HomeMy WebLinkAbout2808 ROOSEVELT ST; 101; CBC2023-0103; PermitBuilding Permit Finaled
Commercial Permit
Print Date: 09/26/2023
Job Address: 2808 ROOSEVELT ST, # 101, CARLSBAD, CA 92008-1688
Permit Type: BLDG-Commercial Work Class:
Parcel#: 2031820400 Track#:
Valuation: $152,432.16 Lot#:
Occupancy Group: B Project#:
#of Dwelling Units: Plan#:
Bedrooms:
Bathrooms:
Construction Type:VB
Orig. Plan Check#:
Occupant Load: 49 Plan Check#:
Code Edition: 2022
Sprinkled: No
Project Title:
Description: 1174 SF B OCCUPANCY TENANT IMPROVEMENT
Property Owner:
ROOSEVELT TAMARACK INVESTMENTS
PROPERTY HOLDING LLC
3161 MICHELSON DR
IRVINE, CA 92612-4400
(760) 487-8751
FEE
BUILDING PLAN CHECK
BUILDING PLAN REVIEW-MINOR PROJECTS (LOE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
CERTIFICATE OF OCCUPANCY
COMM/IND Tl -NON-STRUCTURAL
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $1,901.59 Total Payments To Date: $1,901.59
Permit No:
Status:
(city of
Carlsbad
CBC2023-0103
Closed -Finaled
Applied: 04/28/2023
Issued: 08/02/2023
Finaled Close Out: 09/26/2023
Final Inspection: 09/12/2023
INSPECTOR: Kersch, Tim
Balance Due:
AMOUNT
$746.55
$194.00
$98.00
$16.00
$839.54
$7.00
$0.50
$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.
Building Division Page1of1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
( c:ity of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Ch,,,k (fi1d2.~-0103
Est. Vdluc
Job Address 2808 Roosevelt St., Carlsbad, CA 92008
Tenant Name: Carolynne Eng-McBride Med-Spa
PC OepO'>lt
DJt e
Suite:._1_01 __ ....... APN: __________ _
Lot#:
Year Built:_19_s_o·_• ___ Occupancy-·•-----VB DEJ EJD Construction Type'-· -----Fire Sprinklers: yes no 'A/C: yes no
BRIE'F DF5CRIPTION or WORK Convert existing retail space into Offices, including walls, doors,
electrical/lighting, mech. diffuser relocation, plumbing
0 Addition/New: ___________ New SF and Use,, ___________ New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
[!] Tenant improvement: 1,174 Rework SF,
_____ SF,
Existing Use Merchandise/M Proposed Use _O_ffi_,ce_lB ___ _
Existing Use ______ Proposed Use ______ _
O Pool/Spa: _____ .SF Additional Gas or Electrical Features? ___________ _
rtr-7 □0 00 D Solar: ___ KW,, ___ .Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: -------------------------
□ 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. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Ii)
Name: Roosevelt Tamarak 1n~ments. Inc. {John Yelland) Name: Jack Carter
Address:6 Venture, Ste 215 Address: 1650 8th Ave. #208
City: Carlsbad State:._C_A __ Zip: 92618 City: Carlsbad State:_C_A __ ,Zip: 92101
Phone: 949-727-0284 Phone: 760-310-2439
Email: jackcarteraia@yahoo.com Email: jackcarteraia@yahoo.com
DESIGN PROFESSIONAL APPLICANT liJ CONTRACTOR BUSINESS APPLICANT D
Name: Jack Caner (see Above) Name: White Construction, INc.
Address:. ________________ Address: 2540 Gateway Rd.
City: ______ _.State:. __ _.Zip:. ____ City: Carlsbad State:._C_A __ ,Zip: 92009
Phone:. ________________ Phone: 760-931-1130
Email: Email: leah@whiteconstructioninc.com
Architect State License: .....;C.:;..-Z.:;c.1.a...0_'2.-;;...;1 ______ State License: 1023856 Bus. License: BLNR000431-02-2017
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of2
Email: Bui!<;l_ing(iil_rarlsbadca,.g_g_v
Rev. 08120
IDENTIFY WHO W/1 L PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW.
