HomeMy WebLinkAbout2051 PALOMAR AIRPORT RD; 250; CB091359; PermitCity of Carlsbad
I • 1635 Faraday Av Carlsbad, CA 92008
08-19-2009 Electrical Permit Permit No: CB091359
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2051 PALOMAR AIRPORT RD CBAD St: 250
ELEC
2130503900 Lot#: 0
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: THQ -ADD 5 CIRCUITS TO SERVER
ROOM, 3 ROV CIRCUITS, 6 ROV CIRCUITS TO PC
Applicant:
DIVERSIFIED CONSTRUCTION TECH.
PO 178838
SAN DIEGO 92177
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
Owner:
JCCE-PALOMAR L LC
C/0 JAMES COXETER
23554 OLD 44 DR
MILLVILLE CA 96062
Issued:
Inspect Area:
ISSUED
08/19/2009
RMA
08/19/2009
08/19/2009
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00
Inspector:
FINAL APPROV~'7_
Date: 41 -?-v'7 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. 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 /exactions of which ou have reviousl been iven a NOTICE similar this or as t which the statute of limitati n ha r vi u I therwi e x ir .
. «~~ ~ CITY OF
CARLSBAD
JOB ADDRESS
Z-05\
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
ZS-a
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
# BATHROOMS TENANT BUSJNESS NAME 0CC. GROUP
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESO #_ NDO
FIRE SPRINKLERS
YES O ND 0
CONTACT NAME (If Different Fom App/leant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAA PHONE FAA
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME Uc.,
ADDRESS Co..ir-
CITY STATE ZIP STATE C ,A-ZIP q'Zll/
PHONE FAA F~~~ 3"7"77
EMAIL EMAIL M ,' 'i. -sd -co.J.A
ARCH/DESIGNER NAME & ADDRESS STATELIC. # c~
(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 issu c also requires t e 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 Sectio 7 0 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 ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
,e,'ihave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which lhis permit is issued.
$!have and will maintain workers: 'iompensatlon, as require~ ~y Section 3700 of the Labor~·· for the perfom,ance of the wor1< for which this permit is issued. My workers' compensatio insuran e carrier and policy
number are: Insurance Co.~'?\<,'"'-Q,,'(~a,<,i-,"-" ~ ... ,-c.-<.\' '--"'~ Policy No'.\ '1C.. ~~t \ > Expiration DaC' 0\ 1:0 \
This section need nol be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in the performance of lhe 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
California. 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 provided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm thal I am exempt from Contractor's Ucense Law for the following reason:
D I, as owner of lhe property or my employees with wages as their sole compensation, will do the work and the slructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff or through his own employees, provided lhat such improvemenls are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, lhe owner-builder will have the burden of proving lhat he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed conlractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds or improves thereon, and conlracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D 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 lhe proposed property improvement. 0 Yes D No
2. I (have f have nol) signed an application for a building permit for the proposed work.
3. I have contracted with lhe following person (finm) to provide lhe proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise and provide lhe major work (include name I address f 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):
~ PROPERTY OWNER SIGNATURE DATE
...
Is the applica1.fo. future b~lding 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? 0 Yes O No
Is the applirjnt 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? 0 Yes O No
IF ANY O'f: 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 that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and Slate laws relating to building construction.
I hereby aulholize representative of the Cily of Carlsbad to enter upon the above menti:lned property for l1Sl)edion 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 permij is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories ii heighl
EXPIRATION: Every permit issued by the Building Olfcial under the provisions of this Code shall expre by lin~tion and become nuH and void ~ lhe buidi,g CJ( worl( autlorized by such peorn is not conmenced withi1
180 days from lhe date of such pelT!lit CJ( ~the buidi,g CJ( worl( authorized by such pennij is suspended CJ( abandoned at any tire afler the worl( is corrvrenced for a period of 180days (Secoon 106.4.4 UniM Buildi,g Code).
~ APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 10/06/2009
Permit# CB091359 Inspector Assignment:
Title: THQ -ADD 5 CIRCUITS TO SERVER
Description: ROOM, 3 ROV CIRCUITS, 6 ROV CIRCUITS TO PC
STATION, RE-WORK CIRCUITS FOR EXISTING SYSTEMS
r:'I n, ... 11-r11n~
Type: ELEC Sub Type:
Job Address: 2051 PALOMAR AIRPORT RD
Suite: 250 Lot: 0
Location:
APPLICANT DIVERSIFIED CONSTRUCTION TECH.
Owner: JCCE-PALOMAR L L C
Remarks:
Total Time:
Phone: 8589670935
v ~
Inspector: _____&._ /
,, ....
Requested By: BRANDON
Entered By: CHRISTINE
CD Description Act Comments
34 Rough Electric & ___________________ _
~o I q--· ~~+---~-~~~~~-
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
lsrl 'ifJf!J
po°7}
0.52>~
t '>/Qd-_J ,'--¥ _( ~() \ 'v ~
OJ() c~
ro o--()
Z)>
G) ::0 or
m(/) "~ ....; CJ
<',
f= I ~
cri~
~7l-'.\)
d~CJTl fl\J(_'
~""iJ ") J-r-v Oz. /1 SCQ t ~
~1'1") rn,,0-)
1 I 1f
rn 'n /v..d?.. ;;.
t~""~ ~Im.' CJ~~
~"' H~c; ~x3
!SOZ ~,2lj~
1•n tt!llt-) ••n -"' Or> I ., r, .... 11
4:g Ob
ll';t) 'it, •Ul *'h ~
t1-:r> tm
Ofitl) 01':)
tnJ Jtl':I
pl':)
ll'f':l
ftt')
.:...I
WI? :!;11 ,,.,.
!f"'n
(n git' ""' ~ -.,.,, -la'L~>':::
ltt'1'
~?•
~
.....
E
lttt ,.,.,
"""
11
o-n ,.,.,.
ltfl
..
.,...,. .. ,,,. ,.,,y
~ ... ... ..., .....
£~
lit:> ll·r:>
'1t, •
UIOO~
.laAJaS
ltti om .. n
~ !
I