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HomeMy WebLinkAbout1903 WRIGHT PL; 120; CB004796; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/05/2001 . ComniàI/IndufriäI Permit Permit No: 0B004796 Building Inspection Request Line (760) 602-2725 Job Address: 1903 WRIGHT PL CBAD St: 120 Permit Type: TI Sub Type: COMM Parcel No: 2120912200 Lot #: 0 Status: ISSUED Valuation: $125,580.00 Construction Type: NEW Applied: 12/19/2000 Occupancy Group: 28 Reference #: Entered By: MDP Project Title: CORNERSTONE CORP. CENTRE Plan Approved: 01/05/2001 4,485 SF SHELL TO OFFICE,SPEC SUITE Issued: 01/05/2001 Inspect Area: Applicant: Owner: BOONE KIMBERLY REALTY ASSOCIATES'FUND V L P C/OT A ASSOCIATE REAL143 01/05/01 0082 01. 02 3O583GREENWAYCIRCLE 28STATEST1 /" N COP' 8099.59 TEMECULA CA 92592 . BOSTONMA 02109J 909 695-3420 © Total Fees: $8562.44(_ \ Total Pa'yment&Td.Date: $4&2.85 N Balane Due $8,099.59 I / . \ Building Permit j / \ AddI Building Permit Fee f $0.00 Add'l'Recl. Water Con. Fee r $0.00 Plan Check $462.85 I~d6ter Fee/ $0.00 Add Plan Check L Plan Check Discount $O:OOj ç CED Payoff Fee $0.00 Strong Motion Fee. \ $26.37 PFF f I / i$0.00 Park Fee \ $0O0-_. ' PFF (CFD Fund) / / $0.00 LFM Fee \ \ \,$0.0O Lidénse Tax' / $2,285.56 Bridge Fee \ \ $0.00\ .Li6se.Tx (CFD Fund) / $0.00 BTD #2 Fee \ \ $0.00 Tràffiôlmpat Fee / $1,614.72 BTD #3 Fee \ \$0.00 INCOTraffic.lmpact (CFD'Eund) / $0.00 Renewal Fee .\ $000 LMZ TFànsportation Fee> / $0.00 Add') Renewal Fee \ ,-) $0.00 PWMBINGTOT1L\ / $34.00 Other Building Fee \ ((' / $1100 ELECTRIcAL-TOTAL\ / $110.00 Pot. Water Con. Fee N 'J 1 $0.00 r-- MECHANICAL TOTAL / $51.00 , Meter Size N // / '-, Master DrainageFee: ,z $0.00 Add'l Pot. Water Con. Fee $0.00 Sewer Fe"-' y' $3,265.86 Red. Water Con. Fee '$0.00 RèdeParking Fee: $0.00 TOTAL.PERMIT FEES $8,562.44 FINAL APPROVAL Inspector: .pI.t_. Date: _____________ 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 '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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I . FOR OFFICE USE ONLY PLAN CHECK NO. 916 EST. VAL. t'L-S c8O Plan Ck. Deposit Validated By bt'tt' Date 1-7i1GI (g0, LAJPQ.1Ct*'T ?LI<1 - , L20 7(q) L2,4r 'Iv. I.iy I•i Address (include Bldg/Suite #) Business Name (at this addrs'J' '' " ". UI4 I Loi 9,V'4' CGP 46285 Legal Description Lot No. subdivision Name/Number Unit No. Phase No. Total # of its . 2I-ogI. t4 Ass sor's Parc I Existin Use 1 Proposed Use (a 44z Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms .f:T. Name Address City Statelip TeFephoriif Fax if - JQXJ Ot OFCna ON D - Ciree cccJe1ieyøijLa, C,& Z$2. ? Name Address City State/Zip Telephone t!EWroWNER & . 'Name / I Address F City ' State/Zip Telephone # CME ... ... . :.. . (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, 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 an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). 4I(eo(eieJ 2%4 S 551' Name Address/ J City State/Zip 0 Telephone # State License # License Class City Business License # ______ i Lie.4 os- _ 4j(4 f_ ft_q2-5q?,_(c )95.34-2n Designer Namel Address City State/Zip Telephone State License # 77o L6J IOMPENSATIO1. - - - Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. o I 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 worker's compensation insurance carrier and policy number are: Insurance Company '51\7 _L71k...L17T7 Policy No. 1 '-iE'/07c7 Expiration Date 1 _0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) C] 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: Fail to a ur o~nct m sation coverage is unlawful, and shall subject an employer-to criminal penalties and civil fines up to one hundred thousanjl ($100, 00), a h cost of compensation, damages as provided for in Section 3706 ofth1Laode,interestand attorney's fees. E DATE L17__ UW-NERBUILDE WA-116n I hereby affirm that I am exempt from the Contractor's License 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 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). C1 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 exempt under Section Business and Professions Code for this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not( signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): 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 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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. l8TiCONSTRUCTIONLENDlNGAGENCY 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 77 __________________________________________________________ - - - ..