HomeMy WebLinkAbout1600 FARADAY AVE; MULTI-PERMIT FILE; CB994051; PermitCity of Carlsbad
10/29/1999 Miscellaneous Permit Permit No:CB994051
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
1600 FARADAY AV CBAD
MISC
2121302500
$20,000.00
INVITROGEN
Subtype: OTHER
Lot#: O
DEMO STORAGE ROOM & INSTALL COOLER
GOOD & ROBERTS INC.
1090 JOSHUA WAY
VISTA, CA 92083
619-598-7614
Total Fees:
Miscelaneous Fee #1
Miscelaneous Fee #2
FINAL APPROVAL
Date: ¢/ h /
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
/
Clearance:
ISSUED
10/29/1999
MDP
10/29/1999
10/29/1999
000.1 01 C-PRMT
$104.00
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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
FOR OFFICE USE ONLY
PERMlT APPLICATION PLAN CHECK NO. Cf{, l/!55'(
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. ~ '2 0 coJ t Plan Ck. Deposit ________ _
Validated By _________ _
Date, _____________ _
1.
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel m~ & /2?110 Si-a :r' Mo{)
Existing Use
:t:;;;JJ?7J-I/ Ck1/J A.odl"2
Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
fkSi29 City
92[4:f?
State/Zip
,'lit-26/Y h5]'t{?6I'}
Telephone# Fax#
-:-0 Owner ·o Agent,for-Owner
Name City State/Zip Telephone#
·4_ · PROPERTY'OWNER
Name Address City State/Zip Telephone#
·5. ·CONTRACTOR,; COMPANY-NAME ........ -: .. -
(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 fife 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 violatio of Section 7031.~Y_Jlny applicant for a permit subjects the applicant to a civil pena~ty of not more than five hundred dollars ($5001).
C. -I
Name
State License # ... 8;.,,__,,..(.._2'-'2._.,.,.Q"J""".s-/ __ _ License Class __ {J,__ ______ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
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 selt-insu_re for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance
of the work for which this permit is issued. •
0 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 ·,?;;Js. Cc c5F ~me ~T Policy No. _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLElED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l.$1001 OR LESS)
0 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 ahall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in ad~o o the cost of compensation, damages iis provided for in Section 3706 of the Labor code, interest and attorney's fens.
SIGNATU~E: ___ ...J..~~~,LL: ..,.:;2::::::::::=._________________ DATE ________ _
7. OWNER·BUILDER DECLARA N
I hereby affirm that I am exempt from the c'ontractor'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 ottered for safe
(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). ·
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct tpe 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:
1. I personally plan to provide the maier labor and materials tor construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address / phone number/ contractors license number):
4. 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):._· _____________________________________________ _
5. 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 __________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL· BUILDING PERMITS ONLY
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 D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district o~ air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES O ,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.
8, CONSTRUCTION LENDING AGENCY
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 _______________________ _
9. ·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 all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 tor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under 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 365 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 work is commenced or a eriod of 180 days (Section 106.4,4 Uniform Building Code).
DATE
UNSCHEDULED BUILDING INSPECTION
INSPECTOR 4
PLAN CHECK·# ___ _
JOB ADDRESS ___ ....,/6~@.....,--,1/5.....::IO_,_ti--',;;J'J...,..o7_,,____t01.;...· ....... , __________ _
DESCRIPTION _____________________ _
CODE DESCRIPTION ACT COMMENTS
--------.1
'1
City of Carlsbad Bldg Inspection Request
Permit# CB994051
Title: INVITROGEN
For: 1/18/2000
Description: DEMO STORAGE ROOM & INSTALL COOLER
Type:MISC Sub Type: OTHER
Job Address: 1600 FARADAY AV
Suite: Lot
Location:
APPLICANT GOOD & ROBERTS INC.
