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Home My WebLink About2340 CARLSBAD VILLAGE DR; MP; CB091334; Permit08-13-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB091334 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2340 CARLSBAD VILLAGE DR CBAD St MP ELEC 0000000000 Lot # 0 AT&T 100AMPMET PED Status ISSUED Applied 08/13/2009 JMA 08/13/2009 08/13/2009 Entered By Plan Approved Issued Inspect Area Applicant JOHN GRIFFIN CONSTRUCTION 244 JASON CT CORONA 92879 760 801 9646 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 /e/ J 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 4^ > Building Permit A >\fL . 1635 Faraday Ave , Carlsba '\|/ CITY OF 760-602-2717/2718 /- A n i CD A r\ Fax 76°-602-85 V- AK L3DAU www carlsbadcaj JOB ADDRESS _ A . . . V / 1 1 i 2-^^-0 \y\O (jtf\z2c&A\l\ \\OMe] CT/PROJECT# LOTS | PHASE* # OF UNITS # ULDROOWS nnlirnt ion Pla" ChppiicQtion d, CA 92008 Est Vail / 2/1958 Plan Ck iav Date ^ SUIlEH/SPACEs/UNITII APN # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK Include Square Feet of Affected Area(s) \C?O £-Yv\p YYVD*-J V ps»r\^< ArW.T EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS .^ CITY ^^^TSTE ZIP PHONE ^^X^ i FAX EMAIL .X*''^ ARCH/DESIGNER NAME & ADDRESS 1 SIAfE LIC # PATIOS (SF) DECKS (SF) FIREPLACE YES D # APPLICANT NAME — r— . f BckNo Cf2?0^!33<| le Deposit f|3>(o1 Jm^V - ICONSTR WE occ GROUP b-teJ ^r- AIR CONDITIONING FIRE SPRINKLERS NO D YES D NO D YES D NO D - &r ~ /" ^-\-v-r4-m ( ^YVc5\ • ADDRESS , ' CITY --, STATE ZIP PHONE ^c^y\ I FAX ^ CJ | EMAIL CONTRACTOR BUS NAME „ j "TZxXYYVe. O^.^> ^— 'loovd.' ADDRESS CITY STATE ZIP PHONE EMAIL STATE LIC # FAX CMSS CITY BUS UC »it p^ /• i o_ 2_4" *?^5 O (Sec 7031 5 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 theapplicant for such permit to file a signed statement that ho is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 of theBusiness and Professions Code) 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 acivil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / nere&y affimi under penalty of perjury one of the following declarations PI I 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 performance of the work for which this pt rmit is issued ^f2T ' 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 '^^\&*SC-^- t:-"VJ>-»->-try Policy No ^T ^"2~ *&5I 2— *&>*-* "^ Expiration Date O ^£> I *T '|O This section need not be completed if the permit is for one hundred dollars ($100) or less C3 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 Corkers' 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 compensation, damlges asproTOeUtor in Section 3706 of (Tie Labor code, interest and attorney's fees UET CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor s License Law lor the following reason a I as owner of the property or my employees with wages as their sole compensation will do the work and the strircturejxI&Tintended 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 workhjjBSelfor 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 willjiaveme burden of proving that he did not build or improve for the purpose of sale) G I as owner of the property am exclusively contracting with licensed contractors to construct theptoject (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves Ihereon and contracts for such projects with contractortsJJicensed pursuant to the Contractor s License Law) a I am exempt under Section Business and Professions Code forjtxsfeason 1 I personally plan to provide the major labor and materials for consjnidion of the proposed property improvement 3 Yes 3 No 2 I (have / have not) signed an application for a building perj»Hfor the proposed work 3 I have contracted with the following person (firmHo-provide the proposed construction (include name address / phone / contractors license number) 4 I plan to provide portions of the work buLWiSve hired the following person to coordinate supervise and provide the major work (mcl ude name / address / phone / contractors license number) 5 I will provide some of the workJjuMliave contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) SIGNATURE DATE .