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Home My WebLink About2237 Janis Way; ; PC2017-0037; PermitPrint Date: 04/17/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2237 Janis Way BLDG-Plan Check 1675405200 $ 27,041.05 Plan Check Permit Work Class: Commercial Lot#: Reference#: DEV2016-0030 Construction Type Bathrooms: Orig. Plan Check#: Plan Check #: Project Title: CARLSBAD ELLERY RESERVOIR WCF {'city of Carlsbad Permit No: PC2017-0037 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Closed -Finaled 09/11/2017 12/05/2017 04/17/2019 Description: ELLERY RESERVOIR: PLANCHECK RETAINING WALL FOR LDE (RETURN TO TECLA LEVY) Applicant: SILLMAN WRIGHT ARCHITECTS INC 7515 Metropolitan Dr, 400 SAN DIEGO, CA 92018 619-294-7515 FEE MANUAL BUILDING PLAN CHECK FEE Total Fees: $ 328.13 Owner: CITY OF CARLSBAD LINDSAY LEAHY 760-603-7325 Total Payments To Date : $ 328.13 f..1l_j, ,,..e e..r, "j 1 ,..._, s. pe c_'f-"'-'--..S v (\. ~ plcvv,!::> 1 nc._o rpo ~ 10-/o j rv:l, J Building Division Balance Due: AMOUNT $328.13 $0.00 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov fu,9:i C0 I\.Q_C--tt-DI ~ ("ci~of Carlsbad Viel LO[. ,..,r-,. 7 B "Id" p ·t A 1• t" i..:_P_.:.:la:::n~C"'-he::.:c:::k_:_:N:=o.~__..L>--J.......,_l._____._-____,,,,,,._,__v__J_ u1 1ng erm1 pp 1ca 10n 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 2 7 D4 \ -Ph: 76CMI02.a719 Fax: 760-602-8558 f-----=-_,_~~~------ DE>l2D email: bulldlng@carlsbadca.gov www.carlsbadca.gov DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 'P e,i-lt)()..n~I-~r; ~ a-IA I OC\"l EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME (Primary Contact),--" ION\ PROPERTY OWNER NAME ADDRESS 55~o Ovul~ '!Mi\<.410 ADDRESS 5,-qo E STATc.A ZIP FAX DESIGN PROFESSIONAL NAMEg+vo.tf Pea-et f-'{ idv,.el D11-CONTRACTOR BUS. NAME ADDRESS trV 5 is Ml 1;~ v ri i,re. CITY~ STATZ;/lf ZIP IJ"I O i C) tf 'i/'Dg PHONE ttl'I 'L~(,-IV\0 FAX EMAIL STATE LIC. # Plan Ck. Deposit Date FIREPLACE YES □# __ NOD FAX I \ AIR CONDITIONING YES □ NOD ZIP 'f2 <Z> FIRE SPRINKLERS YES O NOD (Sec. 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct, lter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawjChapter 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 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500)). 0 WORKER$. COMP ENS AT 10 N ";" --," - ' ' "" "' . Workers' Compensation Declaration: / hereby amrm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent lo self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Dale _________ _ ~ h" section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certjfy that in the 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 Workers' Compensation Laws of rnia. WARNING: Failure t 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 compensat n, da ages as Ced for in Section 3706 of the Labor code, interest and attorney's fees. ,A! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for 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 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 Contractor'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 lo 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. □ Yes □ No 2. I (have/ 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/ phone/ 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/ address/ phone/ 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/ phone/ type of work): ,IE$ PROPERTY OWNER SIGNATURE □AGENT 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? O 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? O Yes o 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnatlon Is oom:ctand that the infonnation on the plans ls accurate. I agree to oomplywith all Cityordinancesand S1ate laws relating to bulldingconstructron. I hereby autholize representative of the City of Cartsbad to enter upon the above mentioned property for inspection 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 pennit is required for ex ·ons over5'0' deep and demolitioo or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued the ilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or WOO( authorized by such pennit is not commenced within 180 days from the date of such p tor if buikli' or work auth~ed by such permit is suspended or abandoned at any time after the worK is commenced for a period of 180 days (Sedion 106.4.4 Uniform Building Code). ,15 APPLICANT'S SIGNATURE DATE SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# PLAN CHECK# OFFICE