Owner: C R C PROJECT ONE L P
Remarks:
Total Time:
CD Description
0
Act Comments
Inspector Assignment: TP ---
Phone: 7608020058
/J
Inspector: ~/
v
· Requested By: JIM
Entered By: CHRISTINE
r//f//0 l-
19 Final Structural . #A' ,,veeo PN'-,£. .,,.,_ A/J/ll/L
29 Final Plumbing
=t= 39 Final Electrical
49 Final Mechanical
Associated PCRs
Inspection History
Date Description Act lnsp Comments
12/15/1999 14 Frame/Steel/Bolting/Welding AP PD BAST FOR MECH EQUIP @ ROOF
CilY of Carlsbad
· Final Building Inspection
Dept: Building Engineering Planning CMWD St Lite <Eite:7
Plan Check #: Date: 1/18/2000
Permit#: CB994051 Permit Type: MISC
Project Name: INVITROGEN Sub Type: OTHER
DEMO STORAGE ROOM & INSTALL COOLER
Address: 1600 FARADAY AV Lot: 0
Contact Person: JIM Phone: 7608020058
Sewer Dist: CA Water Dist: CA
Inspected Date 1Je,k;o ~isapproved: __ By: 7h, CZ. Inspected: Approved:
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
Comments: _____________________________ _
City of Carlsbad
07/0111999 Miscellaneous Permit Permit No:CB992424
Building Inspection Request Cine (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
1600 FARADAY AV CBAD
MISC
2121302500
$15,000.00
INVITROGEN
Subtype: OTHER
Lot#: 0
CREATE PRIVATE OFFICE FROM OPEN OFFICE
GOOD & ROBERTS INC.
1090 JOSHUA WAY
VISTA, CA 92083
619-598-7614
Total Fees:
Miscelaneous Fee #1
Miscelaneous Fee #2
Inspector:
FINAL APPROVAL
Date: /()--/ 4 P-,
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Clearance:
ISSUED
07/01/1999
MDP
07/01/1999
07/01/1999
$276.00
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 capacliy
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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
276u00
PERMIT' APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. {7-..z cf z,,c.{
EST. VAL. (lf (5ClO
Plan Ck. Deposit ______ _
Validated By _______ _
Date __________ _
1. PRdCTINaRMEO&; Ave ~ .. -,,.. / Address (include Blag1::,uIte If/ -
.. ]2J(5/~
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
I Proposlfd J.Jse
t \.Jc::..-k.. ~t\c.rt
# of Bedrooms
:·2.. .CONTACT PERSON {if·different from .~pplicant}
Z), W-'76/7"
Name Fax#
;3. APP.llCANt ;IE Contractor -o·owner.·
Name Address City State/Zip Telephone#
'4.. 'PRO):';R'rv:owNER ,*1
Name Address City State/Zip Telephone#
5 •. CONTRACTOR~ COMPANY·NAME
(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. 6flY viola!ion of Recti9.n 7031.5 by any applicant f~ermit subjects the applicant to a civil penalty of not more than five hundred dollars l$500]).
IT" j<7Ja~L£JJ1/--lut uJA~ UJJM 9ZM.7 Yl~~??./Y
Name
State License # 32,2 r-.v Address / City State/Zip Telephone#
License Class __ .._/j_,,__~_
1
r/ _____ _ City Business License # ________ _
Designer Name Address City State/Zip Telephone
State License # _________ _
·6. WORKERS~ COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
ijJ' 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 L,ta@Cf' a,,-cf me 4~ Policy No. C.t.l.JO~&;:i,G.5-Expiration .Date ('() .-j-~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS}
0 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 for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE.______________________________ DATE _________ _
7. -OWNER-BUILDER.DECLARATION
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 awn 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).
0 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:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0Nb
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. 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): __________________________ -'------------------------
5. 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 wor~): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE---------------,----------
COMPLETE:THIS SECTION FOR. NON~RESIDENTIAL' BUILDING Pl:IJMITS,:ONL Y :
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 O 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
·1:f;.'. ~ONSTRUCTIOl-hENDINGAGENGY·:_·_ •.. ,.:., ,: . ..: ..... :: .. : ~_:·_:: .'.._ .... -,,. ,.., __ ........... .
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------------,---
•9. · :APPllCANrCERTIFICATIOt,I
LENDER'S ADDRESS ______________________ _
" .'i' ' •;,"~· .. ~ '; . " ~ •
' " ~·~· "· 'f ', '
",.•,:
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 Citt 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 under the provisions of this Coge shall expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 365 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 worlsjs cgµ,ml}l"lced_Jor_a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE 2~1:v APPLICANT'S SIGNATURE I p#lll ,, $
YELLOW:· Applicant PINK: Finance
City of Carlsbad Inspection Request
Permit# CB992424
Title: INVITROGEN
For: 9/28/99
Inspector Assignment: RB ---
Description: CREATE PRIVATE OFFICE FROM OPEN OFFICE
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1600 FARADAY AV
Lot
APPLICANT GOOD & ROBERTS INC.
