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Home My WebLink About1916 PALOMAR OAKS WAY; 100; CB121089; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-12-2012 Permit No: CB121089 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1916 PALOMAR OAKS WY CBAD St: 100 PME 2120923400 Lot#: 0 COBHAM-ADD 100 AMP/3 PHASE SUB PANEL FOR 28 CIRCUITS-FEEDING THE NEEDS OF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PRIME ELECTRIC STRUCTURES ON THE GREEN L L C C/0 MCKEAN FINANCIAL 480 ENTERPRISE ST SAN MARCOS CA 92078 760 471-6634 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES PO BOX 2763 LA JOLLA CA 92038 ISSUED 06/12/2012 RMA 06/12/2012 06/12/2012 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: & -/1,. / V" Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/exactions.' 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 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 f x i n f w i h h v r i N Tl imil r h' h h f lim' i h r vi I h i «1~ ~ CIT Y OF CARLSBAD Building Permit Application 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SUITEt/SPACEt/UNITI JOB ADDRESS 1916 Palomar Oaks Way DESCRIPTION OF WORK: Inc ude Square Feet of Affected Area(s) Plan Check No. Est. Value SW PPP Cobham Existing lab rework-add new electrical panel and 28 new circuits. To ~+ #, ~ rt~ O (",Yi ~t\~j l...2-b aviJ. Jl.~l~ tin j "2,~I p~ t:- EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[]# AIR CONDITIONING NcQ YES 0 No 0 FIRE SPRINKLERS vesO NoD APPLICANT NAME (Primary Contact) Prime Electrical Services, Inc. APPLICANT NAME (Secondary Contact) Greg Wright ADDRESS ADDRESS 480 Enterprise St 480 Enterprise St CITY STATE ZIP CITY STATE ZIP San Marcos CA 92078 San Marcos CA 92078 PHONE FAX PHONE FAX 7604716634 7604716635 EMAIL First Mark Contractina ADDRESS 1916 Palomar Oaks Wav. Ste 100 5234 Cushman Place, Ste 100 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 San Dieao CA 92110 PHONE FAX PHONE FAX 6198100002 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS Kruse & Assoc.12245 World Trade Da ED15691 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, emolis or repair ant 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 !hat 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 ($500)). " ., • • < • ' WORKERS ' COMPENSATION : · 1 t ,,.,,,_,, ·-__,.., ---___ .... • -· .~-, • ...-s.~--· -···M--&~_.,,..__ __ .... ~--------~--• -·"-,-~--~ • • & -& ••·-··-'-J Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Seclion 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. [Z] I have and will maintain wor1<ers' compensation. as required by Section 3700 of the Labor Code. for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Cypress Insurance Co Policy No. 33000008353-111 Expiration Date 12J0112012 This section need not be completed tt the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the pertormance of the work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensation Laws of Calttomia. 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, da es as ovld Ion 06 of the Labor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(s License Law). 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 ONo 2. I (have I 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 I phone I 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 I address I phone I 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 I address I phone I type of work): _g PROPERTY OWNER SIGNATURE 0AGENT 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. I certify tllatl have read tlle application and state that tlle above lnfol1118tion Is correct and tllat the Information on tlle plans Is accurate. I agree to comply witll all City ordinances and State laws relating 11> building cons1ruction. I hereby authorize representative of the City of Cartsbad to enter U!X)fl the above menooned l)'Operty for ins~ pul'(X)ses. I ALSO AGREE TO SA VE, 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 PERMfT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and del1¥Jlltion or construc:fon of structures over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Official under the provisions of this Code shall expre by limitaoon and beoome nul and void if the building or v.Ol1< authorized by such permit is not commenced l'.1thin 100days from the date of such permit or if the building or v.Ol1< authorized by such permit is suspended or abandoned at any time after the v.Ol1< is commenced for a period of 100days (Secoon 100.4.4 Uniform Building Code). ,R:5 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. CERTIFICATE OF OCCUPANCY (Commercial Projects only I Fax (760) 602-8560, Email www.building@c:artsbadc:a.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Cobham Carlsbad CA PHONE I FAX Existing lab rework-add new elect(ical panb and 28 new circuits EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: 1916 Palomar Oaks Way CHANGE OF USE / NO CONSTRUCTION LS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121089 Date Inspection Item 06/18/2012 39 Final Electrical 06/18/2012 39 Final Electrical Tuesday, June 19, 2012 Type: PME COBHAM-ADD 100 AMP/3 PHASE SUB PANEL FOR 28 CIRCUITS-FEEDING Inspector Act Comments RI PB AP Page 1 of 1