HomeMy WebLinkAbout2270 CAMINO VIDA ROBLE; D; CB053867; Permit12-13-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB053867
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2270 CAMINO VIDA ROBLE CBAD St: D
Tl Sub Type: INDUST
2130504700 Lot#: 0
$17,150.00 Construction Type: NEW
Reference #:
BURLSON PACIFIC
490 SF OF LAB & STORAGE FROM WAREHOUSE
Applicant:
C.S.I. GENERAL INC.
STE105
802 TWIN OAKS VALLEY 92069
760-471-9388
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
2270 CAMINO VIDA ROBLE LLC
685 TURQUOISE ST
LA JOLLA CA 92037
ISSUED
11/04/2005
MDP
12/13/2005
12/13/2005
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BID #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee
Reel. Water Con. Fee
$161.29 Meter Size
$0.00 Add'l Reel. Water Con. Fee
$104.84 Meter Fee
$0.00 SDCWA Fee
$0.00 CFD Payoff Fee
$3.60 PFF (3105540)
$0.00 PFF (4305540)
$0.00 License Tax (3104193)
$0.00 License Tax (4304193)
$0.00 Traffic Impact Fee (3105541)
$0.00 Traffic Impact Fee (4305541)
$0.00 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$0.00 MECHANICAL TOTAL
$0.00 Master Drainage Fee
Sewer Fee
$0.00 Redev Parking Fee
$0.00 Additional Fees
TOTAL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$55.00
$60.00
$37.00
$0.00
$0.00
$0.00
$0.00
$421.73
Total Fees:$421.73 Total Payments To Date:$421.73 Balance Due:$0.00
BUILDING PLANS
.IN STORAGE
. ATTACHED
Inspector:
FINAL APPROVAL
Date Clearance:
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. It 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 simitar 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 limitations has previously otherwise expired.
PERMIT APPLICATION
CITY, OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
0530801-2 0047 11/04/2005 001 11
PLAN CHECK NO.
EST. VAL. jTf I HP
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No.Subdivision Neme/Number Unit No.Phase No.Total # of units
Assessor's Parcel #J§ d£% .*•* —Existing Use Proposed Use
of Bedrooms#of Stories » # of Bi
#(//*£- W//JGI*!
>"' • • ' ' • •* ' ''.•>•'• ' '
1 of Bathrooms
Address
Contractor: •••• * :Q:Agem fp^Contracftor-- >• QpWlrter
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. 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 165001).
Name
State License ff
Address
License Class
City " ' State/Zip
City Business License #
Telephone #
I KJ OAtt /
:itv
iff
Designer Name
State License #Q O *\
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
n 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.
/Q^ ' 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
nssu&d. My worker's compensation insurance carrier and policy number are:
Insurance Company C.fffis'TC I^Oi-yP frj^jj £^ .J f^"- Policy No. OpJ^rTZ^Q •" *Z-OQ^"^ Expiration Date_
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
[J CERTIFICATE OF EXEMPTION: I certify that jn 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' Compensate
WARNING: Failure to secure
ws of California.
thousand dollars ($100,0001
SIGNATURE
K OWNER-BUILDER D
I hereby affirm that_L*ftTexe
p is unlawful, and shall subject an employer to criminal penalties and civil Unas up to one hundred
comffehsation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
DATElf - C>T •
,e Contractor's License Law for the following reason:
Q I. as owner of the pro] >rty 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 rfi fessions 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).
1—1 ^D 1, 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 wnlfiWs^or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law}.
Q 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. Q YES QNO
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
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? Q YES £J* NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? n YES £KNO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES ^0_N0
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.
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
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 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" deef
EXPIRATION: Every permit issued by the buildingipfffCtaTTim^r tr;
authorized by such permit is not commencrfo*\vithinfl80 djys fronr1
at any time after the work is commenced ore. perio\of_
APPLICANT'S SIGNATURE
demolition or construction of structures over 3 stories in height.
ovisions ot this Code shall expire by limitation and become null and void if the building or work
atejDf such permit or if the building or work authorized by such permit is suspended or abandoned
6.4.4 Uniform Building Code).
DATE [^- Q^\
WHITE: File YELLOW: Applicant PINK: Finance
Cltyrtpirtsbif
Final Building Inspection
Dept: Building Engineering Planning CMWD St Lite Fire
Plan CheckS:
Permit*:
Project Name:
Address:
Contact Person:
Sewer Dist:
Inspected///
Bv: (sf&
•ItInspected '
Bv:
Inspected
Bv:
Comments:
CB053867
BURLSON PACIFIC
490 SF OF LAB & STORAGE FROM WAREHOUSE
2270CAMINOVIDAROBLE #D
TERRY Phone: 760801 2470
CA Water Dist: CA
y Date 1 I
V* Inspected: *//&/&&r f /
Date
Inspected:
Date
Inspected:
Date:
Permit Type:
Sub Type:
Lot: 0
Approved: 3c
Approved:
Approved:
01/17/2006
Tl
INDUST
Disapproved:
Disapproved:
Disapproved:
City of Carlsbad Bldg Inspection Request
For: 08/08/2006
Permit* CB053867
Title: BURLSON PACIFIC
Description: 490 SF OF LAB & STORAGE FROM WAREHOUSE
Type:TI Sub Type: INDUST
Job Address: 2270 CAMINO VIDA ROBLE
Suite: D Lot 0
Location:
APPLICANT C.S.I. GENERAL INC.
