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HomeMy WebLinkAbout2470 FARADAY AVE | 6200 EL CAMINO REAL; MULTI-PERMIT FILE; CB091357; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-25-2009 Electrical Permit Permit No: CB091357 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title~ Applicant: Building Inspection Request Line (760) 602-2725 2470 FARADAY AV CBAD ELEC 2090402800 Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: BECKMAN COULTER-SUPPLY ONE Inspect Area: POINT CONNECTION FOR CONTROL PANEL ELECTRICAL WORK Owner: ISSUED 08/17/2009 KG 08/25/2009 08/25/2009 KRUSS JULIAN HAGAMAN FAMILY SURVIVORS 1990 TRUST 11-07-90 17065 CAMINO SAN BERNARDO SAN DIEGO 92127 858-673-4445 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 0 0 225 0 5320 SUNNY CREEK RD CARLSBAD CA 92010 $10.00 $0.00 $0.00 $225.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $235.00 Total Fees: $235.00 Total Payments To Date: $0.00 Balance Due: $235.00 FINAL APPROVAL Date-/ 2 -2 ~ 0 o/ .. 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired «~ Building Permit Application Plan Check No.CEO qt 5s 1 '~ CITY OF CARLSBAD 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Est. Value Plan Ck. Deposit Date g'"-1-0 APN CONSTR. TYPE ( EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES D NO D YES D NO D CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ,J\:>U~ A \.Ct\, 1 S. ADDRESS ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# (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 the applicant for such permit to file 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 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 a civil penalty of not more than five hundred dollars ($500)). )<. &®~~e:w/i" <s®~lP~ros~:tf1'!®~ · : -; :_: ·. . ···· ( v Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 permit is issued. ~I have and will maintain workif co~en~ation, as required by Section 3700 of the-Labor Code, for the performs.nee of th9Jork for which this permit is issued. My workers' compensatio <insurance rrier and policy numberare:lnsuranceCo. -Id ~ fl.V PolicyNaC e DG:, f 't 30·1 ExpirationDat Of '2..o This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this perm ii is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensaf ve · unlawful, and shall subject an employer to criminal penalties and civil fines to one hundred thousand dollars {&100,000), in addition to the cost of compensation, dam ·ded for in ·on 3706 of Labor code, interest and attorney's fees. ~ ,,,,--I Ji5 CONTRACTOR SIGNATURI; 0 i ~ 0 I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct \~e 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). O I am exempt under Section _____ Business and Professions Code for lhis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes O No 2. I (have I 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): 4.1 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 contracled (hired) the following persons to provide the work indicated (include name /address/ phone/ type of work): .Ji5 PROPERTY OWNER SIGNATURE DATE Is lhe applicanl or fulure building occupant required to submil 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? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 hereby affirm that there is a .construction lending agE).ncy for tbe performarwe of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certifythatl have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agre~to c01pplywith all City ordinances and State la\\S relating to building construction. I hereby aulhorize represenlative 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 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of lhis Code shall expire by limilation and become null and void if lhe building or work aulhorized by such permit is not commenced wilhin 180 days from lhe date of such pennitorif the building or work aulhorized by such pennil is suspended or abandoned at anytime afterlhe work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). _H5 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 12/02/2009 Permit# CB091357 Title: BECKMAN COULTER-SUPPLY ONE Description: POINT CONNECTION FOR CONTROL PANEL ELECTRICAL WORK Type: ELEC Sub Type: Job Address: 2470 FARADAY AV Suite: Lot 0 Location: Inspector Assignment: Phone: 7608010701 Inspect~ OWNER HAGAMAN FAMILY SURVIVORS 1990 TRUST 11-07-90 Owner: BECKMAN COULTER INC Remarks: Total Time: Requested By: ERIC Entered By: JANEAN CD Description Act Comments 39 _F_i_na_I_E_le_c_tr-ic_a_, _____ f.