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HomeMy WebLinkAbout2328 HOSP WAY; MP; CB072462; Permit. ' City of Carlsbad 1~35 Fafaday Av Carlsbad, CA 92008 09-24-2007 Electrical Permit Permit No: CB072462 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type· Parcel No: Reference #: Project Title: Applicant: 2328 HOSP WY CBAD St MP ELEC 0000000000 AT&T 100 AMP MET PED LIGHTSPEED CABINET CTI TELCOM CORP 1150 N RICHFIELD RD ANAHEIM 92811 714 993 5600 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 Lot#: 0 Owner: 100 0 0 0 Total Fees: $35.00 Total Payments To Date: Inspector: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/24/2007 LSM 09/24/2007 09/24/2007 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $35.00 Balance Due: Clearance: $0.00 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 impositlon 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 ln connection with this project NOR DOES IT APPLY to any fees/ xacti n f which have r vi n iv n a N Tl E si ilar t !hi r h. h f limi ti n h City of Carlsbad }~] .. Plan Check No. Q...(o O? ~'-I VJ d- 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718; 2719 Est. Value Fax: 760-602-8558 .. Plan Ck. Deposit Building Permit Application Date JOB AogrEg,GI 3" CT/PROJECT# I ----------------- HO~,P Wlt-c./ ----_J_'_"_AS_E_· __ L,•_O_F_U_N_'1S 1 • BrnROOMS SUITE#/SPACE#/UN!T# I APN # BATHROOMS rNANT BUSINESS NAcM~,~---------T,C~O~N~S~T~R~TY=PE~,,~O~C~C~. ~GR~,u,~U~P~ DESCRIPTIQN OF WORK: EXISTING USE I PROPOSED USE CONTACT NAME (ff Different Fom Appl/cant) I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YES □#_ NO □ I AIR CONDITIONING !FIRE SPRINKLERS YES □ NO □ YES □ NOD APPLICANT NAME,. A <2-i.. __ ,,..,._,,, _ ___ __,/"1~rkl~01L(li;;f't:!-1S.~---------ADDRESS AooREss CITY STATE ZIP {/50 N ZIP PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME C'7I Tc:lr~-,-1 Ce.Kl'. -------------------------+--------'=:...:...:'--=..<c.<.Q!'.'l___.'-e'=J__c_ ________ _ ADDRESS ADDRESS f' () /S6,( 14 -z ~----------------------------------+----~-~~~-~~~---------------------CITY STATE ZIP C!TY STATE ~ ATiurvd) <:1 '129/f PHONE PHONE l'AX 711 "f/1 ~bco 7 I</ 19 f .1:;/:,o I EMAIL-------EMAIL I µRJ @ ~ ti M--1l &re.c: . Co"-' ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# IClASS ~llc/26 A I CITY BUS. UC.# I 2--1Z91?f.o l~ec. 7031.S Butineu and Profeuions Code: Any City or County which reqmrei a permit to construct, alter/ improve, demolish or reP.air any strocture1 __ prior to its issuance, also requires the aJlplicant for mh pennit to file a signed statement that he is icensed JlUrsuant to the provisions of the Contractor's License Law {Chapler 9, commending with Section 000 of Division 3 of the Business and Proreuions Code} or that he is mmpt therefrom, and the ba111 for the alleged exemption. Any violation of ~ection 7031.5 by any applicant for a permit rnb,ects the applican1 to a civil penalty of not more than fin hundred dollars {$500}). :'.,ORKl!RS" COMPENSATION- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ j.,have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the perfonnance of the work for which this permit is issued. lif'"1 have anti will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the wo for which lh!!,ee ·1 is issued. My workers' compensatio9-insur ce carrier and policy number are: Insurance Co._-:Z..CJV nH Policy No. D l, 2 )8' J 6 Expiration Date_,__,/_, ;2":.<1:!..LJlO ____ _ This section need not be completed if the pennil is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the p rformance 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 work s' compensation coverage ts unlawful, and shall subject an employer to criminal penaltles and civil fines upto one hundred thousand dollars (&100,000), In addition to the cost of compensation, d e s provided for In Section 3706 of the labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for /he 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 !hat 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 properly, am exclusively contracting with licensed contractors to conslruct 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 con!ractor(s) licensed pursuan1 to the Contractor's License Law) i.1 I am exempt under Section Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of 1he proposed property improvement D Yes D 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 I phone I 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 1he work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone/ type of work) 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? D 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 district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D 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. I certify that I have read the applir.ation and state that the above lnfonnatlon lsconectand that the lnfonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby autholize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARfl..1LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRLJE AGAINST SAID CllY 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 sbl.lctures over 3 stories 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 autholized by such pelTllt is not commenced within 180 days from the date of such permit or if;>; building work a · such permit is suspended or abandoned at any time after the 'M'.1111 is commenced for a peliod of 180 days (Section 106.4.4 Uniform Building Code). 25 APPLICANrs s1GNATURE /fl!, oATE 1 / 21.( /0 7 City of Carlsbad Bldg Inspection Request For 10/09/2007 Permit# CB072462 Title: AT&T 100 AMP MET PED Description: LIGHTSPEED CABINET Type:ELEC Sub Type: Job Address: 2328 HOSP WY Suite: MP Lot: Location: APPLICANT CTI TELCOM CORP Owner: Remarks: Total Time: CD Description 19 Final Structural 29 .. Final Plumbing 39 Final Electrical 49 Final Mechanical 0 Act ~ ~ M l.\tC Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7149819195 Inspector: Requested By: STEVE Entered By: BARBARA (FRI) 7. 13' 07 7:42/S~ 7: 40/NO. 4863758617 P 2 i ·~ II I I : i. II I ,..16 II l ! if J+_j j II V i, I II II ; II I :: ; i .~ " ~ i 'li II I II I l-,_,--J._.,-__) J.---_..__10·---J. O I I