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Home My WebLink About2173 SALK AVE; 300; CB111639; Permit07-27-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CBl 11639 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2173 SALK AV CBAD St: 300 ELEC 2120210700 Lot#: CONGENT COMMUNICATION-ADD 1 OUTLET (120 V) IN PHONE ROOM FOR SWITCHING Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: TRE ELECTRIC STE 274 771 JAMACHARD 92019 619 562-5911 ISSUED 07/27/2011 RMA 07/27/2011 07/27/2011 Owner: RIO SD PLAZA II MASTER LLC C/O NEWPORT NATIONAL CORPORATION 1525 FARADAY AVE #100 CARLSBADCA 92008 Electric issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 Inspector: APPROV/ FINAL APPROVAL Date: **' Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as fees/exactlons." You have 90 days from the date this pennit was issued to protest imposition 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 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 FORTHER 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 sewice fees in connection with this project. NOR DOES IT APPLY to any fees/exactlons of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitation^ has previouslv othenwise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 vww.carlsbadca.gov Plan Check No. Est. Value I Plan Ck. Deposit E#/uNrr# f RpN I SUITE#/SPACEW/DNTfi f SWPP CT/PROJECT # ""^"^ NESSNAf »BEDROOMS # BATHROOMS TENANT BUSINESS IWME CONSTR. TYPE DESCRIPTION OF WORK: Inc/uife Square Feet of Affected Atea{s) EXISTINfi USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO # NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOD APPLICANT NAME (Primary Contact) APPUCANT NAME (Secondaiy Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAnr EMAIL PROPERTY OWNER NAME ADDRESS ADDRESS 77/ -Zf?f)9e4(^^^ CITY STATE ZIP CITir__ STATE_ ^ ZIP PHONE [FAX PHONE EMAIL FAX MAIL CTATC I 1^ U ^"'^ r-\ ACC ARCH/DESIGNER NAME & ADDRESS (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repairBny structure, prior to its Issuadce/also requires thi applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Sectioi 7CuO of Division 3 ofthe Business arid ProfessionsCode) or that he is exempt therefrom, and the basis for the allegedexemption. Any violation of Section 703i.5by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workars' Compensation Declaration: I hereby affirm under penally of perjury one of the Ibl/owfng dedarations: O 1 have and will maintain a certificate of consent to self-insure for workers'compensation as provided l)y Section 3700 of the LaborCode, forthe perfonnance of the wort< for which this pemiit is issued. I have and will maintain wotksrs' compensation, as reguired by Section 3700 oft[ie Labor Code, for the perfonnance pf the woric for whichjbis pemiit is issued. My woriters' compensatiaainjiirance c^er and policy number are: Insurance Co _ Policy No. y7 YJ^XI^ Expiration Date //ff/'/^;S^ i This secton need not be completed if the pemiit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the peiformance of the worit for which this pemiit is issued, I shall not employ any person in any manner so as to become sutiject to the Woriters' Compensation Laws of Califomia. WARNING: Failure to secure worinrs' compensation cmerage is uniawfui, 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, dam|Bra as provid^ for in/SSction 3706 of the Labor/bde, interest and attomey's fees. ygS" CONTRACTOR SIGNATURE /^^^^i!^C'Zy(^-^^<^^~'-^--~ ^^^^^ .^^GENT DATE '7'^^/' OWNER-BUILDER DECLARATION / ftensfty affim? fftaf / am emnfA from Contractor's Ucense Law for the follomng reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the worit 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 wortt 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). 1^ 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 tor such projects with contractor(s) licensed pursuant to the Contractor's License Law). O 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 O No 2.1 (have / have not) signed an application for a building pemiit for the proposed wortt. 3.1 have contracted with the following person (firm) to provide the proposed constmction (indude name addross / phone / contractors' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supenrise and provide the major worit (indude name / address / phone / contractors' license number): 5.1 will provide some of the wortt, but I have contracted (hired) the following persons to provide the worit indicated (indude name / address / phone / type of worit): VSTPROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDtNG PERMITS ONLY Is the applicant or future building occupant required to submit a business p|a^ acutely hazardous materials registration fomi or risit management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? OYes ,^nio Is the applicant or future building occupant required to obtain a permit from the air pollution control dlstrid or aiuu^illty management dlstrid? • Yes jftio Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes J^|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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the perfbrmance of the work this pemiit Is Issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have lead the applkalion smd state that the abow intoiation is conect and that the Inlbimati^ I heiEt)y authorize