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Home My WebLink About2858 LOKER AVE E; MULTI-PERMIT FILE; CB161401; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-10-2016 Permit No: CB161401 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2858 LOKER AV EAST CBAD PME 2090832100 OPTUM RX: REPLACE EXISTING BATTERY BACK-UP SYSTEM Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved; Issued: Inspect Area: APPROVED 04/12/2016 SLE 05/10/2016 SUMMER SYSTEMS, INC. QUATTRO PARTNERS LLC 28942 HANCOCK PKWY VALENCIA CA 91355 661-257-4419 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 501 SPECTRUM CIR OXNARD CA 93030 $0.00 $163.00 $0.00 $100.00 $263.00 Total Fees: $263.00 Total Payments To Date: $263.00 Balance Due: Inspector: FINAL APPROVAL Date: ~.-J(--/b Clearance: ------ $0.00 NOllCE: Please take NOllCE that apiroval of your prqect includes the "lrrpcsition" ct fees, dooications, reservations, or ciher exactions hereafter CXJ!ledively referred to as "fees'exactions." You have 00 days from the date this pemit = issued to protest irrp:lSitioo of these fees'exactions. If yru protest them, you 111.JSt foilONthe protest procedures set forth in C?ovemrent Code Sectioo 66020(a), ard file the protest ard any ciher required inforrratioo wth the Oty Managerfcr processing in acccrdance wth Carlsbad Mmidpal Code Sectioo 3.32.030. Failure to tirrely fdlONthat procedure wll bar any sua;equent legal action to attack, revievv, set aside, void, cr annul their irrpcsition. You are hereby FLRTl-lER f\OllFIED that your right to protest the specified fees'exactions txJES NOf APPLY to water ard seNer romection fees ard capocity changes, ncr planning, zoning, grading or other sinilar application processing cr S€1Vic:e fees in romection wth this prqect. NOR OOES IT APPLY to any fees'exactions of wiidl have 'ousi been 'ven a NOllCE sinilar to tlis cr as to widl the statute of linitations has eviousi otherwse 'red. ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING OBUILDING OFIRE OHEALTH OHAZMAT/APCD ~\ (__ Cicyof Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. llolLtO{ Est. Value Carlsbad Plan Ck. Deposit SWPPP Date Lt-I 2..-/ JOB ADDRESS Lol<er SUITE#/SPACE#/UNIT# APN CT/PROJECT# #BATHROOMS OCC. GROUP 5. PROPERTY OWNER ADDRESS CITY STATE ZIP PHONE FAX EMAIL Jvt{· CITY STATE ZIP PHONE FAX EMAIL STATELIC. # (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 require the applicant for such permit to file a signed statement tliat 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: I hereby affirm under penalty of petjury one of the following declarations: D ~ml 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 I have and will maintain wor~mpensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insu nee c rrier and policy number are: Insurance Co. / /4:/. v' e /e> /' .S Policy No.C>J-::S: \J .\3 8 /r-0 IO 5 (12{0 ----/.~Expiration Date-F-~-'~""'-+-'-=--- This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify thatin the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to beoome subject to the Workers' Compensation Laws of California. WARNING: Failure to secur woFk '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 compensatio , damages as rovided for In Secti 70 f the Labor de, i est and attorney's fees. - 25 CONTRACTOR SIGNATUR DATE .--/ 2 - I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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 Contracto(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). I, as owner of the property, am exclusively oontracting with licensed oontractors to oonstruct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and oontracts for such projects with contractor(s) licensed pursuant to the Contractors License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and matertals for oonstruction of the proposed property improvement. OYes 0No 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) to provide the proposed oonstruction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, butt 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): 25 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 ActJ 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 district1 D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. . .. ~ .. • c I hereby affirm that there is a construction lending agency for the performance of the work ihis permit is issued (Sec. 3097 (i) Civil Code}. Lender's Name Lender's Address ,, ,,._~---:- <· :_ .';.