HomeMy WebLinkAbout1921 PALOMAR OAKS WAY; # 300; CBC2022-0346; PermitPrint Date: 10/26/2022 Permit No: CBC2022-0346
Building Permit Finaled
Commercial Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1921 PALOMAR OAKS WAY, # 300, CARLSBAD, CA 92008-6525
BLDG-Commercial
2120911800
$0.00
Work Class:
Lot #:
Project #:
Sign
Status:
Applied:
Issued:
09/20/2022
10/19/2022
Finaled Close Out:10/26/2022
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:10/24/2022Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:de Roggenbuke, Dirk
KBR: ILLUMINATED CHANNEL LETTER SIGNDescription:
Project Title:
Applicant: DAVID BUCKLEY
902 S 33RD ST
SAN DIEGO, CA 92113-2627
(619) 518-4877
Property Owner: BROOKWOOD PACIFIC OFFICE I LLC
705 PALOMAR AIRPORT RD, # STE 110
CARLSBAD , CA 92011
(760) 575-7550
Contractor: CQ SIGNS
DAVID BUCKLEY
902 S 33RD ST
SAN DIEGO, CA 92113(619) 518-4877
AMOUNTFEE
SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00
SIGN – WALL (Illuminated)$150.00
Total Fees:$151.00 Total Payments To Date:$151.00 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 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
D42
In progress - app.#25321
. Cicy-10
Carlstiad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check ________ _
Est. Value
PC Deposit
Date
Job Address 1921 Palomar Oaks Way. Carlsbad, CA, 92008Suite: 300 APN: ------------
Tenant Name #:_K_B_R _______________ Lot #: ____ Year Built: _________ _
Vear Built: __ _ Occupancy: __ _ Construction Type:. __ _ Fire sprinklers0 VESQ NO A/C:Q VESC)\JO
BRIEF DESCRIPTION OF WORK:
D Addition/New: ____________ New SF and Use, __________ New SF and Use
______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _
□Tenant Improvement: _____ SF,
_____ SF,
Existing Use: _______ Proposed Use: ______ _
Existing Use: Proposed Use: ______ _
D Other: --------------------------------------
PROPERTY OWNER PRIMARY APPLICANT
Name: CQ Signs -David Buckley Name: Brookwood Pacific Office I, LLC & Brookwood Pacific Office II, LLC
Address: 902 s. 33rd St Address: 705 Palomar Airport Road, Suite 110
City: San Diego State:_C_A __ .Zip: 92113 City: Carlsbad State:_C_A ___ Zip: 92011
Phone: 619.518.4877 Phone: 760.575.7550
Email: sales@cqsigns.com Email: solmos@brookwoodfinancial.com
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________________ Business Name:_c_o_si __ gn_s _____________ _
Address: Address: 902 s. 33rd st
City: ________ State: ___ .Zip:. _____ City: San Diego State:_C_A __ Zip: 92113
Phone: Phone: 619.518.4877
Email: Email: sales@cqsigns.com
Architect State License: ____________ CSLB License #:_7_86_5_98 _____ Class: ______ _
Carlsbad Business License# (Required): _______ _
APPLICANT CERT/FICA TION : tertify 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.
NAME (PRINT}: _________ _ SIGN: ----------DATE:-------
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov
REV. 04/22
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR ORA PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICEN~ED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjurythat lam licensed under provisions a/ Chapter 9 /commencingwith Section l(){)()Jo/ Division 3
of the Busr ness and Pro/essions Code, and my I icense is in f ull force and effect. I also affirm under penalty of perjury one of the
following declarations /CHOOSE ONE):
0 I ha..,e, afld w,11 miint.ttn a certificate of consent to self..ln.sure for workers' compensation provldC!d bv Section 3700 of the Labot Cod~, for the performance of the
work which this permit is Issued. PoUc:yNo.
-OR-
D I have and w!JI mjll'ltal.n wortcl"r"s compensation, as requited by Secdon 3700 of the labor Code, for the pe-rfatmanc@ of the work for W,,ich thb permit Is lsi-1.lr.d.
