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HomeMy WebLinkAbout2726 LOKER AVE W; MULTI-PERMIT FILE; CB141148; Permit.. City of Carlsbad 1635 Faraday Av Carl~bad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-27-2014 Permit No: CB141148 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2726 LOKER AV WEST CBAD St: D PME Status: Parcel No: 2090812800 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title, TRITON MIRCO TECHNOLOGIES: ELECTRICAL 200 AMP PANEL W/ 2 OVEN CONNECTIONS FOR MICROCHIPS AND EXHAUST DUCT FOR HEAT EXTRACTIONS// ELECTROTEST INC. #M223757 Applicant: INNOVATIVE TENANT IMPROVEMENTS INC 9195 CHESAPEAKE DR . SAN DIEGO CA 92123 858 513-1167 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: FENTON HG COMPANY C/O H G FENTON CO 7577 MISSION VALLEY RD #200 SAN DIEGO CA 92108 ISSUED 05/27/2014 SKS 05/27/2014 05/27/2014 $0.00 $158.00 $33.00 $0.00 $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: Inspector: m-~ FINAL APPROVAL Date: ..::l>~w:::....,_J,.;;;j. __ 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 n 'ven a N TIC similar to this or as to which the statute of limitations has reviousl otherwise ex ired. «~~' ¥ CITY OF Building Permit· Application 760-602-2717 / 2718 / 2719 Plan Check No. 0f:) I G{ { ( l(f( Est. Value Plan Ck. Deposit CARLSBAD Fax 760-602-8558 www.carlsbadca.gov . Date ~ 't7 ('--( SWPPP- JOB ADDRESS SUITE#/SPACE#/UNIT# . APN 2726 Loker Ave., Carlsbad, CA 92010 CT/PROJEQT.# LOT/I PHASE# # OF UNITS # BEDROOMS # BATHROOMS ANT BUSINESS NAME CONSTR. lYPE OCC. GROUP Anthony Ca 0 _ Triton MicroTechnologies DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) E~'e,..L ~-bcf (f)IIM-el. wi-ltt. o2GA-()~ U111x.ed,~ o,-et~ o«,.:I-~ .~ l 1:~e/,-z,,,,_ 4:f: M -~ 3 ? 57 5lNi _ 1./ i,,S ... /p'3S'/ EXISTING USE PATIOS(SF) 858-87 4-4300 . rROPOSED USE 11 GARAGE (SF) tony@innovativetkd NA NA I DECKS (SF) I FIREPLACE NA YESO. NO[ZJ AIR CONDITIONING I FIRE SPRINKLERS YES[Z]NoO YES[Z]NoD APPLICANT NAME (Primary Contact) Innovative Tenant Improvements APPLICANT NAME (Secondary Contact) N/A " ADDRESS ADDRESS -9195 Chesapeake Drive CITY STATE · ZIP CITY STATE ZIP San Diego CA 92123 PHONE 'FAX PHONE rAX 858-513-1167 858-87 4-4300 EMAIL EMAIL tony@innovativeti.com PROPERlY OWNER NAME HG Fenton Property Company CONTRACTOR BUS. NAME Innovative Tenant Improvements ADDRESS ADDRESS 7577 Mission Valley Road 9195 Chesapeake Drive CITY STATE ZIP CITY STATE ZIP San Dieao CA 92108 S~n Pieao CA 92123 PHONE PHONE 619-400-0123 'FAX 619-400-0111 858-513-1167 rAX 858-87 4-4300 EMAIL EMAIL /.1,,~lj( brenda@hgfenton.com tony@innovativeti.com ARCH/DESIGNER NAME & ADDRESS STATE LIC.# NIA I STATE LIC. # NA 906968 'CLASS B I CllY BUS. UC.II ~B199r885470 (Sec. 7031.5 Business and Professions Code: Any City 6r Cqun.ty which requires a permit to. c,onstruct, alter, improve, qem.olish or repair any structure, P,rior t9 its iss\Jance, also requires the applicant for such permit to file a signed statement tnat he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he is exemprtherefrom, 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). . . , ;w·; -, ,,_,, Workers' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations: D 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, IZJ I have and will maintain workers' c~mpensatlon, 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 Cq. The Zenith Policy No. 2071877001 Expiration Date 12/31/2014 This section need not be completed if the permit is for one hundred dollars ($100) or less, 0 Certificate of Exemp\lon: t 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 se~ure workers' compe11sation 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, d !11ag vi ed for In Section 3706 of the Labor code, interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 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 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), 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 s~ch projects with contractor{s)·licensed pursuant to the Contractor's License Law). I am exempt under Section . Business and Professions Code for this reason: 1. I personally plan to provide th~ major labor and materials for construction of the proposed property improvement. 0Yes 0No 2.1 {have/ have not) signed an applicationfor 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. I pian to provi~e portions of the work, but I have hired t~e 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 wor!< indicated.(include name/ address/ phone/ type of work): _g PROPERTY OWNER SIGNATURE 0AGENT DATE I Is the appiicant or fulure buildi~g 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF TH!: 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 permi\ is issued (Sec. 3097 (i) Civil Code). Lender's Name NI\ Lender's Address I certify that I have read the application and state that the above fnfonnation Is correct and that the information on the plans is aocurate. I agree to complywfth ail City ordinances and State laws relating to building construction. i hereby aulhortze representative of !he City of Car1sbad to enter upon the above mentioned property for inspection purposes. I A[SO 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 pennit 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 !he provisions of this Code shall expire by limitation and become. null and void if the building or work aulhortzed by such pennit is not commenced within 180 days from the date of such permit or if the building or work authorized by such pennlt is suspended OI' abandoned at any time after the work is commenced for a pertod of 180 days (Section 106.4.4 Uniform Building Code) . .