(OPTION A): pCENSED CQ!'trnf\_<;TQR [)fCtf\_~!\.TIQ_l'',L
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 af 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:
0 I have and wlll maintain a certiflc-ate 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. PoUcy No. _______________________ _
~ I have and wm maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the y,,ork for which this permit Is Issued.
My workers' com~nsatlon insurance carrier and policy number are: Insurance Company Name: State Compensation Insurance Fund
Polley No. 9243036-22 Expiration Date: __,0'-'1"-/1"'0"/"-20,,,2e.4.:...._ ____________ _
0 Certificate of Exemption; I certify that in the performance of the work fOI' 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 unl1wful and shall subject an
employer to almlnal penalties and civil fines up to $100,000.00, In addit6on 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 tlereby affirm that there is a construction lending agency for the perfonnanceof the work this permit is issued (Sec. 3097 (I) Civil Code)_
Lender's Name:. ____________________ Lender's Address: ____________________ _
CONTRACTOR PRINT: Leah Norman, PC SIGN: /qtJ ~~ DATE: 04/25/2023
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I om exempt from Contractor's Llcertse Low for the following reason: O I, as owner of the property or my employees wtt:h wages as their sole compensation, will do the work and the structure is not intended or offered for sate (Sec.
7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property wllo 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 bulldlng or Improvement is
sold within one year of completion, the owner-builder wlll have the burden of proving that he did not bulld or improve for the purpose of sale).
0 I, as owner of the property, am e.11dusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's Llcense Law does not apply to an owner of property who buHds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's license Law).
0 I am e11empt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
0 "Owner Builder acknowledeement and verification form• has been filled out, signed and attached to this application. Proof of Identification attached.
0 Owners "Authorized Aj:ent Form'" has been filled out, signed and attached to this appllcation giving the agent authority to obtain the permit on the owner' behalf
Proof of identification attached.
By my signature below I acknowledge that, except for my personal residence in which l 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 buUt as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I undef5tand that o copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this opplk;otion Is
submitted or at the following Web site: http://www.legln/o.co.gov/calow.hrml.
OWNER PRINT: __________ _ SIGN: ________ DATE: _____ _
11_':P~ICANT CERTIFICATION: SIGNATUR_E_B_E_q(dl~E_D_II_T TH_ETll'vlE OFSlJBMITTAL
By my signature below, I certify that.' I am the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractors behalf. I certify that I have read the application and stat~ that the above Information is co"ect and that the
information on the plans is accurate. I agree to comply with all City ordinances and State Jaws relating to bulfdlng construction.
I hereby authorize representative of the City of Carlsbad to enter upan the above mentioned property for inspection purposes. I ALSO AGREE TO S4VE,
INDEMNIFY AND KEEP HARMl£SS THE CfTY OF CARl5BAD AGAINST ALL LJABILmES, JUD COS1S AND EXPENSES WHICH MAY IN ANY WAY
ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT S HA permit is required for excavotlons over 5'0'
deep and demolition or construction of structures over 3 stories In height.
APPLICANT PRINT:_J_a_c_k_C_a_rt_e_r ____ _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-2 Page 2 of 2 Rev_ 08/20
Building Permit Inspection History Finaled
( City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2023•0103)
Permit Type: BLDG-Commercial Application Date: 04/28/2023 Owner: ROOSEVELT TAMARACK
Work Class: Tenant Improvement Issue Date:
INVESTMENTS PROPERTY HOLDING
LLC
08/02/2023 Subdivision: SEASIDE LANDS
Status: Closed -Finaled Expiration Date: 02/20/2024 Address: 2808 ROOSEVELT ST, # 101
CARLSBAD, CA 92008-1688 IVR Number: 48718
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
08103/2023 08/0312023 BLDG-44 219551-2023 Passed Tim Kersch Complete
Rough/Ducts/Dampers
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
08/07/2023 08/07/2023 BLDG-17 Interior 219814-2023 Passed Tim Kersch Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
08124/2023 0812412023 BLDG-85 T-Bar, Ceiling 221881-2023 Passed Tim Kersch Complete
Grids, Overhead
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topoul Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
09/1212023 0911212023 BLDG~Final Inspection 223655-2023 Passed Tim Kersch Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Frnal Yes
BLDG-Electrical Final Yes
Tuesday, September 26, 2023 Page 1 of 1
SAN DIEGO REGIONAL OFFICE use ONLY
HAZARDOUS MATERIALS RECORD ID#
PLAN CHECK# . , . QUESTIONNAIRE BP DATE I I C
··ausiness NSll'le Business Contact Telephone#
Med-Spa Carofynne Eng-McBride 76()..859-5249
Project Address (lnciude suite) City State Zip Code APN#
2808 Roosevelt St. Carlsbad CA 92006
Mailing Address (include suite) Cily State Zip Code Plan File#
Same Carlsbad CA 92008
Project Contact Applicant E-mail Telephone#
Jack Carter Jackcar1eraia@:yah0o.com 760-310-2439
The following question■ represent the faclltty"s acUvlties, NOT the specific project description.