-------------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments I I / i To: City of Carlsbad BUILDING DEPARTMENT 1635 Faraday Avenue, Carlsbad, CA 92008 Phone: 760-602-7541/ Fax: 760-602-8558 Plari Checb Comments / 2007 Codes Date: Address: •:• Please make corrections referred to below and run TWO new prints. If red marks are on plans as a part of this Plan Check response please return red marked set with the new prints. •:• This Is a BUILDING REVIEW ONLY. Comments or approval do not apply to any other City department review. For information on the status of approval from other departments please contact staff@760-602-2717 / 2718 / 2719. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-09-2009 Mechanical Permit Permit No: CB091151 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2470 FARADAY AV CBAD MECH 2090402800 Lot#: 0 $0.00 BECKMAN COULTER-REPLACE AHU NC LIKE FOR LIKE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2009 LSM 07/09/2009 07/09/2009 PRIMARY MECHANICAL INC HAGAMAN FAMILY SURVIVORS 1990 TRUST 11-07-90 STE I 5345 TIMKEN ST 92042 619 698-7757 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 5320 SUNNY CREEK RD CARLSBAD CA 92010 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL rPROVAL C} Date: -/ 0 ..-0 I Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FAXED JUN 2 4 2009 Cit~ of Carlsbad Plan Check No. ef> 0 ~ t t s;-1 1'635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Per~it Application JOB ADDRESS CT/PROJECT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~~~+- EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom App/leant) LD ADDRESS CITY PHONE CITY EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# Est. Value Plan Ck. Deposit Date '7 / q { cJOi SUITE#/SPACE#/UNIT# APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP e, ,e_c..\,!..,M\~ GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement ttiat 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 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 a civil penalty of not more than five hundred dollars ($5001). Work ' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I ve and will maintain a certificate of conse~t to 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. I have and will maintain wo~~!p':s~tl,O'!.,Jlireii,._d ~ ~ec=3ZQOpf= Labor Code, for the _performa_!Jl,e....Qf fti~~J2£.~i~ this permi: issued. My wo~e~' compensation i'ls'fn~~rrier and policy mber are: insurance C9 JJ.Yp,__ td :v-e:::t'_ _ !J,...~ J W ~ Policy No. ~~U(J 74:=ug ) Expiration Date __ .c.l-1-t-~i_ 1V ____ _ J!)§,section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 Labor code, interest and attorney's fees. RS CONTRACTOR SIGNATURE DATE 0 I hereby affirm that I am exempt from Con D D 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 Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett 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 Contractors 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 Contractors License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 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 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 the work, but I have contracted (hired} the following persons to provide the work indicated (include name/ address/ phone/ type of work}: f!5 PROPERTY OWNER SIGNATURE DATE @0@@U:@tr@ trroo3 0me3rro0ro iJ®e& ro0ro¢mmoo0mro'inlb)~ m©oa.00@© @@mmiorro 0ro~tr Is the applicant or future building occupant required to submit a business~ly 