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Home My WebLink About1905 CALLE BARCELONA; 100; CB152704; Permit09-03-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB152704 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1905 CALLE BARCELONA CBAD St: 100 PME 2550120400 Lot#: BED BATH E BEYOND- BATTERY STORAGE FOR ENERGY MANAGEMENT SYSTEM Status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 08/20/2015 RMA 09/03/2015 09/03/2015 Applicant: STEM INC 100 ROLLINS RD MILLBRAE CA 94030 415 937-7863 Owner: T-C FORUM AT CARLSBAD LLC C/O TIAA-CREF 4675 MACARTHUR CT #1100 NEWPORT BEACH CA 92660 Plumbing Fees Electrical Fees Mectianical Fees Ottier PME Fees $0.00 $160.00 $0.00 $161.25 TOTAL PERMIT FEES $321.25 Total Fees: $321.25 Total Payments To Date: $321.25 Balance Due: $0.00 Inspector: FINAL APPROVAL Date Clearance: NOTICE: Please take NOTfcE thjit approval of your project includes the "Imposifion" cf fees, dedications, reservations, or other exactions hereafter collectively refened to as 'fees/exactions." You have 90 days from the date this pemiit 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 Carisbad 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 similar application processing or service fees in connection 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 previously othenA/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrriSSUANCE: QPLANNING nENGINEERING OBUILDING OFIRE ElHEALTH •HAZMAT/APCD C. City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov At:] Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS SUITEi/SPACE#/UNIT# CT/PROJECT # # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: /ncfude Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|» N0| I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact ADDRE CITY PROPERTYOWNER "SHXH FrtltUAH Of-. IESS HI CITY FAX PHONE EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP CITY l^llXt,tA£ ZIP PHONE FAX FAX EMAIL (Sec. 7031.5 Business and Professions Code: Any City or County wtiicti requires a permit to construct alter, improve, demolisti or repair any structure, prior to its issij9S6e, also requires fhe applicant for such permit to file a signed statement ttiat tie is licensed pursuant to ttie provisions of ttie Contractor's License Law (Chapter 9, commending witti Sectloir 7000 of Division 3 of ttie Business and Professions Code) or that tie is exempt ttierefrom, and ttie basis for ttie alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects ttie appHoantto a civil penalty of not more ttian five tiundred dollars ($500)). WORKERS' COMPENSATiON Workers' Compensation Declaration: / hereby affinn under penalty d perjury one ofthe following declarations: L_J I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37(X) of tlie Labor Code, for the perfomianoe of the work for which this permit is issued. J^yjji've and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is^sued. My workere' compensaUon insurance carrier and policy number are: Insurance Co.. Policy No. Li'bO- "7FSH^^(36 Exoiration Date 9 ' /(a This section need not be completed If the permit is for one hundied dollare ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance 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 Califomia. 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^ovided fOTjf Se;tl6n 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE //^l>V*'*^^C^>>->rg^^'--r^ [^iGENT DATE R" ^0 - ) T~ OWNER-BUILOER OECLARATION / hereby affimi thst I am exempt from Contractor's License Law for the following reason: I I I, as owner of the praperty 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 praperty who builds or impraves thereon, and who does such work himself or thraugh 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 praving that he did not build or improve for the purpose of sale). • • I, as owner of the praperty, am exclusively contracting with licensed contractors to construct the praject (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 pureuant to the Contractor's License Law). 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 praperty impravemenL QYes I iNo 2.1 (have / have not) signed an application for a building pemiit for the praposed work. 3.1 have contracted with the following pereon (firm) to provide the praposed construction (include name address / phone / contractore' license number): 4.1 plan to provide portions of the work, but I have hired the following pereon to cooidinate, supen/ise and pravide the major worit (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but I have contracted (hired) the following pereons to provide the wort< indicated (include name / address / phone / type of woA): >€S'PR0PERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plar),.a^tely hazaidous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes (3^^ Is the applicant or future building occupant required to obtain a permit fram tneair pollution control district or air quality management district? Yes No Is the facility to be constracted within 1,000 feet of the outer boundary of a xhool site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS HET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTRUCTION LENOING AGENCY I hereby aflirm that there is a construction lending agency for the performance of the woric this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceiti^ that I have read the applbatk>n and state that the above infbnnation is conectand that the Infbmiation on the plans is accurate. I agree to complywith all Ci^ oidinances and State laws relating to building constmction. 