HomeMy WebLinkAbout2375 CAMINO VIDA ROBLE; B; CB121502; Permit08-09-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No:
Building Inspection Request Line (760) 602-2725
CB121502
Job Address:
Permity Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2375 CAMINO VIDA ROBLE CBADSt: B
Tl Sub Type: INDUST Status: ISSUED
2130502700 Lot#: 0 Applied: 08/08/2012
$7,500.00 Construction Type: NEW Entered By: JMA
Reference # Plan Approved: 08/09/2012
Issued: 08/09/2012
Inspect Area
Plan Check #:
PHOTOMEDEX: 50 SF= REMOVE WALL
AND EXPAND SPACE W/NEW WALLS IN CLEAN ROOM//NEW 220 50 AMP
CIRCUIT
Applicant:
CALIFORNIA AAC CONSTRUCTION
Owner:
F R NATIONAL LIFE LLC
41200 ANZA RD
TEMECULA CA 92592
714-317-5165
898 N SEPULVEDA BLVD #750
EL SEGUNDO CA 90245
Building Permit $107.27 Meter Size
Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00
Plan Check $75.09 Meter Fee $0.00
Add'l Building Permit Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $1.57 PFF (3105540) $0.00
Park Fee $0.00 PFF (4305540) $0.00
LFM Fee $0.00 License Tax (3104193) $0.00
Bridge Fee $0.00 License Tax (4304193) $0.00
BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00
BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00
Renewal Fee $0.00 PLUMBING TOTAL $0.00
Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $0.00
Other Building Fee $0.00 MECHANICAL TOTAL $0.00
Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00
Meter Size Sewer Fee $0.00
Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
Green BIdg Stands (SB1473) Fee $1.00 HMP Fee ??
Fire Expedidted Plan Review $0.00 Green BIdg Standards Plan Chk ?? Fire Expedidted Plan Review
TOTAL PERMIT FEES $184.93
Total Fees: $184.93 Total Payments To Date: $184.93 Balance Due: $0.00
Inspector:
FINAL APRRQ
Date:
RROViAL
Clearance:
NOTICE: Please take N0TI8E tha approval of your project includes the "Imposition of fees, dedicatrons, reseivations, or other exactions hereafter collectively
refened to as lees/exactlons." Yoirhave 90 days from the date this pemiit was Issued to protest impositton of these fees/exactions. If you protest them, you must
follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required information with the City H^anager 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,
re\Aew, set aside, void, or annul their impositbn.
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 sen/ice fees in connectkxi with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenivise expired.
THE FOLLOWINS APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING •EHGISEERING • BUILDING DFIRE • HEALTH • HAZMAI/APCD
CITY OF
CARL Si
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buidling@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. Cf^ \2. ' I ^ 2-
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS SUITE#/SPAGE#/UNIT#
CT/PROJECT # # BEDROOMS # BATHROOMS TENAm BUSINESS NAME , CONSTR. TYPE OCC. GROUP
DESCRIPTION OFWORK: /nclude Square Feet Of Affected Area(s) , i , / Jl / J~
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES • NO •
FIRESPRINKLERS
YES • NO •
APPLICANTJIAME (Primary Contact) APPLICANT NAME (Secondary Contact)
RESS / ADDRESS
STATE ZIP
PHONE PHONE FAX
PROPERTYOWNER NAME CONTRACTO
ADDRESS
ST^ CITY CITY.. STATE,
ca PHOJiE ,/-, FAX
7/4 3/7s-fbS' ^r/ 3^^^ fr EMAIL
ARCH/DESIGNER NAME & ADDRESS Aas CITY BUS. LIC.# . .
IB-/ I AppU'ed
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance/ alio requires the
appllcantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe 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 appllcantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty o'peijury one ol the following declarations:
O I have and will maintain a certificate of consent to self-insure for wnrkers' cofiif,ensdtion as provided by Sectton 3700 ot the Labor Code, for the performance of the work for which this permit is issued,
n I have and will maintain workers' compensation, as required by Section 3700 ol the Labor Code, for the performance of the work for which this permit is issued. Ivly workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date
Ejection need not be completed ifthe permit is for one hundred dollars ($100) or less.
Certificate of Exemption: I cerlify 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
udiiiurnia. WARNING: Failure to secure workers' compensafion coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, d:
CONTRACTOR SIGNATURI
es as prpvJKed for in :3gction 3706 of the Labor code, interest and attorney's fees.
• AGENT DATE
/ hereby affinn 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 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 cr improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. II, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving thai he did not build or improve for the purpose of sale),
• 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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. • Yes • No
2.1 (have / have not) signed an application for a building perrnit for the proposed work,
3.1 have contracted with the following person (firm) lo 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, supen/ise 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 fhe work indicated (include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
PtETE THIS SECfl
Is the applicanl or future building occupant required to submit a business plaiy acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 ofthe
Presley-Tanner Hazardous Substance Account Act? • Yes JgiJo
Is the applicanl or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? O Yes ^4lo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes ^IQIO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UICESS 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 this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name /"j/y'/Cj- Lender's Address
I cerfily that I have read ttie application and state that Itie above infoitnation is correct and that the information on the plans is accurate. I agree to comply with all Cily ordinances and State lams relating to building constmction.