-, .-· ;., ~ I certi(ythatl have read the application and statethatthe 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 CllY 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 permitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or mrk authorized by such permit is not commenced within 180 days fium the date of such permit or if the building or mrk authorized by such permit is suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commercial Projects Only J Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION .JE5 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB161401 Type: PME J?~t~---Inspection Item ____ _ 05/31/2016 39 Final Electrical 05/31/2016 39 Final Electrical Tuesday, May 31, 2016 Inspector -~ct RI PB AP OPTUM RX: REPLACE EXISTING BATTERY BACK-UP SYSTEM Comments AM PLEASE Page 1 of 1 ' ' . (2d, 1.l-,.\ --~ ~ .'::) , .. -~~~~;i1~6-140~-d~ /1/ )~ · EsGil Corporation lS In <Partnersnip wit/i, (]overnment for <.Buifaing Safety DATE: 4/21/2016 JURISDICTION: Carlsbad PLAN CHECK NO.: 16-1401 PROJECT ADDRESS: 2858 Loker Ave East SET: I q APPLICANT i:il-dtJR IS. D PLAN REVIEWER D FILE PROJECT NAME: Existing UPS system maintenance by pass device installation D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: cg] EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted_ .... : --Telephone #: Date contacted: = D ~ Email: Mail Telephone Fa~ '¥Person Fax#: ~ REMARKS: Engineer stamp renewal date to be on all drawings. Stamp date on plans has expired. By: Morteza Beheshti EsGil Corporation D GA D EJ D MB D PC Enclosures: 4/14 , . ~ ... Carlsbad 16-1401 4/21/2016 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Morteza Beheshti BUILDING ADDRESS: 2858 Loker Ave East PLAN CHECK NO.: 16-1401 DATE: 4/21/2016 BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier ... Air Conditioning Fire Sprinklers TOTAL VALUE --~ Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: D Complete Review D Repetitive Fee 3Repeats • Based on hourly rate Comments: D Other El Hourly EsGil Fee TYPE OF CONSTRUCTION: Reg. VALUE ($) Mod . $12s.ool D Structural Only 11Hr.@* =====$=1 o=o=.o:o $100.ooj Sheet 1 of 1 macvalue.doc + City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-17-2012 Permit No: CB 122689 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2858 LOKER AV EAST CBAD PME 2090832100 Lot#: OPTUM RX: ADD 18 BRANCH ELEC CIRCUITS FOR COMPUTER HARDWARE 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: DIVERSIFIED PROTECTION SYSTEMS QUATTRO PARTNERS LLC 1241 NORTH BARSTEN WAY 92806 714-632-0929 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 501 SPECTRUM CIR OXNARD CA 93030 ISSUED 12/17/2012 JMA 12/17/2012 12/17/2012 $0.00 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: 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. 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 o this or as to which the statute of limitations has reviousl otherwise ex ired. f ~ « '¥ CITY OF CARLSBAD JOB ADDRESS 2-~~6 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit SWPP CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSI CONSTR. lYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) AbD ] )M,vC.H EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) Q p ADDRESS PROPERTY OWNER NAME ADDRESS CllY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATELIC. # 0 Clf..G v l PATIOS (SF) DECKS (SF) STATELIC.# FIREPLACE AIR CONDITIONING YES D #_ NO D . YES D NO 0 Ylct .. vShG\.1/ b CLASS FIRE SPRINKLERS YES O NO 0 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuan e, also requires the applicant for such permit to file a signed statement tt\at 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 applicantfor 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 perjury one of the following declarafions: 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, tor the performance of the work for which this permit is issued. 