HomeMy WebLinkAbout2558 ROOSEVELT ST; ; CB910589; Permit. ~· . , .. . B U I L D I N G P E R M I T Permit No: CB910589
Project No: A9100699
Development No:
04/19/91 16:12
Page 1 of 1
Job Address: 2558 ROOSEVELT ST
Permit Type: INDUSTRIAL TENANT IMPROVEMENT
Parcel No: 203-102-35-00
Valuation : 25 ,358
Construction Type: VN
Occupancy Group: Class Code:
Description: 1237SF OFFICE CELEBRITY PRIME
Appl/Ownr : TUBBS, HENRY
1991 VILLAGE PARK WAY #160
ENCINITAS, CA 92024
*** Fees Required
fees :
Adjustments:
Total Fees :
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Pluming
Enter "Y" for Electric
Three Phase Per AM
* ELECTR!CAL TOTAL
**k
Issue
Is:::ue
Str:
619
Fl: Ste:
19 04/19 9 o ..
~ T
cR. L-1 }qs~atus: ISSUED
04/08/91
04/19/91
CD
Applied:
Apr/Issue:
Validated By:
632-0332
.00
168.00
342.00
"'* *
Ext fee Data
.st>
.00
259.00
168.00
4 .00
431.00
5.00
50 .00
55.00
15.00
9.00
24.00
N
y
y
F·N L
INSP. '"'"" ~; I 3 -'
CLEAhAi~ --~~~---1 ... ~ ......
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATiON
•
City of Carlsbad Building Department EST. VAL. __ dZ;f---'--'-,<lC-"'.:?,C...,:5:J__? ____ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PLAN cr oerosn ___ ~_-...L/_,~.....,Bc,.._
VALID. BY ______ ,L>~-.s;;:..,_ ______ _
1. PERMIT TYPE . . om ----~M=Yf~P-~,/ .... <,:..,,_/ __ _
A
B
C
2.
COMMERCIAL
0 INDUSTRIAL □NEW
0 RESIDENTIAL O APARTMENT
□DUPLEX QOEMOLITION
□MECHANICAL QPOOL
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
□CONDO QSJNGLE FAMILY DWELLING 0 ADDITION/AL TERATJON
□RELOCATION QMOBILE HOME □ELECTRICAL □PLUMBING
QSPA □RETAINING WALL QSOLAR □OTHER
PROJECT INFORMATION PLAN CHECK No.
Addms 2558 Roosevelt Street 1120 I
Nearest Cross Streets Laguna Brittany Court LEGAL DESCRIPTION Lot No. Sutx:livision Name/Nl.llt>er Unit No. Phase No.
CHE ELCM IF SUBMITTED:
2 Energy Cales 02 Structural Cales 1 Addressed Envelo
ASSESSOR'S PARCEL 2Q3-J02-35
DEStRIPI ION OF wdkk
exisriNG use Professiooal Office PRoPoseo usE Sane
1237 sq. ft. of tenant improvements
BLDG. SQ. HG. # OF STORIES 3
3. CONTACT PERSON
NAME Henry Tubbs ADDRESS
ZIP COOE
1991 Village Park Way, 11160
4.
5.
6.
c1 TY Encinitas
SIGNATURE
APPLICANT
NAME See above
Cl TY
PROPERTY OWNER
X] CONTRACTOR
NAME Presidential Plaza
CI TY See above
CONTRACTOR
NAME Henry Tubbs
CITY
SIGNATURE
DESIGNER NAME
CITY
/
STATE CA
0 AGENT FOR CONTRACTOR
ADDRESS
STATE
OWNER
STATE
STATE
ZIP COOE
ADO RESS
ZIP COOE
ADDRESS
ZIP COOE
92024 DAY TELEPHONE 632-0332
O0IJNER 0 AGENT FOR OWNER
DAY TELEPHONE
□LESSEE OTENM<IT
DAY TELEPHONE
See above
DAY TELEPHONE
LICENSE CLASS __ .,_ __ _ C!TY BUSINESS LIC. #
Tl TLE DATE
ADDRESS
STATE ZIP COOE DAY TELEPHONE
IQBQ300
STATE LIC. #
7. WORKERS' COMPENSATION
8.
