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Home My WebLink About1950 CAMINO VIDA ROBLE; ; CBC2020-0157; PermitPrint Date: 07/07/2020 Permit No: CBC2020-0157 Building Permit Finaled Commercial Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1950 CAMINO VIDA ROBLE, CARLSBAD, CA 92008-6599 BLDG-Commercial 2120931200 $10,000.00 Work Class: Lot #: Project #: Tenant Improvement Status: Applied: Issued: 04/28/2020 05/06/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled PBurn Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:ALPHATEC SPINE: DEMO INTERIOR NON-STRUCTURAL WALLS, DOORS, FRAMING - TRENCHES FOR NEW UNDERGROUND PLUMBING (E-REVIEW) Final Inspection: Bedrooms:Construction Type: Property Owner: RAF PACIFICA GROUP RE FUND IV LLC 6305 EL CAMINO REAL CARLSBAD, CA 92009 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$114.96 BUILDING PLAN CHECK FEE (BLDG)$80.47 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $41.00 PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL $49.00 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-COMMERCIAL $2.80 Total Fees:$289.23 Total Payments To Date:$289.23 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad { City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check CBC2020-0157 Est. Value PC Deposit --------- Date 4/28/20 Job Address 1950 Camino Vida Roble Suite: ____ APN: 212-093-05, 12 Tenant Name: Alphatec Spine CT/Project#: _________ Lot#: ___ _ Occupancy: _B_-o_ffi_1c_e _____ Construction Type: V-B Fire Sprinklers: jyes V no Air Conditioning: I yes V no BRIEF DESCRIPTION OF WORK: Demolition of Interior non-structural walls, doors, frames, ceilings, lighting, mech.ducting, plumbing. New trenches for new underground plumbing. D Addition/New: __________ New SF and Use, __________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) D Tenant Improvement: _____ SF, _____ SF, Existing Use ______ Proposed Use ______ _ Existing Use Proposed Use ______ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ 0 Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumblng/Mechanlcal/Electrical Only: _______________________ _ ■ Other: 7,635 s.f. of underground plumbing APPLICANT (PRIMARY) PROPERTY OWNER Name: Andrew Tarango, SCA Architecture Name: Adam Robinson, RAF Pacifica Group fu•sion Address: 13280 Evening Creek Drive, Ste. 125 Address: 315 S. Coast Hwy 101 , Ste. U-12 City: San Diego State: CA Zip: 92128 City: Encinitas State: CA Zip: 92024 Phone: (858) 793-4777 Phone: (760) 473-8838 Email: andrewt@sca-sd.com Email: adam@RAFPacificaGroup.com DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: Cheryl D. Smith, SCA Architecture Name: Tom Brunson, Bycor General Contractors, Inc. Address: 13280 Evening Creek Drive, Ste.125 Address: 6490 Marlndustry Place City: San Diego State: CA Zip: 92128 City: San Diego State: CA Zip: _9_2_1_21 __ _ Phone: (858) 793-4777 Phone: (858) 362-8947 Email: _________________ _ Email: tbrunson@bycor.com Architect State License: C11701 ------------State License: 444203 Bus. License: BLOS653400 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to constnJct, alter, Improve, demolish or repair any stnJcture, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she 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/she 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)). 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. DI I have and will maintain worker's 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 Company Name: __.l.:C'""W""'------------------- Policy No. WSD503018004 Expiration Date: ~6~/1~/_20~2_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 be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. A(l. 1 :::, _,/... ,, /.. CONTRACTOR SIGNATURE: -,T \.(:: ) -e_ ,o ,O • □AGENT DATE: .!>/ ';1/ Z.0 ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ 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). □ 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. □ Yes □ 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): OWNER SIGNATURE: □AGENT DATE: _____ _ ------------------------- CONSTRUCTION LENDING AGENCY, IF ANY: 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: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such 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 SIGNATURE: Andrew R. Tarango /JI../',~ ___ _ ~ DATE: 2/28/2020 1635 Faraday Ave Carlsbad, CA 92008 8-2 Ph: 760-602-2719 Fax: 760-602-8558 Page2 of2 Email: Building@carlsbadca.gov Rev. 06/18 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBC2020-0157) BLDG-Commercial 04/28/2020Application Date:Permit Type:Owner:RAF PACIFICA GROUP RE FUND IV LLC Tenant Improvement 05/06/2020Work Class:Issue Date:Subdivision:CARLSBAD TCT#81-46 UNIT#02 12/22/2020Expiration Date:Status: IVR Number: 26151 Closed - Finaled 1950 CAMINO VIDA ROBLE CARLSBAD, CA 92008-6599 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 05/29/2020 05/29/2020 BLDG-21 Underground/Underflo or Plumbing 128760-2020 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 06/08/2020 06/08/2020 BLDG-11 Foundation/Ftg/Piers (Rebar) 129710-2020 Partial Pass Paul Burnette Reinspection Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes NOTES Created By TEXT Created Date Jason Pasiut Passed by Tony Alvarado 07/07/2020 06/25/2020 06/25/2020 BLDG-34 Rough Electrical 131057-2020 Partial Pass Tony Alvarado Reinspection Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency June 25, 2020: 1. Underground electrical boxes/receptacles conduit only. 2. Dowel and rebar verified with photos. 3. Call him lower steel post and steel rebar cages with Dowling at slabs –approved. 4. Deputy inspectors report required for 3000 PSI concrete and steel post and steel footing reinforcement cages. Yes 07/07/2020 BLDG-Final Inspection 132157-2020 Scheduled Jason Pasiut Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final U/G Plumbi Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No Tuesday, July 7, 2020 Page 1 of 1 {cityof Carlsbad