11ZC.1 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. .C~CE:$7 .l\.4na.NA'--:::C.,..S Co. Policy No . .S 3 00 0 0 C) 9 ,3b I '2 l Expiration Date 0/ ~ o/ -'29 J '3 This section need not be completed if the permit is for one hundred dollars ($100) or less. . D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker ' ompensation povera nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage r i Se · of the Labor code, interest and attorney's fees. ,Ji$ CONTRACTOR SIGNATURE AGENT DATE / Z-I -z. ~ i z... I hereby affirm that I am exempt from Contractor's Ucense 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 Profession's 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 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). D I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major 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} 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. 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}: ,/i5 PROPERTY OWNER SIGNATURE []AGENT DATE .. ,; r,,;€:,,,.._0,,.,.;""'~""': rr:,""'r:""'·~-=@=. 'f=.r_l=~,;;,:""'_~=1r,.,.J""'l:l~--:,..,. i;;l=: !=~'""<s""·1;'""0.,..· ze=_,..=,_ro""· =,i;i""j.~0....,m.,..1p'""'J""'.i"1\'»""""'"fil.,..,,-ill=_:&=.=h1=D""'i1J=. @.,,.. _·""'ro"'"·v"""_ =o~"""j·"'"'n,.,....,'cr,""fl!J<:",.·""'ii""'ii,""'·iti""'~.··o.,..· r"'"'·t""':@""···'"': .@,:-:. '....,~,_,,ffi.,..~'17,!=·,:""'.i),...1j.,.,;:g=':=/,:v""'~·=h.,,.:;1E""']=W""'~.=, .. ~,.,,.,..=""""'"'"'""'"'" 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? a Yes ¥,1 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes a No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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. ,_ ---! . 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 certifythatl have read the application and statethattheabove Information is correct and that the infoimation on the plans is accurate. I agree to comply with all Ci1yordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above menuoned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA 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 ial under th'-'l'!L>v,s,u,l'lll.l.lf this Code shall expire by limitation and become null and void if the building or mrk authorized by such permit is not commenced ½ithin 180 days from the date of such permit or if the b tfinn ""•Lmllt'llii1h h permit is suspended or abandoned at any lime after the mrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,25 APPLICANT'S SIGNATURE DATE / 7.--i 7-/ z. .. • -t, Inspection List Permit#: CB122689 Date Inspection Item 02/21/2013 34 Rough El~ctric 02/21/2013 39 Final Electrical 02/21/2013 39 Final Electrical Thursday, February 21, 2013 Type: PME Inspector Act PD AP RI PD AP OPTUM RX: ADD 18 BRANCH ELEC CIRCUITS FOR COMPUTER HARDWARE Comments Page 1 of 1 ;· ,:: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 .. 12-14-2010 Electrical Permit Permit No: CB102285 Building Inspection Request Line (760) 602-2725 Job Address: 2858 LOKER AV EAST CBAD Permit Type: ELEC • Status: Parcel No: 2090832100 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: PRESCRIPTION SOLUTIONS Inspect Area: INSTALL 80KVA UPS AND DISTRABUTION PANEL Applicant: DIVERSIFIED PROTECTION SYSTEMS 1241 NORTH BAR STEN WAY 92806 714-632-0929 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 125 0 Owner: QUATTRO PARTNERS LLC 501 SPECTRUM CIR OXNARD CA 93030 ISSUED 11/30/2010 MOP 12/14/2010 12/14/2010 $10.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $0.00 $310.00 $445.00 Total Fees: $445.00 Total Payments To Date: $445.00 Balance Due: Inspector: 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. 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 s to which the statute of limitations has reviousl otherwise ex ired. ~ «1~ ~ CITY OF CARLSBAD JOB ADDRESS ~ecb LO/<€ CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value SUITE#/SPACE#/UNIT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /fl..t7A-£L rt bO/<.VA. {)~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS(SF) FIREPLACE YESD #_ NOD CONTACT NAME (If Different Fom App/leant) ADDRESS ADDRESS /J .2..4 t I• AIR CONDITIONING YES D NOD CITY STATE ZIP CITYffl /f I-( e ifV\ STATEM ZIP PHONE FAX PHONE FAX 4-<;;3rz. 0 '7/4- EMAIL EMAIL , r .{'t;Jn an fo""n f (> @.,, cl. PROPERTY OWNER NAME SJot... U Io 11'..(1 ADDREss12..~b Lof<Sf<-. /\VB. &,<i7 CITY CARL-( ~A-0 STA"e.-A PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# FIRE SPRINKLERS YES D NOD 30 (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 requires the applicant for such permit to file a sil(ned 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 ($500)). I hereby affirm that I am exempt frOJ Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees wilh 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·Contracto(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 aie 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code; The Contracto(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 Contracto(s License Law). 