¥ APPLICANT'S SIGNATURE ~ DATE S:-1-0-\., ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. l\DDRESS CITY San Diego PHONE Tenant Improvement EMAIL. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) FAX MAIL TO: CONTACT (Listed a 9ve) OCCUPANT (Listed above) CONTRACT() On Pg. 1) 2726 Loker Ave,, Carlsbad, CA 92010 triton Micro Technologies 1840 East River Road, Ste 201 STATE AZ NO CHANGE IN USE/ NO·CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE NA ZIP 85718 Inspection List Permit#: CB141148 Date Inspection Item 06/02/2014 39 Final Electrical 06/02/2014 39 Final Electrical 06/02/2014 49 Final Mechanical 05/29/2014 89 Final Combo 05/29/2014 89 Final Combo Tuesday, June 03, 2014 Type: PME Inspector ·MC MC MC Act RI Fl Fl RI co TRITON MIRCO TECHNOLOGIES: ELECTRICAL 200 AMP PANEL W/ 2 OVEN· Comments PER REVISED PLANS STE D NOTICE Page 1 of 1 ' ..... -"' ~~ , ~ CllY OF s~!~;5~t£n INSPECTION RECORD 'CB141148 ,2726 LOKERAVWEST D TRITON MIRCO TECHNOLOGIES: @ IN$PECTIPN RECORD CARD WITH APPROVEJ) PLANS MUST BE KEPT ON THE JOB ELECTRICAL 200 AMP PANEL W/ 2 OVEN CONNECTION$ FOR MICROCHIPS AND EXHAUST DUCT FOR HEAT EXTRACTIONS // ELECTROTEST INC. #M223757 @ qu.L BEFO~OR NEXT WORK DAY INSPECTION .@-FOR BUILDSNG INSPECTION CALL: 760•602-2725:X PME Lot#: INNOVATIVE TENANT IMPROVEMENTS INC Required Ptior to Requesting Building Ffn-!1 .If Checked YES Pfannlngtt.andscape 760-944-8463 Allow "!8 hours--· CM&I {Engineering Inspections) 760438·389I can l)ef9re z pm Fire Preventfon 7 60-60~-4660 Allow-48 hours Type 9f Inspection :fyp~_of IJ1Spection CODE It BUILDING D~te Inspector coos # ELECTRICAL Date Inspector ·4t1i. _ FOUH~ATION #12 ·REINFORCED STEEL ·#66 !\fASONRYPREGROUT. if~ 0.ELE~ICSERVJCE 0-lEvt~ 0 GROUT., 0 WALL DRAINS ·13~ PH9TO VOi.TAi~ . 11io TILf PAAEi.s tat Fl~ ----"--------,,---+---,-,.----------l #:J.1 POURSTIJIPS CODE # MECHANICAL #11 COLUMNFOO{INGS , J~~ UN~ERGR_Ol)~D QUCTS *' PIP.ING #14 SUBFRAME O FLOOR O cEiUNG . , , -#44 D a.x;r& FlW •. M D RF. ARN3 , #15 ROOFSH~THiNG #43 HE4T·J\IR'CON.D,SV:STEMS #f:13 . EXl'., S_HEAR PANEl.:S #49 FINAL · . -------.-.,...--..-----"--~--+----------# 16 1~$ULATION CODE# COMBO INSPECTION #~8 EXTERIOR lATII . lf81 UNDERGROjJN_D (fl,~121,31) #-i7 imERIORtATH & DRYWAU._ #82 DRYW~LL,~LATH, GASTES (~7,18,23} '#51, P-OOLEXCA/STEEL/BOND/FENCE #83. ROOF.SHEATI~G, 'EXTSHE'AR (13,15) #~ FRAME R!>!!~.H COMB(! (14,24;34,44) . #85 T-Bar{14,24,34,44) ,, #22 0 SEWER & Bl/CO· o P1/C0 CODE # PLUMBING ins ector #89_ FINA.I. OCCUP~cy (+9,~9,39,49) -----~---Date FIRE . O.ate Ins ettor #21 UNDERGROUND tlWAST£ 0 \'iTR #24 l_'0P OUT d WAST£ 0 WTR A/S UNDERGROUND ViSUAL #27_ , lllB &Sl:l~WER P.AN , .. AfS UNDERGROUND mDRO -#23 ·o-~-TEST OGAS PIPING . A/~ UNDERGR!)U~DJ-1.USH, #25 WATER HEATER A/S OVERHEAQ VISUAL .#28 SOLARWA~ A/S OVERllfM) HYDR!)STATiC #29 FIN.Al A/SF{NAL coos II STORM WATER 1#'100 PRE·C,ONSTRUCTION MEEJJNG #~3 FOLL!)W UP·J~SPECTION FIXED EXTINGUISHING SYSTEM. RO UGH:IN _#605 NOTICEJO.CLEAH · 1#607 WRITTEN WARNJNG #$09 ~OTICEO,FVIOL4TiON. MED.ICALGAS fRESSURETE$T #6,-o VERBALWARNING MEDICALGA$.,FslNAL. REV10/2012 SEE BACKFORSPECIAL NOT!;l;l City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-01-2014 Permit No: CB 140692 Building Inspection Request 'Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2726 LOKER AV WEST CBAD St: D PME 2090812800 Lot#: TRITON MICROTECH= NEW 200 AMP 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: REMOTE METER & BUS TAPS & CONNECTING TO EXISTING 800 AMP MAIN SWITCH BOARD Owner: REGISTERELECTRIC INC FENTON H G COMPANY C/0 H G FENTON CO PO BOX 941 91976 619 454-6355 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 7577 MISSION VALLEY RD #200 SAN DIEGO CA 92108 ISSUED 03/28/2014 LSM 04/01/2014 04/01/2014 $0.00 $158.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: FINAL APPROVAL Inspector:·~-~t Date: ..;.e,_~ .... ·-=,._.""-_ 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. · . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING d!:!UILDING OFIRE _OHEALTH OHAZMAT/APCD /.i~?~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No. ce, 140 (t::) Cf~ ~!4:J'j~ ~ CITY OF CARLSBAD www.carlsbadca.gov Est. Value Plan Ck. Deposit Date,.2, SWPPP JOB ADDRESS ~-:-i-/:z i_ ,.. i> CT/PROJEC ii LO ii ROOMS 1ENANT BUSIN _-:-vz;iiJ;..): $;¢/20'/~ CONSIR lYPE OCC. GROUP DESCRI ON OF WORK: fncllldeSqua,e Feetot Affect.wd AIN(a) -(!}·,,i(tt.A?: :ic,q-. ,'A,IJiP .Pi~ow ffli3--rJ(R. -J-.--~.r: T#f';.$ ,' -~ _, _ -. _ :_,,t _t;.~-v.-v¥-,;:-;-/Nf':,. -rn> ,e,qfr/,.MP. ~A $t-4~J>--,,v·t---.414/r-t. ~,rett~~ '_ :.·~:_.~--71-»r;z, ~}:fpj;v1:e -~#/~; r~i>·r•>,.· ::.-%;,,;;_. ~~ AIR CONDITIONING FIRE SPRINKLERS NcQ vESONoO YESONoO APPLICANT NAME .. --· ·--• · : -_ r· , • ... •••• •• .. ••-·:S./t.#-N .: .:,..::i,:c:~~-. ADDRESS PHONE_. _, _ . f]1_~ 'lfl/-,,,6-':19 EMAIL DESIGN PROFESSIONAL ;t'1tc.1s7. CITY ,;S;R,,e/AI& ·V4:tt£.