HomeMy WebLinkAbout2600 CARLSBAD BLVD; TP; CB122349; Permit11-07-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB122349
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Paice! No
Reference #
PC#
Project Title
2600 CARLSBAD BL CBAD St TP
PME
2030510300 Lot#
ANA - 200 AMP TEMP POWER FOR
CONSTRUCTION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
11/07/2012
LSM
11/07/2012
11/07/2012
Applicant
TURNER CONSTRUCTION CO
Owner
ARMY&NAVY ACADEMY CARLSBAD CALIFORNIA
3197 JAMES DR
CARLSBAD CA 92008
760 729-6104
P O BOX 3000
CARLSBADCA 92018
Plumbing Fees
Electrical Fees
Mechanical Fees
Olher PME Fees
$0 00
$154 00
$0 00
$0 00
TOTAL PERMIT FEES $154 00
Total Fees $154 00 Total Payments To Date $154 00 Balance Due. $0.00
inspector
FINAL ARPRO/AL _
Date Clearance
! approval of your project Includes the "Imposition" ot fees, dedications, reseivations, cr olher exactions tiereafter collectively NOTICE Please'akefflOTICF/
referred to as "fees/exactions" You have 90 days from ttte date Ifiis permit was issued to protest imoosition of tfiese fees/exactions if you protest thgm, you must
follow ttie protest procedures set forlh .n Government Code Seclion 66020(a), and (tie the protest and any olher required informalion with the City Manager for
processing in accordance with Cailsbad Municipal Code Seciior. 3 32 030 Failuru lo timely follow that procedure will bar any subsequent legal action to attack
review, sel aside, void, or annul their imposiiion
You are hereby FURTHER NOTIFIED that yoL.r ngnt to protest the specified fees/exaclions DOES NOT APPLY to water and seiver connection fees and capacity
changes, nor planning, zoning, grad'ng or other similar application processing or service fees In connection with this pnsjecl NOR DOES IT APPLY lo any
lees/exacllijnj of wflil!} v?V N'^Q pi"SyiW^fy.,&§S'^ ^'^'^^ ^ NOTICE similar to this, or JS to wh^ch the statute ot limitaiioris pg^ PffiVJQMSly othqfwise expired
y [THE FOLLOWING APPROVALS REQUIRED PRIOR TD PERMIT ISSUANCE •PLANNING •ENGINEERING •BUILDING DFiRE •HEALTH •HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www carlsbadca gov
Plan Check No \ Q 5-3^^^
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS 2600 Carlsbad Blvd. SUITE#/SPACE|i/UNIT#
203 051 03
CT/PROJECT »
CDP 12-04
PHASE tt # OF UNITS
0
# BEDROOMS
0
# BATHROOPiflS
0
TENArfT BUSINESS NAME CONSTR TVPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
Temporary Power Pole for construction of new athletic facility 200 Amp /120 Volt
EXISTING USE
Athletic Facility
PROPOSED USE
Athletic Facility
GARAGE (SF)
0
PATIOS (SF)
0
DECKS (SF)
0
FIREPLACE
YESfl^ NO0
AIR CONDITIONING
YES I |NO|V1
EIRE SPRINKLERS
YEsQ N0[7]
APPLICANT NAIVIE (Primary Contact) Hofman Planning (Shay) APPLICANT NAME ^Secondary Contact) Hofman Planning (Eduardo)
ADDRESS
3156 Lionshead Avenue, Suite 1
ADDRESS
3156 Lionshead Avenue, Suite 1
CITY
Carlsbad
STATE
CA
ZIP
92010
CITY
Carlsbad
STATE
CA
ZIP
92010
PHONE
760-692-4019
FAX
760-692-4105
PHONE
760-692-4020
FAX
760-692-4105
EMAIL
seven^^hofmanplanning com
EMAIL
ecadena@hofmanplannina com
PROPERTY OWNER NAME Army & Navy Academy CONTRACTOR BUS NAME Turner Construction ^-O
ADDRESS
3605 Carlsbad Blvd.
ADDRESS 9330 Scranton Road
CITY STATE
Carlsbad CA
ZIP
92008
CITY
San Dieqo
STATE
CA 92121
PHONE
760-547-5233
FAX
760-720-7121
PHONE
858-320-4040
FAX
EMAIL
dwitwer@armyandnavyacademy org
EMAIL
ifalco^cco com
ARCH/OESIGNER NAME & ADDRESS
House & Dodqe Desian
STATE LIC fl
C-28525 B-210639
CLASS CITY BUS Lies
(Sec 70315 Business ana Proressions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure prior to its issuance also requires ttie
applicant ror such permitto file a signed statement that he is licensed pursuant to tne provisions ofthe Contractor s License Law ICnapter 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 (SSOO))
Workers' Compensation Declaration t hereby affirm under penalty of perjury one otthe following declarations
11 have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of Ihe Lalxir Code, for the performance of the work for which this permit is issued
• I have and will mamtam workers' compensation as reouired by Section 3700 ol the Lalwr Code for the perfonnance of the work for which this pemiit is issued My workers compensation insurance camer and policy
number are Insurance Co . . . . Policy No Expiration Date.