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~lity management district? [Jves [Z:l,<Jo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes 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. <30IDO'iJID©<3'iJ00ro '1@Ci9©0ID© b)@@ro<3tr 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). Lender's Name Lender's Address &@@'10@£G.')l] @@(&'i]0@0<3& 'i]00f.'i9 I certlfythatl have read the application and statethattheabovelnformation Is correct and that the information on the plans is accurate. I agree to comply with all Cilyordinances and State laws relatingto building construction. I hereby authorize 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 work authorized by suc,rmit 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 -~_..,..... ,, C'I ¥"\ DATE e,,/ 89 / CJ PJ c-: I ~ ~ I ~ City of Carlsbad Bldg Inspection Request For: 08/10/2009 Permit# CB091151 Title: BECKMAN COULTER-REPLACE AHU Description: A/C LIKE FOR LIKE Type: MECH Sub Type: Job Address: 2470 FARADAY AV Suite: Lot 0 Location: APPLICANT PRIMARY MECHANICAL INC Owner: BECKMAN COULTER INC Remarks: Total Time: CD _D_e_s_c_rip-t-io_n _______ [~ Comment 43 AirCond/Furnace Set ---ii Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 6197260997 Inspect&_ Requested By: JAKE Entered By: CHRISTINE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-25-2009 Electrical Permit Permit No: CB090836 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2470 FARADAY AV CBAD ELEC 2090402800 Lot#: 0 CB090280 BECKMAN COULTER-ELECTRICAL ONLY FOR FUTURE ISOTON TANKS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/19/2009 KG 08/25/2009 08/25/2009 KNISS JULIAN HAGAMAN FAMILY SURVIVORS 1990 TRUST 11-07-90 17065 CAMINO SAN BERNARDO SAN DIEGO CA 92127 858-673-4445 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 F.EES 0 0 0 0 5320 SUNNY CREEK RD CARLSBAD CA 92010 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $55.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: FINAL APPROVAL Date: l 2 -J-/J 1 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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired r ·City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov ~uilding Permit Application PHA E# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check N Est. Value Plan Ck. Deposit APN # OF UNITS GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D #_ NO D YES D NO D YES D NO D , CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS APPLICANT NAME A ADDRESS \ o loS l.~"'-"' N>b STATE c~ FAX ZIP "2,..\ -z.. 7 /Sec. 7031.5 81,s, ms and Pro/essions Code: Any City or Countr, which requires a permit ricensed J)Ursuir.. to the provisions of the Contractor's License Law {Chapter 9, c Section 7031.1 b/ any applicant for a permit subjects the applicant to a civil pena ly o construct, alte~ improve, demolish or reP.air any structure1 prior to its issuance, also requires the aP.plicant for such P.ermit to file a signed statement that he is wilh Section 1000 of Division 3 of the Business and Pro1essions Code} or that he is exempt there from, and the basis for the alleged exemption. Any violation of more than five hundred dollars {$500}). · Workers' CJmpensalion Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I havu ~nd 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 permit is issued . .-El I have imd will maintain worke_ ' com_Rnsall~as re uired by Seclion 3700 of the Labor Code, for the performan~e of the work for which t i pe_rmit is issued. My workers' compensation in urance c rier and policy J. numlJ,r are: Insurance Co. C.:,, 0 I''-Policy No. 0 Expiration DateO "''--''4--'0!,C..!.--1--s"""'"-'-'..,_- This secticn need not be completed if the permit is for one hundred dollars ($100) or less. D Certiticate of Exemption: i certify that in the performan.ce 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 ' ompensalion coverag • ul, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in r in Secli 3706 of the bor code, interest and attorney's fees. DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owne: 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 :..icense 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 :;ale. 