HomeMy WebLinkAbout201 OAK AVE; ; CBC2023-0273; PermitBuilding Permit Finaled
{city of
Carlsbad
Commercial Permit
Print Date: 12/19/2023
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
201 OAK AVE, CARLSBAD, CA 92008-2965
BLDG-Commercial Work Class:
2032500600 Track#:
$0.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: 7-ELEVEN: INT ELECTRICAL; INSTALL 4 NEW CIRCUITS
Applicant: Property Owner:
GARY LE MADFI LLC
P/M/E
153 E CITY PLACE DR
SANTA ANA, CA 92705-6010
(951) 760-8138
162 S RANCHO SANTA FE RD, # SUITE B85
ENCINITAS, CA 92024-4365
(760) 633-0006
FEE
BUILDING PLAN CHECK
ELEC: OTHER COMPLEX ELECTRICAL
Total Fees: $778.80 Total Payments To Date: $778.80
Permit No:
Status:
CBC2023-0273
Closed -Finaled
Applied: 09/05/2023
Issued: 11/14/2023
Fina led Close Out: 12/19/2023
Final Inspection: 12/08/2023
INSPECTOR: Renfro, Chris
Contractor:
DAVITT INC
PO BOX 275
THOUSAND PALMS, CA 92276-0275
(817) 925-5996
Balance Due:
AMOUNT
$306.80
$472.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 \ 760-602-8560 f I www.carlsbadca.gov
Est. Value (Cityof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APP LI CATION
B-2
PC Deposit 4$Dti. 9D
Date q/6/2)
Job Address201 Oak Avenue Suite: APN:203-250-0600 _____ ,
Tenant Name#: ?-Eleven Lot#: Year Built: 1989 --------------------------------
Year Built: __ _ Occupancy: __ _ Construction Type: __ _ Fire sprinklers@'ESQNO A/C:(>EsQNO
BRIEF DESCRIPTION OF WORK: Interior electrical. Install 4 new electrical circuits for an existing ?-Eleven
0 Addition/New: ____________ New SF and Use, __________ New SF and Use
______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _
OTenant Improvement: _____ SF,
____ SF,
Existing Use: _______ Proposed Use: ______ _
Existing Use: Proposed Use: ______ _
D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, ___ Modules, Mounted:0Roof 0Ground
D Reroof: ___________________________________ _
[Z] Plumbing/Mechanical/Electrical 4 new electrical circuits
Oother: _______________________________ _
APPLICANT (PRIMARY CONTACT}
Name:Gary Le
Address·P,0. Box 275
PROPERTY OWNER
Name: ?-Eleven, Inc.
Address: 3200 Hackberry Road
City· Thousand Palms State:_C_A __ ,Zip: 92276 City: Irving state:._T_x __ .Zip: 75063
Phone:951-760-8138 Phone: ___________________ _
Email· gary cmdesign@yahoo.com Email: jessica.kim@7-11.com
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Business Name: Davitt, Inc. DBA Electrical Solutions ------------------
Address: Address:P.0. Box 275
City: ________ State: ___ Zip: _____ City: Thousand Palms State:_C_A __ .Zip: 92276
Phone: Phone: 760-275-0889
Email: Email: electricalsolutions@yahoo.com
Architect State License: CSLB License #:973887 Class:_C_-1_0 _____ _
Carlsbad Business License# (Required): BLOS013594-04-2023
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 al( City ordinances and State laws relating to building
construction.
NAME {PRINT): Gary Le SIGN: f~ LL DATE: 81712023
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8S58 Email: Building(focarlstadca,gov
REV. 07/21
,·HIS 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:
I herebyaff irmunderpenaltyof perjury that I am licensed underprovisionsof Chapter 9 /commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. laisoa[Nrm under penal tyof perjury one of the
following declarations (CHOOSE ONE):
01 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. PolicyNo.
-OR-[!]1 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: Mid-Century Insurance Company
Policy No. BD947-55-9B Expiration Date: _1_112_1_12_02_3 ____________ _
-OR-
Ocertificate of Exemption: I certify that in the perlormance of the work for which this permit is issued, I shall not employ ,iny 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].
CONTRACTOR CERTIFICATION: I certify that l 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.
~o~~~h~~:!~:~:ni~::ve ~~n authorized agent for the ,:~~~t~~~~;: a lettet.~et:: contractor let?e~~~-:
81712023
-OR -
(OPTION 8): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's Ucense 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 ,snot intended or offered for sale (Sec
t-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 proiect (Sec 7044, Business and Profess,ons 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).
-OR-01 am exempt under Bus·1ness and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
□~ORM 6-61 "Owner Builder Acknowledgement and Verification forrr," i, required for any permit 1ssueri tc, a property owner.
By my signature below I acknowiedge that, except for my personai residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legaliy sell a structure that I have built as an owner-builder if it has not been wnstruct.ecl in its ent;rety by licen,ed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailabie upon request when thisapplication is
submitted or at the following Web site: http: I lwww.ieginfo.ca.gov lea law. html.
OWNER 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.
NAME {PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above is an authoriied agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602·8558 Email: Building<a)carlsbadca.gov
2 REV. 07/21
Building Permit Inspection History Finaled
Ccityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2023-0273)
Application Date: 09/05/2023 Owner: MADFI LLC Permit Type: BLDG-Commercial
Work Class: P/M/E Issue Date: 11/14/2023 Subdivision: TOWN OF CARLSBAD AMENDED
Status; Closed -Finaled Expiration Date: 06/05/2024 Address: 201 OAK AVE
IVR Number;
Scheduled Actual Inspection Type Inspection No.
Date Start Date
12/08/2023 12/08/2023 BLDG-34 Rough 232890-2023
Tuesday, December 19, 2023
Electrical
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection 233010-2023
Checklist Item
BLDG-Building Deficiency
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
51765 CARLSBAD, CA 92008-2965
Inspection Primary Inspector
Status
Passed Chris Renfro
Passed Chris Renfro
Reinspection Inspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Page 1 of 1
~11:ue N ortl1
COMPLIANCE SERl/1CES
September 14, 2023
City of Carlsbad
Community Development Department -Building Division
1635 Faraday Ave.
City of Carlsbad -FINAL REVIEW
City Pennit No: CBC2023-0273
True North No.: 23-018-870
Carlsbad, CA 92008
Plan Review: Tenant Improvement
Address: 201 Oak Ayenue
Applicant Name: Gary Le
Applicant Email: gary _ cmdesign@yahoo.com
OCCUPANCY AND BUU,DING SUMMARY:
Occupancy Groups: M
Occupant Load: N/ A
Type of Construction: V-B
Sprinklers: Yes
Stories: 1
Area of Work (sq. ft.): NIA sq. ft.
The plans have been reviewed for coordination with the permit application.
Valuation: Confinned
Scope of Work: Confinned
Floor Area: Confirmed
Attn: Building & Safety Department,
True North Compliance Services, Inc. has completed the fmal review of the following documents for the project
referenced above on behalf of the City of Carlsbad:
1. Drawings; One (l) copy dated March 8, 2023, by Titan Retail Group.
The 2022 California Building, Mechanical, Plumbing, and Electrical Codes (i.e., 2021 IBC, UMC, UPC, and 2020
NEC, as amended by the State of California), 2022 California Green Building Standards Code, 2022 California
Existing Building Code, and 2022 California Energy Code, as applicable, were used as the basis of our review.
Please note that our review has been completed and we have no further comments.
We have enclosed the above noted documents bearing our review stamps for your use. Please call if you have any
questions or if we can be of further assistance.
Sincerely,
True North Compliance Senrices
Review By: Areli Sanchez• Plan Review Engineer
True North Compliance Services, Inc.
15375 Barranca Pkwy, Suite A202, Irvine, CA 92618
T / 562. 733.8030
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID# _________________ _
PLAN CHECK# ________________ _
Business f':!llrne 7-t::ieven Business Contact
BP DATE
Telephone#
Project Address (include suite)
201 Oak Avenue
City
Carlsbad
State
CA
Zip Code
92008
APN#
203-250-0600
Mailing Address (include suite)
Project Contact
Gary Le
City State
Applicant E•mail
gary_cmdesign@yahoo.com
Zip Code
Telephone#
951-760-8138
Plan File#
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophoncs 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION {HMO): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123.
Call (858) 505•6700 prior to the issuance of a building permit.
FEES ARE REQUIRED ProJect Completion Date: Expected Date of Occupancy: 0 CalARP Exempt
I
1.
2.
3.
4.
5.
6
7.
8.
YES NO □ ~ □ ~ □ ~
□
D
D □
□
Ix]
[xi
lil ~
(for new construction or remodeling proJects)
Is your business listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet?
Will your business store or handle carcinogens/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)?
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 facility storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Date lnil1als
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCD): The following questions are intended to identify the majority of air pollution
issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential 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 APCD at apcdcompocilsdcounty.ca.gov;
(858) 586·2650; or 10124 Old Grove Road, San Diego, CA 92131.
YES NO
□ fil □ ii]
wm the project disturb 100 square feet or more of existing building materials?
Will any load supporting structural members be removed?
1.
2.
3. □ Ii]
4. □ ~
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA·approved
building inspector course?
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a
notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to
5.
6.
□
D
the removal of a load supporting structural member(s) regardless of the presence of asbestos. ~ Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an
APCD permit. If yes, contact APCD prior to the issuance of a building permit.
~ (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda ?
Briefly describe business activities: Briefly describe proposed project:
Convient store Add 4 new electrical circuits
I declare under penalty of perjury that to the best of my knowledge and belief tne respons
Gary Le 8 / 29
Name of Owner or Authorized A ent Date
FOR OFFICAL USE ONLY;
2023
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _
BY: ____________________________ _ DATE: __ _,./ __ ___,__/ __ _
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO• APCD COUNTY-HMD APCD COUNTY-HMO APCD
*A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permIttIng requirements may still apply
County of San Diego • DEH -Hazardous Materials Division