-y PHONE • _ _ (?l-'J ~-·¥.>-¥._;~>> STATE ZIP , CJJJ _ qi -j, FAX __ , , , . Gl,9--_'3_:]41' ..-'>¥~_;:. __ STATE e.-e FAX , ZIP -~/_&>76 STAlE_L)Q. # .$tl'35.8'1: , : ADDRESS _ CITY STATE ZIP PHONE FAX -EMAIL STATEUC.#, Cl.ASS CllY BUS. UC.# g:tJ~-Cto /';J.'3 06 u (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 reciuires the applicant for such permit to file a sil!ned statement tnathe 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 exem[lt 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 f1Ve hundred dollars {$500))_ _ Workers' compenslllon Declll'lllon: I hereby affirm under-penally of pey'jll)' one d the fo/kwiing dec/araUons: D I have and wlN malntlin a c:ettlllc:llle af consent to ielf.fnsure for workers· compensation as proviood by Section 3700 of the labor Code, for the performance of the work for which this perm rt is issued ·~I haveandwlll malnf.lin~~'. COIIIPMUllon. as recJiredt,f Sectioo 3700oftheutxrC6de, forlheperfo!inarceofthework forwl]ich 1)1isP81)Tltt is issued. My workers' compensation insurancecarrierardpolicy numberare:lnsuranceco: :We>'.n'o ::J;,v~CJ(?1-¥Ct; -_a., ,-_ -:PolicyNo .. vt:/W£.$0 o'f;'.KC7 ExpirationDale 7-'J/~/9" ]]Ji§. section need not be canplaed if the perrntt is for one huncied oollars ($100) or less. LJ Certllicate of Exemption: I cerliff tla in theperfonnance oflheworkforwhichthis permit is issued,-1 shall not employ a~ person in any manner soastobecomesuqecttolhe Workers' Compensation Laws of California. WARNING: Failure to NC11re workara' c:ompensatlon covnge ii unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dolll!S (&100,000), In addition to the coat of compensalon, Cll!Jlll'e-tl9 pt0vided for Ins 3706 of the Labor code, Interest and atorney'1 re.. ,f$ CONTRACTORSIGNATIJRE ~~------_,.ejAGENT I hereby affirm that I am exempt /iom Contractor's License Law fer the following reason: D I, as owner of the property or my 8ll~ees with wages as their sole compensation, will d:l the work ard the structure is not intended or offered fpr sale (Sec_ 7044, Business and Professions Code: The Contractor's license Law d:les nol !WIY-toan ownerofpicpertywho builds or ilq)rcNesthereon, andwhod:les such work hinself orthrpugh his own 8'11ployees, provioodthal s · are net intended or offered for sale. If, however, thebt.ildngorill>fOlell1ElOI is sold within one year of cool)letion, theC71¥1l8f-builoorwill have the burden ofprcwing that he did not --oveforthepurpooeof sale). D I, as owner of the property, i;m exclusively oonlracling with licensed cortractas to coostrucl the prqecl (Sec. 7044, Business ons Code: The Contractor's license Law d:les not !WIY to an owner of piq)erty who builds or inl'Xcwes thereon. ard contracts for such projects with conlrac!or(s) licensed pursuant lo the or's License Law). D I am exempt unoor Section -~-'. -• -- 1. I personally plan to provioo the major la:>or ard materials for construction oflf.llJl;~IJOSlld 2 I (have/ have not) signed an 8Q)lication for a buikfng permit ~ q,osed work. 3. I have contracted with the folloNifll persoo (firm 1ae the prq:x,sed coostruction (include nane adltess /phone/ cootractors' license number): 4. I plan to provioo portions of thew , e hired the following person to coordnate, stperVise and provioo the major work (include name/ ad:lress /phone/ contraclors' license mrnber): 5. I will provioo scma.eHnework, but I have cootracted (hired) the fi:Jllotiing persons to provide the work indcated (include mme / ackJress /phone/ type of work): ,6$ PROPERlY OWNER SIGNATURE DATE Ji:~~~,;$ifij9~f~~~~:1}o~iii · ls the iw!ipant or future buikir',g occt.plli requred to Slixnlt 1\1 business ~. ;:ruely.hazmlous materials registration form or risk rn~~ent and prevention progran umilr Sections 255<Xi, 25533 or 25534 of the Presley-Tanner Hazaroous SUbslancekcount Act?_ ·r~ .. Yes ,. -::No ..... ls the iw!icant or future btiking occlpllt requred to <tiain a permit tan the air pcll~ion control .~net or aif fµ!lity m~ent dstrict? ·. c/Yes No ls the facilitytobeconstructedwithin 1,000feet oflheoutertxxmd;1y of a school site? :·: i Yes : ., ,;No . IF ANY OF THE ANSWERS ARE.YES, AFINAL CERTFICATEOF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THEAIR POLLUTION CONTROL DISTRICT. lceltlfythat I have reed the IIR)licallc>nands1aletltatthe lll:xJli1e lrmnallon lscomdandtltatthe lrlonnallononthe plans lsllCCllllle. lagreeto compyMII! all Cltyonlnancesand Stale laws rekttlgto bUllllngconslnJdlon. I herebyauthcrirerepresenlawectlheCiyctCalsbed b enleriponlhe sx,,,ernemined pq,ertyfa" ilspedm pllpOOeS. I Al.SQ AGREE TOSAVE, INDEMNIFY AND KEEP HARM!£SS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGf.ENTS, COSTS AND EXPENSESWI-ICH MAY IN ANYWAY ACCRUEAGAJNST~D CITYIN CONSEQUENCE OF THE GRANTING OF Tl-US PERMIT. OSHA: An OSHA pennt isreqtied fer~ over5'0' deep and dendiln II' Cll'lslrucml ctmicms over.3staies ii height . EXPIRATION: Eveiy pen11it issued bylhe ati1g Olli:ial tmrlhe J)RMSQ1S ctlis Codeshall ~by inilmln and becane ool and \tid f lhe building a-v.ak aiitlatzed by such psmit is net commenced 'Mhit 180 daysfi'an lhedaeofsuch pemita-flheb,~ig.a:11(:n 8'Jhorized by such is suspended a-abendooed itanytineallerlhe v.ak is commenced ftr a period ri 180days (Secoon 106.4.4 Uniform Buiklilg Code) . ...f!APPLICANl:SSIGNATURE ::!.;,'.