Owner: C R C PROJECT ONE L P
Remarks:
Total Time:
CD Description
0
Act Comments
Phone: 6195204928
Inspector: (._-(> -----
Requested By: ROB
Entered By: CHRISTINE
19 Final Structural I:!..£
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Inspection History
Date Description Act lnsp Comments
9/2/99 21 Underground/Under Floor AP RB
9/2/99 24 Roughffopout AP RB
9/1/99 19 Final Structural co RB NO PLNS, PERMIT ON ENG PER 8/11/99
9/1/99 24 Roughffopout WC RB
8/11/99 14 Frame/Steel/Bolting/Welding PA RB HAVE ENG ADDRESS WALL BRACING DETAIL
8/11/99 17 Interior Lath/Drywall AP RB
8/10/99 14 Frame/Steel/Bolting/Welding AP RB
8/10/99 16 Insulation AP RB
8/10/99 34 Rough Electric AP RB
8/9/99 14 Frame/Steel/Bolting/Welding NR RB CORRECTIONS NOT COMPLETED
8/9/99 34 Rough Electric NR RB
8/5/99 14 Frame/Steel/Bolting/Welding co RB BRACE WALLS @ 8 FT OC
8/5/99 34 Rough Electric co RB SECURE MC W/IN 12INCH OF BOXES
CilY of Carlsbad
· Final Building Inspection
Dept: Building Engineering Planning CMWD St Lite <F-if.lb
Plan Check#: Date: 9/28/99
Permit#: CB992424 Permit Type: MISC
Project Name: INVITROGEN Sub Type: OTHER
Address: 1600 FARADAY AV Lot: 0
Contact Person: ROB Phone: 6195204928
Sewer Dist: CA Water Dist: CA ..........................................................................................................................................................
Inspected /16-Date c;/41/19 Approved: _2(_ Disapproved: __ By: Inspected:
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Comments: ______________________________ _
~ Hazardous Materials
Business Name
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
Contact Person Telephone
• flW1III CIIJll. llffllCT
CUlfY IP IU 01111
:rtJ\J~~ R. Tf\o'/ <;,AR\)N (-r(oO-) loO~-(o'"{O
Mailing Address City State Zip Plan File#
lloOO F"AAA't>A: Ave.. ~C) 9cr .. ~'-+a'i
S,te Address City Plan File#
\foOO f'A~ ,, A\li::. • <!.A~'6Ab CJ\. 9~~ q ... c.'-' e'-l
PART I: FIRE DEPARTMENT· HAZARDOUS MATERIALS MANAGEMENT DIVISION: OCCUPANCY CLASSIFICATION
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.
1. Explosive or Blasting Agents 4. Flammable Solids 7. Pyrophoric1 10. Cryogenic, 13. Corrosives
2. Compressed Gases 5. Organic Peroxides 8. Unstable Reactivea 11. Highly Toxic or Toxic Materials 14. Other Health Hazards
3. Flammable or Combustible Uquids S. Oxidizers 9. Water Reactive, 12. Radioactivos
PART II: COUNTY OF SAN DIEGO HEALTH DEPARTMENT -HAZARDOUS MATERIALS MANAGEMENT DIVISION:
CONTINGENCY PLAN REVIEW:
If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Management
Division, 1255 Imperial Avenue, 3rd Floor, San Diogo, CA 92186·5261. Telephone 1619) 338-2222 prior to the issuance of a
building permit.
OFFICE USE ONLY
D RMPP Exempt
FEES MAY BE REQUIRED
Yes No
1.c=J[E
2.0[:isJ 3.0 rgJ
4.D[&l
5,0[g}
Is your business listed on tha reverse aide of this form?
Will your business dispose of Hazardous Substancea or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons,
500 pounds, 200 cubic foot or carcinogens/reproductive toxins in any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Acutely Hazardous Materials?
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT
I
Dato Initials D RMPP Required
Date Initials D RMPP Completed
Date Initials
If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92123.
Telephone (619) 694-3307 prior to tho issuance of a building permit.
YES NO
1. D ~ Will the intended occupant install or use any of the equipment listed on the Uating of Air Pollution Control District Permit Categories, on the
reverse side of this form? .
2. DD (ANSWER ONLY IF QUESTION 1 IS YES.) Will the subject facility be located within 1,000 foot of the outer boundary of II school (K through
1 2) as listed in the current Directory of School and Community College Districts, published by tho San Diego County Office of Education and
tho current California Private School Directory, compiled in accordance with provisions of Education Code Section 33190?