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). D 1, as owner of the property, am exclusively conlracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto~s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contracto~s License Law). O 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. D Yes D No 2. I (have / have not) signed an application for a building permit for the proposed work. . 3. I have contracted wilh 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 I 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 I phone/ type of work): _2S PROPERTY OWNER SIGNATURE DATE Is the applicanc 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 .. T;,nnw Hazardous Substance Account Act? O Yes D No Is the applican! or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site? D 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 EMERGE~1CY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,;',, '',(, I hereby 111'irm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that: l,_ave 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 ail City ordinances and State laws relating to building construction. I hereby authorize 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 O:\HA permit is required for excavations over 5'0' deep and demolition or construction of structures 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 authorized by such permit is not commenced within 180 days fror-, the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLfGANT'S SIGNATURE DATE o~ .. er. Storm Water Compliance Exemption I am applying to the City of Carlsbad for the following type(s) of construction permit: D Building Permit D Right-of-Way Permit D 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: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge D 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 D My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project 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 D 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 drain inlet, an open drainage channel or watercourse, and/or • Construction wi_ll be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria D 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 D 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, D 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). I 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 City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted. Proiect Address: Owner/Owner's Authorized Agent Name: Owner/Owner's Authorized Agent Signature: City Concurrence: By: CJ YES CJ NO Assessor Parcel No. Title: Date: Date: Project ID: - City of Carlsbad Bldg Inspection Request For: 12/02/2009 Permit# CB090836 Title: BECKMAN COULTER-ELECTRICAL Description: ONLY FOR FUTURE ISOTON TANKS Type: ELEC Sub Type: Job Address: 2470 FARADAY AV Suite: Lot 0 Location: Inspector Assignment: Phone: 7608010701 lnspecg OWNER HAGAMAN FAMILY SURVIVORS 1990 TRUST 11-07-90 Owner: BECKMAN COULTER INC Remarks: Total Time: CD Description Act Comments Requested By: ERIC Entered By: JANEAN 39 _F_i_na_l_E_le_c_tr-ic_a_1 _____ 1-------------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 02/08/2000 Electrical Permit Permit No:CB000415 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2470 FARADAY AV CBAD St: MP ELEC Status: ISSUED Parcel No: Lot#: 0 Reference #: Project Title: INSTALL 100 AMP METERED ELC PD Applicant: FISHEL COMPANY 666 AIRPORT RD OCEANSIDE CA 92054 760 967-6930 Total Fees: FINAL APPROVAL Date: "J-7-0{) Applied: 02/08/2000 Entered By: GMF Plan Approved: 02/08/2000 lss~ Om'/ID8W0©001 01 02 Inspect Area: C-PRMT 20-00 $20.00 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 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 othe,wise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN C_HECK NO. cpp;o~ l5 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By_:'J.JJ-t.