HomeMy WebLinkAbout2157 SALK AVE; ; CB090066; Permit' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-06-2010 Electrical Permit Permit No: CB090066
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2157 SALK AV CBAD St: MP
ELEC
0000000000 Lot#:
TRAFFIC SIGNAL-100 AMP METERED
0
PEDISTAL -SIGNAL CORNER OF SALK & COLLEGE
Applicant: Owner:
FENTON CARLSBAD RESEARCH CENTER OWNER ASSOCIATIO
SSTE 200
7577 MISSION VALLEY RD 92108
760 607-4282 xt 100
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
100
0
0
0
Total Fees: $35.00 Total Payments To Date:
lnspecto
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/13/2009
RMA
01/13/2009
01/13/2009
PD
$10.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$35.00 Balance Due:
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 pem,it 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
f r i I l rwi
.•
Plan Check No. a {Y 7 /5/) h -~t~ of Carlsbad (i) _o35 Faraday Ave .• Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719
.
Fax: 760-602-8558 . Plan Ck. Deposit
Building Permit Application Date I /11/1J r; I (IA-"'....,
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN ~P Salk Avenue, Carlsbad, CA 92008 MP n/a ---
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I <..ONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) r:
Meter Pedestal at Salk & College (see attached) -!;:ii~ J.. A_.:-,/)
c;;f .Jt ~-A--y---c;r-
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS
YES[], No[] YES □No □ YES□No□
CONTACT NAME (If Different Fom Appl/cantJ APPLICANT NAME Whitney Vickers, Newport National Corp.
ADDRESS ADDRESS 1525 Faraday Avenue, Suite 100
CITY STATE ZIP CITY Carlsbad
STATE ZIP
CA 92008
PHONE PHONE IFAX 760-607-4282x100 IFAX 760-607-4286
EMAIL EMAIL wvickers(@,newportnational.biz
PROPERTY OWNER NAME Fenton Carlsbad Research Center, LLC CONTRACTOR BUS. NAME -. -~T\
ADDRESS ADDRESS
7577 Mission Valley Rd, Ste 200
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92108
PHONE IFAX PHONE I FAX 619-400-0134 6194000111
EMAIL EMAIL
allen@hgfenton.com
ARCH/DESIGNER NAME & ADDRESS ,I STATE UC.# STATE UC.# ICLASS I CITY BUS. LIC.#
Ravmond Martin 9707 Waples St. 92~ 48670
(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, commending with Section 7000 of D1vis1on 3 of the B_usiness and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
c1v1I penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations. D I have and will maintain a certificate of consent to sell-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. D I have and will maintain workers' compensation, as required bv 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 Co _____________________ Policy No _____________ _ Expiration Date _________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
JES CONTRACTOR SIGNATURE DATE
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 wor11 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 Of 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 such projects wijh 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. OYes
2, I (~/ have not) signed an application for a building permij for the proposed wor11.
3. I have contracted with the following person (firm) to provide the proposed construcUon {include name address I phone/ contractors' license number): -r '8, '\)
f the wor11, but I have hired the following person to coordinate, supervise and provide the ma)Or work (include name I address I phone I contractors' license number):
DATE I
I
COMP 1. ET E, TH IS $£CT ION FOR NON -RESIDENTIAL BU IL DING PERMITS ONLY
Is the 'applicant or future building occupant required to submit a business__mdacutely halardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley.Tanner Halardous Substance Account Act? D Yes [Y]No ~
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ity management district? 0Yes raNo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves Li:fNo
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 certify that I have read the appllcatlon and state that the above lnfonnatlon is correct and that the information on the plans is accurate. 1 a~to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative oflhe 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 AA OSHA permit is required for excavatons over 5'0' deep c11d demolition or construction of stnx:tures over 3stories in height
EXPIRATION: Every permit issued by the Building Official under the P. visions of this Code shall expire by limitation and become null and vokl W the building or work authorized by such pennlt is not commenced within
180 days from the date of such permit or Wthe building orwo by such permij is suspended or abanooned at any time after the work is commenced for,peood 180 days (Section 106.4.4 Uniform Building Code).
_g APPLICANT'S SIGNATURE ii¼(~f9-'t,<c.-€:'.-;, DATE / / / J (}
City of Carlsbad Bldg Inspection Request
For 04/06/2010
Permit# CB090066 Inspector Assignment:
Title: TRAFFIC SIGNAL-100 AMP METERED
Description: PEDISTAL -SIGNAL CORNER OF SALK & COLLEGE
Type:ELEC
Job Address:
Suite:
Location:
2157 SALK AV
MP
Sub Type:
Lot: 0
Phone: 6~6811
Inspector&
APPLICANT FENTON CARLSBAD RESEARCH CENTER OWNER ASSOCIA
Owner:
Remarks:
Total Time:
CD Description
32 Const. Service/Agricultural
39 Final Electrical
Requested By: DAVID
Entered By: CHRISTINE l Comme"iif /ldurs C
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act I nsp Comments
02/25/2010 92 Compliance Investigation PA CW Scott Merry requested additional time. Agreements are being finalized.
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