0 I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes O No· 2. t (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): 4.1 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·(include name/ address/ phone/ type of work): _R5 PROPERTY OWNER SIGNATURE c:IAGENT 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? O 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 djstrict? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O 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. 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 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 relatingto building construction. I hereby authorize represenlative 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 ANYWAY 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: Eveiy permitissued 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 v.ithin 180 days from the date of such permit or if the building or work authorized by such pel!Tiil 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) . .-@S° APPLICANT'S SIGNATURE DATE -·------·--·-· ---. ------------------- ----·--- CIIV Of Carlsbad · Flnal Bulldlnu lnsuactlon r---'. Dept: Building Engineering Planning CMWD St Lite 1Fir-e_...., Plan Check #: Permit#: Project Name: Address: Contact Person: Sewer Dist: CB102285 PRESCRIPTION SOLUTIONS INSTALL 80KVA UPS AND DISTRABUTION PANEL 2858 LOKER AV EAST Phone: CA Water Dist: CA Lot: Date: 01/13/2011 Permit Type: ELEC Sub Type: 0 .......................................................................................................................................................... Inspected Date i Vi / By: 04v,. })J,,,---Inspected: ~-~ / D Approved: Disapproved: __ J Date Inspected By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ .......................................................................................................................................................... , Comments: ______________________________ _ City of Carlsbad Bldg Inspection Request For: 01/12/2011 Permit# CB102285 Inspector Assignment: TP --- Title: PRESCRIPTION SOLUTIONS Description: INSTALL 80KV~ UPS AND DISTRABUTION PANEL Type:ELEC Sub Type: Job Address: 2858 LOKER AV EAST Suite: Lot: 0 Location: APPLICANT DIVERSl~IED PROTECTION SYSTEMS Owner: BLT ALAMEDA NEWARK LP Remarks: Total Time: CD Description Act Comments Phone: 7142316169 Inspector: L Requested By: JACK Entered By: CHRISTINE 39 Final Electrical AP __________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histoey Date Description Act lnsp Comments 12/22/2010 14 Frame/Steel/Bolting/Welding WC TP 12/22/2010 24 Rough/Topout WC TP 12/22/2010 34 Rough Electric AP TP UPS & DIST. PNL 12/22/2010 44 Rough/Ducts/Dampers WC TP RECOMMENDED FOR APPROVAL·Wrfl-i NOTE TO HAVE ELECTRICAL ENGINEER $TAMP . AND SIGN SHEETS AS REQUIRED BY THE ·BUILDING DEPT. . . Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 BLDGo DEPT COPY T. (760) 724-7001 Email: kitfire@sbcglobal.net Page: 1 of 1 Checked by: Matthew Ernau Date: 12/14/2010 APPLICANT: Ralph Aontonio PROJECT NAME: Rx SOLUTIONS PROJECT DESCRIPTION: CB102285 JURISDICTION: Carlsbad Fire Department PROJECT ADDRESS: 2858 Loker Ave East INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • To expedite the recheck process, please note on this list (or copy) how and where each correction item has been addressed, i.e. sheet number, note number, detail number, legend number, etc Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates .. • Please direct any questions regarding this review to: Matthew Ernau 760-738-8279 or ernau57@cox.net • CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON THIS FORM, AND A COPY OF BUILDING DEPARTMENT (EsGil) COMMENTS MUST BE SUBMITTED DIRECTLY TO: • Matthew Ernau 1382 Hale Ave Escondido, CA 92029 -'-f TITLE SHEET Project Data • Is building fire sprinklered provided not on plans? • Provide note on plans: separate plans for fire sprinkler system, if applicable, shall be submitted to the Fire Marshal for approval prior to installation. • Code Revise code