//_' ,; ···\d;·. ', ' ·.,,,' ,· ~\,' '' Ii .,.)!,,., ... ••· · 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 /Commc-rc,al Pr0JC'CtS Only/ Fax (760) 602-8560, Ema.ii building@carlsbadca.gov or Mail the completed form to City of Garlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ,,· ;<,: ; ,. : .... ADDRESS ,, -• ,-·1 ,cl' •• ,-' ·; ·,-.- CITY .':;:' .. ': -.'-, . .''',:'·STATE ': · .. '.-'._;.: .,e;: _: ·" :., .: :, ' PHONE ,·· '.···; .. ' EMAIL ... ,·,-,;: .:. ;, ... •' ,,,·_.-'-·~ ::: .. · .... '•' '',. ; ) ... ,' DELIVERYOPllONS 1:_,,: PICK UP: . · · · CONTACT (Listed above) i-. OCCUPANT (Listed above) , ·,:,,: CONTRACTOR.(On Pg. 1) 1 ' MAIL TO: ~-. · CONTACT (Listed above) OCCUPANT (Listed above) .. , : CONTRACTOR (On Pg.1) · .. '.MAIL/FAX TO OTHER:_._ ... ,·_.,._·_::_...;__..;,._ ____ ._.,_.·._\_, ·_.'_, ·..,;.·: __ ;',,?:' .:·/· ., '. -,-'.'. :· ,',.,: ,·_. ,., ,, .i ·. ,5.·: ;-..·:.:· :..~:~',: ·. ·_ ···L_ -~ :-·: '. _ _";:,,_,':-.,__,·,. AS' APPUCANrs SIGNAlURE ':';; : . .::. ' .,,,,, __ , _. '·: ', {, CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS ..,:., CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. NO CHANGE IN USE/ NO CONSTRUCTION .:) CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB140692 Type: PME Date Inspection Item 04/08/2014 39 Final Electrical 04/08/2014 39 Final Electrical 04/03/2014 33 Service Change/Upgrade 04/03/2014 84 Rough Combo Wednesday, April 09, 2014 Inspector Act RI MC Fl MC PA RI TRITON MICROTECH= NEW 200 AMP REMOTE METER & BUS TAPS & CONNEC Comments CALLED IN TO CAROLYN PRE-LIM BEFORE DISCONNECTION, CALLED IN TO CAROLYN Page 1 of 1 DATE: 05/06/2014 I JURISDICTJON: Carlsbad PLAN CHECK NO.: 14-0692 ' , ,_ EsGil Corporation_( In (l'artners/i,ip wit/i, <]011emment for <Bui{aing Safety SET: I PROJECT ADDRESS: 2726-D Loker Avenue W. , (J APPLICANT (J JURIS. (J PLAN REVIEWER CJ FILE PROJECT NAME: Triton Micro-Technologies Electrical Service Addition [8J The plans trarismitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. · D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: [8J EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person [8J REMARKS: New 200 ampere service buss tap circuit. By: Eric Jensen EsGil Corporation D GA D EJ D MB D PC Enclosures: 03/31 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 ,, Carlsbad 14-0692 05/06/2014 ·( [DO NOT PAY-THIS JS NOT AN INVOICE] . . VALUATION AND PLAN CHECK FEE , JURISDICTION: Carlsbad PLAN CHECK NO.: 14-0692 PREPARED BY: Eric Jensen DATE: 05/06/2014 BUILDING ADDRESS: 2726-D Loker Avenue VI. BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance Plan Check fee by· Ordinance ..,. I· Type of Review: 0 Complete Review 0 Repetitive Fee 3 Repeats • Based on hourly rate Comments: 1 hour plan review. o Other Hourly 0 EsGil Fee TYPE OF CONSTRUCTION: Reg. VALUE Mod. o Structural Only -1 IHr.@ * ======$8=6=.o:o ($) $107.501 $as.001 Sheet 1 of 1 macvalue.doc + r City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-06-200~, Electrical Permit Permit No: CB060963 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2726 LOKER AV WEST CBAD ELEC Status: Parcel No: 2090812800 Lot#: 0 Applied: Reference #: Project Title: Applicant: STEMLER JEFF 1315 RIDGE RD VISTA CA 760-732-3639 Electric Issue Fee POWER METAL TECH, INSTALL 200 AMP SUB-PANEL 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 0 0 Entered By: Plan Approved: Issued: Inspect Area:. Owner: FENTON HG COMPANY 7577 MISSION VALLEY RD SAN blEGO CA 92108 ISSUED 04/06/2006 KG 04/06/2006 04/06/2006 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 Inspector- FINAt:PPROVAL Date: -f L -0 h Clearance: ""*'" e.,'i't qOpq ~ .. ,-oee 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 setJorth 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 Munipipal Code Section 3.32.030. Failure to timely follow thafprocedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. FOR OFFICE USE O,NL Y PLAN CHECK N~t;'/4_,°? PERMIT APPLICATION cnY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, .CA 92008 EST. VAL ___________ _ Plan Ck. Deposit__,~,.,._--------- Validated By_~~~"7""~-~.,.....,- Date,;_· ----+_::;;~~~f:::2.~- Address (ihclude Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Uriit No: Phase No •. Total.# of units : /. / Existing Use Proposed Use /~c,:f"P,1Ca Nanie Address City . Sfate/Zip Telephone# ~t#~o"rr-M:~tQJ;~QMP~"l!·1JW11t~L~:::~r~~~~Jii~!:i.J~k,.l·~{:~~~~D~:t;,~~.::~t-~ ,::~it':{~-~~':~3:~~~/~1~::·,~~JIZ~~~-f~gt~?~llli.§/~~·~;j~:t~W~~11~,:E:~~.;f (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 ba!!iS for the alleged exemp · .n; Any violatjm oj Section 7031.5 by any ~plic nt for a P.ermit subjects the ,.a9pl~nt to a civil penalty of not ~re than five. hundred dollars ($500)). vtJF'· .. 1/fc/4. ~c r/r ;c1 . fe:i/ f./JI-=--Or9-~~/ 700--).rP-:?6.?J Name State License# _(/~b_0_0_f_J __ _ Address License Cla.ss __ c_-_J_o _____ _ City State/Zip Telephorie ff City Business License # _______ _ Designer Name A"ddress City State/Zip Telephone State L;icense # -----~------------ f~tt-4-~VL(iRltii$~~e1'-ffl .. t'lUri8~:?i%SJ~:-:~:?