HomeMy WebLinkAbout2544 Campbell Pl; ; CBC2019-0332; Permit(city of
Carlsbad
Commercial Permit
Print Date: 09/23/2019
Job Address: 2544 Campbell Pl
Permit Type: BLDG-Commercial Work Class; Demo Status:
Parcel No: 2132611800 Lot#: Applied:
Valuation: $17,211.04 Reference#: Issued:
Occupancy Group: B Construction Type: V-N Permit
Fina led:
# Dwelling Units: Bathrooms: Inspector:
Bedrooms: Orig. Plan Check#: Final
Plan Check#: Inspection:
Project Title:
Description: CAMPBELL PLACE: 2,794 SF COMMON AREA INTERIOR DEMO ( NO OCCUPANCY OR USE UNDER THIS PERMIT)
Applicant: Owner: Contractor:
Permit No: CBC2019-0332
Closed -Finaled
07/05/2019
07/30/2019
9/23/2019 10,36:02AM
MILLER DESIGN
BETH M!LLER
SIR CAMPBELL PLACE INC 5 P WHITE CONSTRUCTION INC
1927 Adams Ave, 100
San Diego, CA 92116-1211
619-472-7069
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $321.88
255 Washington St Select Income Reit, 300
NEWTON, MA 02458
Total Payments To Date: $321.88
2524 Gateway Rd
Carlsbad, CA 92009-1742
760-931-1130
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exact'tons 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 spedfied fees/exactions DOES NOT APPLY to water and sewer connectlon
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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$185.92
$130.14
$1.00
$4.82
{ City of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Chee~ 43{a0/ Y:" 033;?
Est. Value ctb 13:, «fl• 6£.-:1
PC Deposit -----,------
Date ~?+f~S:::+/.._,lyf----
Job Address 2544 CAMPBELL PLACE, CARLSBAD CA 92009 Suite: _____ APN: 213-261-18-00
Tenant Name: .:.N::;iA.,___ _______________ CT/Project#: __________ Lot#: 16 of map #14960
Occupancy: -'B;;,.(:.:O;c.F.;_F.;:IC.;:E .. ) -----Construction Type: _v_-N ___ Fire Sprinklers: Ives I no Air Conditioning: Ives r no
BRIEF DESCRIPTION OF WORK: DEMOLITION OF INTERIOR NON LOAD BEARING WALLS
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
[RI Tenant Improvement: 2,794 SO.FT. SF,
_____ SF,
Existing Use B (OFFICE) Proposed Use B (OFFICE)
Existing Use ______ Proposed Use ______ _
0 Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: _________________________ _
D Other: ---------------------------------------
APPLICANT (PRIMARY)
Name: MILLER DESIGN
Address: 1927ADAMSAVE SUITE 100
City: SAN DIEGO
Phone: 619.472.7069
State:_C_A __ .Zip: 92116
Email: BMILLER@MDESIGN-INTERIORS.COM
DESIGN PROFESSIONAL
Name: MILLER DESIGN
Address: 1927 ADAMS AVE. SUITE 100
City: SAN D)EGO State:-'C"-A'---_.Zip: 92116
Phone: 619.472.7069
Email: BMILLER@MDESIGN-INTERIORS.COM
Architect State License: ___________ _
PROPERTY OWNER
Name: THE AMR GROUP
Address: 3655 NOBEL DRIVE, SUITE 120
City: SAN DIEGO State:-'C;;._A;,..__,Zip: 92122
Phone: 858.427.3600
Email: BPURCELL@RMRGROUP.COM
CONTRACTOR BUSINES~
Name•_,, __ .,, ~'""-"_· ,\---,., €:,..__,\~"':\ lJ(ov-.~
-.,,., --,. A. D CT ~vt -#-/tJO Address:---·------~~.,. .n~rl"
City.~.,_"' \),°':1..; Stat c./1 _ . _q 'a-\ ~--'1 __ _
Phone: Cf)::, '6 ~ SSa · 0<,,00
Email: -----:--,,-'C"'"':::---------,:------/'
State License:~ so 3-11 lo Bus. License: £:>Lo'.:> \ ~u l "'-')
(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/she 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/she 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}),
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the foffowing declarations:
D I 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.
ave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performa~e oft e work for\hfch this permit is issued.
orkers' compensation insurance carrier and policy number are: Insurance Com~any(Name: \....,!} ....._, \o
y No. J>,-:} (.., W "J (p )5':\ \ Expiration Date: '::') ! \ . 'a: LJ
D 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 be come
subject to the workers' compensation Laws of California. WARNING: Fail to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in ad tion the to cost of compensation, damages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees.
coNTRAcroR s1GNATURE: ---f,l'H-"--'-+-----------□AGENr DATE: _1__._/_~_o_lL..;1.:.....c;_· _
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the foffowing reason:
□ 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).
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 O No
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/ 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/
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/ type of work):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
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).
Lender's Name: _____________________ _ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING 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? □ 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? Cl Yes □ 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.