- --. -. - --------- 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 representatives of the Cit, 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 Sunder 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 wor o d for a period 1 (Section 106.4.4 Uniform Building Code). APPLICANT'S DATE - WHITE: File YELLOW: Applicant PINK: Finance - - List 1-Permit-Type From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the identification of 'the structure-type to be associated with the permit. Choose a structure-type from "List 2 - Structure-Types" and put its code in the appropriate blank on the front of this application. Residential Permits Code Description - APT Apartments - new construction. - 0• - CONDO Condominiums - new construction. ' - (VNNR - ConversionCbnvert allot a rtion of a non-residential building to residential use, crea ing ohe Or ndre'në' residential units. - CVNRN Conversion. Convert one or more residences in a building to non-residential usage. CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications (i.e.:_a_ four _bedroom _house _converted to a_ duplex, _with 2 bedrooms each). DEMO Demolition permit. (Also specify type of structure from List 2). DUP Duplex - new construction. - Môiio 'M!obile home, renovation, rèpir, or additiozi of accessory structure not yieldiiig a new living unit. MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family 'residence, below). RAD Residential addition/alteration, creating no new dwelling unit(s). RREISSUE Residential permit re-issue. RREPAIR Residential building repair. Damage, fire, etc. RRgPLACE Residential building .replacment (no additional units).. SFA Single-family, attached - new construction. A one-family house attached to one or more other houses, with one or Tore common walls extending from foundation to roof at, or forming, a lot line.. Has own plumbing and heating system (e.g.:tcwnhouse,row house, half-plex) SFD Single-family, detached - new construction: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached 'granny flat'. May be a mobile home or trailer on an individual lot, but not in a mobile home park. Non-Residential/Accessory Permits Code Description COM Commercial structure, new construction. CREISSUE Commercial permit re-issue. CREPAIR Commercial building - repair. Damage, fire, etc. CREPLACE Commercial building - replacement. CII Commercial tenant improvement. DEMO Demolition permit. ELEC Electrical permit, for electrical work only. HOTEL Hotel or motel (including Managed Living Unit hotel) - new construction. HOTELR Hotel renovation. INDUST Industrial structure, new construction. IT! Industrial tenant improvement. MECH Mechanical permit, for mechanical work only. MISC Miscellaneous. Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbing permit, for plumbing work only. POOL Gunite pools and spas. RETAIN Retaining wall permit. SIGN Sign construction/installation permit. SOLAR Solar energy system installation permit (specify structure type to be served). SPA 1 Factory-made or Gunite. List 2 - Structure-Type (Use with Residential Permit Only) From the following list, determine the type of residential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application. Code Description SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached granny flat. May be a mobile home or trailer on an individual lot, but not in a mobile home park. MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex). MFS+ Multi-family, 5 or more units. Same as M172-4, except the building has a t least five attached units on the same lot. MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed,wired) in a. mobile home park (see distinction from single-family residence, above). UNSCHEDULED BUILDING INSPECTION DATE INSPECTOR PERMIT # - PLAN CHECK #_________ JOB ADDRESS DESCRIPTION CODE DESCRIPTION. ACT . COMMENTS I. Inspection List Permit#: CB004796 Type: TI COMM CORNERSTONE CORP. CENTRE 4,485 SF SHELL TO OFFICE,SPEC SUITE Date Inspection Item Inspector Act Comments 05/14/2001 89 Final Combo - RI 05/11/200114 Frame/Steel/Bolting/Weldin TP AP 1-GRID 05/11/2001 34 Rough Electric TP AP CElL LITES 05/11/2001 39 Final Electrical TP WC 05/11/2001 44 Rough/Ducts/Dampers TP AP DUCTS, HP S 05/10/2001 39 Final Electrical - RI 05/09/2001 34 Rough Electric TP AP SUB PNLS, TRANS 05/09/2001 84 Rough Combo TP AP T-CElL 05/08/2001 84 Rough Combo TP CO T-CEIL 05/07/2001 84 Rough Combo - RI AT THE CEILING 05/07/2001 84 Rough Combo TP CO T-CEIL 05/03/2001 14 Frame/Steel/Bolting/Weldin TP CO T-GRID CElL 05/03/2001 24 Rough/Topout TP WC 05/03/2001 34 Rough Electric TP WC 05/03/2001 44 Rough/Ducts/Dampers TP WC 05/03/2001 84 Rough Combo - RI 04/18/2001 17 Interior Lath/Drywall JC AP 04/13/2001 14 Frame/Steel/Bolting/Weldin TP AP ADDED WALLS PER REV. PLN 04/13/2001 24 Rough/Topout TP WC 04/13/2001 34 Rough Electric TP AP 04/13/2001 44 Rough/Ducts/Dampers TP WC 01/08/2001 14 Frame/Steel/Bolting/Weldin TP AP WALLS 01/08/2001 21 Underground/Under Floor TP AP 01/08/2001 24 Rough/Topout TP AP 01/08/2001 34 Rough Electric TP AP WALLS 01/08/2001 44 Rough/Ducts/Dampers TP WC Tuesday, May 15, 2001 Page 1 of 1 City of Carlsbad Final Building inspection Dept: Building Engineering Planning CMWD St Lit OF—i-re-D Plan Check #: Date: 05/14/2001 Permit #: CB004796 Permit Type: TI Project Name: CORNERSTONE CORP. CENTRE Sub Type: COMM 4,485 SF SHELL TO OFFICE,SPEC SUITE Address: 1903 WRIGHT PL #120 Lot: 0 Contact Person: SCOTT Phone: 6198895164 Sewer Dist: CA Water Dist: CA Inspected 41 Date By: /.E',2.J Inspected: / q10 Approved: Disapproved: Inspected Date By: Inspected: Approved: Disapproved: Inspected , Date By: Inspected:1 Approved: Disapproved: Comments: EsGil Corporation In Partnership with Government for Building Safety DATE: 1/2/01 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 00-4796 IJ APPLICANT U JURIS. O PLAN REVIEWER O FILE SET:I PROJECT ADDRESS: 1903 Wright Place Suite 120 PROJECT NAME: Spec Suite 120 - TI LI 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 in the remarks below 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 list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check Ias el been completed. LII Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: The person responsible for the preparation of the plans to sign all sheets. The applicant to make changes marked in red on sheet E-1 to city sets. By: Doug Moody Enclosures: Esgil Corporation El GA El MB El EJ [] PC 12/21/00 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 00-4796 1/2/01 VALUATION AND PLAN CHECK FEE JURISDICTION- City of Carlsbad PLAN CHECK NO.: 00-4796 PREPARED BY: Doug Moody DATE: 1/2/01 BUILDING ADDRESS: 1903 Wright Place Suite 120 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 4485 28.00 125,580 Air Conditioning Fire Sprinklers TOTAL VALUE 125,580 Jurisdiction Code Icb I By Ordinance 1 1994 B Building Permit 11994 UBC Plan Check Fee [j Type of Review: Complete Review Repetitive Fee E Other I I v]Repeats LI Hourly I I Esgil Plan Review Fee I 712.081 462.851 Structural Only F 370.2 Comments: Sheet I of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER Cl C) C) L t-7 DATE JJ ) i ADDRESS i go RESIDENTIAL IMPROVEMENT RESIDENTIAL ADDmON MINOR PL*ZA .cAMINO REAL (<$101000.00) CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER DATE lialOi• ENGINEER DATE /A('// ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET Estimate based on unconfirmed information from applicant. Calculation based on building plancheck plan submittal. Address: I Bldg. PeEmitNo._________________ Prepared by: Date: j IWO Checked by: Date: EDU CALCULATIONS: List types and square footages for all uses. i 1— Types of Use: I Sq. Ft./Units: V EDU's: Types of Use: Sq. Ft./Units: EDU's: ADTCALCULATIONS: List types and square footages for all uses. 0, 2~1 Types of Use: p Sq. Ft./Units: ADT's: Types of Use: Sq. Ft./Units: ADT's: FEESREQUIRED: WITHIN CFD: 0 YES (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) 0 NO 0 1. PARK-IN-LIEU FEE PARK AREA & #: FEE/UNIT: X NO. UNITS:______ 2. TRAFFIC IMPACT FEE ADT's/UNITS: x FEE/ADT: 3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 DIST. #2 ADT's/UNITS: ___________ X FEE/ADT:_________ =$ j~2~ - V/ = / DIST. 9 0 4. FACILITIES MANAGEMENT FEE ZONE:_________ U NIT/SQ. FT. X FEE/SQ.FT./UNIT: =$ 0 5. SEWER FEE EDU's: / BENEFIT AREA: (2 EDU's: 0 6. SEWER LATERAL ($2,500) X FEE/EDU:_______ X FEE/EDU: - =$_3jjqjV / =$_j7.o 0 7. DRAINAGE FEES PLDA________ HIGH /LOW______ ACRES: X FEE/AC: 0 8. POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION lof2 WordWocsMisfomis\Fee Calculation Worksheet Rev. 7114/00 Carlsbad Fire Department 004796 1635 Faraday Ave. . Fire Prevention Carlsbad, CA 92008 (760) 602-4660 Plan Review Requirements Category: tBiiIa1nwPIan Date of Report: 12/26/2000 Reviewed by Name: Kimberly Boone Assoc Address: 30583 Greenway Circle City, State: Temecula CA 92592 Plan Checker: Job #: 004796 Job Name: Cornerstone Corp. Bldg #: CB004796 Job Address: 1903 Wright Place Ste. or Bldg. No. 120 Approved The item you have submitted for review has been approved. The approval is based on plans, information and I or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. El Approved The item you have submitted for review has been approved subject to the Subject to attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. El Incomplete The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and / or specifications to this office for review and approval. Review 1st 2nd _________ 3rd Other Agency ID ED Job # 004796 ED File # City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/12/2001 Plan Check Revision Permit No:PCRO1069 Building Inspection Request Line (760) 602-2725 Job Address: 1903 WRIGHT PL CBAD St: 120 Permit Type: PCR Status: ISSUED Parcel No: 2120912200 Lot #: 0 Applied: 03/26/2001 Valuation: $0.00 Construction Type: NEW Entered By: JM Reference #: CB004796 Plan Approved: 04/05/2001 Issued: 04/12/2001 Project Title: CONCORDIA HOMES Inspect Area: REVISE INTERIO PARTS & ELEC LAYOUT 6470 04/12/01, 0002 01 02 / Applicant: Owner: CGP BOONE KIM 30583 GREENWAY CIRCLE REALTY ASSOCIATESFUND V L P 109.00 C/ODELOITTE & TOUCHE 2235 FARADAY AVE'#O TEMECULA CA 92592 CARLSBAD CA 92008 619-889-5101 Total Fees: $109."00 otal Td.Date: $O00 \ BaInE Due:\ $109.00 - -'- Additional Fees ri I Plan Check Revision Fe'-e'--- $10900 I INCORPORATED 1952 FINAL APPROVAL Inspector: Date: ______________ 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. O( 67 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck DeP , / Validated ByJ i'' Address (include 61 9/Suite #) Business Name (at this address) Legal e1c'on -) Lot No. Unit Total // of units Assessor's Parcel # Exis I Proposed Use - nwe - Descri tio çf Work S reia #of Stories. # of Bedrooms # of Bathrooms L2. CONICTPERSQN (ifdlflerent fzx=rom applicant I JJ Name Address City State/Zip Telephone # Fax # Uf N me I Address 7_J City / State/ i Telegpne # Name Address City State/Zip Telephone # (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, 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 [$5001). Name Address City State/Zip Telephone # State License # License Class City Business License # Designer Name . Address City State/Zip Telephone State License # ,R QFtSLLC(LMF%N Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . I 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 worker's compensation insurance carrier and policy number are: Insurance Company Policy No. - Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) C] 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 workers' 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 compensation, damages as provided forin Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . DATE _CLPDE9,"6ffiLAVAT1l N_ ?V— .