Workers• COl!l)ensation Declaration: hereby affirm that have a certificate ot consent to self·insure issued by the Director of Industrial Relations,
or a certificate of Workers' Co,rpensat ion Insurance by an adni t ted insurer, or an exact copy or dupl i cate thereof certified by the 0i rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
EXPIRATION DATE 1NsuRANcE COMPANY Golden Eagle Insurance Co. Poucv No. OC 11 12 65
Certificate of Exeffl)tion: I certify that in the performance of the work for which this permit is issued, I shall
so as to become subject to the l.lorkers• Co,rpensation Laws of California,
SIGNATURE DATE
OWNER-BUILDER DECLARATION
12/91
not employ any person
0wner·Bu1lder Declaration: I hereby affirm that I am exempt from the Contractor's License law for the following reason:
in any manner
0 I as owner of the property or my errployees 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 ifll)roves thereon., and who
does such work himself or through his own efll)loyees, provided that such improvements are not intended or offered for sale. If, however, the building
or ifll)rovement is sold within one year of corrpletion, 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 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).
0 I am exerrpt under Section ____________ Business and Professions Code for this reason:
(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 signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis for the alleged ex~tion. 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] ).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
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 PreslerTanner Hazardous Substance Account Act'
Ons ~No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
OYES ~NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'>
□YES
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE Of OCCl.f'NICY ~y NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET DR IS MEETING THE REQUIREMENTS
OF THE OfFICf OF EtERGENCY SERVICES AIC> THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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
10. APPLICANT'S SIGNATURE J certify that ! have read the application and state that the above information is correct. I agree to comply with all C1ty ordinances and State laws relating
to building construction. I hereby authorize representatives 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, Jll)GMENTS, COSTS AND EXPENSES WHICH ~y IN ANY I.IAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall el\pire by limitation and become null and void if the building
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
y tl~ i coomenced for a period of 180 days (Section 303(d) Uniform Building Code).
URE (~ ~H--□ OWNER EfcoNTRACTOR □BY PHONE APPROVED BY: --------DATE:
WHITE: File YELLOW: Applicant PINK: Finance
-
-CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910589 FOR 05/13/91
DESCRIPTION: 1237 SF OFFICE CELEBRITY PRIME
TYPE: ITI
JOB ADDRESS: 2558 ROOSEVELT ST
APPLICANT: TUBBS, HENRY
CONTRACTOR:
OWNER:
REMARKS: MH/HENRY/632-0332
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK# CB910589
OCC GRP
CONSTR. TYPE VN
STR:** FL:**** STE: 201
619 632-0
CD
19
29
39
49
LVL DESCRIPTION ACT COMMENTS
ST Final structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