references to: A) 2007 California Fire Code add to code section • · Provide a note referencing to CFC 2007 Section 608 that states battery storage system not required to comply with this section due to electrolyte capacity under 50 gallons. -V MANUFACTURE SPECIFACATIONS (CUT SHEETS) • Provide manufacture specification on battery cabinet ' " Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 CORRECTION LIST T. (760) 724-7001 Email: kitfire@sbcglobal.net Page: 1 of 1 Checked by: Matthew Ernau · 8-tte:.)1 ~12{2 • .0.19 1t.n..;1 t1. unPT COPY APPLICANT: Ralph Aontonio PROJECT NAME: Rx SOLUTIONS PROJECT DESCRIPTION: CB102285 JURISDl(?TION: Carlsbad Fire Department PROJECT ADDRESS: 2858 Loker Ave East INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • To expedite the recheck process, please note on this list (or copy) how arid whe.re each correction item ha$ been addressed, Le; sheet number, note m.imber, -detail number, legend number, etc Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates ... • . Please direct · any. .questions regarding .this review to: Matthew Ernau: 760-738-8279 or ernau57@cox.net • · CORRECTED PLAN$; D)SSCRIPTIVE NARRATIVE OF ~REVISIONS. FOLLOWING EACH COMMENT ON· THIS FORM, _AND A ·copy_ OF_ BUILIJJN<:;: OEPARTMENT. (ESGil} COMMENTS MUST Bl; SUBMITTED.DIRECTLY TO: · • · Matthew Erna,:{ · 1382 Hale Ave. ·Escotjdido, QA 92029 TITLE SHEET Project Data • Is building fire sprinklered provided not on plans? . • Provide note on plans: separate plans for fire sprinkler system, if applicable, shall be submitted to the Fire Marshal for approval prior to installation. • Code Revise code references to: A) 2007 California Fire Code add to code section • Provide a note referencing to CFC 2007 Section 608 that states battery storage system not required to comply with this section due to electrolyte capacity under 50 gallons. MANUFACTURE SPECIFACATIONS (CUT SHEETS) j ) • Provide manufacture specification on battery cabinet CB102285 2858 LOKER AV EAST PRESCRIPTION SOLUTIONS 1{l>1[1 o I. \:> <;+e_J Q_ @fG· !~ g..-\ 10 ' /Jft/-11 < ' " fvte c;_'lf ( Approved Building Planning ~ering Fire ) r.O.G. HazMa1/Air Quality Health Forms/Fees Sent CFO , Fire -.'£[.;:> /(/ z,.e; HazMa1/Health t . Health LOA PFF PE&M School Sewer Stormwater Workers Comp. Comments Date Building l.::i.lol.\10 Planning Engineering I Fire -e,.,, ~ - Need?· l Application Complete? Fees Complete? , _Date \.l-'ll.f...-fD A.J f't pe,r~t ,v f)r oU l(\f l;J.-/t.f-i'l'i Rec'd ~ J,L-4<-t---tu I Date y y N N Date , DCV ./,. By \H ,,.._ H' / Due? By y N y N y N y N y N / y N //,/ y N rr y N I y N y N y N y N y N Date QDone aoone QDone QDone DDone DDone By: By: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-03-2008 Mechanical Permit Permit No: CB081638 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2858 LOKER AV EAST CBAD MECH Status: Parcel No: 2090832100 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: PRESCRIPTIONS SOL.: INSTALL DUCTLESS SPLIT SYSTEM Applicant: REED & COMPANY, A 0 4777 RUFFNER STREET SAN DIEGO, CA 92111 619-565-4131 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: QUATTRO PARTNERS LLC . · 501 SPECTRUM CIR OXNARD CA 93030 ISSUED 08/27/2008 JMA 09/03/2008 09/03/2008 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 · $20.00 $0.00 $44.00 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: FINA Inspector: Date: _ _,__._ __ _ 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 bai any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your rtght 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 projE.'Ct. NOR DOES IT APPLY to any f /exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the stat te of limitations·has reviousl otherwise ex ired. Cits, of Carlsbad · 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2118 / 2719 Plan Check No.CB OR' I (p? ff Est. Value Fax: 760-602·8558 Plan Ck. Deposit JOB ADDRESS RQJECT ff CONTACT NAME (If Different Fom Appl/cant) Prescripti ,n Solutions . APPLICANTNAME A.O. Reed & Co. B>t=:'iH Pi'lf.fl.S ADDRESS 2858 Loker Street J l,(.t\}€,... bAn+rzi'§H I ADDRESS 4777 Ruffner Street cnv STATE ZIP CITY STATE ZIP Carlsbad Ca. 92010 San Diego ca. 92111 PHONE ---------TFi,;'AAi'Y"""-------------j.;;PHc:;O;.N;;;E----__:~-----,r.F,r."AA,;._.------==-:..:....:__ ___ --J 7 {;,{) . 858-565-4131 858-565-7185 EMAIL EMAIL BPIRES@AOREED.COM PROPERTY OWNER NAME Jones Lang LaSalle ADDRESS 3111 Camino Del Rio North #800 CITY San Diego PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS None STAT£ Ca. FAX ZIP 92108 STATELIC,# CONTRACTOR BUS, NAME A.O. Reed & Co. ADDRESS 4777 Ruffner St. CITY San Diego STATE Ca. ZIP PHONE 858-565-4131 FAX 858-565-7185 EMAIL BPIRES@AOREED.COM STATELIC.# CLASS CITY BUS. UC.# 7731 238900 92111 (Sec. 7031.5 Business and Professions COde: Any Ci!Y or County Which requires a permit to construct, alter, Improve, demolish or repair any_structure. prior to Its Issuance. alga reQuires th• applicant for such permit to file a signed statomont tliat ho la llocnsed purouonUo the provi~lon• or the Contraotor's License LAW rcnapter 9, commenalngwlth Section 7000 of Division 3 of the Business and Professions Code) or mat he is exem~t tnererrom, and the basis for the alle!led exemption. Any vlolaUon of secuon 7031.5 by any appllcantror a permit subJects the applicant to a civil penalty of no\ mora than five hundred dollars ($500)). WORKERS' COMP ENS A)" ION . , __ _,;", Workers' Compon11Uon Decl1rat10n: / hereby affirm under pen8lty of pe,jur; llllll of the !Ollowing doc/srs/Jcns: Q I have and will maintain I cet!lficatt of consent to self.Insure for v.orkers' compensallon as provided by Sec!lon 3700 of Iha Labor Code, for the performance of the work for which lhls permit is issued. ~ have andwlll maintain workur1' compansaUon, as reQulred by Sectfon 3700 of the Labor Code, for the performance of the work for which !flls permit Is Issued. MY workers' com~n Insurance camor and poflC)' number are: Insurance Co Policy No. WC 159-36-76 Explr.iUOn Dare ..:.1=2;..;/3:;..1:.:./.::.0.:.8 ___ _ J!ili.:ac!lon need not bo ccmploiod ff the permit Is for ono hundred dollor.s ($100) Qf t,,.., LJ Certlflcats of ExempUon: I certify that In ths performance of the work for 11111ch this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws or Cal~omla. WARNING: Failure to aecur, workers' compenaatlon coverag, 11 unlawful, and shall subject an smployorto crfmlntl p11111Ues and civil fines up to one hundrad thousand dollars (&100,000), In addlUon to the cost of~mpensaUon, da 0111 provided for I 3708 of the Labor~dt, Interest and attomeY'• lees • .6$ CONTRACTORSIGNATURE: I hereby affirm that I am exempt from Contmc/Ql's Ucet1$8 Law for tho fo!Jo'ldng roason: O I, es owner ol Iha property or my employees with wages as their sole comlJ8nsa!lon. wm do the work and the slructura Is not Intended or offered for sate {Seo. 7044, Business and Professions Code: The Conlracto(s License Law does not apply to oo owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided lhat such improvemenrs are not lnlBnded or offered for sale, II, however, th& building or improwment Is sold within one year of compmtion, the owner-builder \\ill have the burden of proving that he did not build or Improve for tho purpose of sale). D I, as owner of Iha property, am &llcluslvely contracting with licensed conlractors to construct Iha project {Sec. 7044, Business and Professions COde: The Conlrac(ofs License Law does not apply to an owner of property Who Mds or Improves lheraon, and conlracts for such projects With conlractor(s) licensed pursuant lo the Contractofs Uccnse Law). D I am exempl under Saotion ____ Buolnoss ond Profession$ Code /or this raason: 1.1 peraonaliy plan to provide the major le bar and male rials for ainstnx:Uon of the proposed property Improvement. Oves Ot-10 2. I (have/ have not) signed oo app!lcallon for a building permit for the proposed work, 3. I have contractM wilh the following person (Hrm) to provide Iha proposed construction Qnclude name addrass /phone/ conlr.ictora' license number): 4. I plan to provide portions of ihe work, but I have hued the following person to coordlnal&, supervise and provide Iha major work (Include name I add~ I phone/ contractors' license number): 5. I will provide some of Iha work, but I have contracted (hi rad) the loliowlng persons to provide the work indicated {Include name/ addrass I phone/ type of wolll): RS PROPERTY OWNER SIGNATURE DATE CITY OF CARLSBAD BLDG PERMIT.max ·---------- c o0·M P L E T E TH I s s E c T I o I'll F o n N o N -n E s , o E N n A L B u I L o , N G P ,r R M I T s o N L v · Ill the appllcaht or future building occupant raqulred to submit a busln8GU!aa, acufely hazardous male rials reglstraUon form or rlsk managsment amf prevenllon program under Sections 25505, 25533 or 25534 of the Presley• Tanner Hazardous Subslanco Account Act? O Yes 2'!No Is the appllcaot or Mure building occupant required to obtain a permit Imm the air 1)011\lllon c:ontrol.!!!