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HomeMy WebLinkAbout1775 DOVE LN; ; CB090723; PermitCity of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Pax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check No.'-J Est. Value Plan Ck. Deposit Date JOB ADDRESS rng; "*HLOTis^y__ SUITE#/SPACE#/UNIT#-0 CT/PROJECT ## OF UNITS # BEDROOMS ((BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,'ff/frgg^g ^ / EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D # NO Ij AIR CONDITIONING YES )4 N° n FIRE SPRINKLERS YES $ NO ID CONTACT NAME (H Different Fom Applicant)APPLICANT N frfr ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX EMAIL Pale c\d\/ PROPERTY OWNER NAME ADDRESS > •CONTRACTOR BUS. NAME ADDRESS CITY cv CITY STATE PHONE FAX PHONE, EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS CITY BUS. LIC.ff (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 ! of the Business and Professions Code} or that he is exempt there from, and the basis for the alleged exemption. Any violation of Section 70!1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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. L7I 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 workers' compensation insurance carrier and policy number are: Insurance Co. _ Policy No. _ Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. L~J 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. CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: CJ 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 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). O 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). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preIs 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? O Yes d No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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's Address 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 representative of the City 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. 180 days from the date of such permit or if the building or work authorizediy such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE EsGil Corporation In Partners Hip witA government for (Building Safety DATE: 5/7/09 a AEEUCANT JURISDICTION: City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO.: 09-O723 SET. I PROJECT ADDRESS: 1775 Dove Lane PROJECT NAME: The Dove Library Mechanical Retrofit - TI XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: X] Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: By: Doug Moody Enclosures: EsGil Corporation D GA D MB D EJ D PC 5/4/09 9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 *• (858)560-1468 + Fax (858) 560-1576 City of Carlsbad O9-O723 5/7/O9 . PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: O9-O723 OCCUPANCY: TYPE OF CONSTRUCTION: ALLOWABLE FLOOR AREA: SPRINKLERS?: REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 5/7/09 JURISDICTION: City of Carlsbad USE: ACTUAL AREA: STORIES: HEIGHT: OCCUPANT LOAD: DATE PLANS RECEIVED BY ESGIL CORPORATION: 5/4/09 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2007 CBC, which adopts the 2006 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2006 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. City of Carlsbad O9-0723 5/7/09 • [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 09-0723 PREPARED BY: Doug Moody DATE: 5/7/O9 BUILDING ADDRESS: 1775 Dove Lane BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: Unknown BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) cb Valuation Multiplier By Ordinance Reg. Mod. VALUE ($) Plan Check Fee by Ordinance Type of Review: Repetitive FeeRepeats D Complete Review D Other r-i Hourly EsGil Fee $215.00 $86.00 Structural Only Mrs. $172.00 * Based on hourly rate Comments: Sheet 1 of 1 macvalue.doc + PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 09-0723 DATE 5/4/9 ADDRESS 1775 Dove Lane RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER upgrade chiller PLANNER Chris Se ENGINEER DATE 5/4/9 DATE H:\ADMIN\lfflNTER/PLANMNG/ENr,INEERlNG APPROVALS CB090723 1775 DOVELN DOVE LIBRARY-REPLACE EXISTING CHILLER WITH ELECTRIC ,Sido 5 -«.1 - x a Approved Date Building Planning Engineering Fire F.O.G. HazMat APCD Health f/T/a?<>I*IGV SJ*/0°l \J&1 Hfr< Forms/Fees Sent Rec'd Due? CFD Fire FOG HazMa^APCD Health PFF PE&M School Sewer Stormwater Comments Building Planning Engineering Fire Date Date Need? N N N N N N N N N N N N Date Application Complete? . r Fees Complete? Y N By. N By.