Owner; 2270 CAMINO VIDA ROBLE LLC
Remarks:
Inspector Assignment: TP
Phone: 7606440043
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: PHILIP
Entered By: CHRISTINE
Act Comment
ft
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date
01/20/2006
01/17/2006
01/11/2006
01/11/2006
01/11/2006
01/11/2006
12/22/2005
12/16/2005
12/16/2005
12/16/2005
12/16/2005
12/16/2005
Description
89
89
14
24
34
44
17
14
21
24
34
44
Final Combo
Final Combo
F ram e/Steel/Bo Iti ng/We Id ing
Rough/Topout
Rough Electric
Rough/Ducts/Dampers
Interior Lath/Dry wall
Frame/Steel/Bolting/Welding
Underground/Under Floor
Rough/Topout
Rough Electric
Rough/Ducts/Dampers
Act
PA
CO
AP
we
AP
AP
AP
AP
AP
AP
AP
we
Insp
RB
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
TP
Comments
TEMP C OF O SEE JOB CARD
SEE JOB CARD
T-CEIL
CEIL LITES
DUCTS
WALLS
WALLS
EsGil Corporation
In Partnership with government for ftuitding Safety
DATE: 11/17/05
JURISDICTION: Carlsbad Q PLAN REVIEWER
Q FILE
PLAN CHECK NO.: 05-3867 SET: I
PROJECT ADDRESS: 2270 Camino Vida Roble, Suite 'D1
PROJECT NAME: Burleson Pacific Remodel Existing Office. Mfg
LH 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:
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: The notations clouded in red on sheets C! & M1 of the approved plans from
EsGil Corp must be made to the city set of plans to make an approved 2nd set*df plans.
By: Chuck Mendenhall Enclosures:
Esgil Corporation
D GA D MB D EJ D PC 1 1/S/05 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 4 San Diego, California 92 123 * (858)560-1468 + Fax (858) 560-1576
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB U50 DATE
ADDRESS 0
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
OTHER
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER DATE K ' 7
ENGINEER DATE
Carlsbad Fire Department
Plan Review Requirements Category: TI, INDUST
Date of Report: 11-10-2005 Reviewed by:
Name:
Address:
C.S.I. GENERAL INC.
STE 105
802 TWIN OAKS VALLEY
SAN MARCOS 92069
Permit #: CB053867
Job Name: BURLSON PACIFIC
Job Address: 2270 CAMINO VIDA ROBLE CBAD St: D
INCOMPLETE The item you have submitted for review is incomplete. At this time, this office cannot
adequately conduct a review to determine compliance with the applicable codes and/or standards. Please review
carefully all comments attached. Please resubmit the necessary plans and/or specifications, with changes "clouded",
to this office for review and approval.
Conditions:
Cond: CON0000886
[NOT MET] To determine the acceptability of technologies, processes, products, facilities,
materials and uses attending the design, operation or use of a building or premises subject to the
inspection of the department, the chief is authorized to require the owner or the person in
possession or control of the building or premises to provide, without charge to the jurisdiction, a
technical opinion and report. Prior to requiring this report, you are required to complete a
"Statement of Intended Use", return this item to this office for evaluation and further direction.
The opinion and report shall be prepared by a qualified engineer, specialist, laboratory or
fire-safety specialty organization acceptable to the chief and the owner and shall analyze the
fire-safety properties of the design, operation or use of the building or premises and thereon, to
recommend necessary changes thereon, to recommend necessary changes.
Entry: 11/10/2005 By: gr Action: PA
Cond: CON0000887
[NOT MET] The construction of a Lab space does not always ensure that a particular prospective
tenant would be permitted by the Carlsbad Fire Department to occupy and operate in that given space
or area. This will be determined through the application to construct process.
11/83/2005 12:48 17G07358578 STUEVEN ENGINEERING PAGE 03
TITLE 24 REPORT
Title 24 Report for:
2270 Camino Vida Roble Suite D
Carlsbad, CA 92009
Project Designer:
Report Prepared By:
Jason Vander Veen
Stueven Engineering Consultants
326 Kalmia Street
Escondido, CA 92025
(760) 735-8577
Job Number:
Date:
11/2/2005
The EnsrgyPm computer program has been uaad to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commls&lon for use with both the Residential and Nonresldentlal 2005 Building Energy Efficiency Standards.
This program developed By Energysoft. LLC - www.»n*rgysoft.oom.
EnergyPro 4.0 by EnergySoft_ ,. Job Numb*-. User Number 3423
SD
COMPENSATION
I INSURANCE
, P.O. BOX 807, SAN FRANDSCq,CA ,94142-080.7
F U PJ D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 08-01-2005
CITY OF SAN DIEGO
DEPT OF BUILDING £ SAFETY
1222 FIRST AVENUE MAIL STATION 301
SAN DIEGO CA 92101 •
SD
GROUP: '•"•'• 000046
POLICY NUMBER: . 0014720-2005
CERTIFICATE .ID: v;r-"">-•" 2
CERTIFICATE EX>1RES:;08-01-2006
08-01*2005/08-01-2006
'' ; JOB: : v
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer.
We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend ;br alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement, term, or condition, of any contract or, other, document
with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies. :
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
EMPLOYER
CS I-GENERAL INC
•802 N TWIN OAKS VALLEY RD STE 105
SAN MARCOS CA "92069^ '•. - '(• :
CSI GENERAL INC
,- /:^^;PRI|SlTEp: jj;' 'v:^~Sv.
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND