HomeMy WebLinkAbout2848 Whiptail Loop; ; CBC2019-0483; PermitPrint Date: 10/11/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2848 Whiptail Loop
BLDG-Commercial
2091202100
$0.00
Commercial Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: HME: CIRCUITE FOR SMART METER
Owner:
CARLSBAD OAKS PARTNERS LLC
14110 Stowe Dr
POWAY, CA 92064
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
(City of
Carlsbad
Permit No: CBC2019-0483
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Closed -Finaled
10/07/2019
10/07/2019
Inspection: 10/11/2019 12:29:ZOP
Contractor:
ROD FULLER ELECTRIC CORPORATION
1018 Cudahy Pl, Ste B
SAN DIEGO, CA 92110-3929
619-276-5411
Balance Due: $0.00
$175.00
Please take NOTICE that approval of your project includes the 11lmposition 11 of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZIIAT/APCD
C City of
Building Permit Application Plan Check No. ('P,,r:;:i r,/ q. ,-../ I. [c3
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date I.() /-:1-/,a ISWPPP
JOB ADDRESS SUfTH/SPACH/UNrTtt IAPN 2848 WHIPTAIL LOOP, CARLSBAD 92010 ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected A,ea(s)
Circuits for Smart Meter
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES[], N<O v,s □No0 vesONoO
APPLICANT NAME PROPERTY OWNER NAME RON BETHURUM 619-980-0054
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Rod Fuller Electric Corp. OBA Fuller Electa
ADDRESS ADDRESS 1018 Cudahy Place Suite B
CITY STATE ZIP CITY STATE ZIP
San DieQo Ca 92110
PHONE PHONE IFAX 619-276-5411 IFAX 619-276-3547
EMAIL EMAIL Admin(@,fullerelectric.com I STAT£ UC.# STATE UC.# !CLASS 1 CITY '"sLos 1232290 494752 C-10
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its 1SSuance, 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 exemm therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: D I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfcmlance of the work for whdl this permit is issued.
[Z] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the performMCe of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Cypress Insurance Company Policy No. ROWC019721 Expiration Date 10/0112020
~sectiOn need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to beccme subject to the WOl'kers' Compensation Laws of
Galifomia. WARNtNG: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil nnes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages provided for in Section 3706 of the Labor code, Interest and attorney's fees, /. /
25 CONTRACTOR SIGNATURE () f / 11
I hereby affirm that I am exempt from Contrador's
D
□
□
J, as owner of the property or my employees wages as their sole compensation, will do the work and the structure is oat intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an cwner of property WOO builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are oot 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).
l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractol'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 Contractor'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 materials for construction of the proposed property improvement. 0Yes 0No
2. I (have / have not) signed an application for a building pennit for the proposed v«:lrk.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license numter):
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/ contractors' license number):
5. I will provide some of the work, DUI l have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
25 PROPERTY OWNER SIGNATURE □AGENT DATE
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
□ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
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 be come
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 $100,000.00, In addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: □AGENT DATE: ----------------------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ 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).
□ 1, 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 lam 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. □ Yes □ No
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/ 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 contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
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: _____________________ _
ONLY COMPLETE THE FOLLOWING 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? □ 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? 0 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.
APPLICANT CERTIFICATION:
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 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 constructic:>n 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 O 180 days (Section 106.4.4 Uniform Building Code). DATE·. ) / t.. J/ c,
APPLICANT s1GNATURE: _ LrrL .1
1635 Faraday Ave Carlsbad,
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBC2019-0483)
Permit Type: BLDG-Commercial Application Date: 10/07/2019 Owner: CARLSBAD OAKS PARTNERS LLC
Work Class: P/M/E Issue Date: 10/07/2019 Subdivision:
Status: Closed -Fina led Expiration Date: 04/08/2020 Address: 2848 Whiptail Loop
IVR Number: 22261 Carlsbad, CA 92010-6708
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
10/11/2019 10/11/2019 BLOG-34 Rough 107270-2019 Passed Peter Drelbelbls Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLOG-Final 107271-2019 Passed Peter Dreibelbis Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
October 11, 2019 Page 1 of 1
soq;
~
A ~ Sempra Energy utilitl
REQUEST#: 17947091 -A
October 2, 2019
NOTICE TO PROCEED
ISSUED TO: Henkels & McCoy, Inc. -3760 Convoy Street, Suite 230, San Diego, CA 92111
19-8183
In accordance with the provisions of the Network Device Installation PO #5900034964 and
Design PO# 5900034943, release date August 1, 2014, for Smart Meter Network Device Design &
In stallation, you are hereby notified to commence work at the follo)ng location(s):
2848 WHIPTAIL LOOP, CARLSBAD 92010 l
CONTACT: RON BETHURUM 619-980-0054
Install 1st device on rooftop, front side of building, facing So th. The device will be above the parapet,
where the laptop is located, power is approx .. 15-20' aw7ing from AC Unit:
)
08/30/2011 01 :SI
Ol/!Q/2D11 01:151
Install 2 nd device on rooftop, backside of building, facing West, power source 15' away from mounting
location:
Ol/3D/2D11 01 =•
A copy of the signed license agreem ent is attached to the NTP email.
Henke ls & McCoy, Inc. is to fully complete the work within 14-days calendar days of this notice
Sincerely,
Tracie Millan
Smart Meter Network & Systems Operations
San Diego Gas & Electric -AMO