. Briefly describe nature of tho intended busaneH act1V1ty:
fBODMEb f>'.Co MM eBOBe.~: MSM 0r wefl\<. t\eo o,jL,.'(
o the beat of my knowledge and belief the responses made heroin are true
Data: <a/<e, {qq
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. _______________________________ _
BY: ___________________________________ Oate: ________________ _
EXEMPT FROM PERMIT REOU111EMENTS
COUNTY·HMMD
EnvirCIIIDCllW Hcallh Scrtiecl
DHS:HM-9171 (61'/'l)
APCD
Al'PftOVED FOii SUILDING PERMIT BUT NOT OCCUPANCY
COUNTY·HMMD APCD
APPROVED FOR OCCUPANCY
COUNTY·HMMD APCD
C01111ty of Sm Diqo
Departmmt of Hcallll Services
10/04/';/6~ 11: 36
Page • { of 1
B U I L D I N G
,Job Addr1?:::s: 1600 F.P.RA[>AY 'AV
Permit Type: MISCELLANEOUS
Parcel No: 212-130-25-00
Valuation: 30,250
P E R M + T
Suite:
Lot#:
Permit No: CB961::::r54
Project I1J,:.: A96026~:7
Development No:
Occupancy Group: Reference#:
Construction Type: NEW
Status: ISSUED
Applie~: 09/27/96
Apr/Issue: 10/04/96
Entered By: RMA
Dt?scription: 1500 SF RETAIN WALL-!NVITROGEN.
Appl /Ownr : HAJvLA.NN CONSTRUCTIOi.'!
475 W BRADLEY AV
EL CAJON CA 92020
fees Required
Fees:
A.Jjustmr?nts:
Total Fee.s:
619 440-7424
i j
~PPROV !~ -4-,
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CLEl-\fV-\NCE ---------1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
• 0(1
I ~~CATION
City•~f Carlsbad Building Department
2015 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
From Llst 1 (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units _________________ _
2. PRQJECf INFORMATION FOR OFFICE USE ONLY ,tws f°O.l"'lJa y 14-v-e.'
'liiearest Cross Street E-/-ci 1(-f.. St
Bu1ldmg or Smte No.
DESCRI IO t N . Su IVISIOn Name/ um r
LD-+ 100 ,>'~ Co.1-/s. T~T /Jo, ~S'"' -~4
CHECK BELOW IF s@Mn1'ED:
/Jc?, s mt No. P ase
ft'le-tp /Jo, /2.'f)tS
D 2 Energy Gales D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL 2. I '2.. -t3 0-.i.S-* EXISTING USE PROPOSED USE
DE.§~RIPTION OF WORK ,,,, _.,L__ 1 , u , ~, u.1 / S1Ap, ~, t},c,,. 11 r, ~,, /Yliilsa--, "'-ry ·~-«· t\ r n'" l"V"'-t.S r V "C8C
SQ. Fr. f ~ # OF STORIES # OF BEDROOMS
!:{. WNl:AC;~ (1t dltferent from ap_QH.}anfJ ,, 7-,-
NAME (last.name first) /11 j lf-e,c,-1 Y///Ad-/'-ADDRESS od)~S,
CITY ~ ~C STATE ~. ZIP CODE q-zo;J....C:::,
NAME (last name first) -Ha""" It v,
CITY 1.$7.. Cc, i4. o--, STATE ~ ZIP CODE '('1.. 0 a.c) DAY TELEPHONE
s. PROPERTI oWN S NAME (last name first) ~-C cl~ /¼-ho v-,e. ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6. (X)NTRACIOR
NAME (last name first) S~<.. a.S A,/,.,c>v ~ ADDRESS
CITY STATE
STATE UC.#
DESIGNER NAME (last name hrst)
ZIP CODE
UCENSE CIASS
DAY TELEPHONE
CITY BUSINESS UC. #
ADDRESS
# OF BATIIROOMS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WORKERS' mMPRNsX11oN
..... -.:..
Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of Industnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Cernhcate of Exemption: I certify diat m die performance of die work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of Galifomia.
SIGNATURE DATE
s. oWNER-B01IDER DECI..ARATION
Owner-BUIider Declaration: I hereby afhrm that I am exempt from the ContractoPs Llcense Law for the foliowmg reason:
D 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 Llcense 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.).
D
tJ
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).
I am exempt under Section _______ Business and Professions Code for this reason:
(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, commencing 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 [$500]).
