNTY-HMO APCO HM-9171 (04/07) County of San Diego -DEH -Hazardous Materials Division CB101412 2819 LOKERAVEAST ACUSHNET.390 SF REMODEL 2 BATH ROOMS 7 /2-1/to-1o ?I~/&// hlZE ¥-SI-eve_ 7/~oj,o ~ f:v ~ f-J0-10 (ffvJ~ff!-. r/{10 071 @re. . o--11:m -t-rr-ii /Wvf-te -F ~ ~ f(rr/m I SYV&f) . . . '--·8-\1-~~ ~~~,-~, L.d-,o~~ ~~0.-~"""'* ~ ~ ..;b. <!.tNJ\tQa~ ~P~v\-~~~~~~~\.f?D ~r~~~--~~ ~ ~ ~1,t~,2..~ ~~~- ( osw ____ _ DCV Approved Date By BUILDING '5/!7/lo -/ /'/I'___.,.,.. PLANNING ,J~ttl lo I~~ ENGINEERING w/SW <?/2J1D FIRE Expedite? (Y) N Yl;l..l /o /L1 ~ , -. H~zMat APCD Health Forms/Fees Sent Rec'd Due7 By Encina '7, "2-9, / <) y N Fire -y N HazHealthAPCD n '7 ·?'1•/0 y N P E&M ) , IJAA -I/\ D.rf A'/r'JJ I)--, •• ~ y N 1/lA--. Scnool y N . Sewer y N Stormwater y N Special Inspection y N CFD: y N LandUse: Density: lmpArea: FY: n=aitor: PFF: y N ' Comments Date ,'\ Date Date / Date Building 1-'5{)~}<(( ~) Planning \ Engineering Fire Need? / /gK a. 6-1--f'luntb,µq vLr'x/ur.iRJ .bu~ 0'Dane reh/ t:U:J-e. c1 I I Doane I Doane Doane ,,...__ q,oane , Application Complete? ~-NN By.f54/ Fees Complete? By.