I hereby authorize representative of the City of Cailsbad 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 UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmctton of structures over 3 stories in heighl,
EXPIRATION: Every pemiil issued by the Building Official under the provisions of this Code shall expire by limitation and become null and voi(J if the building or work authorized by such pennit is nol commenced wilhin
180 days from the date of such pemiit or ifthe building or work authorized by such pemiit is suspended or abandoned at any time after the wcirk is commenced for a period of 180 days (Section 106.4,4 Unifomi Building Code).
ygS"APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will Ibe requested at final inspection.
T I F I C A T E F O C C I 'CY {Commercial Proj'
Fax (760) 602-8560, Email www.buildinqjg)carlsbadca.qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
STATE ZIP CITY
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
• PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above)
n CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL / FAX TO OTHER:
• ASSOCIATED CB#
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB121502 Type: Tl
Date Inspection Item
08/21/2012 89 Final Combo
08/21/2012 89 Final Combo
08/20/2012 152 Final BIdg Inspection - Fire
08/13/2012 84 Rough Combo
08/13/2012 84 Rough Combo
INDUST
Inspector Act
Rl
PY AP
CWON AP
Rl
PY AP
PHOTOMEDEX: 50 SF= REIVIOVE WALL
AND EXPAND SPACE W/NEW WALLS IN C
Comnnents
COF
Wednesday, August 22, 2012 Page 1 of 1
CARLSBAD
Building Division
INSPECTION
RECORD
INSPECTION RECORD CARD WITH APPROVED
PLAMS MUST BE KEPT OIM THE JOB
CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
FOR BUILOING INSPECTION CALL: 760-602-2725
CB121502 2375 CAMINO ViDA ROBLE I
PHOTOMEDEX 50 SF= REMOVE WALL
AND EXPAND SPACF W/NEW WALLS IN CLEAN
ROOM//NEW 220 50 AMP CIRCUIT
T! INDUST
Lot# CALIFORNIA AAC CONSTRUCTION
THE FOLLOWING fCHECKEDI APPROVALS ARE REQUIRED PRIOR TO REQUESTING A FINAL BUILDING INSPECTION
If you fiave any questions please call the applicable divisions at the phone numbers provided below/. After ail required approvals are
sianed off-fax to 760-602-8560, email to bldqjnspections{S)carlsbadca.qov or biinq in a COPY of this card to: 1635 Faradav Ave.,
Carlsbad, CA 92008. Building Inspectors can be reached at 760-602-2700 between 7:30 am - 8:00 am the day of your inspection.
" ' • . , ! • ' ' Required for Final If Checi<ed Oate inspector Notes
• panning/Lsndscape 760-944-8463 Allow 48 hours
• CiM&l (Engineering Inspectionj] 760-438-389) Call before 2 pm
"pLfire Prevention 760-602-4660 Allow 48 hours
a b
•
Type of Inspection | Date inspector j Type of inspection Date inspector
BUILDING ELECTRICAL
FOUNDATION • ELECTRIC UNDERGROUND • UFER
REINFORCED STEEL ROUGH ELECTRIC WALLS
MASONRY 1 ROUGH ELECTRIC CEILING
• GROUT • WAIL DRAINS • ELECTHIC SERVICE • TEMPORARY {
TILT PANELS • BONDING DPOOL j
POUR STRIPS PHOTOVOLTAIC
COLUMN FOOTINGS FINAL 1
SUBFRAME • FLOOR • CEILING MECHANICAL
ROOF SHEATHING UNDERGROUND DUCTS & PIPING
EXT. SHEAR PANELS ! • DUCT & PLENUM • REF. PIPING
FRAME m HEAT-AIR COND. SYSTEMS
mSULATION -1 -' ! VENTIUTION SYSTEMS
EXTERIOR UTH FINAL
INTERIOR UTH & DRYWALL
FINAL OCCUPANCY
PLUMBING Date Inspector FIRE Date inspector
• SEWER & BL/CO • PL/CO A/S UNDERGROUND VISUAL
UNDERGROUND • WASTE • WATER A/S UNDERGROUND HYDRO
TOP OUT • WASTE • WATER A/S UNDERGROUND FLUSH
TUB & SHOWER PAN A/S OVERHEAD VISUAL
• GAS TEST • GAS PIPING A/S OVERHEAD HYDROSTATIC
• WATER HEATER • SOUR WATER A/S RNAL
FINAL F/A ROUGH-IN
STORM WATER F/A FINAL
600 - PRE-CONSTRUCTION MEETING FIXED EXTINGUISHING SYSTEM ROUGH-IN
603 - FOLLOW UP FIXED EXTING SYSTEM HYDROSTATIC TEST
605-NOTICE TO CLEAN FIXED EXTINGUISHING SYSTEM FINAL
807-WRITTEN WARNING MEDICAL GAS PRESSURETEST
609-NOTICE OF VIOUTION MEDICAL GAS FINAL
610- VERBAL WARNING
FINAL FINAL
SeSACK FOR SPffilAI. NOTES
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