SIGNATURE DATE
COMPLETE TH1s SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
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?
tJ YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES D NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOf BE ISSUED AFI'ER JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Am. POU.UTION OONTilOL DISTIUCT.
9. wNsl'ROCl'lON liNDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCAN I CfiltliFiCA:IIDN
I cernly that I have read the apphcatlon and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection
purposes. I AI.5C) AGREE TO SAVE INDEMNIFY AND KEEP HARMLFSS TIIE Cl1Y OF CARLSBAD AGAINSf All IJABIIITIES, JUDGMENTS, cosrs
AND EXPENSFS WHICH MAY IN ANY WAY Acx:RUE AGAINSf SAID·Cl'IY IN OONSEQUENCE OF TIIE GRANTING OF TIIlS 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 under 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 365 days f om the date of such permit or if the building or work authorized by
such permit is suspended or aband ed at any timz,e~the w r · a-forca period of 180 days (Section 303(d) Uniform Buil~g Code).'/
APPUCANTS SIGNATURE ~ ,;;I-DATE: -'2 i~ t'fw
WHITE: File YELLOW:
03/27/'97
DATE
10/10/96
10/07/96
10/07/96
INSPECTION HISTORY LISTING
FOR PERMIT# CB961864
INSPECTION TYPE
steel/Bond Beam
Footing
Footing
INSP ACT COMMENTS
RI
RI
TP
RI MW/MARK/520-1409
RI MW/MARK/970-3976
AP
r
HIT <RETURN> TO CONTINUE ••.
MONTANA
2992 E. La Palma, Suite A
Anaheim, CA 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
l?EPOPT OF CYL I NDEF:: TE;3TS
Testing & Geotechnical, Inc.
888 Rancheros Dr., Suite E
San Marcos, CA 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
PROJECT NO. :2'::!4:7)--:2:'.i CITY OF CARLSBAD-BLDG. INSPECTIOU DEPT.
:207~5 LJ~S PhLMPiS PROJECT NAME: IN\} I Tl?OGEt---.!
CARLSBAD, CA 92009
r, r.:;,
1-. -·
HD
AGE
(DAYS)
7
28
SPECIFIED STRENGTH :::-)000 PSI
LOCATION 1 @ .J FOOT I NCj
DATE
CAST BY DD
CONCRETE SUPPLIER :3UPEF.: lOF~ F:'.EADY MIX
MIX NO. 15 TYPE OF CEMENT
PROJECT ADDR. Cf-iF:'.LSBi'.'.":iIJ
BP/OSA NO.
PLAN FILE NO.
NOMINAL ACTUAL AREA
SIZE (SQ. IN.)
2B .. 46
() n ()()
ON '36 • Au9. 08
AIR
LOAD
(LBS)
STRENGTH TYPE OF
(PSI) FRACTURE
DATE RECEIVED
%
PCF
TICKET NO. 30 :l. 02(J MIXING TIME 59 MIN
UNIT WEIGHT
CONCRETE TEMP
AMBIENT TEMP
ADMIXTURES
WATER ADDED AT SITE 5 Gt:iLLONS
AUTHORIZED BY crn\1n;;:(,1CTm;;:
SLUMP :5 • 0 IN
REMARKS
DISTRIBUTION ( 4 )
HAMANN CONSTRUCTION
K~N SMITH ARCHITECTURE
R:2H ENG I NEER I NG
CITY OF· CARLSBAD-BLDG. INSPECTION DEPT.
Respectfully Submitted,
~~~ LJ:\i~
COMPRESSIVE STRENGTH: /-~
DOES NOT CONFORM D
_.,
MONTANA
2992 E. La Palma, Suite A
Anaheim, CA 92806
Tel: (714) 632-2999
Fax: (714) 632-2974
REPORT OF CYLINDER TESTS
Testing & Geotechnical, Inc.
888 Rancheros Dr., Suite E
San Marcos, CA 92069
Tel: (619) 735-5060
Fax: (619) 735-8979
PROJECT NO. :~~1=~:::(.:3-:~~~i CITY OF CARLSBAD-BLDG. INSPECTION DEPT.
2075 LP1S PP-11...MAf:3 PROJECT NAME: I NI./ I Tl::::oi:3EN
CARLSBAD? CA 92009
PROJECT ADDR. C(.~f.,:L..ElBPiD
CLIENT: l·-!P1MANN CDNST1::::ucT I ON
SET E}~7~L~~:
LAB NUMBER
B
C
HD
AGE
(DAYS)
7
2f.3
DATE
{)iug 15
,·· ... 71:-.:7 BP/OSA NO. ::;lb .. -' . ..J'
PLAN FILE NO.