§lrlcl or lfsallty management dlstrlct? Oves 181 No Is the!aciUlyto be0011S1nJctedWllhin 1,000 feetoftheouterboundaryof a schoolallo? L.]Yes o . IF ANY OF 11lE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U U:SS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERI/ICl:S AND THE .PJR POLLUTION CONTROL DISTRICT. toortf(ylhatlhavereadlhe8ppUcatlonandstatalhattlleaDOWlnformlllfonlacorroct8ndthotlholnfomlaUonont11epl11111tsaa:urate,lagreetocomplywlthullCity01'1111811*andS1atelawsllllaUngtobulldlngc:o11$1nid!on. I herabyaulho!iza 18J)1BS811tatll'll oflhe CityofCansbad lo enter upon the abovemenlloned J)lq)elfyb'i1specllon puiposas. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AtN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pe1mitfs required forexcavalions ovar5'0' deep and demollllon orcoostrucUon of structures over 3 stales ii helQht, · EXPIRATION: Eveiypermt issued by the Buildlng Offlclal under the provlslons cflhls Coda shell expi'ebyfimilmkln aldbeooma nul and I.ml Wlha buik!lngorWC/k Pulhorizod by such pem,it bnot~wllhln 180dayo from lhedeteof &!Ch patmit <X"lflhe ng orWOlk aulhOllze(f by such pemnlssuspended or abandoned al anytime afferlhe 'lrl'llkiscommerOld fora riod of 180d~ (Seclloo 106.4.4 Unoonn Buildfng Code) . ..@S' AP Pl.I CANT'S SIGNATURE DATE CITY OF CARLSBAD BLDG PERMIT.max City of Carlsbad Bldg Inspection Request For: 09/12/2008 Permit# CB081638 Title: PRES.CRIPTIONS SOL.: INSTALL Description: DUCTLESS SPLIT SYSTEM Type:MECH Sub Type: Job Address: 2858 LOKER AV EAST Suite: Lot: 0 Location: APPLICANT REED & COMPANY, A 0 Owner: QUATTRO PARTNERS LLC Remarks: 858-565-4131 Total Time: Inspector Assignment: Phone: 6192475779 Inspector: Requested By: BETH Entered By: JANEAN CD Description 44 Rough/Ducts/Dampers ~-m_m_e_n_ts ________________ _ Comments/Notices/Holds Associated .PCRs/CVs Original PC# . Inspection History Date Description Act lnsp Comments PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB081638 DATE 8/27/08 ADDRESS 2858 LOKER AV EAST RESIDENTIAL ADDITION• MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER ROOF TOP UNIT IS SHOWN AS BEING SCREENED BEHIND AN EXISTING PARAPET WALL PLANNER GINA RUIZ DATE 9/2/08 ENGINEER. ________ _ DATE. ______ _ 11:\AD!IIN\COUNTE!l/PLANNING/ENGINEERING APPROVALS City of Carlsbad 12/13/1999 Plumbing Permit Permit No:CB994582 Job Address: Permit Type: Building Inspection Request Line (760) 438-3101 2858 LOKER AV EAST CBAD PLUM Status: ISSUED Parcel No: 2090830100 Lot#: 0 Applied: 12/13/1999 Construction Type: NEW Entered By: MDP Reference #: Project Title: PRESCRIPTION SOLUTIONS UNDERGROUND PLUMBING ONLY Plan Approved: 12/13/1999 Issued: 12/13/1999 Inspect Arna: /0'18 12/13/99 0001 01 02 Applicant: PERSKY PLUMBING 9858 CIRCA VALLEY 619 561-3178 Total Fees: $35 00 : ··--T6t~I Payments f cf!ff'ite_f,\~ ., $0.00\ ~ Bala~\ce Due: . _,I ... / -. \ c--. ,---·---I "-~~~=~~ \\ "'\) f7 / \\ l "';-,-._, I ,,., ·-.'"'~ -~'"""-~// / Plumbing Issue Fee / (()) { >···-.. :.J-6······;/~· / ,fi\ \0) $10.00 ',, ....__,,.. i ~r/~" _,;f._~.,__,,1· ~ I .....____.,. , Building Sewer \ \ ~ ~ ,._, '.,ll 1Jf, f (~ [ J $~ 5.00 Fix_tu~e or Trap \ , f p \~ f ., \ 1 ~0.00 Roof Drain \ \ "' ~~ ~ li f5 · 't:f2; I /$0.00 Install/Repair Water Line \ \ ') ;O"~ -':·ii·/f c~ / / $0.00 Water Heater and/or Vent \ _ ~ c./ 0 ~V,1 . / I $0.00 Gas Piping System C-...°'\ '-0 INCOPPORA,ED / ("---::----.._ $0 00 \ 11 V "-, 1S52 / \';;;, ' Vacuum Breaker ~ \~:;-./;;, ,"0-___JJ _ __.....,./ 0 0-.. \j $0.00 Other Plumbing Fees --~~ / /j r'< .-~ C~ \0 $0.00 'v' / <..., / / (2 ro,....~ \ 0 ( \, \ ~/· "-.) U l. ,-: 1 . '\ \'-._::. \., $0.00 Master Drainage Fee ; \ / 1 u '·, ,___/ / Sewer Fee ---... .. _____ __...... $0.00 TOTAL PERMIT FEES FINAL APPROVAL Date: 5'/j '02> $35.00 Clearance: C-PRHT 35-00 $35.00 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 capactiy 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 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION .,. PLAN CHECK NO. ff. 'iS'es z. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan_ Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ Address (include Bldg/Suite #I /1 !3-°·111 ,._ 1 Business Name lat this address! LoT .32J 3 rt: '3 '-( L~ lS' (}ll-D 'TF:1.~_. ~" 0 2L1 2 / Legel Description Lot No. Subd1V1S1on Nama/Number 2{8:-o '? 5-o I l 02.. ., cJ 3 th1 c.,4e c SQ. FT. #of Stories Designer Name State License # Address City Unit No. Phase No. ti+ Proposed Use I of Bedrooms State/Zip Telephone E~;iW~RK£R'St.i'COMPiNtA.1'1'0~~...a=~~~~s;?;E~~~~~;;:~~~~~-~::~~f!4:'£.~~·:.:~:: ~--_.:~:,: · -'.... .. ~ ' .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ·Total # of umts # of Bathrooms ~ I have and will ~aintain 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. 0 I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's com~nsation insurance carrier and policy number are: _ ':;J _ _ . · _ . , J , Insurance Companv-.5A J-tt;O Polley No. 0 r:z O 4 2.;I <J 6 00 f ;xp1rat1on Date / (V/ r .zoo~ (THIS SECTION NEED N~T 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 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 1acure workers' companutlon coverage la unlawful, and ahaR aubject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addition to the coat of compenHtion, damagu u provided for In Section 3706 of the Labor code, Interest and nttomay's fees. SIGNATURE:;:;_;;;::;:;;:;::;;:z;:::::;:::::;;;:;::;:;;:;:=::;;;::;:;;:;::;;;:;;:;:;;:;:;;;:::;:;;:;:::::;;;;;;::::;;:;;;;;;;:;;;;:.;:_;;;::;::;::;:~:::;;;::; DATE ________ _ -,;'7!;:iliWNER;BUi[l)ER'l:JECt.'.lffi~1ftift~~~:r'l>fM~~'i::..~~'l-'.~1J:..t,,/~{R~fL$f~"J::j._?,'fi~,~m~~~~·Y':!~.o/;-.i".!r;'.]i0;;.v::--.; ,.-:: · -~::-·-:. '~--~·~:~.. :: , : ·:-., :· · I hereby affirm that I am exempt from the Contractor's Ucensa Law for the following reason: 0 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 Coda: The Contractor's Ucensa 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 val!r of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). 0 i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with conttactor(s) licensed pursuant to the Contractor's Ucense Law). 0 I am exempt under Section ______ Business end Professions Coda for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following P.Brson (firm) to provide the proposed construction (include name / address / phone number / 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 number/ 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 number/ type of work): _____________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE _________ _ ~OOMPLET.EmilS,'SEc:J10"~mRWo'N,'~~INffl~~~~1.~-rnk~2'"'·,,;-~;:·1:::·1;:,·2~:t::,r-,::;::;,:~~:,,~::-"'·;'.:~'.:·.:··: ls 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 Su~stance Account Act? O YES O NO ls the applicant or future building occupant required to obtain a permit from tha air pollution control district or air quality management district? 0 YES O NO is the facility to be constructed within 1,000 feat of the outer boundary of a school site? 0 YES D NO IF ANY OF THE ANSWER~ 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. I• ~~tt:~~~S~U'c:ijONii;!\ii)Jt:,iGf~~l~~~~~~~;%f.;~~;;';;i:1i;:ii;;r1,7;;::.;~;c-;,:: ·. '.';·, .: .. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. ______________________ _ :s:@~'P.P.IJCAN'.l'~CER.'tlfiCA"rio~'1l1:t...~i~~~~~~~-;1--i?!ig~~?1'W'r!~i<-f.;;&~'s;"'.':;·'~-.':~,::-.:· -._ ·: -. . -, .. - 1 certify that I have read the application and state that the above information ls 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHIC YIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for EXPIRATION: Every permit issued b work authorized by such·permit is f such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t~ action 106.4.4 Uniform Buildin 0 gACToEde). ./~ f) .--/· e -~ APPLICANT'S SIGNATURE ,f,Mi:...fi=;...!.-~~~!:..J..-~~----,4----------~ ~ -1'' /1' PINK: Finance City of Carlsbad Inspection Request For: 12/20/1999 Permit# CB994582 Title: PRESCRIPTION SOLUTIONS Description: UNDERGROUND PLUMBING ONLY Type:PLUM Sub Type: Job Address: 2858 LOKER AV EAST Suite: Lot O Location: APPLICANT PERSKY PLUMBING Owner: INDUSTRIAL DEVELOPMENT INTERNATIONAL Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: Inspector:&_ Requested By: RANDY Entered By: CHRISTINE 21 _u_n_d_e_rg_r_o_un_d_1_u_n_de_r_F_1o_o_r __ -£_-------------------- Associated PCRs Inspection History Date Description Act lnsp Comments