__ _______ _ Date '.2-\"6\0cJ ;f~"'.:;~:~fft1jEC!r1NF.ORM~tfoilil .. , ·-;::~~;~i~it;i,:·::ki.{f ~;-~i~~¼~~r-,, ·· ~~ ,p:·~·r~li.£~~Jft1tff ;1i~~~~~i]1{f.:t f £?.!~ .. t~:~~ ;;,:;~~J~-:li,;-· · i?4'JQ~Ft+MMY AvG. Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Pi..AC,I;=; ICO ANP E:b£'Cl:R\C 00£7ER f?EJ>GSTAl Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Telephone # Fax# Name Address City State/Zip Telephone # ~~-·!i-~" .. ...,~¥~ ..... -..4....,,.,. .... ,-;,H,.~ ... -"'"-P"~l'i' • 1t.. _ _,, ... M..,.,•~1t"WM'-'~J~~<"'l .... ~..,-r,s::s1~r~"'~~r;-»t<~~"J.'1~~1i"1t'-.t"-~~·~~n-·~1'l?'f'~~ 1i·1i~-~~t4;_N..-~l:!f~~~t~~'t'-{"'Pf ,.4t~";';'l-,-,·"".f !' \. · ,.,.-1"1"~ .,.....-,i~ • ' • · ~-• :-w.;;..·;¥t)'~~v~);R,J:t-;""O,v,wn1cR~~:.:r,r1~,!-,··,,~A~tS,~~~F~~~-~:,'tb~<'fJ;}",.~r-::.P-b1-.ft -:t'1tnA .. ie'-,1:.i..;:,~{\~1~--(ft 1·.:1t~x.'.J;r~-:ir:_~,,~· ..... t,:-,::·~·~1 -,1-~ 't ,..'~;t~;~l t'::'l ~)~,;_..,! /.< /:. qz"!;Os . , .. ,._.,. '"c-, C, . 4 ~ 48" -7 7 4 / Name State/Zip Telephone # 1ii:4~1(S'cfNfroi;t!:Y6a~;cQMP,1rn¥?NAMW4~l~;i~1f~~-i~ti)1~titf~"wl;i!rt.f~~/~1~~f>r~~/~;~~,ri~ft~l~~1J~¥~f;~r~t~~f!if.~it~~.¢~":f~: ~ ~F;· ::-t:~:·.:f ;·:~:: .:;~· .. :r:;<:: ~-~ .. , v~-·: . (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 the applicant for such permit to file 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 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 a civil penalty of not more than five hundred dollars 1$500)). E'.'tstlE"L (!proeeruY (p(A4 A1BfORI -R,I) fuANSIDI;. «fl qzos4 0frA)967-h930 Name Address City State/Zip Telephone # State License # ~/p-Z~~~9~t/.-'-=~~---License Class _£/1..,_,,(!.~7 _____ _ City Business License # // 9862'.L/ Designer Name Address City State/Zip Telephone State License # _________ _ !13J:~1;,wo.a;reRs~ iCOMPErJ$:t(ffdN;~~~~~3}~";:1ytf.{f:S{;;7r1~1s~~~1'.f~·~~if?t;i'~tJ~~~~~-~!(€:lT.~F.~;;~t;=?t~~~jJ~f;~~t::w:-Fi~t :,\?'t f ·~. :·~:.:-r.;~ :. : ,-1 : :: • • Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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 of the Labor Code, for the performance of the work for which this permit is issued. (3-"' 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 M/9 Policy No. we /Cl/Zi/792/ Expiration Date 8-/-00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D 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' compen·satlon covernge is unlawful, and shall subject an employer to criminal penolties ond civil fines up to one hundred thousand dollars ($1 0,000 In addition to the cost of compensation, damages os provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE_--71!-~==----~~f!-s,,.~-===------------------DATE :J---f>-/J i) I hereby affirm 0 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). 0 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 conttactor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed property improvoment. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contract9:1 with the following person (firm) to provide the proposed construction (include name I address I phone number / t:ontractors license numberJ: 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 I address I phone number I 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 number I type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ ; COMPLef if{(l-lii;.'SECi:fortf:o R W.oNii1ESIDEN77AJ}S:0)~DfNc.fl•J1\\Ml;f'SfONIZ'({':: ~fflfJ:::!\l:iT~~J?,;Effrt~Jft);;~f1:::t:r1~r::.rt~t{~~lI~'.£~~~-:::::1;·;,,_;'.:: •, · ·: . · · ' · ·. 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. lf ;~~}1;;~:tJ~STR,U'C:tiON lENP1NC3'I A~ENCY.::,:~:~;?;!;;~:i~~r;:~~1{_~;~:~i~:·:~t~1;,::~~~~l.~~;~;.,0~j-~:::ri~~!.~-:.~~~~r;;'\,:-:;\i ~:.r:·:~ -;?~ ;~ /-:, ;.:;;·,~·; 3 .. ; 1. ~ : ... :~ r.-r :., ,.: ,,! . . . ,, .· ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____ ~--------LENDER'S ADDRESS _______________________ _ !§}f:1~{~:«P.PCiCANt~¢ERJtF1SA:riC>N:~;~~;;{:'t.(:11r~:tt::~;:;1::~~:r,:;:-·fFi-~f~·~~ ·f'!}~~~~:t,;r,:r:r;:~~r,:--. ·: -:.!, ~-.: • .}'.\·"': !-:.:::·{ ~-1Z.l'.';::-.·:r·:~tU.P.~.'!~: Jg::;~:?r:,t;,~·~ .. p~~r::.' . ''i: i .: 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 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 AND EXPENSE& WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE DF 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 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wo k is com enced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bld_g Inspection Request For: 3/8/2000 Permit# CB000415 Title: INSTALL 100 AMP METERED ELC PD Description: Type:ELEC Sub Type: Job Address: 2470 FARADAY AV Suite: MP Lot 0 Location: APPLICANT FISHEL COMPANY Owner: BECKMAN INSTRUMENTS INC Remarks: Total Time: CD Description 39 Final Electrical ..if_ Comments Inspector Assignment: ~ Phone: 7607570352 Inspector: £VV\ Requested By: VIC Entered By: ROBIN ---+------ Associated PCRs Inspection History Date Description Act lnsp Comments J" LO 0 CL. C) co I.D a:) N 0 co 0 co r- ci :z; ~ LL. ~ en Ul ---1 oc <r:: 0 1:5 >-f:-....... 0 Cl ..-< -s::I' ..-< ....... ~ LL, Cl = I -.:::I' Cl I en [.Ll LL, ! -~ •·. ·1 ·I J EXtH l'C!.E -, \. r · 1r .t.' \t\~k, \ . ! I 2470 t4< 1' . '1,.t\ :f ~~>"w="'-~ \p:f-1.,_ ; ~,,J;,jrl lii1'@~' _,,,______________ ~jj' . ." /, I .. ,.,. -. . 1 ... J ., ... _ ··:_--:"'_:_ .-;;.~. : -_~;· 1ul>:~ ·. H4' _ .. , ;•, : ., _ ; , , · , ' ~ •• ll ~ ~ -.rr -~~--~~ -~ 1 ~ I• P>!lWSr.a ;:AIV MEIEP. Jlio)--,, 1· FARADAY AVE 0 11 1 C J.-~-l ">-- 0 C> ~ co <::1 ~ ') ,,_ · . .! .. , C) ·-r ~ C) ,'\ z "·---Cl 0--1 ~5 ;-3 ca '2540 ~, • .,o,.., r,,.,.,al f:-~~---------··--- P,$.,,.<!d',~ss: __ , ____ ~~1..------ SDO&~ Sorvice Ordtf f: ____________ _ \ (7 ~\. ¥ ! '-. W.~ Site\. \~ff<. S)l'( .. ;~ ,iM {1;,. \ 1J, ) \~ ',_ \ VlC'INllY MAP (t>JOT fO SG/1LE} ---------------- 596."! r.e. ::.iorda, Pg._!.UZ.-~--L Co'al••iBlon ~t,p II _s;i,-...1:Q. ~t;J¢J ~ • OW.NltT1€S . ---. ABBREVIATIONS lEGENO -HEYISIONS I ASPHALT CUT = ____ tv_• i,1 ;: ~i~oi"/! Clf!,; ll~lE 8'( ()(RT TRENCli 4 :;m• c6NCREfF. R&:R ~ ___ _.jl.:_sq I( :li," ~Dl·m;~ l3 . "ro:<:sr"-f''fiP. SRCE PER s;;11C£ mN(S 0f/28"·" rEf eoMI\IJUNIC:ATrOio,.1Ne.l ------......,..,...~.,.--•I BDRE/PUNCII Tl~-~-fl,• \h=~~r.E. ID • ....,_,._r ----------:-_:-,:-~------'--/--:=-:: TEr ""' _...,,, f.W,'CM J""""''"."0 1)90-58 · U ---· _,.. sJli!ffWI ~ • P<ll£ ---,-------,----------/---f•• TEF . . 12 20 99 BW .,,.,-""' TOTAL !'JG c 28• ~-.~r.:-lltl"MY --•ni&..,,,·t~( ----------.:.·---------l----T(f. """6 . --------s~: ~~M i"ilwlllla . . __________ :.,________ --/--. --'[ff' NONE CB 21-03 94=7-0MfFA\?..ADA-'-I AVE """ City of Carlsbad 10/04/1999 Electrical Permit Permit No:CB993649 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: 2470 FARADAY AV CBAD ELEC Status: Lot#: 0 Applied: Entered By: ISSUED 10/04/1999 GMF 10/04/1999 10/04/1999 Reference #: Plan Approved: Issued: Project Title: ADD CIRCUIT TO EXISTING SUB-PA Inspect Area: Applicant: GOOD & ROBERTS INC. 1090 JOSHUA WAY VISTA, CA 92083 619-598-7614 Total Fees: $35.00 Electric Issue Fee (~ ·-b···';;i/ )q\ ___ , ~~~ ,., /1/ • Single Phase per AMP ~Jjl/op \Arn~f['f . 7'.<~v,., i Three Phase per AMP -'.,"--. 0 1• i /.,,,'.\ tr ! Three Phase 480 Per AMP',, ~."-\, {o~ k !1/ .: +f~1/, / "· "~ \ "~ t ·,:,,1/ . Remodel/Alteration per AMP\ "·· o, );,, r_ .·,r-/ ,;;;,,-' I Remodel Fee \ -, lj -\t/ 0 ---· /1 Temporary Service Fee \ ((-"-> ir-icoRP<;?~ATED ./ Test Meter Fee \ \ ~ /, 1ft" / Other Electrical Fees "'-,_,, </ <J I , · ' ... ~-- "'"' ll ll ()l /c,·~ 0 ~ TOTAL PERMIT FEES "'-~. "-..,) _; ~-V \J""> ,., --·· ,.___ _______ . $110.00 $25.00 $0.00 $0.00 /$0.00 / $0.00 I $0.00 $0.00 $0.00 $35.00 ~ Inspect~/. 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 th.e 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 vou have oreviously been aiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 35tt00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. cB'l't-S<.o£L'i CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit,__ _______ _ Validated Bv__,,4.,;=.