~~~:-~E~~~:E~~l~t&~f@t:22~~~~-j~~~~[iI~tZrK1~}E({61?S~X~-;~™iJfi~~~~lr'~~~If~~~*1!:0~t1 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. · · 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 9ompensation insurance carrier and policy number are: Insurance Company_---'-------------,---'----'----Policy No •. ____ -'-------'---Expiration Date _______ _ (T,!;IIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) · _.m· CERTIFICATE OF EXEMPTION: I certify that in the performance of the wo.rk lor which this permit is issued, I shall not employ any person in any ~anner so as to·be~bme subject to·the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and ·shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 0,00 l~tjon to the cost of compensation, damages as provided for in Section 3706 of the L!l~~ie, interest and attorney's fees. SIGNATURE 0~ . . · . DATE _0,:.;~:...:::/b,.:.._ ____ _ ~ill&iiij"E_Riitt( .-. ~ :.tttA~tii>ijr1:~,~~~1:~~,s~~:~:;;?;~~Ifti ;~~(~;~~}; 1t:;12~~~;~r~i :~:1:t:1 t:txlri2?:ii~~!J~:JI~/iitift{!it::tt:ft;f11t1~:~:i~S1~6ff!~il1it17f.~~~1~?:?~+~~~it:ij I hereby·affirm that am exempt from the Contractor's License Law for the following reason: .O 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 Contra·ctor'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 Cqntractor's License Law). D I am exempt µnder Section ________ Business and·Professions Gode for this reason: .1. I personalJy plan to provide the major labor and materials for construction of the proposed·property improvement. D YES ONO 2. I (have / have not).signed an application for a building permit for the proposed work. 3. I have ·contracted, witli the following person (firm) to provide the proposed. construction (include name r address / phone number / contractors license number): 4. I plan to provide portions of the wqrk, but I have hired.the following person to·coordinate, supervise and provide the major work (include name/ address I phone number/ cohtractors·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 ________ _ .~M1Jitij1JE~i~mB;Ed.1:.J~W~T.u:ft.'.t1&.t\1t~.tw1tf!.oilt1~1::lit~1.~::~11~~.r,~;£~i~~~~~"it~iti~1i~!~~;';t~is~ Is the applicant or future building occupant required t!> submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 ·or 25534 of the Presley-Tam:ier Hazardous S1,1bstance Account Act? D YES D NO Is the· applicant or future building-occupant required to obtain a permit froin the air pollution cimtrol district or air quality management distl"ict? 0 YES O NO Is the facility to be c;onstructed within 1,000 feet of the outer boundary of a school site 7 O· YES tJ 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 CONTRO!-DISTRICT. ti12lt~~J~~Tfl\J"~~~~N~l~9.)..9.lf'lV:TI~A~1:J:·:~~2~g~~~lN2:~:r~~§~~~1;~~~~~3:;'fr_~~~~N~~:£~~~~¼1~~~~~3f~~~~i;~£jff'~-:~~r:~1 I hereby aff!rm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Co~e). LENDER'S NAME:::;:.;;;;:;;::;;::::;;:;:::::::;;::::::;;::::;;:;;;::;;:;;:=::;::::::::::=-::;::;:;:;::::::;::;::::; LENDER'S ADDRESS_· _____________________ _ t!!.~J~i~ee~i~t1tcJB.11tt=!QAnQ~~!t'!;:,,%2-~.-:~;,J~4:z·~~Ls~:~ ~ ·/::,~~-::·~~;,ii~~~;~~~~7'7£l?J~l~~~-t~~~~~~~~~ifl~t!:~11~[~?~tr~ I certify that I have read the application and state that the ab·ove information i!! 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 AL$0 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 fcir excavations over 5•0• deep and demolition or construction of structures over 3 stories in height. l;X~IRATION: 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 such permit is suspended or abandoned . at any time aftetthe work is comm . cad for. a e i . 180 days (Section 106:4.4 Uniform Buil~ing Code). . /, / APPl:ICANT'S SIGNATURE · , DATE Y/ 6/ai --'-'---'----------- WHITE: File YELLOW: Applicant P!NK: Finance Permit# CB060963 Title: POWER METAL TECH, INSTALL Description: 200 AMP SUB-PANEL Type: ELEC Sub Type: Job Address: 2726 LOKER AV WEST Suite: Location: APPLICANT STEMLER JEFF Owner: Remarks: Total Tim~: Lot 0 Inspector Assignment: PD ---- Phone: 7606070420 lnspeiJ±.._ Requested By: RON Entered ay: CHRISTINE CD Description Act Comment 39 _F_i~na_1_E_1e_c_tr~ic_a_1 _____ i-------------------- Date 04/07/2006 04/0712006 Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Description 34 Rough Electric 39 Final Electrical Act lnsp Comments AP PD WC PD ,,,__ ~ Legend ~S::."' ~v ---·~:,,, ) • ~ (\. 4 • ,,___ __ / -.. ~) ,..,.,..,,,,.,~~· ,._,":! .-!< • ' mie ~ 'AO n· ' ~ <:>" . • -~ ...-~"--~-l 1· -~ r. " -'M---.. _ ' ,., ,-, 'it: ' '-'"-" !'--.. : •· ... -•"" CL -~ ' .,. ~ F"· I j Future Use i D.I. System /:, ~ "Ultra Pure" Water Storage Water Still Pallet Rack I l, ~ _____ .! 1,,' (/) ------------------------ii: ----I <, Small Prototype Area ~- fl I ··-·•1 New 200amp panel "C" (see panel schedule for assign- ments) II' I I I ~ I .---------------------------~ I I I I : Future Use : I I I I I I 1_ ---------------------, ----I ··-··-··-··-··-··-··-··-·· . / / .. . i ll f"" .. -.1-I Lav ) I~ !1 >~ F~ .. + 208 V 30 amp 3 Phase ' .. 120V 2726 Loker Avenue West -Receptacle Locations 04/05/2006 Cf;(J~Ot;(f 3 ' ,l < POWER METAL TECH. INC. PANEL C-1 . 120/208 3 PHASE 200AMP MAIN FEEDERS 4#3/0 # BRK A B C A B C BRK # SUB FEED 1 3672 2 SPACE PANEL_C..:2 3 4392 4 SPACE " 5 4200 6 SPACE HEATER 7 30/3 · 1000 1000 30/3 8 HEATER 9 1000 1000 10 11 1000 1000 12 HEATER 13· 30/3 1000 , 1000 30/3 14 HEATER 15 1000 1000 16 17 1000 1000 18 RECTIFER 19 30/3 1734 1000 3013 20 HEATER 21 1734. 