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Home My WebLink About2623 GATEWAY RD; 104; CBC2021-0264; PermitPERMIT REPORT (city of Carlsbad Commercial Permit Print Date: 12/23/2021 Permit No: CBC2021-0264 Job Address: 2623 GATEWAY RD, # 104, CARLSBAD, CA 92009-1751 Status: Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: 2131910900 Valuation: $55,300.39 Occupancy Group: B #of Dwelling Units: Bedrooms: Bathrooms: Project Title: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Applied: 07/20/2021 Issued: 08/19/2021 Finaled Close Out: 12/23/2021 Inspector: Final Inspection: PBurn 10/12/2021 Description: NUSPINE CHIROPRACTIC: Tl (OFFICE TO OFFICE) (1189 SF) PARTITIONS/LIGHTING/ REMODEL RESTROOM Property Owner: REGENCY BRESSI LLC 100 WILSHIRE BLVD, # STE 700 SANTA MONICA, CA 90401 FEE BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL STRONG MOTION -COMMERCIAL (SMIP) BUILDING PERMIT FEE ($2000+) SB1473 -GREEN BUILDING STATE STANDARDS FEE Total Fees: $858.87 Total Payments To Date: $858.87 Contractor: SPW CONSTRUCTION OBA WHITE CONSTRUCTION 2524 GATEWAY RD CARLSBAD, CA 92009 (760) 931-1130 AMOUNT Balance Due: $302.81 $60.00 $45.00 $15.48 $432.58 $3.00 $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 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad Job Address 2623 GATEWAY RD. Tenant Name: NUSPINE CHIROPRACTIC COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check c~-;rc, 'I Est. Value 1/xi?-I PC Deposit Date , ; Suite:SUITE 104 APN: 213-191 -09-00 ----------- Lot#: _4_&_5 _______ _ Year Built: _2o_o_7 ___ Occupancy: B OFFICE VB CTI □ CTI □ Construction Type•;..;;..;;;;.__ ___ Fire Sprinklers: yes no A/C: yes no TENANT IMPROVEMENT WILL NOT INCLUDE STRUCTURAL WORK. TENANT IMPROVEMENT WILL BRIEF DESCRIPTION OF WORK: INCLUDE NON-LOAD BEARING PARTITIONS ONLY, NEW SUSPENDED CEILINGS INCLUDING NEW LED LIGHT FIXTURES. HVAC/ MECHANICAL SYSTEMS ARE EXISTING, DUCT WORK ONLY. EXISTING RESTROOM WITH NEW RESTROOM FIXTURES; (1) TOILET AND (1) SINK. D Addition/New: ___________ New SF and Use,, ___________ New SF and Use, ___ Deck SF, Pat io Cover SF (not including flatwork) ~ Tenant lmprovement:_1_, 1_8_9 ___ SF, Existing Use_R_E_T_A_IL ____ Proposed Use B OFFICE _____ SF, Existing Use Proposed Use ______ _ D Pool/Spa: _____ .SF Additional Ga s or Electrical Features? ___________ _ □□ □□ □□ D Solar: ___ KW, ___ M odules, ___ M ounted, Tilt: Yes/ No, RMA: Yes / No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: -------------------------- D Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. TURN IN PAGE ONE OF THIS APPLICATION UPON SUBMITTING PLANS. PAGE TWO IS REQUIRED AT PERMIT ISSUANCE. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: REGENCY BRESSI LLC Name: __________________ _ Address:41 CORPORATE PARK, SUITE 260 Address: __________________ _ City: IRV INE State:_C_A __ ,Zip:92606 City: __________ State:, ___ Zip: ____ _ Phone: 949.398.8750 Phone: __________________ _ Email :. _________________ Email: ___________________ _ DESIGN PROFESSIONAL APPLICANT ~ Name:MICHELE ARNOLD-KUSH Address: 925 FORT STOCKTON DR. CONTRACTOR BUSINESS Name: WHITE CONSTRU CTION Address:2524 GATEWAY RD. APPLICANT 0 City:SAN DIEGO State:CA Zip:92103 City:CARLSBAD, State:_C_A_""""'Zip: 92009 Phone:619.203.8357 Phone: 760.931.1130 Email: michele@safdierabines.com Email: sean@whiteconstructioninc.com Architect State License: ___________ State License: 1023856 Bus. License: ______ _ Page 1 of 2 Email: Building@carlsbadca.gov Rev. 08/20 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A 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): LICENSED CONTRACTOR DECLARATION: lherebyaftirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): D1 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. Policy No. _____________________________________ _ -OR- ~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: lnsuranceCompany Name: State Compensation Insurance Fund Policy No. 9243036-21 Expiration Date: ..,,0:..,1.,_,/0<--'1'-"/2""0"-'2:..:,0::..._ ________ _ -OR- Ocertificate 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 $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. 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'sAddress: ___________________ _ CONTRACTOR CERT/FICA TJON: 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. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Sean Malley, Vice President /,L~,/ SIGNATURE: 'P Vice President DATE: 08/17/2021 Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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. '-m44, 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). -OR-01, 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~ . Di am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM 8-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 70440/ the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:Ilwww.leginfo.ca.gov/ ca/aw.html. OWNER CERT/FICA TJON: 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. NAME (PRINT): _s_e_an_M_a1_1e_y_, v_ic_e_P_r_e_si_de_n_t __ SIGN: ,,£~4,/ ,Vice President DATE: ---------08/1 7/2021 Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0264) Permit Type: BLDG-Commercial Application Date: 07/20/2021 Owner: REGENCY BRESSI LLC Work Class: Tenant Improvement Issue Date: 08/19/2021 Subdivision: Status: Closed -Finaled