This section need not be completed if lhe permit is tor one hundred dollars ($100) or less
[~] Certificate of Exemption I certify that in the perfonnance of the work for which this permil is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
Califomia WARNING Failureto secure workers' compensation coverage is unlawful,and shail subjectan empioyerto criminal penalties and civil firiES upto one hundredthousand dollars t&IOD.OOO), in
addition to Die cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees
^CONTRACTOR SIGNATURE • AGENT DATE
I hereby affirm that I am exempt from (k>nlractot's License Law tor the following reason
\ I 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
Ijcense Law does not apply to an owner 0' property who builds or improves Ihereon, and who does such woric himself or through hs own employees provided that such improvements are nol intended or offered for
sale If, however, the building or improvement is sold within one yeav ol compSelion the owner twilder will have Ihe burden ol pnjving that he did not build or mprove for the purpose of sale)
[X] I as owner of the property, am exclusively contracting with licensed contractors lo conslruct the projecl (Sec 7044 Business and Professions Code The Contractor's License Lawdoes not apply to an owner of
•
property who builds or improves thereon, and contracts for such projects with contractor[s) licensed pursuanl to the Conlractoi's License Law)
I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and malenals for construction of the proposed properly improvement ^^Yes I |NO
2 I [have / have not) signed an application for a building pennil for lhe proposed work
3 I have contracled with the following person (finn) lo provide the proposed construction (include name address / phone / conlractors' license number)
4 I plan to provide portions of the work but I have hired lhe following person to coordinate supervise and provide the major wort; {include name / address / phone / conlraclors license number)
5 I will provide some oiltie^otk but I have contacted (hiied) the following persons lo provide the work indicated [include name/address/phone/type of worif)
^PROPERTY OWNER SIGNATURE HJ^GENT DATE U/n/lZ.
Is the appficant or fulure building occupant required to submit a business plan acutely hazardous matenals registration torm or nsk management and prevention program under Sections 25505 25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act' Yes No
Is the applicant or future building occupani required to obtain a pemiiifrom the air pollution control distnct or airauality management distncl'' Yes No
Is the facility to be constructed within 1QQO teet of the cutei bountJavy ol 2 school sue'' Yes Ho
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY 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 ttie performance of the work this permit is issued (Sec 3097 (i) Ciwl Code)
Lender's Name Lender's Address
lceri]^thatlhavefeadtJ«applicabonandstatethattheaboveinfomriat!Oiiisconectandthattheinfoniiat)ononthepl I agreeto comply with ali OtyonlinanceEarxl State lairarelatingto building construction
I hereby authonze lepreSGnlalive of the Cityof CaristBd to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AI^D KEEP HARMLESS THE CITY OF CAFLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH WAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERIvlIT
OSHA An OSHApemiil IS required for excavations QverS'Q deep and demditai or cotistrjctonol stnjctures over 3 slones in tieigW
EXPIRATION Every pGrmit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ifthe building orvjotk authonzed by such permit is not commenced wilhin
ISOdaysfnam the date olsuch permit or ifthe building or work auUTorized by such pennit is suspended or abandoned at any time after the work is commenced for a penod of 180days (Section 1064 4 Uniform BuiWing Code)
APPLICANT'S SIGNATURE / C , IM'TT, . ^ DATE
STOP THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE
Complete the following ONLY if a Certificate of Occupancy will be requested at final mspection.
CERTIFICATE OF O C C U I» A W C V (Commercial Projects Only}
Fax (760) 602-8560, Email building(5)cat1sbadca gov or Mail the completed form to City of Carisbad, Buildmg Division 1635 Faraday Avenue, Carisbad, Califomia 92008
C0# (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS LIC No
DELIVERY OPTIONS
PICK UP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg J)
MAIL TO CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL/FAXTOOTHER
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit# CB122349 Type PME ANA - 200 AMP TEMP POWER FOR
CONSTRUCTION
Date Inspection Item _____ l"spector^_ Act Comments
03/20/2013 32 Const Service/Agricultural - Rl AfVI PLS
03/20/2013 32 Const Service/Agricultural PY AP
03/19/2013 32 Const Service/Agricultural - Rl EARLY AM PLS
03/19/2013 32 Const Service/Agncultural PY NR
Thursday, fylarcfi 21, 20i 3 Page 1 of 1
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