Mywo,ker( compensation Insurance carrier and pollcy number are: Insurance Company N.me :
Polley No. Expiration Date:
~R-
ertfficate of ExemptiO!l! I cect.lfy th.il.t In tht-perf0tmanc.e of the work for which thls pe<mlt 11 lssutd, I shat! not emp1oy any pe<$0n ln any manner so as to become
subjt<,t to the woricets-' compensation laws of CaJlfomia. WARNING; FaJture to secure workers compet1»tlon coverage Is unJawfuJ and sh.afl subfect an employer to
crimlraal penattilu and civil finff up to $100,000.00, In addttion the to the cost of compensation, darna,t:1 as provided for In Sect.Ion 3706 of lM Ltbof Code,
lntettst and attorney's t.,u,
CONSTRU~ON LENDING AGENCY, IF ANY:
I het!by affirm that there Is a ooru:ttuctlon I ending agency for the performance al the work this permit Is issued (Sec. 309? (I) Ovit Code).
i..ndtr's Name: Lende~.s Addreiu:
CONTRACTOR CERTIFICATION: 111,.,..,..,.,,llfw,1haraN..._,.,_,,,.,,._...,. __ , .. w.u,_...,..,_.,....,.,.,..,.,,.."""',.,.."""
&lfifitiu/vtUlrr fOJMWIIU. AK PftJ!IJiOUd mod~tloM ortdfo, oddltloM all dt~ly tobdtd ~ tM titit plan, Ally pot.f.nrf01ty t#UJ,,q dtfoll wlrhfn rJinir pSa(lj ~fsr""' 'i!l'M tilt * -Oft f.lDf
app,ol/H f,o,C01tJuucti101t Olld fMY be tfffJircd JO or o!tctflorttmoii'ltd. 1M dtys opPravolr,/ th,:~Jo" is bo~don mt prt~ tha.t thir wbmittcd ctor"montsor,d '4Jf'IJ U'IOW tlletont-ct
dlmtnPOM 11/; IM Pl~Y, bulldmgJ. S.tnldutff Olld llleir sttbocb /rottJ ptOp,tlty J1N1 Olld from Olllf o,,,,,;,,,r; o«tsS ~1'1Mt1,. oNJ 111.ffillo. The f".riJt.itlg, '1ftd proposd Uk! of tod, bwl'dtng
OS ,rom:r ls r,~ ond t:tilttd; oR eawncna qfld othtr t!Kll!ftbrOl'lff:S ro dtw.loMK!!!t ~ ""71 P«WVU'11 a:flow., olld lobt.'«' 0, wt:110$ off on-sltt ~sJtK J1tf'90lotfolt. Alt '1111# OWmfflU
t.ri.ltfng, 0ti tltit Pf01W11Y ,wna,m,o.lttedin ~ Wirll ol./1~/n e-.dstMtt or tJw l'NMc,/thc'it con~ uninsothttw!st IIO:fti.
NAME (PRINT): ·p ft v1 c) /3ucf</~ SIGNATUR~) Z~~ DATE: 9 /1 .1--I 4
Note: tf th• perion slanlnc above ls an ~uthor1zed .. ,;-:; the <0ntract01 provide ;----;;:;h-;;atton on 7on~ ;iettethtad.
l ~J
(OPTION BJ: OWNER -BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 I, ts owner of th!!' property or my employees with wages M thttlr sole compensation, will do the worlt ;md the stru<ture is not Intended or offered for salt (St<,
7044, Business and Profeulofls Code: The Contract~s Uc;en.se Law does not apply to an owner of property who build$ or Improves thc!rtion, and who does such
work himself or through his own tmptoyoes, provided that such lmprovtments att not Intended or offered f« sale. If, howe..-.r, the bulkhng ot improvement Is ,old
within one vear of comple:Uon, the owner•bullder will have the burden of pro\ltl'II that he did not build or Improve for the purpose of sale).
-OR·
0 I, iS owner of the property. am ncluslvely conttictlna with tictnsed contractors to construct tht-p10J«t (s«. 7044, Business and Profe$$lons Code: The
Contr,ctor's Llctm.e Law does not apply to an owner of pr~ who bulJds or lmproves thereon, and contflclS f<,f such pro~cts with contrictor(s) lkff'ISed
pursuant to the COnttactor's license Law}.