1000 22 23 1734 1734 24 HEATER 25 30/3 1000 1000 30/3 26 HEATER 27 1000 . 1000 28 29 1000 1000 30 HEATER ~1 30/3 2000· 1000 30/3 32 HEATER 33 2000 1000 34 35 2000 1000 36 HEATER 37 30/3 2000 1000 30/3 38 HEATER 39 2000 1000 40 41 2000 1000 42 12406 13126 12934 6000 6000 6000 CONNECTED VOLT AMPS -A 18406 CONNECTED VOLT AMPS -B 191,26 CONNECTED VOLT AMPS -C 18934 TOTAL CONNECTED LOAD 56466WATTS PANEL DEMAND AMPS 157 AMPS HIGH PHASE AMPS 160AMPS SUB PANEL C-2 120/208 3 PHASE 200 AMP SUB FEEDERS 4#3/0 # BRK A B C A B C BRK # HEATER 1 30/3 1000 672 20GFI 2 PUMPS 3 1000 1392 20GFI 4 PUMPS -- 5 1000 1200 20GFI 6 PUMPS HEATER 7 30/3 1000 8 9 1000 10 11 1000 12 HEATER 13 -30/3 1000 14 15 1000 16 17 1000 18 19 20 21 22 23 24 25 26 27 28 29 30 .31 32 33 34 35 36 3QOO 3000 3000 672 1392 1200 CONN. VA..:..A 3672 CONN.VA.-B 4392 CONN. VA -C 4200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-21-2006 ... Electrical Permit Permit No: CB060437 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2726 LOKER AV WEST CBAD ELEC Status: Parcel No: 2090812800 Lot#: 0 Applied: Entered By: · Reference #: Plan Approved: Issued: Project Title: POWER METAL TECH-FINISH ELECTR NOT COMPLETED UNDER Tl CB053520 Inspect Area: Applicant: DESIGN/BUILD TENANT IMP. SUITE B 9770 CARROLL CENTER RD. SAN DIEGO, CA 92126 619-954-9519 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 0 0 Owner: FENTON H G COMPANY 7577 MISSION VALLEY RD SAN DIEGO CA 92108 ISSUED 02/21/2006 RMA 02/21/2006 02/21/2006 $10.00 $0.00 $0.00 $0:00 $0.00 $0.00 $0.00 $0.00 $50.00 $0.00 $60;00 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due: Inspector FINAL APPROVAL Date: 'Y--,1£: 0 6 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. < T:r FOR OFFICE USE ONLY PLAN CHECK No. CJ!JDbo q37 PE~MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~ Validated ByJ ½I-== Date. ar2l (p~ Address (include Bldg/Suite #) · !"'= ~ -r · Business Name (at this address) --,..{ ~77-lR t;()Kk]{, ™ ~· . PO<PE)'.METAk IC~· Legal Description '_g_ 1 _ Lot NQ. Subdivision Name/Numprf Unit No. Phase No. Pawl M-B ~ l-Dtr:, ~\{I ::@\c:C 11--2--1 MM-* tos 1-i- Total # of units Assessor's Parcel # Existing Use :7-:el -D t? I ;i,s,,oo Proposed Use ... ~~~:" ••>W,,H••· '"" •. ,.. _,,,,,w~dd~ess ,,,_, .. ,,~.,,,,,,,,,_,.,,,,.,Cit'~' ,,,,.,,., •••. ~st~te/Zi'~''''~' :r:1e,P.h.o~~~ei~-, ,,,,,:~55 ;tI~,9~NR; Cb~,'•,; .. ,,,'f{Z2/>u'!6t0JJ ~721~[*~:' ~.t~si~·:?itf0~~~#''tfiktr2o rs,i,,,'.,,;CQN,,l;M,U.Qll .. ·-qt>)\'IPA,,~X:,N~IV!f:. ;,,,. '"":· • ,, ' " ,, . -. ·,-·, ·,-·,;·::.:~~·:·~-:·: -:-_r~,. '"' ~--'· (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 [$5001). Db'Tt Name Address 't2-..,. City State/Zip Tel:j'}9ne # State License # A I ,,fa ~ License Class __ ,b--::'..,,=------City Business License # I "'2-l ~o~ strrd:l' .L...L..::f- Designer Name Address City State/Zip Telephone State License#~-________ _ t~:.>.'-:ll'1(Q!'!JtE.RS~,CQM~~!'ll.$'t\ TIQN " _ , .:: . . . _,. . . . ,, • . , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 fssued. My worker's compensation insurance carrier and policy number are: / J Insurance Company At (:,c Policy No.:;3 7'=1764--t; Expiration Date / _o I (_0 7 . t (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars $1 o~ooin, ~n _addition~ the cost of compensation, damages as provided for-in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE · ~ . . DATE d~c7/-0/p ,7£/;J>WNER,!l,UILDERJ}ECLARATION¼ ·: ...... : ..... · ... :~" :··:':;; .~ ,_-·,-_:_.-··:_·_:.::_~_' :: _ .... ____ :,, ·. I· hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, g or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or i or. the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to co the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or · ves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _____ _ 1. I personally plan to provide the major labor a aterials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an applic· · for a building permit for the proposed work. 3. I have contracted with the owing person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I-plan to provi portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ con ors license number)=----------------,----------~-------------------- 1 · provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type rk):. __ ~--"-'----~-------------------------'--------'----------- PROPERTY OWNER SIGNATURE-------~----------'----- ~ei;jf[:J;HlS:'§§QJJ9~:fQff.f(Ql\'{R($,l{tfll(T/A4~t;l~DIN,ef;pi;~~iI,¢'0.t,ILY; .. i, -Ct .. ::-. -::-, ,:. Is tt,e 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? QSI. 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 'gt NO Is the facility to-be constructed within 1,000 feet of the outer boundary of a school site? D YES jlS.. 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 •• : '-c~<lliS!l\UC'.JJOtf~ENDJNG }~Afrfc'f:"':'\" ·--::: -:;-:.,_" · ... · _, _____ •. ,~· .. e-.