1 hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property fbr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB/\D AGAINST ALL LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: An OSHA permit Is required fbr excavations over 5'0' deep and demolition or construction of staictures over 3 stories In height. EXPIRATION: Every permit Issued by the Building Oflicial under the provisions of this Code shall expire by limitatron and become null and void If the building or wori< authorized by such permit Is not commenced within 180 days from the date of such pemilt or If the buikiing cHiei1( authorizoKiy supK^emiit Is suspended or abandoned at any time after the mrk is commenced Ibr a period of 180 days (Section 106.4.4 Unifbmi Buikiing Code). APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildlnofSlcarlsbadca.aov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) 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 >ef APPLICANTS SIGNATURE DATE Inspection List Permit*: CB152704 Type: PME BED BATH E BEYOND-BATTERY STORAGE FOR ENERGY MANAGEMENT Date Inspection Item Inspector Act Comments 10/23/2015 39 Final Elecfrical - Ri 10/23/2015 39 Final Electrical PY AP Wednesday, October 28, 2015 Page 1 of 1 1 EsGii Corporation In (Partnersliip with Qovemment for (BuiCding Safety DATE: August 31, 2015 • APPdCANT <JURIS. JURISDICTION; Carlsbad y^U PLAN REVIEWER • FILE PLANCHECKNO.: 15-2704 SET: I PROJECT ADDRESS: 1905 Calle Barcelona Suite 100 PROJECT NAME: Bed, Bath, and Beyond Electrical Peak Shaving System XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. I I The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I 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. I I EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person • REMARKS: By: Eric Jensen Enclosures: EsGil Corporation • GA • EJ • MB • PC 08/24 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 I Carlsbad 15-2704 August 31, 2015 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLANCHECKNO.: 15-2704 PREPARED BY: Eric Jensen DATE: August 31, 2015 BUILDING ADDRESS: 1905 Calle Barcelona Suite 100 BUILDING OCCUPANCY; BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Cb By Ordinance Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance • | Type of Reviev^r: • Complete Review $161.25 • Structural Only • Repetitive Fee Repeats Based on hourly rate • Other „ Hourly 0 — '• EsGil Fee 1.5 $86.00 Hrs. @ $129.00 Comnnents: 1.5 hours plan review. Sheetl of 1 macvalue.doc + Mm Ccityof »r^.-r%... „.,r.r^w-r^Tt^K, Development Services SPECIAL INSPECTION Building Division ^ ^ - , AGREEMENT 1635 FaradayAvenue I P|"r|Qhpi(| B-45 760-602-2719 V_>tl~L±Ol_/V*.\-l. www.carlsbadca.gov In accordance with Chapter 17 of the California Building Code the following must be completed when work being performed requires special inspection, structural observation and construction material testing. Project/Permit: I ^^ ^ ProjectAddress: ^^0^ (Mi^ U^m^ ^^/^ A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please ctieck if you are Owner-Builder •. (If you ctiecked as owner-builder you must also complete Section B of ttiis agreement.) Name: (Pleaseprin.1 tellW t Y^h'S^^ (First) (M.I.) (Last) Mailing AddressL. Email: kc'f A. l^^S^y ^ S^l^. C0>^ Phone- f. If ^ 1 ^~^t)S^ I am: aProperty Owner aProperty Owner's Agent of Record aArchltect of Record aEngineer of Record State of California Registration Number: Expiration Date: AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural observations, construction materials testing and off-site fabrication of building components, as prescribed In the statement of special Inspections noted on the,«pp50ved plans and, as required by the California Building Code. Signature: /^L-.^y'^'^^/^^^^^.i^''^-^ Date: 3~o^^~ B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706J. This section must be completed by the contractor / builder / owner-builder. Contractor's Company Name: Please check if you are Owner-Builder O Name: (Please print) (First) (M.I.) , (Last) Mailing Address: /Ob ^, M/llOm^ CA. State of California Contractor's License Number: _ Expiration Date: • I acknowledge and, am aware, of special requirements contained in the statement of special Inspections noted on the approved plans; • I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the building official; • I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and frequency of reporting and the distribution of the reports; and • I certify that I will have a qualified person within our (the contractor's) organization to exercise such control. • / will provide a final report / letter in comoliance with CBC Section 1704.1.2 prior to reauestina final inspection. Signature B-45 Page 1 of 1 Rev. 08/11