-OR-DI am eqmpt under 8u1in:ess and Professions ~ Otvlslon 3, Chapw-9, Article 3 '°' this reasol'I:
AND.
D i::oRM 8·61 "Owner Builder Admowtedgement and Ve:rinciltfon Form" is :equlred ror env permit ksued to a pro~rty owl'ler.
av my t.llf'ahJre b~ I acknowledge ihit, except for my persorial residence ,n wt11ch I must ha"'°' fts.ide'd for at Seas1 one veat poo, to comptet1on ot the
lrr:pfwtments covered by thll p~!t, I cannot legally sell a muc.ture that I havo bu1h ,at ,n ownet-buikler if It has not been con)lructed In Its cnbrety by licensed
canrracton. I undtrstJJfld thot ocopyof theapplicabl• law, s«tlon ro« of the 8u>inm and Prof esslons Code, Is IMJ/lable upon requestwhm this appllcaclon l.s
S!Jl>mltted or at the foil awing Website: http: I l www.leylnfo.ca.Jav/calaw.html,
OWNER CERT1FICA TION; The oppbcoffl. t:ffl}/trJ dlot oRO'oc\lmenu mtd ~ c/tt.qrlyOttdCKcwotr,YJhOwoffU"ftklOand ~d bulld.h~ s.tt~J.lf~ o«ffl food4 ondut,i\'t~c,T/fy
fOSt'!'N'M-AJI pfOpOUd modi(rcatlorts and/or orkNdottt •~ d«Jrly labirkd on IJlir .ah plq,t. My pcmnflb~ vdsfl#lg d«od ll'Ahllt t~ pbu ftKO!lPJ.t4'11f wltlt rl,t sJrt ;,loft tft (IOI awovtd Jot
COIIJf<Ud.iotl ond moy ~ r~«I 10 br o,'lrtfd « 1cmo!lf.d. • cll)l's opp,o,,o.t of tbt ~plkofbn .is boscd' OIi #If pttfl'l(w th« r.ht wbm1tttd dowffltnu Md•~ UI0"'1I rN fl)u«r ~ oJ;
rJtr proptrty, bl.H.b'.i~ sut.lttwt1 of'ld tl'Jrir U'tbocb /TOi'II P,W>f_,ty fiNS oN/ from CW OfJothtr, «Cd$ roodJ/C'OSf'ffltllb, Olld cn,a"jrs. TM tNStJfttJ f1Afl J)(OpOJfti Cl# q/ .. """ buifdl.lio OJ startd b tn,,t
om/ «ll'fttl; "" tcWmtttU alJd Otfte tM.lll'l~IKff to dtvdopmrt11t htNt btttl OCQ/10:dy .ailown and .bk.led t1I wtll OS al Otl•sk~ orodMo/Alt P'tPO(tlllart. Atr lmp,O~t!N'lltf IXl,I~ Oil tht propt.,ty
wer< complrttd /1'1 oi:.cordal'la wftf) o# ~11.btklm;, ~•btrnu ot tfff' rJmr of thtfr ~ ut1fe.s otl'll!Vwtfir now/,
NAME (PRINT): SIGN: DATE:
NoU: ., the person sf&nJ"I ~bove h: an authoriled agent for the property owner Jnd udt form 8-6:Z M1ned by propttty owner.
163S Faraday Ave Carlsbad,CA 92008 Ph: 442·339·2? 19
2 REV.04/22
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBC2022-0346)
BLDG-Commercial 09/20/2022Application Date:Permit Type:Owner:BROOKWOOD PACIFIC OFFICE I LLC
Sign 10/19/2022Work Class:Issue Date:Subdivision:CARLSBAD TCT#81-46 UNIT#01
04/24/2023Expiration Date:Status:
IVR Number: 43433
Closed - Finaled 1921 PALOMAR OAKS WAY, # 300
CARLSBAD, CA 92008-6525
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
10/24/2022 10/24/2022 BLDG-38 Signs 194790-2022 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 194791-2022 Passed Dirk de Roggenbuke Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Monday, October 24, 2022 Page 1 of 1
{cityof
Carlsbad