***** INSPECTION
DATE DESCRIPTION ACT
050691 Frame/Steel/Bolting/Welding NR
050691 Rough/Topout NR
050691 Rough Electric NR
050691 Rough/Ducts/Dampers NR
042691 Interior Lath/Drywall co
042391 Frame/Steel/Bolting/Welding AP
042391 Rough/Topout NR
042391 Rough Electric AP
042391 Rough/Ducts/Dampers NR
e4 1, dVrsL-
HISTORY *****
INSP COMMENTS
PK NO REGISTERS SET
PK
PK
PK FIRE DAMPERS NO-INSP
PK
PK WALLS
PK
PK WALLS
PK
. ~·
DEPT: BUILDING
FINAL BUILDING INSPECTION
ENGINEERING G PLANNING U/M
PLAN CHECK#: CB910589
PERMIT#: CB910589
PROJECT NAME: 1237 SF OFFICE CELEBRITY PRIME
ADDRESS: 2558 ROOSEVELT ST SUITE# 201
CONTACT PERSON/PHONE#: MH/HENRY/632-0332
SEWER DIST: CA WATER DIST: CA
INSPECTED DATE
RECEIVE1il r-1.L•,· 1 c:, <co1 -I ,. t<.J,._; l
WATER
DATE: 05/10/91
PERMIT TYPE: ITI
BY: Sy(:4?& INSPECTED: S/1zt'i't APPROVED)(:._ DISAPPROVED
INSPECTED
BY:
INSPECTED
BY:
COMMENTS:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED
APPROVED DISAPPROVED
• ' ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
DATE: £./ -I~ -;7 / .. PI I~ ~
dMlRIS i ~IW':>
JURISDICTION: ~C_.a=~r~A-'~6~0-A_. _________ _ [.,PLAN CHECKER
CFILE COPY
PLAN CHECK NO: 9/-s-99 SET: r ,-. UPS
PROJECT ADDRESS:_
1
_.:z_ __ .5_5-:_,_8~-l,,{:-fi'.~"~o=61..:'~$~e=,,u~e=-/~'-/-~(J~ii· ~·-
-.. DESIGNER ~J.or
PROJECT NAME :_o~ft!~-'~U?_~· ~--~7~_"..J._. ________ _
□
D
0
□
□
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 deficien-
cies identified-,----=----~-~-~=---are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
V)(j Esgil staff did not advise the applicant contact person that
#'-~plan check has been completed.
[7 Esgil staff did advise applicant that the plan check has
·-' been completed. Person contacted: --------------
Date contacted: ----------Telephone# ________ _
□ REMARKS: _______________________ _
By:~~~ON Enclosures: ------------
::J GA ~ AA CJ RN =:J DM
•
Datea ~-l!?-3/ Jurisdiction C,g~kkl
VALUATION AND PLAN CHECK FEE
□ Bldg, Dept,
0 Esgil
PLAN CHECK NO,o//-~-e2 JI
Bu I LDING ADDRESS _:2-__ s;--="£"1/"----_ ___.63......__,,, ... a...._.<=<?.~1 ..... /..;;_~--\.'.:l-~_1--'-. _-P:_-=-:J.......:..;;.Cl..c.l_
APPLICANT/CONTACT _________ PHONE NO. _______ _
BUILDING OCCUPANCY -dl{_ -z._ DESIGNER PHONE
TYPE OF CONSTRUCTIO;;U I\} CONTRACTOR PHO_N_E ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
T"L /.-2..3 7 ::J CJ, ~cl ;}....51"'?& 91
.
Air Conditionin£
i.;ommercial @
Residential ra
Res. or Comm.
Fire Sorinklers @
Total Value -"?-bo&c,
Building Permit Fee$ 89, o-D -t-G,!?-0 X ,;z V $ ;;;.__§]j,60
$ I /13. 0 .3 Plan Check Fee~$~----------------~~-(£}--~•---
COM MEN TS._: ---------------------------
SHEET _L OF /
I 2/ 8 7
'• ... Page 1 of 2
Remo~el Or Tenont Improvement Information ronn
Plan file No. Cft -rrr Jurisdiction,--=C--:1~~:1'---i:-1-....,:.c,7-~,c,...::.~>""-'M:'1...L..:..DL__ __
Project Address Z--~£8' /2.o6 Sel/GlT >f7'..4.f7 4F'l-o I Oatl }/jfj_9 {_
REt'COEL OR TENANT Itf'RDVEl'ENT BUILDING CCXJE lt-f"ORIIATIDN REQUIRED PRIOR 10 PLAN SUBIIITTAL
In order to complete a plan review of a remodel or tenant improvement within an existing building it is
necessary that the information in Items 1-11 be provided or the approved plans be provided for the existing
buildi_ng •
..................................................... --.Hlllllllll ......... * ....... * ..... * ......... 11111111111111
1.
2.
).
4.
5.
6.
