The URL can be used to link to this page

Home My WebLink About2271 HOSP WAY; ; CB020245; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-24-2002 Electrical Permit Permit No:CB020245 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 2271 HOSP WY CBAD ELEC Lot#: 0 Project Title: ADELPHIA CABLE TV-100 AMP PED Applicant: FISHEL COMPANY, THE 666 AIRPORT ROAD OCEANSIDE, CA 92054 619-967 -6930 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/24/2002 RMA 01/24/2002 01/24/2002 9583 01/24/02 0002 01 02 CGP 35 .. 00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 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 100 0 0 0 FINAL APPROVAL Date: 7-t/---0 Z-.--Clearance: $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise e ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.{k3aJ...,{JiLJ..:. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 9200~ EST. VAL. _________ _ Validated Bv ':: ~~ Plan Ck. Deposit • g Date I I ..I. L./1 a ~ ,, 1. PROJECT INFORMATION 4 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Tota) II ol units Assessor',; Parcel # Xn~l-c...\\ Existing Use fi;,\thlP,.\ \o Proposed Use :serv,c e Description of Work SO. FT. #of Stories # of Bedrooms II al Bathrooms 2. CONTACT PERSON (If dlfl11ent·from appUCant) · _k Name Address City State/Zip Telephone II Fax# 0 Agent tor Contractor .· ,g OWnir . ·. D Ageii't IOr Owner 5;, ;J.a e I Co.."'-'"-= Q. f~ Car\,,Jxu\ 3. APPLICANT O Contractor AAe.l P\\\c,. Cc,'c\e rtl 9;im? Name Address City State/Zip Telephone# 4. PROPERTY-OWNER ' Name Address City State/Zip Telephone# 6. CONTRACTOR· COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permlt to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to flle 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 Codel 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 lhan five hundred dollars ($500]). The. F,:,.be \ ca, &fuki tl,ceoc+-Kil llCt11ns.de c1:1 'lJosY '1ltu-9/a'7-t.930 Name Address City · State/Zip Telephone # State License # ~/'l 3, cl \ I.:, License Class ________ City Business License # / / 9 g I,,, '8. '{ Designer Name Address City State/Zip Telephone State license II~---------- 6. WORKERS' COMPENSATION Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the 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 Code, lor the performance of the work for which this permit is issued. ljl 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 worker's cOmpensation insurance carrier and policy number are: Insurance Company C /\J A I t'\S. ~ C..O .. Expiration Date_~~-•.,_/_-~O=d...=- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify 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 CaUfornia. WARNING: Failure to ■ecure worhra' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars I 1 0,000}, In addlllon to the coat of compensation, damages as provided for In Section 3706 of the labor code, interest and attorney's fees. SIGNATURE TL----. DATEr l·d':\·o::::i 7. OWNER-BUil I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 thit purpo:i,e of sale), D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractorls) licensed pursuant to the Contrac1or's License law). 0 I am exempt under Sec1ion ______ Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I !have / have not) signed an application for a building permit for' the proposed work. 3. t have contract&d with the following person {firm) to provide the prop_osed construction (include name I address I phone number/ 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 number/ contractors license number): _______________________________________________ _ 5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work lndicated (include name/ address / phone number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONI-V.: 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? D YES O NO Is the applicant or future building occupant required to obtain a permit from the alr pollution control districl or air quality management district? D YES D NO ls the facility to be constructed within 1,000 feet of the ou1er boundary of a school site? D 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 AND THE AIR POLLUTION CONTROL DISTRICT. B, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work lor which this permlt is issued (Sac, 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9, APPLICANT CERTIFICATION I certify that I have read the application and state that the above information ls correct and that the Information on the plans is accurate. I agree tu comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt' of Carlsbad 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 ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over.~ stories in height. EXPIRATION: Every permit Issued by the bullding OHlclal under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permil is not commenced wilhln 180 days from the date of such permil or if the building or work authorized by such permit is suspended or abandoned at any lime alter the work Is o enced for a period of 180 days (Secti 06.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~';Ca,_i ,;;; Th,e...:::, DATE ~•-~l~-::i_~q __ o_-;;:i. ____ _ YELLOW•, Applicant PINK: finance •!• • ...,_,..,..,,_.,,..., , .• , .. ..,..~~-••• -·'. City of Carlsbad Bldg Inspection Request For: 03/01/2002 Permit# CB020245 Tille: ADELPHIA CABLE TV-100 AMP PED Description: Type:ELEC Sub Type: Job Address: 2271 HOSP WY Suite: Lot Location: APPLICANT FISHEL COMPANY, THE Owner: Remarks: Total Time: CD Description 32 Const. Service/Agricultural 39 Final Electrical Associated PCRs Inspection History Date Description 0 Act lnsp Comments Inspector Assignment: Phone: 7609676930 lnspector:ti.L Requested By: VIC, FISHELL COM Entered By: CHRISTINE < ~c__ 52' _,__ 10' 32' 10' U.. I I z ~ (£ ~ <t lt g o::· D:: Z I HOSP WAY -R/W---~ 10' 2. 7( H bS/ w; a•o.T. l --'t--1----40'60' 32' DRIVEWAY CI~- ::ATIONS, INC. Tel: (760) 754-9.240 15 Fax: (760) 754-9299 PROPOSED CAlV METER PEDESTAL EXISTING CATV PED -~D SDG&E TRANSFORMER p._'?'?~'fl::.:-- # D3677867003 e,'i ~ _,.,,, SCALE: 1 • = 40' DATE: 12/21/01 PROJECTl:AND LOCATION: THOMAS BROS. PAOElt. 1106-G3 t. 'l..\ll:il j\\~ i ~ \..sr,1>0 ~ e,I'~ 1:S'' . C)\'J o Q\~G Q 1,\)\\.. CARLSBAD CB52 HOSP WAY CONSTRUC'TlON SUPERYISOR: LARRY GUTHRIE 10' 1" = 40' DRAFTED BY: 18ELA FllENAME: (HOSP.WAY) SHEET: 1 OF 1