USE ONLY --~ DE'.R ZDIJ-Hl-1B6P-Ons2,1z: . BP DATE Business Name Business Conlacl Telephone# San Diego County Sheriffs Wireless Div. Susan Willy --~~~~ /858) 694-3953 x __ ,:;),,_. ______ _ Project Address Cily Stale Zip Code APN# , {' 2237 Janis Way Carlsbad r A 92008-167-540-52-00 IJ A Malling Address City Stale Zip Code Plan File# -~ 5560 Overland Ave. Suite 410 San Diego r· A 92123-823 0-? Project Contact Applicant E-mail Telephone# Thomas.Hoerstman @ sdcounty.ca.gov B5B·•fi94-:)9QO The following questions reprosont the facllity's activities, NOT the specific project description. &eBI ,, FIRE Pf ~TMENT -HAZARDOUS MA~E~IALS DIVISION: OCCUPANCY CLAfSIFtCAnON; (not reautred f~r prolecls wllhln the City of San ffl.!run: lndlcateY idlng the Item, whe1her you( US Oess will use, process, or store eny O the following hazardous matei als If any of thflllems are circled, applicant must contad the Fire Protection Agency with Jurisdiction prior to plan submittal \J) I , J~ Occupancy Rating: NA Faclllty's Square Footage (including proposed proJect): NA ~ \ 1. Explosive or Blastlng Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Ti • 2. Compressed Gases 6. Oxidizers 10, Cryogenics 14. Other Health Hazards / I 3. Flammable/Combustible Liquids 7. Pyrophorlcs 11 Highly Toxic or Toxic Materials 15 None of These. 5 t t, 4. Flammable Solids B. Unstable Readives 12. Radloactlves PAR~ U; SAN DIEG~ COUNTY DEPARTMENT OF ENVIRON~ENT~L H~LTI;! -HAZARDOUS ~ATERIALS DIVISl~N 1rcMDI: If the answer to any of queS ans Is yes, app C8nt must contact the County of San Oieg0 aza(ous8tenals OMslon, 5500ir1and Avenue, SU 8 1 0, San Diego, CA 92123. Call (858) 505-6700 prior to the Issuance of a building permit FEES ARE REQUIRED Project Completion Dale: 2017-10-31 Expected Date of Occupancy: 2017-10-31 0 CalARP Exempt ,. 2. 3, 4. 5. 6. 7. a. 1. 2. 3, 4. YES NO (for new construction or remodeling projects) D 181 Is your business listed on the reverse side of this fonn? (check all that apply). Date Initials D t8I Will your business dispose of Hazardous Substances or Medical Waste in any amount? l8I D Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CalARP Required I D D D D D pounds and/or 200 cubic feet? 181 Will your business store or handle carcinogens/reproductive toxins in any quantity? 181 Will your business use an existing or install an underground storage tank? 181 Will your business store or handle Regulated Substances (CalARP)? 181 WIii your business use or install a Hazardous Waste Tank System (Tltle 22, Art!cle 10)? ~ Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or realer than 1,320 allons? Califomia's Above round Petroleum Stora e Act . Will the project disturb 160 square feet or more of existing building materlals? Dale Initials 0 CalARP Complete I Cate Initials Will any load supporting structural members be removed? If yes, contact APCD prior to issuance of a buildlng or demolition pennlt. A notification may be required at least 1 o working days prior to commencing demolition. 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed? D (ANSWER ONLY IF QUESTJON 1 or 2 IS YES) Based on the suivey results, will the project disturb any asbestos containing material? If yes, contact APCD prior to the issuance of a building or demolition permit. A notification may be required at least 10 working days prior to commencing asbestos removal. 5. 181 O WiR the project or associated construction equipment emit air contaminants? See the reverse side of I his form or the APCO factsheet (www.sdaDCd,OmtlOfolfads/peunHs odO for typical equipment requiring an APCD permit. lf yes, contact APCO prior to the Issuance of a building permit. s. D ~ (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda ? Briefly describe business activities: Briefly describe proposed project: Radio Communications Facility New radio tower & emer ency generator I declare under penally of peQury thal to the best of my knowledge and belief pl-,-i,t,' #-trllST-,-1 PfONi"-T~u.Bfl.Dtr.6 2~~~&!/!~::::::_~~--~ I '' 1-z..011 Date Name of owner or Authorized Agent Signature of Owner or Authorized Agent FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: __ BY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIR!D RELEASEO FOR OCCUPANCY COUNTY-HMO• APCD APCD COUNTY-HMO APCO l *A stamp in this box !m!.l exempts businesses from comp dol6i Materials Business Plan. other permitting requirements may sun apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division