Circle the existing type of construction for this build~:
I, II-FR., 11-lhr., II-N, III-lhr., III-N, IV, V-lhr., \6H
Does this building have fire sprinklers throughout? @ No
Does the proposed project create a change in use or occupancy classification? Yes G
Describe the previous use·of the project area
V, '
Describe the proposed use of the project area ~
GeJl:;plJL ()/(,cb -LUE -frl&L~67l#G'
Existing Building Area y!fo O '7dP. Improvement Area / 2-3 7-~-{--1: •
How many stories are in this building? _ _,3"--------------------------
\..hat story is the improvement on? ___ _.e:::::_ ______________________ _
Does this project involve alterations to:
Existing fire walls Yes
Existing floor or roof loads Yes
Existing building structure Yes
Existing HVAC equipment Yes If 11 YES"1 see DlO below
Existing electrical service loads 'res
Existing lighting Yes If 1'YES11 1 see DlD below
7. ,hat is the approximate date that construction of the existing building was permitted? ___ _
8. Et.ERGY CONSERVATION
which of the following were checked and approved
time the original building was approved:
Building envelope
Area lighting ~ No
No
for Title 24 Energy Conservation at the
HVAC equipment
Water heating Yes
No
No
l~ill the ~osed project significantly alter any element that was approved? ______ Yes,
___ _,_V ___ ..,No If "YES"~ see 810 below
9. HAIOICAPPED ACCESS fACILITIES
Wiich of the following has been approv~d for compliance with the handicapped access standards
of Title 24, CAC:
Parking & access to the building
Building stairs & elevators
10. Et.ERGY DDCIJ'ENTATIDN
Q (!!:_) No
No
Building entrance doors ~
Existing public restrooms '8
a. Remodels to existing conditoned spaces require that a form Cf-1 (attached) be completed,
signed and imprinted on the plans. Additionally, if the building envelope, lighting or
HVAC equipment are to be altered or added, appropriate State required documentation must
be submitted.
b. Provide copies of all existing Cf-1 forms for this building.
c. Provide a.copy of any existing approved energy design for the building.
No
No
·• ... .,;•
Page 2 of 2
11, PLANS
a. Plans shall clearly show all demolition and new construction proposed.
b. Plans shall clearly $how exit systems, fire rated construction details, occupancy require-
ments, handicapped access provisions and other requirements necessary to show the work
will comply with adopted codes and ordinances.
c. If structural revisions or increased live or dead loads are proposed the structural plans
details and calculations shall be provided and shall be signed by a California licensed
engineer or architect.
d. If electrical system revisions or increased electrical loads are needed provide electrical
plans and specifications showing location of panels, panel·schedules, existing service
size, existing building load, additional loads, wiring method, exit signs and emergency
lighting when required,
e. If plumbing revisions or additions are proposed provide plumbing layout, details and specifi-
cations. Include sizing calculations when necessary to justify pipe sizes.
f. All sheets of the plans are requried to be signed by the responsible designer.
Information is provided by /-&,ri l½-f fa/3 Y S
Title C;..J -trz._,4-c...-77) I?--
./
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB p I -5 e '7 DATE ___ Cf;_IA_~_1_/ __
ADDRESS ___ d-__ f _<:;_f_·_K_\_~-~-~-~_u_-e.._l _T ________ _
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER _______________________ _
DATE_i~1/_l)J-1---)_-C::-,/ __
ENGINEER , PP s. SC,HEl)t;LL DATE 17 APR~ I
C:\WP51 \FILES\BLDG.FRM Rev 11 /1 5/90
2560 ORION WAY
CARLSBAD, CA 92008
<ttitp of <ltarl.ubab
FIRE DEPARTMENT
PAGE 1 OF _L
TELEPHONE APPROVED (619) 931-2121
,r
DISAPPROVED
PLAN CHECK REPORT PLAN CHECK#
(I-..,; I
PROJECT (I / f-r)I( I I I 6< utl t;,, /:r1 i)_<:, I
ARCHITECT DA l ~ Vt ., ,r Y': >
OWNER Tr • u h .. ,,A f~A.2~
ADDRESS , 1, J<.l ~t?.rm
ADDRESS
PHONE 1 ~ '1 ..,,..5.:J l ""'
PHONE 3 .2 0.5.;
OCCUPANCY B .J., CONST. -t/~!J ___ TOTALSQ. FT. /;;) '?, 1 STORIES _ _:;_ ____ _
m SPRINKLERED rii,;rENANT IMP.