-.. . -.. ,, --." ... · ~ _ ···"--.. --,··· 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 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 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 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -----------------------------DATE ------~------ WHITE: File YELLOW: Applicant PINK: Finance List 1 -Permit-Type -:, .. From the following list, determine the permit-type that best describes the work you propose to do. Please put the t'ode bf'that permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 -Structure-Types" and put its code in the appropriate blank on the front of this application. Residential Permits Code Description APT Apartments -new construction. CONDO Condominiums -new construction. CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units. . CVNRN Conversion. CoI1vert one or more residences in a building to non-residential usage. CVNRR Conversion. Increase or reduce the ntµnber of dwelling units in a residential structure through interior modifications (te.: a four bedroorµ house converted to a duplex, with 2 bedrooms each). DEMO Demolition permit. (Also soecify type of structure from List 2). DUP Duplex -new construction. '. MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit. MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, below). . RAD Residential addition/alteration, creating no new dwelling unit(s). RREISSUE Residential permit re-issue. RREPAIR Residential building repair. Damage, fire, etc. RREPLACE Residential building replacement (no additional units). SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex) SFD Single-family, detached -new construction: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached "granny flat•. May be a mobile home or trailer on an individual lot, but not in a rn,obile home park. Non-Residential/ Accessory Permits Code Description COM Commercial structure, new construction. CREISSUE Commercial permit re-issue. · CREPAIR Commercial building -repair. Damage, fire, etc. CREPLACE Commercial building -replacement. CTI Commercial tenant improvement. DEMO Demolition permit. ELEC Electrical permit, for electrical work only. HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction. HOTELR Hotel renovation. INDUST Industrial structure, new construction. ITI Industrial tenant improvement. MECH Mechanical permit, for mechanical work only. MISC Miscellaneous. Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbing permit, for plumbing work only. POOL Gunite pools and spas. RETAIN Retaining wall permit. SIGN Sign construction/installation permit. SOLAR Solar energy system installation permit (specify structure type to be served). SPA Factory-made or Gunite. --. --~ ----. -~---.--List -2-----Structur,e-Type -(~Use.....w.ith-Residential Pei:rnit Only-) ------... --~ ~ From the following list, determine the type of residential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application. Code Description SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached •granny flat". May be a mobile home or trailer on an individual lot, but not in a mobile home park. MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex). MFS+ Multi-family, 5 or more units. Sarne as MF2-4, except the building has a t least five attached units on the same lot. MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family residence, above). .. City of Carlsbad Bldg Inspection-Request For: 03/14/2006 Permit# CB060437 Title: POWER METAL TECH-FINISH ELECTR Description: NOT COMPLETED UNDER Tl CB053520 Type: ELEC Sub Type: Job Address: 2726 LOKER AV WEST Suite: Lot o Location: APPLICANT DESIGN/BUILD TENANT IMP. Owner: Remarks: final switch gear Total Time: CD. _D_e_s_c-ri-pt-io_n _______ WJ Comment 39 Final Electrical r_ Comments/Notices/Hold Associated PCRs/CVs 9riginal PC# Inspection History Date Description Act l~sp Comments 02/28/?006 34 Rough Electric PA PD RELEASE A/B Inspector Assignment: PD --- Phonea1777 lnspe~ Requested By: JOHN HARVEY Entered By: CHRISTINE /UZ+-if:: I ~57 </0(1 ~ t;t@=°Atdhcode S-Cj60;;;J.0 _ , .. B lJ I L ,, 05/05/97_ 11: 58 Page 1 of 1 Job Address: 27~6 LOKER AV WEST Permit Type: ELEC'J:RIClciL Parcel No: 209-081-28-oo V.aluati'on: o Occupancy Group: Description: NEW 100 Z.:\l'lfP PAi~EL. Appl/Ownr : CSI GENE!-:AL \ \ \ .~ , ~' ' \ .... \ ' [) I N G p E ::~ i'·1. _I ITl Pennit, No: CB9711311 ... Project N<:1: A97014S2 Develop~1ent No: Suite: 'B Lot#: COl'.J.Struction Type: NEW Reference#: Status: ,ISSUED 3 PHASE 4665 03/~p~a.1}~~-: {tlo 5 lis,197 _ _ _ Apr/I$£u.fg~~T 05/05/-9'"?:;t.:, Entered By: JM 760 471-9388 CITY OF CARLSBAD , 2015 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161- P~RMIT A.PPLICATION u CITY OF CARLSBAD BUILDING DEPARTMENT .. 2075 Las Palmas Dr., Carlsbad GA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. f 7 // J f EST. VAL _________ _ .Plan Ck. Depo~G3val) Validated ByTJ...,....//.,....tA-_______ _ Date 'J[-z/17 ,?,ddress (include Bldg/silit;r, · · .Business Name (at this.address) Legal Description Lot No. Subdiviiion Name/Number ·Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use e,c,J . f00Al1" Description of Work #of Stories # of Bedrooms # of Bathrooms Name -A~dress State/Zip Telephone# Name Address . City State/Zip Telephone# \si;1~coNTRAC:foR:;ii CPMPANY.:Ni;M~~~~n:~1:1~~""'!"f~~;;:~.1-.. ~~·:r::'~~~~':'?,: "'.?f:'f"·:~'f:A;;J.'.~?.:'·'::~~~-'f:~:s'P:'-'.'1'i:""''E?'