-:.,__ ______ _ Date 1°/~{'iL Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms '<,., ', ," Name Address City State/Zip Telephone# Fax# r37: APPfiOANT. . .. ...... oritraotor · D Ag'enf for Contractor . 'lJ)Cowne'r. :_. O' AgenHor 'owner,· ·-· ---·· -· '~ ~~ . io'l() :nb~U-O ·wy.' 1ltSY--L ·c& ct'2.QZ3 2WSf!i~~l'f , {, , ,, < , ,, ' ' ' ' , 'Y, -,, ~ : , ~ , Name T Address City State/Zip Telephone# Name Address City State/Zip Telephone# !'5~. '-QQNt~AVTQij_, .. 9PMPP.rJX,W\lYIJ;-'' M--~« ,q, ~---~- (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 the applicant for such permit to file 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 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 a civil penalty of not more than five hundred dollars [$5001). ,~+-~c::rts. Name Address City State/Zip Telephone # State License# 37 7SS I License Class _ _,g_""/,__ ____ _ City Business License # _______ _ Designer Name Address City State License# _________ _ ~-W,9!1~!;.R$':qQIVIPf;l\l,SAT.(ON ·.· · .· ... ,. .. ;, -' . . . .... --~·.:· -:;, __ ~:::· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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 permit is issued. 0 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____________________ Policy No .. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 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 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ ,:t;_: . :Q.JNt,IJ;_R~~!,!JtDE8 p,epJ;;t\f!/-\'flQ~ . . . . ....... I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 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. 0 YES ONO 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 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 indicated (include name / address / phone number / type of work):, _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ :cqJv(P,~~IlirHJ$ s~¢'.flQl\l F6a 11lQN"R'/;.$IP?J.-t/AL·if.1.J.ILp1N,.Q ,e~RM!!§ 9N,t ·. · 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. :8,d. :~ONS'.T8l.1~1'.19.l'·H!;NQING AG~~CY::' . . . . :·. :. ~ :--.. : .. -. ~ _':_--.: ~ ·.-. .. , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code}. LENDER'S 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 authorize representatives of the Cit~ 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 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the workisn=:~od of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /)?,f' ~c;R(_ DATE te#f?,Y WHITE: File YELLOW: Applicant PINK: Finance • City of Carlsbad Bldg Inspection Request For: 3/13/2000 Permit# CB993649 Title: ADD CIRCUIT TO EXISTING SUB-PA Description: Type: ELEC Sub Type: Job Address: 2470 FARADAY AV Suite: Lot 0 Location: APPLICANT GOOD & ROBERTS INC. Owner: BECKMAN INSTRUMENTS INC Remarks: Total Time: CD Description Act Comments 39 Final Electrical Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: ~ Phone: 7605987614 Inspector SM f Requested By: MIKE Entered By: CHRISTINE 06-21-2017 Job Address: 2470 Permit Type: MECH Parcel No: Valuation: OccGroup: City of Carlsbad 1635 Faraday Av Carlsbad, CA Building Permit 92008 Permit No:CB890197 Building Inspection Request Line (760) 602-2725 FARADAY AV CBAD Sub Type: Lot #: Status: $0.00 Const Type: NEW Applied: Reference #: Entered By: Appr/Issued: Project Title: REPLACE COLD BOX Inspect Area: EXPIRED 02/15/1989 DC 02/15/1989 MC Applicant: LITTLEFIELD, CHUCK 2470 FARADAY AV CARLSBAD, CA 92010 619-438-9151 Total Fees: $0.00 Owner: BECKMAN INST $24.00 Payments To Date: $24.00 Balance Due: Description Fee * MECHANICAL TOTAL 24.00 PERMIT APPLICATION • City of Carlsbad Building Department EST. VAL. __ _;c;;..,._o--a-o ____ =-__ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . PLAN CK DEPOSIT _____ s~~3 ___ _ . VALID. BY ___ ~P~=c.....,,,.,_, ------- ,l. PERMIT TYPE . DATE _______ h_.:2;'--"~~-r'-"(2"""---- A • 0 COMMERCIAL NEIi B -D !NDUSTR I AL D NEIi C -D RESIDENTIAL D APARTMENT D DUPLEX D DE MOL IT I ON OMECHANICAL OPOOL .E)TENANT IMPROVEMENT 0 TENANT IMPROVEMENT OCONDO OSINGLE FAMILY DI/ELLING OADDITI0N/ALTERATI0N C-?i\iiT ORELOCATION OM0BILE HOME OELECTRICAL OPLUMB!NG OSPA ORETA!NING I/ALL OSOLAR 2. CHECK No. Address Nearest Cross Streets LEGAL DESCRIPTION CHECK BELOII I F SUBMITTED: 0 2 Energy Cal cs ASSESSOR IS PARCEL 02 Structural Cales DESCRIPTION OF WORK ./f:n(f(}e f- BLDG, SQ. FTG. ..:Z::IIJS m11 Unit No. Phase No. D 2 Soi ls Report D 1 Addressed Envelope EXISTING USE PROPOSED USE 3. 'CONTACT PERSO~/. NAME (!HOCK, c.:rc.:yAIN CITY 1//S-rl¼ SIGNATURE STAT~ ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT /L J'j __ zcoNTRACTOR NAME Gooc,.. ~r.ts-:;::;,.ic )V AGENT FOR CONTRACTOR O 0IINER O AGENT FOR 0IINER ADDRESS .,/O"z~ .,-0.S-~4 ~Ay CITY /J1,rm STATEc,9 ZIP CODE ? 2..0 \(_5 DAY TELEPHONE 5. PRO~ERTY OWNER __ ,-<- NAME /feCK/14-N ..:z;,.(S~,c,w ..,. OIINER • QLESSEE ADDRESS 2.'y'7() Ff)e./;~/f/Y, ~TENANT CITY @~~,4,/), STATEc/} ZIP CODE re.co?: DAY TELEPHONE <f..Jl? C. Y/0 6. CONTRACTOR /\ n NAME G,oCI) ,-.. K.OAel"t'S ::DJC. ADDRESS /0 'jo J($l(vP, ZIP CODE </z_¢@J 7. t,-1' STATE(:.4 'I .sm I STATE LIC. # J 27.S:S/ CITY LICENSE CLASS _tf __ -~L~- SIGNATURE ~ ~ '-'/ CJ/ __ DESIGNER NAME ~ C ?-~ CITY STATE WORKERS' COMPENSATION TITLE~.~ ADDRESS - ZIP CODE DAY TELEPHONE .:s9'i/-;tc/Y CITY BUSINESS LIC. # DATE 2-9-90 DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Con-pensation Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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' CO!ll)ensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION owner-Builder Dec la ration: I hereby affirm that I am exempt from the Contractor's License law for the foll owing 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·bui lder will have the burden of proving that he did not build or improve for the purpose of sale.). D 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: (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 the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of D ivi si on 3 of the 'Business 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 a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Js the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLlcANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER IS NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. J hereby authorize representatives 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, JOOGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issuea 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 work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). D OWNER J!l CONTRACTOR OBY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED. liY, ...,.....,..~----,-- DATE: ------'---- [?<·. :.::--~:_i;" ,. ;~:-:.:;·_ .. /\)_:·<t·:)\_:· ·_·\.·.·... : ... ··· .... : . " ::- . ··.·: ... ·. :_· . • ~:· . .. . : . •. . : . _. .. , . .. ::?: .. :...i: ~-. ·•. . . . . ;t .. ,._._.-~ .. · .. :: (. . __ · .. _::·_ .. · .. ;:. 08/01/90 ,_11: 15 · Permit No: CB901163 ~'·Page 1_ -o.f .... ·1 . . . ~l-..:,,_Joh·Address:· 247·0 FARADAY AV ,;:C::i:'ermit.. Ty:i;,e:· :·TNDUSTRIAL 'rENANT IMPROVEMENT ~;.Jiar.~el :::)i<:> :-' :.::··'./:\i:· ~-. :, _;': :: .-_: ::-, . : . :: •' ... . 'I.~··-··,_ .... _ De_scription:. RELOCATE FIRE DOORS : CANCELLED BY CHUCK GLEN. 080190 Status: VOID Applied: 07/10/90 Apr/Issue: Permitee: GOOD AND ROBERTS 1090 JOSHUA VISTA, CA 92083 CONTRACTOR: GOOD AND ROBERTS 1090 JOSHUA WAY ·VISTA, CA 92083. OWNER : BECKMAN INSTRUMENTS *** Fees Required *** *** Fees: Adjustments: Total Fees: 135.00 .oo 1.35. 00 619 598-7614 Expired: Prepared By: DC Lie. C 377551 619-598-7614 Lie. OWNER Fees Collected & Credits *** Totai Credits: .00 Total Payments: 53.00 Balance Due: 82.00 _ _ !e~. de~c~-~:Ption _ _ . _ _ _ Uni ts Fee/Unit Ext fee J?ata · ---------· ----.. -----.. -----------------------------------------------------. Bui'lding Penni t · ·. --Plan. Che.ck . Strong Motion Fee ~ BUILDING·TOTAL . . . .. -::.·. · .. :.: : --~~ ..:--:, . ;'"·· .. ·--: .......... . \ ~ ._ . . . 81. 00 53.00 1.00 135.00