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Home My WebLink About2237 JANIS WAY; CS; CB110251; PermitCity of Carlsbad 05-23-2013 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB110251 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2237 JANIS WY CBAD Tl 1675405200 $18,000.00 Sub Type: INDUST Lot#: 0 Construction Type: NEW Reference# Status: ABANDOND Applied: 02/02/2011 Entered By: RMA Plan Approved: Issued: Inspect Area Plan Check#: Project Title: CLEAR WIRE CELL SITE-ADD 2 PANEL ANTENNAS & 2 RADIO UNITS BEHIND ANTENNAS ON EXISTING MONOPALM, ADD NEW OUTDOOR CABINET TO EXISTING EQUIPMENT AREA Applicant: CLEAR WIRE ATTN: DANIELLE BRANDENBURG 142 B 5865 AVENIDA ENCINAS 92008 949 244-5633 Building Permit Add'I Building Permit Fee Plan Check Add'I Building Permit Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $190.61 $0.00 $123.90 $0.00 $0.00 $3.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Owner: CITY OF CARLSBAD PUBLIC AGENCY 00000 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $339.29 Total Fees: $339.29 Total Payments To Date: $123.90 Balance Due: $215.39 Inspector: FINAL APPROVAL Date: 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 ' ' • •=" ' • J:i t.lf'\Tlf'C: ' • • ' "'"'"'" nf ' ' ' h.,,. ' -•L---·'---··-'--.J A f:>A,f\ C<9,'\-e.AJ PQ,r A-Fi (-l I I ~ s(i--~(13 «t~ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov OF UNITS # BEDROOMS #BATHROOMS Est. Value Plan Ck. Deposit PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES O NOD YES D NOD APPLICANT NAME EMAIL CONTRACTOR BUS. NAME ADDRESS CITY CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an)' structure, PriOf to its issuance, atso 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 that he is exem_P.t therefrom, and the basis for the alleged exemption. Any viOlatlon of Section 7031.5 by any applieanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workerl' CompenAtion DecllraUon: I hereby affirm under penalty of ptHjury one of the following declarOOOns: 0 I have and will maintain a certificate of con1tnt to Hlf.ln■Uf8 for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the wor1t for which this perm II is Issued. □ I have and wll maintain workers' compensatton, as required by Section 3700 of the Labor Code, for the performance of the wOl"k for which this permit is issued. My worken;' compensation insurance carrier and policy number are: Insurance Co. Policy No. _____________ Expiration Date ________ _ This section need not be completed W the permit is lor one hundred dollars ($100) or less. □ Ctrtlficatt of Exemption: I certify that in lhe performance 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 Worl<ers'-compensation Laws of CaNfornia. WARNING: Failure to 11cure workers' compensation covtt"age is unlawfut and shall subject ■n employer to crt!Nnal penaltin and dvil flnts up to one hundred thousand dollars (&100,000), In addHlon to the cost of compens■Hon, damegn u provided for In Section 3706 of the Labor code, Interest and attorney's fees, ,,6S CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contlactor's Ucense Law fol the following 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 fCN' sale (Sec. 7044, Business and Professions Code: TheQintractor's License Law does not apply lo 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 CN' improve for the purpose of sale). □ I, as owner of lhe property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of property who builds or improves !hereon, and contracts for such projects with contractor(s) licensed pun;uant lo the Contractor's License Law). □ I am exempt under Section ____ ,Business and Professioos Code for this reason: 1.1 personally plan lo provide the majCN" labor and materials for construction of the proposed property improvement. □ Yes □ No 2.1 (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the follO'Mng person (firm) to provide the proposed construction (include name address/ phone/ conlractors' license number): 4.1 plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise end provide the major work (include name f address I phone/ contractors' hcense number): 5. I wiH provide some d the work, but I have contracted (hired) the following persons to provide the work Indicated (include name I address/ phone/ type of'Mll"I(): Af5 PROPERTY OWNER SIGNATURE CIAGENT DAlE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant required lo submit a business plan, acutely hazardous malerials registration form or risk marnigement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad.? □ Yes □ No Is lhe applicant or future buHdlng occupant required to obtain a permit from lhe air pollution control district or air quality management district? □ Yes □ No Is the facility to be conslructed within 1,CMXl feet of lhe outer bounda,y of a school site? □ Yes □ No F AlfY 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 OFFtcE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certlytbat I haYe read the application and state Ulatthe &bow Information is c:onectand that the Information on the plans I& accurate. I agn,e to compt,wllh all Citr oldinances and State laws ielallngto building a>nsbuctlon. I heleby auflolize repmsentawe of tie City of Carisba:11:>enter "'°" lhe above mentioned pr-'Y lori1specliJn JUl)()S8S. I ALSO AGREE TO SAVE, li'OEMNIFY 1,'10 KEEP HARMLESS THE CITY OFCAIUBAD AGAINST All LLI\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /ffl WAY ACCRUE AGAINST SAOCITY IN CONSEQUENCE OF lHE GRANTING OF ™S PERMIT. OSHA: An OSHOi perml: is requied b excavations CM!I 5'0' deep and demoHon or construc:oon of slndures r,.,et 3 Sllries ii hEq\l. EXPIRATION: Ew,~ pemilissued bylhe Buikling Olldal ur<lerlhe pro-,;,ionsof lhis Code shall e,pio by oniali>nand becorre lkJH and ,oid itle buidrg or-.ork ·-by such pemil. nolrornnerood - 1110days tom Ille daleof sud1 pemilor ff tie bLacf or-.ork-by sud1 pemil • suspended or abandoned atanyliro after tie -.ork • rornnerood fora pelixl of 1IIO day., I_, 100.4A ltitlnn !Udi1g Corle) . ...ef APPLICANT'S SIGNATURE DATie \.Dl.l.U;.::u. ;,:;,:.s I IAnll!i WT CLEAR WIRE CELL pi-rr-,.,...,... "l PAf,,11::::1 API.ITCI\II\IAC: J; ~J\1\\1 J/i4--J It ~1o ~ ~IL-L.>-fV\ 3--'7-/1-03/{)Jc . 5 / a-:. { r ~ p e,,,,. ~ c.o...,,:;f. 1///L f~ prosed a.h().r,~ ~~ Approved BUIWING PLANNING ENGINEERING ARE Expedte7 HazMat APCD Health Forms/Fees Encina Fire HazHealthAPCD PE&M School Sewe, Stormwater Special Inspection CFO: y N LandUse: PFF: y N Comments Building Planning Engineering Fire NIM!C.-r I dA. ,f';,· ~ SW □CV Date By - 5-7-/,r /// y N 447-1( £& ff , Sent Rec'd Due7 By y N y N y N y N y N y N y N y N Density: lmpArea: FY: Annex: Factor: Date Date Date Date a.},'f/11 Z.-1-/ fE) . ..L _. /_ -fl.Lit , /},,,,.,,. □Done , . . -:; □Done □Done □Done □Done □ Issued