.:i~":~:, ·. , . (Sec. 7031.5 Business and Professions Code: Any City.or County which requires II permit to construct, ~lter, 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 Businiss 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 su jacts the applic;ant .to a civil penalty of not more than five hundred dollars [$5001). C..,9 E? nil,..,_ . -~Gt -\-\-os ro ¼ .~Ov! ,nr~ .... ,-_ \j):. 'J.o&ff \~°}'?,~ Na!lle j State License # _?;>-=-=!". _f]....__O .... Ci..,':\".-+---- Address City . · _ _ Sta tz!1 ,c,./.J~J.,phone # License Class....,.----------------City Business License # -D..,t ...... Cf'--o ___ Y'---"if __ Designer Name Address City State/Zip Telephone State License#---~----- :a:.\:--W:oRKERS".C:OMl'ENSA:tioN:•:].':: :-:::'i '::.'.'~.::;·:";."":·;· ':::~'i'::1-.~~:· tG0:t:!_"~.;· ::-::-~-,.-:::;;;::7:,::x-~:::F:i"~?.r::-~'..::'.0.".7.'''1./:\'"'?t: ::'f':.-::::,~?."' t·c: · ,,, ·:,,. Workers' Compen·sation Declaration: I hereby effirm under penalty of perjury one of the following_ declarations: D I have and will maintain a certificate of consent to self-insure 'for workers' compensati;m as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for ~he performance of the work for which this permit is • issued. My worker's co~nsation insurance carr~nd policy number are: Insurance Company 'J!, tc C9:~ ..... d M'-5~Q.,, : Policy No. ~11:v;o-i.31 Expiration Oate_~.c..-{_-1..:,S.;:,__ __ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR Of,IE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE QF 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' Compensitiqn Laws of California. WARNING: Failure 1c rke ' compen11tlon coverage is unlawful, and shan 1ubject en employer to criminal penalties and civil fines up to one hundred OJ, n addlt . ..,.,_......, st of compen1ation, d1!mage1 ila provided for in Section 3706 of the Labor code, interest and attorney's fee,. SIGNATURE:=~~;::_;::;?,j~7::;2b,~~::;;:::::;;:7::::::;;:;:;;r.;:::::;::::::::::;:--::;-:~::=:-:;:::-;;-:;::;-::::::;:-:~~ DATE s:,s-.. .Cf) !j / ~~-,~owNeft;BQiL Elli DE(:_ : ,,~,, > , ' y ~ '}r:~1~~~1~-:~J!::~ ·f.r::/!~t~·\~k~:}1j\ ;j~:~~~ ?(':;~j~~~-~:~~~r/~ ; ,;.?~};:?~;~t?·~~'[;'t-~1,;T~~.~ ~\.2:!::~f ·f f~:1t: 1-r~;~ ~~~~:~.:,J~:-:;:Ii-~·i:~~{·~~v~~·-~ --~--.'2~ ~ .. ~·~-:~ I hereby,affirm·that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided 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). tJ I, as owner o! the 'property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License L-aw does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). D I ain exempt under Seption -""---.;.__-Business and Professions Coda for this reason: 1. I personally plan to provide the major labor end 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 (iriclude ·name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I h!Jve hired the following person to coordinate, supervise and provide the major work (include name / address / phone rn.imber / contractors license·numberJ:,.... _____________ ..... _____ ....;... __ _.... ___ ..;... _________________ _ 5. I will provide some-of the-work,.but I have contracted (hired) the following persons to provide the work indicated-linclude name/ address/ phone number/ type of·work):. ___ _.... _____ .;_ ___ __.. _______________ __, _________________________ _ PROPERTY OWNER SIGNATURE ______________ ...,_ ____ __,,___ DATE ________ _ [COMP,L~TE'.-ll(i_sis~¢:t(ijf(l=oi,j:NdNNS!qtNffAt:'JU:!Ufi8G'.~itST<l~~·f'l?tl{;~?~m~.i.f'~t~tti!:"£~~:~1~9ifh1t1!~~1::tff•:lt?JI::-T"?4~}i;'t~;:;,~1;1~E;; Is the applicant or future building occupant required to submit I business plan, acutely hazardous materjals registration form or risk management and prevention -program under Sections 25505, 25533 or 25534 of the Presley-Tanner, Hazardous Substance Account Act? 0 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? 0 YES D NO Is the facility to be constructed within 1,000 faet of the outer boundary of a.school site? .0 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 ANO THE AIR.POLLUTION CONTROL DISTRICT, . fij~lrr~~9_;.~~liQfiQB;~QiN~~~~~t~?~~r~~'.;t~~~~~;j'1~~:~f~~~~~c~~~::~·ff;t~i~a'.:~:.f~·~~r~~~--~rit;.: .,:;;1}EJ_~~:·~,--~:~~,~~~--~:.:·\:-_ I hereby affirm that there is a construction lending 1gen or hf"8ii a c the work for whl.ch·this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME . . YENDER' :ADDRESS ________ . ______________ _ I certify t!lat I have read the application and state that the above information is correct and that tha information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constructiora. I hareby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes •. I ALSO AGREE TQ SAVE, INDEMNIFY "ND· KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDG~ENTS, COSTS AND EXPENSES WHICH MAY IN ANY -WAY ACCRUE AGAINST $AiD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. DATE ~5:_-5_~_-'i_? ___ _ 'PINI<'• FiMn'r>o UNSCH f:DULED BUTLDING INSPECTION rr/n 1~ 1 INSPECTOR _f?_____,~ff_· _____ _ DATE t I > PER!\flT # _PIAN CHECK# _____ _ -~ ...... =,i..1-.J-,,../1 .... Yf-t-- . tL-~ N JOB ADDRESS ____ -z.._,.:...1---.... '-____,,;t.,,_.o_lc.-..... ~ ..... l'l...------~_. ______ c:b)=---------- DESCRIPTION __________________ ......_ ________ _ TIME ARRIVE: ----- CODE DESCRIPTION Jj TIME ____ _ ACT COMMENTS