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Home My WebLink About1966 OLIVENHAIN RD; ; CBC2022-0420; PermitBuilding Permit Finaled Print Date: 03/13/2023 Job Address: 1966 OLIVEN HAIN RD, Permit Type: BLDG-Commercial Parcel#: 2550405900 Valuation: $0.00 Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Commercial Permit ENCINITAS, CA 92024-5676 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: P/M/E Description: T-MOBILE CELL SITE: NEW 200 AMP METER PEDESTAL FEE Property Owner: OLIVENHAIN MUNICIPAL WATER DISTRICT 1966 OLIVENHAIN RD ENCINITAS, CA 92024 (760) 753-6466 PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $208.00 Total Payments To Date: $208.00 Permit No: Status: (City of Carlsbad CBC2022-0420 Closed -Finaled Applied: 12/05/2022 Issued: 12/05/2022 Finaled Close Out: 03/13/2023 Final Inspection: 03/08/2023 INSPECTOR: de Roggenbuke, Dirk Balance Due: AMOUNT $208.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" 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. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov (city of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION 8-2 Plan Check C.&. -Z.o 2. '2.-0 Lj2. 0 Est. Value PC Deposit Date I ~I S" / 2.'02-2.--, Job Address i91 •Ct OL.o VCI\IH'A,'-! AA Suite: ____ .APN: l,'5'S'"·QYO-S', -o 0 Tenant Name #: ________________ Lot #: ____ Year Built: ________ _ Year Built: __ _ Occupancy:. __ _ BRIEF DESCRIPTION OF WORK: Construction Type:. __ _ Fire sprinklers:QfESQNO A/C:OYESQNO ADO &'-""P "?c.d,...5~ D Addition/New:. ___________ New SF and Use,. _________ New SF and Use ______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _ 0Tenant Improvement: _____ SF, ____ SF, Existing Use: _______ Proposed Use: ______ _ Existing Use: Proposed Use: ______ _ 0 Pool/Spa:. _____ SF Additional Gas or Electrical Features? ___________ _ D Solar: KW, ___ Modules, Mounted:0Roof 0Ground 0 Reroof: __________________________________ _ ~ Plumbing/Mechanical/Electrical ,,. _,. ~ 7--"Q ,.. k"l!:'1!P:-Cq2<2:M_~ Dother: _______________________________ _ PRIMARY APPLICANT Name: f,').A-<,,t: ~f'l'.,-L.-.....,J Address: '10'€5" ,('..(I\~ Dct. City: ~ "D1L"J., State: CA Zip: "'12-!2-\ Phone: (el"j · Co Z I · I) ll"J Email: W$f~e [)A-./\'t-*-Cow-.. PROPERTY OWNER Name:. __________________ _ Address: _________________ _ City: _________ .State: ___ .Zip: ____ _ Phone: __________________ _ Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:. _________________ Business Name: Qbvt'VJ l:¼.-W-K-cfli. :a?-tk· Address: Address: "!c::>05 lY::14> .,. • ..,. Pf:· City: _______ State:. ___ Zip:. ____ City: <:At-1 'DI~ State: (.A-Zip: 9'.2:f"Z-I Phone: Phone: Bra-s,~·7<f S4 Email: _________________ Email: ,:,.Av1t5e p<\v'J£5t'C.. co~ Architect State License: CSLB License#: I L,~{o"1 r Class:.--=Sc....;~=O::..... __ _ Carlsbad Business License# (Required): f-:t.o:>12. I 14-'13 APPLICANT CERTIFICATION: I certify that/ have read the application and state that the above information is correct and that the informationonthe plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. . r7 . .. ./ ---=:: NAME (PRINT): le'· 4r":.f.. ~?Cf'l3/: SIGN:.;.~;z~~~~~~:;::::=:_DATE: I 2;/5;17/4 'i' 3 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. {OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaffi rm under penalty of perjury that I am I ice nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations /CHOOSE ONE}: D1 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. PolicyNo. _____________________________________ _ -0R- ~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. ~y workers' com?nsation insuranc':Ja0er and policy number are: Insurance Company Name: ,v\l DOi...C'S't,\C. ..:IAJ,~ t:,,,st,f AIJY Policy No. Arp_ \(e\"3B<j' ~E'._~ ExpirationDate:~lP_,_/~•+L~==2~3~-----'--- -0R-' Ocertificate 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 $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. 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'sAddress: ___________________ _ CONTRACTOR CERT/FICA TION: /certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): ! DAet ~t"-L-Jt,4/ SIGNATURE: /4:<C DATE:_:;::o/;,..;.~.,,_,/...;:·~'---2,--''3'- Note: If the person signing above is an authorized agent for the contractor provlde a letter of authorization on contractor letterhead. • OR · {OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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. L.;d44, 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). -OR-D1, 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). -OR-□1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Website: http:l lwww.leginfo.ca.gov/calaw.html. OWNER CERT/FICA T/ON: /certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): SIGN: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV 07/21 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2022-0420) Permit Type: BLDG-Commercial Application Date: 12/05/2022 Work Class: P/M/E Issue Date: 12/05/2022 Status: Closed -Finaled Expiration Date: 09/05/2023 IVR Number: 45047 Scheduled Actual Inspection Type Inspection No. Inspection Date Start Date Status 01/19/2023 01/19/2023 BLDG-34 Rough 201010-2023 Passed Electrical Checklist Item COMMENTS BLDG-Building Deficiency 1/19/23 precon for pedestal meter di scan nect/recon nect Owner: OLIVENHAIN MUNICIPAL WATER DISTRICT Subdivision: RANCHO LAS ENCINITAS Address: 1966 OLIVENHAIN RD ENCINITAS, CA 92024-5676 Primary Inspector Reinspection Inspection Dirk de Roggenbuke Complete Passed Yes Existing Ground Eectrode System verified to 5 ohms 03/08/2023 03/08/2023 BLDG-33 Service 204933-2023 Passed Dirk de Roggenbuke Wednesday, March 8, 2023 Change/Upgrade Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio COMMENTS TEXT 619-843-8435 Phil// Work area is inside OWD maintenance yard BLDG-Electric Meter Release 205085-2023 Passed Dirk de Roggenbuke Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 205084-2023 Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Dirk de Roggenbuke Passed Yes Created Date 03/07/2023 Passed Yes Passed Yes Yes Yes Complete Complete Complete Page 1 of 1 soG" /£ ) A~ Sempra E1:ergy utility UG ELECTRIC SERVICE ORDER EXISTING 200 AMP METER PEDESTAL. EXISTING CONDUIT. SDGE TO INSTALL CABLE AND METER. CUSTOMER TO GET / INSPECTION FROM CITY OF ENCINITAS 111W L ~111.sos Notification#: 300000508848 Planner Name: DAVID VEGA Construction Contact: Customer Name: Rebeca Gomez U.5 NTS-~ --- D208852 111W Location: 1966 OLIVENHAIN RD A ENCINITAS CA 92024 Planner Phone: 619-323-4649 Construction Phone: Customer Phone: 619-890-1128 0 UJ > -Ul 0 Ul 0::: Last Revised: NOV EM BER 9, 2022 oz <!O CD -~ (j) (j) ~ _j > ~ c:: -<: 0 Ol'.l u u....Z LL-1 Oo c=t >-=' \.C ~ I-:::, om • Know what's below. Call 811 before you dig . t N