Expiration Date: 03/21/2022 Address: 2623 GATEWAY RD, # 104 IVR Number: 34722 CARLSBAD, CA 92009-1751 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 08/27/2021 08/27/2021 BLDG-84 Rough 16527 4-2021 Passed Paul Burnette Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 08/31/2021 08/31/2021 BLDG-17 Interior 165459-2021 Passed Paul Burnette Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/21/2021 09/21/2021 BLDG-85 T-Bar, Ceiling 166774-2021 Passed Paul Burnette Complete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 10/12/2021 10/12/2021 BLDG-Final Inspection 168319-2021 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Thursday, December 23, 2021 Page 1 of 1 • lW INTERWEST DATE: 08/10/2021 JURISDICTION: CARLSBAD PLAN CHECK#.: CB-CBC2021-0264 PROJECT ADDRESS: 2623 Gateway Rd PROJECT NAME: Nuspine chiropractor -TI SET: I D APPLICANT D JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's 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 lnterwest 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: ~ lnterwest staff did not advise the applic~nt that the plan check has been completed . D lnterwest staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller lnterwest (by: Telephone #: ) Email: Fax In Person Enclosures: 08/10 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92 123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 CARLSBAD CB-CBC2021-0264 08/10/2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PREPARED BY: Steven Miller BUILDING ADDRESS: 2623 Gateway Rd BUILDING OCCUPANCY: B BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl B Occupancy 1189 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance 1997 UBC Building Permit Fee • 1997 UBC Plan Check Fee """ Type of Review: Complete Review D Repetitive Fee .., Repeats Comments: □ Other 0 Hourly EsGil Fee PLAN CHECK#.: CB-CBC2021-0264 DATE: 08/10/2021 Reg . VALUE ($) Mod. 55,300 55,300 □ Structural Only 1---------11 Hr. @ * $277.991 Sheet 1 of 1 Hazardous Materials Questionnaire County of San Diego, Department of Environmental Health and Quality PO Box 129261, San Diego, CA 92112-9261 Record ID #: Not in System Plan Check#: DEH2021-HHMBP- 010335 (858) 505-6700 (800) 253-9933 www.sdcdehq.org Business Name Business Contact Telephone# Plan File# Nuspine Chiropractic michele arnold kush 6192976153 City Zip Code APN# Project Address 2623 Gateway Rd Carlsbad I State CA 92009 213 1910900 Applicant Applicant E-Mail Applicant Telephone # michele arnold kush michele@safdierabines.com 6192976153 The following questions represent the facility's activities, NOT the specific project description. PART 1· EIRE DEPARTMENT -HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIEICATION:(Not required for projects within the City of San Diego.) Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: B D Explosive or Blasting Agents D Compressed Gases D Flammable/Combustible Liquids D Flammable Solids D Organic Peroxides D Oxidizers D Pyrophorics D Unstable Reactives Facility's Square Footage (including proposed project): 1189 D Water Reactives □ Corrosives D Cryogenics □ Other Health Hazards D Highly Toxic or Toxic Materials D None ofThese D Radioactives PART H: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMDIH the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at(858) 505-6700 prior to issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: 10/29/2021 1. 2. 3. 4. 5. 6. 7. 8. YES NO □ 00 Is your business listed on the reverse side of this form? (check all that apply). D 00 Wilt your business dispose of Hazardous Substances or Medical Waste in any amount? D D D □ □ □ 00 Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet? Will your business handle carcinogens or reproductive toxins in any quantity? Will your business use an existing, or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? D 00 00 00 00 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). D D D CalARP Exempt CalARP Required CalARP Complete Review Date: PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at 10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information. YES NO 00 D 00 D D 00 Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.) Has a survey been performed to determine the presence of asbestos containing materials? Will the project involve handling or disturbance of any asbestos containing materials? 1. 2. 3. 4. 5. D ll!I D 00 Will the project involve the removal of any load supporting structural member? Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf (ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? Search the California School Directory at http://www.cde.ca.gov/relsd/ for public and private schools or contact the appropriate school district. 6. D D Briefly describe business activities: Chiropractor office Briefly describe proposed project: non load bearing demolition and construction I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. 00; Fees Acknowledged: l!l michele arnold kush 712312021 Name of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: ___________ _ EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD• G. Garcia StO.N,r.lU~E 8/1 1/2021 APCD COUNTY-HMD APCD COUNTY-HMD APCD •A stamp in this box 2Ill¥ exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEHQ_HMD_HMBP _Questionnaire v 1.34 (2/2021) Printed on: 8/1712021 @ 11:00 AM