lepresentalive of the Qty of Carfetiad to enter upon Ihe above mentbned property Ibr inspection purposes. I ALSO AGREE TO SAVE, INDEMNII=Y AND KEEP HAIRLESS THE CITY OF CAFISBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C0NSE(3UENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is lequlred Ibr excavations over S'O" deep and demolition or constnjctbn of structunes over 3 stories in height. EXPIRATION: Every permit issued by the Building Oflicial under the provisbns of this Code shall expire by bnltation and become nul and void if the building or worit aulhorized by such permit is not commenced vtithin 180 days from the date of such permit or if the buiding or worit authorized by such pennit is suspended or abandoned at any time after the worit is commenced lor a period of \ 80 days (Sedbn 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE DATE CITY OF CARLSBAD UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: n PERMIT#: Ul fo?Pt JOB ADDRESS: DESCRIPTION: INSPECTOR: fYy^ CONTACT: PHONE #: I an \ - CcP^^y ft?) CODE DESCRIPTION ACT COMMENTS Is^H f=!e^ -HPAx BIdg Inspection Form Page 1 of 1 Rev. 06/09 zi rn O 1 o ^ m =1 cn 00 > m > S ^ 2 > > A C/) o > m is? "D X o z: m o o m o CI < > O z r-r-ir=:^ m -< I— Customer Site Requirements Lissette Mdnnis AT&T Califbmia at&t OPT-E-MAN Service Soutti C&E Loop Electronics 619-574.2905 J at&t Lml827@attcom Date: 03/23/11 Provider: AT&T End User CONGENT COMM (EURO RSCG) End User Contact: JIMMIDEOROSIERS Location: 2173 SALK AV, STE300,CARLSBAD End User Phone: 760-603-1524 THE FOLLOWING LIST OF REQUIREMENTS MUST BE FULLY MET BEFORE THE INSTALLATION PROCESS OF ANY AT&T OPT-E- MAN EQUIPMENT. NOTIFY AT&T WHEN REQUIREMENTS COMPLETE FOR VERIFICATION AND RELEASE FOR PROJECT TO START. FAILURE TO COMPLETE THESE ITEMS COULD RESULT IN DELAYED SERVICE ^1) Power Rcouirements; The Cisco ME-3400-24TS OR ME-3400-12CS requires (I) dedicated fused/breaker, 1S Amp, 110 VAC single phase circuit. This circuit must be a permanent circuit provided by SDG&E or a UPS system and within 4 feet of AT&T Switch.- [^2) Grounding Reanirements; Rack mounted equipment requires the rack being grounded to the closest build ground wilii #6 wire or larger and a properly grounded 3 prong receptacle. Wall mounted installations require a properly grounded 3 prong receptacle. I^Wall Mount CHRack Mount 1I]3) Environment fOPT-E-Man location): ITie customer shall provide a safe, secure, dust-fiee environment. This location should be fiee of any major EFI/RFI fields. The OPT-E-Man equipment cannot be closer than 3' from any primary source of power. The OPT-E-Man unit can be placed in either a 19"/23" rack, or can be wall- mounted to a secure 4'x4'x3/4" plywood backboard. If the equipment is being placed during a period of new or scheduled construction, the Fiber BlC Engineer from AT&T will determine if the location is suitable for installation afier his initial site inspection. The engineer will determine at the time of the final inspection, prior to the actual placement of the equipment, if the room is ready for the installation to begin. If the room is not ready, the customer will be notified of the unsatisfactory items to correct. OPT-E-MAN: I^Wall Mount QRack Mount FTE: ^Wall Mount ( EXISTING) QRack Mount •Note the floor the Opt-E-Man will be installed on: 1ST FLOOR MPOE at existing plywood backboard. *Note the floor ofihe FTE will be installed on: l^FLOOR MPOE (EXISTINO iZl4) Conduit/Path (property line to MPOE): All conduits on the building's property are "subscriber conduit" and are the responsibility of the property owner to maintain and repair. Ifthe conduit is blocked when AT&T tries to place new cable, all work will stop until the property owner makes the necessary repairs. The project will be on a "customer hold status" until the conduit is repaired and the engineer has been notified that the repairs are complete. AT&T shall place inner duct/fiber liner within this section. Note: EXISTING FTOER IN THE MPOE • 5) Conduit/Path (fiber termination to OPT-E-Man location): AT&T requires tiie OPT-E-Man to be placed in the MPOE. If there is no space in the MPOE, or if the customer requests that the ROUTER be placed in their suite, the customer will assume the responsibility of providing the path from the MPOE to that location. The customer shall provide conduit (1)-1.25" hard plastic corrugated inner duct with 3/8" mule tape(6001b-900lb) through which the fiber will be placed. The size of the conduit will be dependent on tiie fiiture growth of the customer. Any more than 300' or 2 - 90 degree turns in the path will require a pull box (18"xl 8"X6" minimum). Approximate distance Feet fiom cable room Term 1.1 (customer to provide actual footage prior to fiber installation). Note: EXISTING FTE IN THE MPOE The engineer and the customer will agree to a date for the expected completion of any required customer-site preparation work. Expected completion date: The customer understands that any delays in completing their room ready or providing a path will result in delays in AT&T's ability to fulfill their service request The nndersigned customer or representative nnderstands and agrees to provide ali the aliove listed requirements for AT&T prior to tbe installation process. Customer /Representative: Jinuni Deorosiers Date: 03/23/11 AT&T: Lissette Mclnnis Date: 03/23/11