NOMINAL ACTUAL AREA
SIZE (SQ. IN.)
f.X12
6X:t2
E,X:l2 28 .. 45
o.oo
LOAD
(LBS)
STRENGTH TYPE OF
(PSI) FRACTURE
4:32:l
SPECIFIED STRENGTH r-)(l(il'"l PSI CASTBY DD ON 96 .. 1::'.iug. 08 DATE RECEIVED
LOCATION FOOT I NG @ 10
CONCRETE SUPPLIER
MIX NO. TYPE OF CEMENT
TICKET NO. ::::)() :l 04!5 MIXING TIME
WATER ADDED AT SITE 5 (:i{,1LL..ONE:1
AUTHORIZED BY CONTR{::;CTOR
SLUMP 4 • ~".'i IN
REMARKS
DISTRIBUTION ( 4)
HAMANN CONSTRUCTION
KEN SMITH ARCHITECTURE
4·7 MIN
AIR
UNIT WEIGHT
CONCRETE TEMP
AMBIENT TEMP
ADMIXTURES
F:::2'.H E!\l!:j I NEEF.: I NG Respectfully Submitted,
CITY OF CARLSBAD-BLDG. INSPECTION DEPT.
COMPRESSIVE STRENGTH:
%
PCF ... ,. .. .,,.
CJ I o F
~3~5 o F
CONFORMS
DOES NOT CONFORM D
City of Carlsbad
M¾h·iih441ih·l•l4·i¥iii,,f4hl
BUILDING PLANCHECK CHECKLIST
RETAINli\lG WALL
BUILDING PLANCHECK NUMBER: CB Cf Ct:, lf (o I
BUILDING ADDRESS: //p O O ~ ~
PROJECT DESCRIPTION: __,_,R=et=a=in=in_...g:1--W.:..:..:::a=II ________________ _
ASSESSOR'S PARCEL NUMBER= c21d\....,. 1 ~-Ar
ENGINEERING DEPARTMENT
APPROVAL
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. Please review
carefully all comments attached, as failure to
comply with instructions in this report can result
in suspension of permit to build.
~-n/~te: 11/Bq/fb
DENIAL
Please see the attached report of deficiencies
marked with D. Make necessary corrections to
plans or specifications for compliance with
applicable codes and standards. Submit corrected
plans and/or specifications to this office for
review.
By: __________ Date: ___ _
By: __________ Date: ___ _
By: __________ Date: ___ _
ATTACHMENTS
D Right of Way Permit Application
ENGINEERING DEPT. CONTACT PERSON
NAME: MICHELE MASTERSON
City of Carlsbad
ADDRESS: 2075 Las Palmas Drive
PHONE: (619) 438-1161, Ext. 4315
P:IDOCS\CHKLSnWALL REV 04/18/96
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
•
1stV'/ 2ndV
OYD D
D
D
BUILDING PLANCHECK CHECKLIST -RETAINING WALLS
SITE PLAN
3rdV
1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow
8. Existing & Proposed Structures
(dimensioned from street)
2. Show on site plan:
A. Drainage Patterns
B. Existing & Proposed Slopes
C. Existing Topography
3. Include on title sheet
A. Site address
8. Assessor's Parcel Number
C. Legal Description
C. Property Lines
D. Easements
E. Retaining wall (location and height)
D. Grading Quantities Cut ___ Fill __ Import/Export. __ _
(Grading Permit and Haul Route Permit may be required)
D D D 4. Project does not comply with the following Engineering Conditions of approval for
Project No.--------------------------'--
D D D
Conditions were complied with by: ______ _ Date: _______ _
MISCELLANEOUS PERMITS
5. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way.
A separate Right-of-Way permit issued by the Engineering Department is required
for the following:-----,---------------------
Please complete attached Right-of-Way application form and return to the
Engineering Department together with the requirements on the attached Right-of-
Way checklist, at the time of resubmittal.
P:\DOCS\CHKLSTIWALL Page 1 REV 04/18/96
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB c; 0 ,,, I 6& Y lo --z. -q1 DATE _ __,_ __ _;__J_(_,;--___ _
ADDRess _ _,_/_0a_v_____;,_fi_A_RA_OAa44---_/+J...:._£_t111_LI_{ ______ --=---
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
ENGINEER ___________ DATE ______ _
C:\WP51\FILES\BLDG.FRM Rev 11 /15/90