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HomeMy WebLinkAbout2237 JANIS WAY; CS; CB142045; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-08-2015 Commercial/Industrial Permit Permit No: CB142045 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2237 JANIS WY CBAD Tl 1675405200 $15,000.00 Sub Type: INDUST Lot#: 0 Construction Type: NEW Reference# talus: EXPIRED Applied: 08/18/2014 En . Plan Approved: 09/04/2014 Issued: Inspect Area Plan Check #: Project Title: SPRINT: ADD 2 NEW ANTENNAS Applicant: PDC CORP ATTN: NOEL 200 13225 DANIELSON ST POWAY CA 92064-6843 917-838-0663 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 $175.87 $0.00 $123.11 $0.00 $0.00 $3.15 $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 Total Fees: $346.13 Total Payments To Date: $123.11 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $43.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $346.13 $223.02 IIO!lCE A"""-IIO!lCE that~ d 'iOS JRied irdll'.les tte '1nµ:atiai" dfees, cilclcaiais, -ais, a ctte" ....:lkrs tEresla" ailedi,ey referred lo as 1ees'ea:licrs." Yru te.e 00 da-/S titrntte-ttis pmit"'"' issued lo p,desl lrrpcstitn d thesefees/ea:licrs. If )00 p,desl Item )00 rrust fdlo.vtte i:,aest ~ set fath in G>lernret Qxle Sadia, oo::r.!J(a). m:I filette p,desl m:I mtctte" ~ral ir1arraiai vJth tte aty Mngsrfa l)OteSSl"(j i" amda u, ...«h Qrlsla:J MridJB Qxle Sadia, 3.32cm. Falu-elotirrayfdlo.vthat l]Wl(irellill ta" mt Slbaµrt lega a:liaito at,ri. ,...,;ew, set aside, \dd, a !IT1J tter inµ:&ticn Yru a-e ~ FLRll-ER IIO!lFl8Jthat 'iOS rigt lo p,desl ttesi:,rified fees/....:lkrs cx::es I\OT" Pf'FLY1ovaa-m:l '1!Me' ~ai fees m:I ~ chrges, na Jjmrg mrg g,drg a ctte-sinila-,wicaia, l)OteSSirg a ...,,;a,_ in~ wth ttis Jitjed. I\CR cx::es IT PflFL Ylomt . ,..._-. ...i.--· . . . -~ .. ' . . . . \ ~~LOWING Af!PROVAL°s REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING ll?fllUILDING □FIRE LJHEALTH ~ HAZMA T/APCD ~ Building Permit Application Plan Check No. CBlL.f-7 .S ., ... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 'fl,/ 5, ooO, ."-IL. ~ Ci f Y (H Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date <l/18/t'I jSWPPP JOB ADDRESS SUrTEt/SPACE#/UNIT4t I"" 1s1 2237 Janis Way -540 -52 - CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Sprint proposes to install: (2) antennas, (2) RRHs, and (1) Fiber Cable. No additional ground space is required. Legacy CDMA equipment must be remove from tower prior to installing 2.5 equipment EXISTING USE I PROPOSED USE ' IGARAGE (SFI PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS Cell Tower Cell Tower YES0, No[Zj vesONolZJ vrnONolZJ APPLICANT NAME Sprint Iik!'phony PC~P. PROPERTY OWNER NAME Ground=City of Carlsbad Primary Contact ADDRESS 9191 TpWl\e Centre Dr.ilt(.suite 150 ADDRESS 1200 Carlsbad Villa!le Drive CITY Sa~o / ZIP CITY STATE ZIP CA 92122 Carlsbad CA 92008 PHONE .,e / IFAX PHONE I FAX (619)229-6190 EMAIL EMAIL \ D\J\ PROFESSIONAL PDC Corporation CONTRACTOR BUS. NAME TBD IAUUKCSS ADDRESS 13225 Danielson St. Suite 200 CITY STATE ZIP CITY STATE ZIP Powav CA 92064 PHONE I FAX PHONE IFAX (917)838-0663 EMAIL EMAIL noel~pdccorp.net I STATE '\;50216 STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demollsh or repair any structure, i:,nor to its issuance, also requires the applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commendmg with Section 7000 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 1031.5 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 affilTTI under penalty of petjury one ofth& following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Ccxle, for the perfonnance of the work for which this permit is issued. D I have and wilt maintain won«lrs' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this oennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, ____________________ Policy No. _____________ Expiration Date ________ _ ~section need not be completed if Iha permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in Iha perfomlance 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 California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and i:ivil 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. ,65 CONTRACTOR SIGNATURE IZ]AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do Iha work and the structure is not intended or offered for sate (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 exdusively contrading with licensed contractors to construct the project (Sec. 7044, Business and Professioos Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for s1.1ch projects wilh contractor(s) licensed pursuant to the Contractor'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. Oves Oo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {finn) to provi(le the proposed construction (include name address I phone/ contractors' license number): 4. 1 plan to provide portions of the work I ha hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number): ,..,.7 """;,,..-;,--cted ( · ed lhe following persons to provide the worl( indicated (indude name/ address I phone I type o/}-, @AGENT DATE i Is the applicant or future building occupant required to submit a business pla~tely hazardous mat. erials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes o Is the applicant or future building occupant required to obtain a permit from th 1r pollution control district or air q~· management district? Yes Cw 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 CERTIFtCATE OF OCCUPANCY MAY NOT BE ISSUED UNL 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 aboYe information Is conectand that the information on the plans is accurate. I agree to comply \Wth all City orttinances and State laws relating to building construction. I hereby aulh:lrize representative of the Cify of Carlsbad toenteru~ the above menooned property for inspection purposes. I Af.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Af.JYWAY ACCRUE AGAINST SPJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is requied for excavations over 5'0' deep and derrolioon or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Offi:ial under lhe provisDns of this Code shall expire by linilalion and bea:me null and void if the bt.ildi"lg or work authorized by such permit El not commenced Yltthin 180 days fi"om the dale of such permit a if the buid' oc work a · by pe,mlt is suspended or abandoned at any fme after the work is commenced br a period of 180 days (Sectbn 106.4.4 Unibm Building Code). _.6S APPLICANT'S SIGNATURE i~-i,9: ,.,_,,,,..,. oAre /S /ltf6 ,Zu/ 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 building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.J MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP CB142045 2237 JANIS WY SPRINT: ADD 2 NEW ANTENNAS g/;,r/;'/~ 7D f?//171J) fr It!). I / I '-f p-uv---Q) (,;;;;:=· Ft °Je€ </ (;o, 'i- / a,.o,,4 Ci/i1-)1'-f 0-ut} @,, ,_----fl w/ ca/c..s rkJ1cf '1/'-1-/1 ✓ 'Z-J91t:5' ~ P rpc_ (L,1 -1--_rJ W / C trr,:rr-~ 1 ,JW e3Lf ,re..d p /.tV-.$ det::.1'.re<o.a.tf I-' D ('E,, ?{'cfa'\--'5 e Final Inspection requin □Plan □c SW C Approved BUILDING Yj~/"-( t>'f PLANNING 9/-ll"-f ~ ENGINEERING t;fz),_/_u:, FIRf! .Exoeditel _vr( Nj ., DIGIT AL FILES Reauired7 ~ HazMat APCD Health Forms/Fees Se1 Encina Fire HazHealthAPCD PE&M School Sewer Stormwater Special Inspection CFD: y N LandUse: Density: PFF: y N Comments Date Building Planning ~,201 Engineering Fire Need?