of San
Cff'Cled,
app Icant must co act the ire ro on gency Juns c on pnor to p an subm al.
Occupancy Ra Ung: Faclllty's Square Footage (including proposed project):
l. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazaros
3. Flammable/Combustible Liquids 7. Pyropholics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammabte Solids 8. Unstable Reactives 12. Radioactives
PART 11: SAN DIEGO COUNTY DEPARTMENT OF EN\IIRONMENTAL HEAL TI! -HAZARDOUS MATERIALS DIVISION IHMID: If lhe answer lo any of lhe
questions IS yes, appGcani must coniad. the County 01 San Diego Hazardous Materials DiviS1on, 5500 Overland Avenue, Suite 170, $an Diego, CA 92123.
Call (658) 505-6700 pnor to the Issuance of a building permit.
FEES ARE REQUIRED Project Completion Dale: Expected Date of Occupancy. JUI y LUL.:J a O CalARP Exempl
YES NO (for new construction or remodeling projects) 011,,,-20.u I
1. -I ls your business listed on the reverse side of this form? (check all that appty). Date Initials
2. • WIii your business dlspase of Hazardous Substances or Medical Waste in any amo1.r1t?
3. fj • Will your business store or handle Hazardous Substances in quantibes greater than or equal to 55 gallons, 500 D CalARP Required
pounds and/or 200 cubic feet? I
4. ~ ! Will your business store or handle carcinogens/reproductive loxins in any quantity? Date Initials
5. • WiM your business use an exlsting or install an underground storage tank?
6. • Will your business store or handle Regulated Substances (CaiARP)? D CalARP Complete
7. • Will your business use or install a Hazardous waste Tank System (Title 22. Article 10)? c•--=~•~!~~--
8. • Will your business store petroleun in tanks or containers at your facility with a total facility storage capacity equal to Date Initials
or greater than 1,320 gaUons? (California's Aboveground Petroleum Storage Act).
ART 11 • N ON L TRICT APC • The follOWing questions are intended lo identify the majority of air pollution
issues at annlng stage. Your project may require a ltional measures not idenUfJed by these questions. Some residentlaf projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCO al ~Ql4<;-~J>!~?.!1"-o_t,!_n_ty_~_gQv;
(856) 586-2650; or 10124 Oki Grove Road. San o;ego, CA 92131.
1.
2.
3.
4.
5.
6.
YES NO I WiU the project disturb 100 square feet or more of existing building materials?
1■■1 Win any load supporting structural members be removed? 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbeslos survey been perfomled by an individual lhal has passed an EPA-approved
□
□
□
building Inspector course?
E) (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on lhe survey resulls, wiii lhe p,Oject diSturt> any asbeslos conlainlng material? If yes, a
notification may be required at least 10 working days prior to commencing asbestos removal. AddlUonally, a notification may be reqUired prior to
the removal of a load supporting structural member(s) regardless of the presence of asbestos. El Will the project or associated construction equipment emit air contaminants? See the reverse side of this fonn for typical equipment requiring an
APCO permit. If yes, contact APCD prior to the issuance of a building permit. □ (ANSWER ONLY IF QUESTION 5 IS YES) Will the pr • or associated construction equipment be located 'Mlhin 1,000 feet of a school
bounda ?