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 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 S'O' 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 180 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 for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE: --,L.,~,c===...~c....c..:.:::..:•~---''------------DATE: __ l,_•_:Z._1_,_\'I..L... __ _ 7
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBC2019-0332)
Permit Typ(•'
Work Clas:,:
Shltus:
Scheduled
Date
BLDG-Commercial
Demo
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 0710512019 Owner: SIR CAMPBELL PLACE INC
Issue Date-: 0713012019 Subdivision:
Expiration Date: 0112712020 Address: 2544 Campbell Pl
Carlsbad, CA 92009-1771
IVR Number: 20177
Inspection No. Inspection Status Primary Inspector Reins pection Complete
····-·····--···--------------------------------------------
09/23/2019
September 23, 2019
BLOG-11
Foundation/Ftg/Pier
s (Rebar)
104949-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
104960-2019
Checklist Item
BLDG-Building Deficiency
BLOG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Scheduled Paul York
COMMENTS
Passed Paul York
COMMENTS
Passed
No
Passed
Yes
Yes
Yes
Yes
Yes
Incomplete
Complete
Page1 of1
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID # __________________ I
PLAN CHECK# _________________ I
Project Address
2544 CAMPBELL PLACE
Mailing Address
2544 CAMPBELL PLACE
Project Contact
BETH MILLER
Occupancy Rating:
1. Explos..e or Blasting Agents
2. Compressed Gases
3. Flammable/Combustible Liquids
4. Flammable Solids
Business Contact
BOBBIE PURCELL
City
CARLSBAD
State
CA
State
CA
Faclllty's Square Footage (including proposed project}:
5. Organic Peroxides 9. Water Reactives
6. Oxidizers 10. Cryogenics
Telephone#
858.427.3600
Zip Code
92009
Zip Code
92009
Telephbne#
619.472.7069
BP DATE
APN#
213-261-18-00
Plan File#
13. Corrosives
14. other Health Hazards
7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None ofThese.
8. Unstable Reactives 12. Radioactives
PART H; SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION fHMDl: ff the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building pem,it.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
1.
2.
3,
4.
5.
6.
7.
8.
YES NO (for new construction or remodeling projects)
Is your business listed on the reverse side of this form? (check all that apply). D IX! D li1I Will your business dispose of Hazardous Substances or Medical Waste in any amount?
D IX! Will your business store or handle Hazardous Substances In quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet? D D D D
D
I[! Will your business store or handle carcinogens/reproductive toxins in any quantity?
Ix) WIil your business use an existing or install an underground storage tank?
I&] WIii your business store or handle Regulated Substances (CalARP}?
IZI \/Viii your business use or in::.lall a Hazardous Wasle Tank Sy::;lam (Tit!e 22, Arlicle 10)?
I[! Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or rester than 1,320 aliens? California's Abov round Petroleum Stora e Act .
0 CalARP Exempt
Dale Initials
0 CalARP Required
Date Initials
0 CalARP Complete
Dale Initials
P I· SAN DIEGO COUNTY AIR POLLU110N CO TROL DIS CT APCD: Any YES• answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 3PCdCOOOP@SdCO!lntv-Ca-90Y 58 586-2 50. rNo stamp required if Q1 Yes .mlQ Q3 Yes and 04-06 No]. The followlng questions are Intended
to identify the majority of air pollutlon issues at the p annlng stage. Projects may require additional measures not identified by these questions. For comprehensive
requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four
dwelling units; townhomes; condos; mixed--commercial use; deliberate bums; residences fomiing part of a larger project rExcludes garages & small outbuildings.]
YES NO 100
1. IX] :] Will the project disturb f« square feet or more of existing building materials?
2. D !XI Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
3. D li1I (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
D
4, D D (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
may be required 1 O working days prior to commencing asbestos removal. !XI Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
fwww sdaPcd grg/fnfo/factsfpeanit§ PdO for typical equipment requiring an APCD pennlt.
5.
6, D D (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:
Office use (B) Demolition of non load bearing Interior walls
I declare under penalty of perjury that to the best of my knowledge and bei:\iit::p~erein are true and correct.
Name of Owner o uthorlzed A enl sfc nature of Owner or Authorized A ent
~ I ,., /I"!
Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION· FOR OFFICAL USE ONLY:
BY: DATE: I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY ~HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD
~,oo Col'/t.
~,:j VD ,..q,.
!t:;'11~ i ; oO g~
i,a\e/I~itiats 3
t, ·?I '>ry -~ ....... (\ <)
• . . A stamp in this box only exempts busmesses from completing or updating a Hazardous Matenals Business Plan. other pemiitting requirements may still apply .
HM-9171 (08115) Countv of San Dieao -DEH -Hazardou~ Materi;:ils nivisinn
■ PACIFIC
BUILDING GROUP
July 29, 2019
City of Carlsbad
Permits Services Division
Re: Building Permit Applications -2544 & 2548 Campbell Place
To Whom It May Concern:
This Jetter hereby authorizes Tim Seaman of Champion Permits to sign on behalf of
Pacific Building Group for all documents related to 2544 & 2548 Campbell Place,
Carlsbad, CA 92009 and obtaining City of Carlsbad Building Permits.
If you have any questions, please feel free to contact me at 858-552-0600.
Thank you for your cooperation.
PACIFIC BUILDING GROUP
Wayne Hickey, Executive Vice President