HomeMy WebLinkAbout2500 CAMPBELL PL; ; CB121607; Permit11-07-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit PernnitNo: CB121607
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation.
Occupancy Group:
Project Title
2500 CAMPBELL PL CBAD
Tl
2132610500
$10,000 00
Sub Type. INDUST
Lot# 0
Construction Type 5A
Reference #
Status
Applied
Entered By
Plan Approved.
Issued
Inspect Area
Plan Check*
T-MOBILE.
REPLACE EXISTING 6 ATENNA WITH NEW , LIKE FOR LIKE
EXPIRED
08/24/2012
JMA
Applicant-
MITCHELL J ARCHITECTURE
STE N
4883 RONSON AVE
92111
858 650-3130
Owner
CARLSBAD SELF STORAGE INVESTORS LLC
C/O THOMSON REUTERS PROPERTY T/\X
PO BOX 1368
CARLSBAD CA 92018
Building Permit $126 87 Meter Size
Add'l Building Permit Fee $0 00 Add'l Red Water Con. Fee $0 00
Plan Check $88 81 Meter Fee $0 00
Add'l Building Permit Fee $0 00 SDCWA Fee $0 00
Plan Check Discount $0 00 CFD Payoff Fee $0 00
Strong Motion Fee $2 10 PFF (3105540) $0.00
Park Fee $0.00 PFF (4305540) $0 00
LFM Fee $0 00 License Tax (3104193) $0 00
Bndge Fee $0 00 License Tax (4304193) $0 00
BTD #2 Fee $0 00 Traffic Impact Fee (3105541) $0 00
BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0 00
Renewal Fee $0 00 PLUMBING TOTAL $0 00
Add'l Renewal Fee $0 00 ELECTRICAL TOTAL $0 00
Other Building Fee $0 00 MECHANICAL TOTAL $0 00
Pot Water Con Fee $0 00 Master Drainage Fee $0 00
Meter Size Sewer Fee $0 00
Add'l Pot Water Con Fee $0 00 Redev Parking Fee $0 00
Reel Water Con Fee $0 00 Additional Fees $0 00
Green Bldg Stands (SBl473) Fee $1 00 HMP Fee ??
Fire Expedidted Plan Review $0.00 Green Bldg Standards Plan Chk ??
TOTAL PERMIT FEES $218 78
Total Fees $218 78 Total Payments To Date $88 81 Balance Due: $129.97
Inspector
FiNAL APPROVAL
Date. Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 days from the date this pennit 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have prewouslv been owen a NOTICE similar to this, or as lo which the statute of limitations has previouslv otherwise expired
r THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE •PLANNING • ENGINEERING nBUILDING • FIRE • HEALTH • HAZMAT/APCD
^ c
CARLSBAD
CITY OF
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www carlsbadca gov
Plan Check No <:2&1^ '1(^0^
Est. Value fo^ertrv'
Plan Ck. Deposit
Date SWPPP
7^^00 0(Im v\^{\ Pl. Cnilshxd
CT/PROJECr# " ^TBTS PHASE# #OF UNITS |#B!
SUITE#/SPACE#/UNIT# Bld-^i^l - OB -Db
tt BATHROOMS TENANT BUSINESS NAIVIE CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK /nc/ude Square Feet of Affected Areafs) I ~ /)>^|/NJ^ . ~ ~. „ / >i ,/i , ^ ^ A Tn A. n i i
Q^cira.(>Jer(^h'(i^ of jki dJot^mS ^ing Tipla aid
' GE (SF) 'iTOTK EXISTING USE PROPOSED USE s GARAGE (SF)
L
'Alios (SF) DECKS (SF) FIREPLJ^CE AIR CONDITIONING FIRE SPRINKLERS
YES| |# YESj |NO| 1 YES| 1 N0| 1
APPUCANTNAME (Pnmary Contact) APPUCANTNAME (Secondary Contact)
ADDU6SS ADDRESS
O STATE ZIP
"Mnrlr^i. Lama mtUM.Ihn/ws
PHONE FAX
7 t!TiIF - _ f7IP. .
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
,RCH/DESIGNER NAME & TODRgSS i / STATE LIC #
^
CITY BUS Lies
(Sec 70315 Business and Professions Code Any City or County wtiicti requires a permit to construct, alter, improve, demolisti or repair any structure, prior to its issuance, also requires the applicant for sucti 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} cr 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})
Workers' Compensation Declaration I hereby affirm under penaHy of perjury one of ihe following declarations
• 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 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 earner and policy
number are Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate of Exemption 1 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 cnminal penalties and civil fines up fo one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for m Section 3706 ofthe Labor code, mterest and attorney's fees
JS^ CONTRACTOR SIGNATURE • AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason
I I 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the staicture is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's
l.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
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 I 1, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 Ucense Law)
I I 1 am exempt under Section _ .Business and Professions Code for this reason
1 1 personally plan to provide the major labor and matenals for construction of the proposed properly improvement I lYes I iNo
2 1 (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number)
4 1 plan to provide portions of the work, but 1 have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
jeTpROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely haiardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' Yes 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 agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certily that I have read tJie application and state thatthe above mfonnation is con-ect and that the mfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constniction.
1 hereby authorce representative ofthe City of Cailsbad to enter upon the above mentioned property for inspection puiposes 1 ALSO AGREE TO SAVE, INDEIVINIFY AND KEEP HARMLESS THE CITYOF 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 pemiit is required for excavations over 5'0' deep and demolition or constnjction of staictures 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 ifthe building or wort< authonzed by such pemiit is not commenced vjthin
180 days trom thedateofsuch pennit or if the building or wor1< authonzed by such pemiit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 10644 Unifomi Building Code)
veTAPPLICANT'SSlGNATufE^ j\ j /^if^ jj^jtUJiX.' DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects Only)
Fax (760) 602-8560, Email www buildinq(5)carlsbadea qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
BUILDING ADDRESS
STATE ZIP CITY ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above) ASSOCIATED CBS-
MAIL / FAX TO OTHER: _
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE 1635 Faraday Ave., Carlsbad, CA 92008
Laura Stuppy-Moore
From: Laura Stuppy-Moore
Sent: Thursday, June 06, 2013 12.53 PM
To: lynnea barrett@mitchellj com
Subject: T-Mobile Cell Sites
Attachments: 10-130607-0002
Lynnea,
Thanks so much for the info today.
I have attachetd a copy of each of the permits that will expire in August. Most of them are ready to issue but there are a
few that I have written notes in the bottom margins as to what they still need.
You are the only contact we have on these permits so this will serve as your expiration letter for ail 11 applications. Let
me know what you find out.
I appreciate your time.
CITY Ol
CARLSBAD
Busldinr,! DlVuon
Laura Moore
City of Carlsbad
1635 Faraday Av
Carlsbad, Ca 92008
P-(760) 602-2719
CB121607 2500 CAMPBELL PL
T-MOBILE
("lllil po fhQSfiOy^Se -0^^ pWj^ c^t-US ferTYNOL^tls
• cv
Final Insp. AppfOVed Date
BUILDING
PLANNING
ENGINEERING
FIRE Expedite? Y N
—By
7^
AFS Ctieckedby
HazMat
APCD
Health
Forms/Fees Sent Reed Due? By
Encina
Fire
HazHealthAPCD
PE&M
Sctiool
Sewer
Stormwater
Special Inspection
CFD: Y
LandUse
N
Density InnpArea FY Annex Factor
PFF N
Comments Date Date Date Date
Building
Planning
Engineering
Fire
Need?
SW
• Done
• Done
• Done
• Done
• Done
• Issued