Briefly describe business activities: Bnefly desc,tbe proposed project:
Spa Treatment Offices
I dedare under penalty of perjury that to the best of my knowledge a~
IN / 21
Name of Owner or Authortzed A nt ent Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION·
BY: DATE: I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO" APCO COUt-lTY-HMO APCD COUNTY-HMO APCD
•A stamp in this box m exempts businesses from completing or updating a Hazardous Matenals Business Plan, Other penrnttmg requirements may still apply
HM-9171 (9/16) County of San Diego -DEH -Hazardous Materials Division
□ □ □
□ □ □ □
□ □ □
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenlda Encinas, Carlsbad, CA 92011
Phone: 760-438•3941 Fax: 760-476-9852
SourceControl@enclnaJpa.com
Date: 04/28/2023
Business Name: Med-Spa ---------------------Street Address: 2808 Roosevelt St., Carlsbad, CA 92008
Email Address: carolynne.ce@gmail.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT. (ON REVERSE SIDE CHECK TYPE OF BUSINESS) l✓I
Check all below that are present at your facility:
Acid Cleaning 0 Food Processing D Metal PoWders Forming
Assembly 0 Glass Manufacturing 0 Nutritional SuppfemenWitamin
Automotive Repair D Industrial Laundry D Manufacturing
Battery Manufacturing D Ink Manufacturing D Painting/Finishing
Biofuel Manufacturing D Laboratory D Paint Manufacturing
Biotech Laboratory D Machining/Milling [!] Personal Care Products
Bulk Chemical Storage 0 Membrane manufacturing D Manufacturing
Car Wash D (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging
Chemical Manufacturing D Metal Casting/Forming D Pharmaceutical Manufacturing
Chemical Purification D Metal Fabrication D (including precursors) D Oental Offices □Metal Finishing D Porcelain Enameling 0 Dental Schools D Electroplating 0 Power Generation D Dental Clinics D Electroless Plating □ Print Shop D Ory Cleaning □Anodizing D Research and Development D Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing
□ Manufacturing 0 Chemical Etching/Milling D Semiconductor Manufacturing
□ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing
□ Film/ X-ray Processing D Manufacturing D Waste Treatment/Storage
New Business? YesONoEJ SIC Code(s) if known: ______ Date operation began/will begin: ______ _
Tenant Improvement? Yes E] NoO If yes. briefly describe improvement : Convert Retail Space lo offices
Description of operations generating wastewater (discharged to sewer, hauled or evaporated): __________ _
No wastewater generated in this operation
Estimated volume of industrial wastewater to be discharged (gal/ day) : _N_/A ___________________ _
Listhazardouswastesgenerated(type/volume): ____________________________ _
None
Have you applied for a Wastewater Discharge Permtt from the Encina Wastewater Authority? YesODate: _____ N ■
Page 1 of 2
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avanlda Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge
pennitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they
only discharge sanitary wastewater with no pollutants exceeding any local limits). and (b) they have no potential to negatively
impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred
to EWA Source Control staff.
□ Automobile Detailers □ Hotels/Motels (no laundry)
□ Barber/Beauty Shops □ Laundromats
□ Business/Sales Offices □ Libraries
□ Cleaning Services [!] Medical Offices (no x-ray developing)
□ Carpel/Upholstery □ Mortuaries
□ Childcare Facilities □ Museums
□ Churches □ Nail Salons
□ Community CenterS □ Nursing Homes
□ Consulting Services [!] Office Buildings (no process flow)
□ Contractors □ Optical Services
□ Counseling Services □ Pest Control Services (no pesticide repackaging for sale)
□ Educational Services (no auto repair/film developing) □ Pet Boarding/Grooming F acilrties
□ Financial Institutions/Services □ Postal Services (no car wash/auto repair)
□ Fitness Centers □ Public Storage Facilities
□ Gas Stations (no car wash/auto repair) □ Restaurants/Bars
□ Grocery Stores (no film developing) □ Retail/Wholesale Stores (no auto repair/film
□ Residential based Businesses developing)
□ Theaters (Movie/Live)
rmation above is true and correct to the best of my knowledge.
Print Name Jack Carter 04/28/2023
Date: ____ _
FacilityContact: Jack Carter Title: Architect
ENCINA WASTEWATER AUTHORITY
6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControf@encinama com
Page 2 of 2