HomeMy WebLinkAbout2280 CAMINO HILLS DR; MP; CB090627; Permit04-14-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No CB090627
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2280 CAMINO HILLS DR CBAD St MP
ELEC
0000000000 Lot #
AT&T 100AMPMET PED
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/14/2009
JMA
04/14/2009
04/14/2009
Applicant
BAR-NONE COMMUNICATIONS
PO BOX 200417
FOUNTAIN VALLEY
CA 92728
714-454-1276
Owner
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
100
0
0
0
$1000
$2500
$000
$000
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $3500
Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000
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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave , Carlsbad, CA 92008
1 760-6,02-2717/2718/2719
Fax 760-602-8558
www carlsbadca gov
Building Permit Application
Plan Check No
Est Value
Plan Ck. Deposit
Date
JOB ADDRESS ( ) . _
CT/PROJECT «LOT*PHASE »
MF
It OF UNITS » BEDROOMS
SUITES/SPACES/UNIT* APN
* BATHROOMS TENANT BUSINESS NAME
-
CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
J r i
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESO #NO D
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES D NO D
CONTACT NAMEf/f Different F.orp Applicant)APPLICANT NAM
ADDRESS
CITY
<
PHONE
STATE
CA
ZIP CITY
\Q* 200<//?
. . . STATE ZIP
FAX PHONE I FAX - 3/2-
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS NAME
tSAft-
ADDRESS ADDRESS
CITY STATE ZIP
A;
PHONE
IMAIL "
FAX PHONE
STATE
_.....__
ZIP
ARCH/DESIGNER NAME S, ADDRESS
EMM,
STATE LIC #
3
CITY BUS LIC//
(SEC 70315 Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he islicensed 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 exempt (here from and the basis for the alleged exemption Any violation ofSection 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {5500})
Workers' Compensation Declaration / hereby affirm under penalty of per/ury one of the following declarations
O I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 ol the Labor Code for the performance of the work for which this permit is issued
S^ 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 V/3~ OP t*?^ 7 ? ________ Policy No SWe Cpyy? IffiX, fuVQ Expiration Date 5 - I - Of _IffiX,
This section need not be completed if the permit is for one hundred dollars ($100) or less
O 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
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in
addition to the cost of compensation, damages as prowled feu in Section 3706 of the Labor code, interest and attorney s fees
CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractors License Law lor the following reason
Cl 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 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 or improve for the purpose of sale)
O 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 to the Contractor s License Law)
D 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 properly improvement O Yes O 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 Ol the work but I have contracted (hired) the following persons to provide the work indicated (include namo / address / phono / typo of work)
^PROPERTY OWNER SIGNATURE DATE
uJ V ill- V 3
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 Act9 O Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district9 D Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' n Yes G No
IF ANY OF THE ANSWERS ARE YES. /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lenders Name Lender's Address
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction
I hereby authonze representative of the City 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 AND 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 5'0 deep and demolition or construction of structures over 3 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or wo* authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 04/15/2009
Permit* CB090627
Title AT&T 100AMP MET RED
Description
Inspector Assignment
Type ELEC Sub Type
Job Address 2280 CAMINO HILLS DR
Suite MP Lot 0
Location
APPLICANT BAR-NONE COMMUNICATIONS
Owner
Remarks
Phone 7144541276
Inspector
Total Time
CD Description
32 Const Service/Agricultural
39 Final Electrical
Act ^Comments
Requested By JIM
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
c v
04/09/2089 15:33 7689674041 THE FISHEL COMPANY PAGE 05/05
^SempfaEwtgy.uy- ELECTRIC METER A SERVfCE LOCATION
QOVEBHEAP OfoNPmaROUmHSPBCSATTMiHED
T* //<?? C7
DATECHITICAl. PGNene 4TTITET RS3URFACtNO
MONTH YEAH
8T EXC 1 PERMITS BXaO SSOST KfiOClE
SBRVICE ATTACrMMT PQKT AMVOB METgfl LOCATION jjQC&TI:, lOO ftfD fc
gcnv/couMTY OBTATS
4-0- nw
Mgtefu art mqalfBd to be igadfr n ...... Im 84 rwin pg g«y
ICCMWI k) s wto WM fr« or *v pMnMy ta»»i^M» m (ttngenw ctndHoi
mct th* ninrar <l M SOQtfi aAM
fl/id mator sflivkv rtwnnnacte ***W^ bo (uCflwd ai or vrwrNnatal
PHPVIOE MINIMUM GROUND CLEARANC8 0^
Ft « pom ol aamfy^n o> *MVU mm
R ovoi drtMKMy qr p»HX>9 WW
^___M R. oi <MMT Him o» vsrtofla/ tfaflte
FI
^»y JR rnortM due DAPPll
Phoo»SOaMrt
*» (n»»«etof «t
DNOTAFPIJCAaif
ING KM LOCATION OF UMDEMROUNB IfflLmm
4. EwMvow mnefe in«MI cnnfcA and
KJOtWn CALL A6OVE PHONE * FOB INSPECTION. Do nol oowf
*Kt»u»in«w*!rt wifltan ttwat IP taMn
S C«ll>ie|l«iitonh«ilranchltMlA«l«la«leamp«dadfaringp«ial(in ITBSIVioe
gnlrani» iqutnwl * twtaWd rttr bacMt. CAU. ABOVE PHONE * PQflWSPECTIOh OF THE EOUIPMEMT
JtODER 1RM£ RGQ>0 D EXISDNQO
STOP TRENCH O< DTU* FROM PCHE RISER QUAC.
t> \ 3TTM-Sa^7
fAHi
I
EXCAVATION DATA
Asphalt _
Codttwe .TRFT
D«J ' a.1.1 TRFt
Toal aJ.< TRFT
(Ijifomsiion lor penwt purpose only do rut we Tnr
Jf TRENCH Q HAS OcATV [ SK HB3HT
"AMJHCM Vt D CUSTOMER 0
COHOUTBY jBeuttTOMBI OsOG«g MB — I
™E«O. wsrecrtD » jpnuvEO BY
METEWWI Qcrs 3&«sJ=-cowr4*<eo
^UE<r BT rn$J rACIUTI
UTILITIES MAXIMUM cowroieimON TO FAULT cwtmeNT
n £0<M£ «ixaum»ft hgnrtfiu or KMc iwtvIO »M«30G1E nil hj» mXi »n«iWI»l»l» im II »« U*nifKl I) W up**!! «-u< »-<< ib»
niwgn nign^m tf SIXMB
WSTRIBUTIflN *Mt«(3l»(5»*«.-CKl«)»» WtflTECOPir (h|MclC|WIIM« YELLOW
04/09/2009 15:33 7609574041 THE FISHEL COMPANY PAGE 04/05
10s
\
S?B
iP|!
iil
;
HI
I
"SSe°S