-IOR I heieby affirm that I am exempt from the 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 Cohtractor's License Law). I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES [--]NO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name! address / phone number / contractors license number): 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): 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 _ - - 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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 for which 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 relating to building construction. I hereby authorize representatives of the Cit' 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 ACCR J0fu AINST SAID CITY IN CONSEQUENCE OF. THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'O deep and dion or construction of structures over 3 stories in height. EXPIRATION: Every permit issi fnc the building Official under the provi this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not 4enced within 18 days fro the date ermit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comjd r a eriod f ay ction Build',g Code). - APPLICANT'S SIGNATURE DATE 3 EiGTFCorporation In Partnership with Government for Building Safety DATE: 4/3/01 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 00-4796.PCR01-69 SET: I PROJECT ADDRESS: 1903 Wright Place Suite 120 PROJECT NAME: Spec Suite 120- Revision to Floor Plan U APPLICANT U PLAN REVIEWER U FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. Z The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the remarks below 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 list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. LII The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: Applicant to revise detail 8 on sheet TI-7 to City set. By: Doug Moody Enclosures: Esgil Corporation 0 GA [1 MB [I EJ 0 PC 3/27/01 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 "4 City ofCarlsbad 00-4796.PCR01-69 4/3/01 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 00-4796.PCR01- 69 PREPARED BY: Doug Moody DATE: 4/3/01 BUILDING ADDRESS: 1903 Wright Place Suite 120 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1Gb By Ordinance 1994 UBC Building Permit Fee v I I 1994 UBC Plan Check Fee IVI $1 08.941 Type of Review: LII complete Review Structural Only E Repetitive Fee E Other V Repeats P1 Hourly I Hour(s) * Esgil Plan Review Fee' I $87.151 * Based on hourly rate Comments: Sheet I of 1 macvalue.doc Carlsbad Fire Department 1635 Faraday Ave. Carlsbad, CA 92008 Plan Review Requirements Category.- Date of Report: 04/12/2001 Reviewed by Name: Kimberly Boone Assoc Address: 30583 Greenway Circle City, State: Temecula CA 92592 01069 Fire Prevention (760) 602-4660 Plan Checker: Job #: 01069 Job Name: Cornerstone Spec Bjg#PcI01 06s Job Address: 1903 Wright Place Ste. or Bldg. No. 120 Approved The item you have submitted for review has been approved. The approval is based on plans, information and / or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Approved The item you have submitted for review has been approved subject to the Subject to attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. Incomplete The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please review carefully all comments attached. Please resubmit the necessary plans and / or specifications to this office for review and approval. Review list 2nd 3rd Other Agency ID FD Job # 01069 FD File #