-.--••••... j: ., ' .-. ,r . , ' ..V^jj • 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 2E533 or 25534 of the , Presley Tanner Hazardous Substance Account Act7 O Yes Wfio ^^, Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qua]j.ty management district' G Yes <3"No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' CJ Yes ^No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 'S»55M:-siSehMff&.'&^^^V;^ ^-::rV-f!5£:- *' ' • •'.-.-•'"""•' - '' I 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 'il I Dt Lenders Address £1BI;;'..V« ^ . '.,'.. : /^il^fe^^fcissi,^^^ 1 certify that 1 have read the application and st 1 hereby authonze representative of the Cily o AGAINST ALL LIABILITIES, JUDGMENTS OSHA An OSHA permit is required for exca' EXPIRATION Every permit issued by the Bi 1 80 days from the date of such permit 01 f th JS*> APPLICANT'S SIGNATURE — • — " i^-SS3b •$£[<'''.• . '"."f- .-,/ ; S:,'.. ;"| ate that the above information is correct and that the information on the plans is accurate 1 agree to comply with all City ordinances and State laws relating to building construction f Carlsbad to enter upon the above mentioned property for inspection purposes 1 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD :OSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ations over 5 0 deep and demolition or construction of structures over 3 stories in height ding OffJcjajjjnder the provisions of the Code shall expire by limitation and become null and void if the building or work authorized by such permit B not commenced within buijpV1gOTwori?authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) f*\ / \ \ City of Carlsbad Bldg Inspection Request For 08/14/2009 Permit* CB091334 Title AT & T 100AMP MET RED Description Inspector Assignment 2340 CARLSBAD VILLAGE DR MP Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT JOHN GRIFFIN CONSTRUCTION Owner Remarks Phone 6618161299 Inspector Total Time CD Description 39 Final Electrical Act Comments AE Requested By CHRIS Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments CITY OF CARLSBAD ELECTRIC AND GAS METER CLEARANCE INTER-DEPARTMENT ADDRESS: ELECTRIC METER COMMERCIAL RESIDENCE S E O Service Equipment Only YES NO Reason, If Denied NEW SERVICE _ YES RELOCATE _ NO TS PB _ TEMP P/P _ UP-GRADE _ TEST METER _ IRR PEDESTAL __ GAS METER COMMERCIAL _ YES RESIDENCE _ NO TEST METER Building Inspector Signature Date Time Called In By I/ ' Date Time Called In To CITY Of STORM WATER COMPLIANCE EXEMPTION B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www cailsbadca gov I am applying to the City of Carlsbad for the following type(s) of construction permit [^Building Permit Q Right-of-Way Permit My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electric rlfional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* A/o Threatnssessment Criteria vQ My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tier 1 • Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the projet t meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 • Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 • Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to Citv Standards "The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown ihat a lesser or higher Construction SWPPP Tier Level is warranted B-24 Page 1 of 1 Rev 03/09 HAY-20-2008 TUE 12:20 PH CITY OF CARSLBflD FROM FAX NO. 760 602 8558 P. 02 (T'JEI 5 20 08 ,0 04'ST 10 CXJ/NO 48(53758059 P 1 facsimile transmittal sheer To City of Carlsbad Attention Janet 1653 Fairday Ava Carlsbad, CA 92008 phone number 760-602-2717 fax number 76M02-ZSSB DAT6 5/19/2008 R« Address Request Urgent REQUEST FOR POWER. X For Review From AT AT / SBC Construction Jim Stover 7985 Engineer Rd 2nd Floor San Diego, Ca 92111 phone number 858268.2113 rax number. 856278.3980 email address total no pages including cover 2 Please Comment Please Reply Requesting an address assignment Please provide an address fora 100 amp meter service fora new ATT Cabinet new neter/cabmet wll be NORTH SIDE OF CARLSBAD VILLAGE DR., APPROX. 274' WEST FROM THE ocated on the CENTER LINE OF EL CAMIMO RCAL. CARLSBAD. ___ APN 16709066 Layout Engineer SERAO TGM Number 1106-H4 Job Number 6203793 Than* you for your assistance w»th trws project Cordially Jim Stover SBC Construction 8582682113 roi HAYr20-2008 FUE 12-21 PN CITY OF FAX NO. 760 602 8558 P. 03 o T> •B I i : 9m{* !!! f» I € 5 = r*"3 if'»i » 3\\/\ • a ilk%\\i ln^ 4 4SOSS£698t> ON^ bO 01 IS SO 01 80 l/C S MOHi AT*T LIOHTSPCCD »»1OS79 ta*O CARLMAO VILLAOC DM MP O • From Arksan Siarak At Snapp & Assoaates FaxlD To John Gnffin Construction Inc Date 3/10/2009 uj 54 HM Page '£ ot <; 4CQSOL CERTIFICATE OF LIABILITY INSURANCE asSSW* Snapp & Associates Insurance Services , Inc 438 Canuno del Rio So #112 San Diego CA 92108 Phone 619-908-3100 Fax 619-908-3110 INSURED John Griffin Construction Inc 244 Jason Court Corona CA 92879 DATE (MMrtJD/YYYY) 03/LO/09 ~~THi§"CERTIFICATE IS ISSUED AS A MAI 1 bK O INhUNMA 1 ION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Lexington Insurance company NAIC# INSURER B Golden Eagle Ins Co | INSURER C state condensation Ins Fund INSURER 0 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LIT! A B A C WU'LNSRD TYPE OF INSURANCE GENERAL LIABILITY IT] COMMERCIAL GENERAL LIABILITY j ] CLAIMS MADE |~X { OCCUR X ] Owner/cent Prot 1 GEN L AGGREGATE LIMIT APPLIES PER HpOLiCYlxIS^ Rice AUTOMOBILE LIABILITY X 1 ANY AUTO j .ALL OWNED AUTOS SCHEDULED AUTOS 1 HRED AUTOS NON-OWNED AUTOS i 1 GARAGE LIABILITY 1 ANY AUTO | EXCE3SMMBRELLA LIABILITY |X OCCUR [ i CLAIMS MADEEII DEDUCTIBLE |X RETENTION $ 10000 WORKERS COMPENSATION AND EMPLOYERS LIABILITY W PTOPRIETOR/PARTNER/EXECUT.VECFF'CER/MEMBeR EXCL UDEQ?!f yo<j oescnke unaerSPEC AL ^RQVISIONS uoicw OTHER POLICY NUMBER 89917804 BA8252908 724979404 442872809 •POLICY EFFECTIVEDATE (MWDD/YY) 03/12/09 03/12/09 03/12/09 03/14/09 POLICY EXPIRATIONDATE (MM/DD7YY) 03/12/10 03/12/10 03/12/10 03/14/10 LIMITS EACH OCCURRENCE LMMUbt lUktNlhUPREMISES (Ea occurenco) MED EXP (Any one person) PERSONAL 8 ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT(Ea accident! BODILY INJURY (Par person) BODILY INJURY(Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN ^* ACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE „ wcyiAnJ- • 'oiH- '< TCRM..MITS i ! ER $1,000,000 $50,000 {Excluded $ 1,000 ,000 $2,000 ,000 $ 1,000 ,000 $1000000 $ $ $ $ $ $ $5000000 $ 5000000 ( $ $ • EL EACH ACCIDENT % 1000000 EL DISEASE =A EMPLOYEE; s 1000000 EL DISEASE °9LiC'L..MIT $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 10* days notice of cancellation in the event of nonpayment of premium CERTIFICATE HOLDER CANCELLATION FORINFO For Information Purposes Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30+ DAYS WRFTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES *^S?3jQvUZ^ ACORD 25 (2001/08) @ ACORD CORPORATION 198