__ 1.
__ 2.
__ 3.
~4.
--5.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets ____________________ _
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following:
Permits are required for the installation of all fire protection systems((sprinklers stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire departmenti,rlor o Installation.
The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
~ 6. The ollowing fire protection systems are required:
El Automatic fire sprinklers (Design Criteria: ___.t=---..cPJ.i'-'/.'----'':....:):...1E....c.//.Lf'=---...,,l-=_2,..=------------
□ Dry Chemical, Halon, CO2 (Location: ________________________ _
D Stand Pipes (Type: --------------------------------
□ Fire Alarm (Type/Location: ____________________________ _
~ 7. Fire Extinguisher Requirements:
[B-One 2A rated ABC extinguisher for each fn r ) sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed 75 feet of travel.
D An extinguisher with a minimum rating of ___ to be located:
D Other: ___________________________________ _
__ 8. Additional fire hydrant(s) shall be provided _______________________ _
EXITS
_i _ 9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
__ 10. A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and
poors ------------------------------------
__ 11. EXIT signs (6" x ¾" letters) shall be placed over all required exilts and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
__ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
__ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
__ 14. Additional Requirements. ------------------------------
__ 15. Comply with regulations on attach~d sheet(s).
'I I /t; Date, _ _:_.:..:....;:.....:.._:__ _____ _
Report mailed to architect ___ Met with -----------'-'-----__ Attach to Plans
2
d
-'
COHHERCIAL/INDUSTRIAL
APPLICATION fORH fOR INDUSTRIAL WASTE DISCHARGE PERHIT
CITY or CARLSBAD
APPLICATION: NEW ✓
(CHECK ONE) REVISED -----
BY : __ (b,J?.;......,o __ -,o....._...,L ... ) ... ,z_..q...,\l1...,t,..,_ __ _
Si~f City Representative
BUILDING P.C. NO,: 9/~5~ 7
APPLICATION NO. :_.._8 ...... l.-S..__
INDUSTRIAL CLASS: 3/ --=~---DATE: 4-B-91
APPLICATION fOR INDUSTRIAL WASTE DISCHARGE PERMIT
A. GENERAL:
SITE APPLICANT: Henry Tubbs AOORESS: 2558 Roosevelt Street 1120 I
TYPE Of BUS I NESS: Professional Office
APPLICANT'S AOORESS: 1991 Village Park Way, II 160, Encinitas, CA 92024
B. WASTES AND PROCESSING: (Check where applicable)
~Domestic Waste Only 1:1 Industrial Waste 1-1 Industrial Waste NOT
Discharged to Sewer -Discharged to Sewer
GENERAL DESCRIPTION Of WASTE (Chemical and Physical Characteristics cf
proposed waste): --------------------------
GENERAL DESCRIPTION or PROCESS (If Applicable): ___________ _
C. WASTES TO -BE DISCHARGED TO SEWER:
WASTE:
(Check One)
TREATED:
UN TREAT F.~0..-:""')<'..--, QUANT !TY:
(Daily)
A VE RAGE / Z-3 ":f-~..RG~ .
MAXIMUM --...---,,-GPO (Gallons Per Day)
APPLICANT OR REPRESENT A TI VE Of FIRM : __ Hen_ry_T_ub_bs----,-,:--,-....,......-------
P r int
TITLE: Contr~ 9
s IGNA TURE :_~..,.'-----.)--~-+-""-"'~~'I""'------DA TE: _4_, .... /2 .... ~ .... A..<...'f.._1 ____ _
--------