HomeMy WebLinkAbout2080 LAS PALMAS DR; B; CB030670; PermitCity of Carlsbad1635 Faraday Av Carlsbad, CA 9200803-10-2003 Electrical Permit Permit No:CB030670Building Inspection Request Line (760) 602-2725Job Address:2080 LAS PALMAS DR CBAD St:BPermit Type:ELEC Status:ISSUEDParcel No:2130611500 Lot #:0 Applied:03/06/2003Entered By:RMAReference #:Plan Approved:03/10/2003Issued:03/10/2003Project Title:HARRIS CORP-ADD 100 AMP METER Inspect Area:3 PHASE/480-FOR NEW SUITE B-WAREHOUSE/STORAGE ONLYApplicant:Owner:BERG ELECTRIC 2080 LASPALMAS DRIVE LLC
650 OPPER ST 10951 SORRENTO VALLEY RD 6i 03/10/03 0002 01 02
ESCONDIDO CA 92029 SAN DIEGO CA 92121 COP 110.00
760-746-1003
Electric Issue Fee $10.00
Single Phase per AMP 0 $0.00
Three Phase per AMP 0 $0.00
Three Phase 480 Per AMP 100 $100.00
Remodel/Alteration per AMP 0 $0.00
Remodel Fee $0.00
Temporary Service Fee $0.00
Test Meter Fee $0.00
Other Electrical Fees $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $110.00
Total Fees:$110.00 Total Payments To Date:$0.00 Balance Due:$110.00
FINAL APPROVAL
Inspector:Date:g,/.24.0 3 Clearance:
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 you have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
W.O.#8096 FOR OFFICE USE ONLY
PERMIT APPLICATION of C0c...PLAN CHECK NOciaa16_6FPAOP/Wer
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EST. VAL.CITY OF CARLSBAD BUILDING DEPARTMENT t'Plan Ck.Deposit2075 Las Palmas Dr., Carlsbad CA 92009 "7 -
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(760) 498-1-1-61-602-2700 N/FORO Validated By
Date (4 70
1.PROJECT INFORMATION
2080 Las Palmas Dr.Harris Corp.
Address (include Bldg/Suite #)Business Name (at this address)
Lot 2 Track #88-33 Map #10061
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
213061-15-00
Assessor's Parcel #Existing U 0 +0 e4....e.e±.li13)r../7Add(1)100amp meter S
Description of Work
ci.41
S .FT.Stories # of Bedrooms # of Bathrooms
2.CONTA pe ON a 'different from ap cant Lf."aCe--
Name Address City State/Zip Telephone #Fax #
3.APPLICANT Xjj Contractor. Agent for Contractor 0 Owner 0 Agent for Owner
Bergelectric Corp.650 Opper St.Escondido CA 92029 760/746-1003
Name Address City State/Zip Telephone #
4.PROPERTY OWNER
2080 Las Palmas LLC 10951 Sorrento Vly Rd.San Diego CA 92121 858/452 -1231
Name Address City State/Zip Telephone #
5.CONTRACTOR -COMPANY NAME
(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 [$500]).
Bergelectric Corp.650 Opper St.Escondido CA 92029 760/746-1003
Name Address City State/Zip Telephone #
State License #85046 License Class C-10 City Business License #189600
Bergelectric Corp.650 Opper St.Escondido CA 92029 760/746-1003
Designer Name Address City State/Zip Telephone
State License #85046
6.WORKERS' COMPENSATION
Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations:
O 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.
la 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 compensation insurance carrier and policy number are:
Insurance Company Zurich American Ins.Co.Policy No.WC367611300 Expiration Date 07/01/03
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
1:1 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 (VI 0,00 •addi •tot ost of compensation, damages as provided for in Section 3706 of the Labor code. interest and attorney's fees.
SIGNATURE C DATE 03/05/03
7.coNNER-innweft TION
I hereby affirm that I 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).
O 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 with contractor(s)licensed
pursuant to the Contractor's License Law).
O 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.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 (include name / address / phone number / contractors license number):
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 / address / phone
number / 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 number / type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RCSIDEN77AL 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?0 YES 0 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?0 YES 0 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.CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME N/A LENDER'S ADDRESS
9.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 representatives of the CitV 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time rk is comment d for a pert f 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATUR DATE 03/05/03
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 code of 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. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications
(i.e.:a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition permit. (Also specify 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 mobile 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 -Structure-Type (Use with Residential Permit 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).
MF5+Multi-family,5 or more units.Same 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).
•oc.cAi..City of Carlsbad Bldg Inspection RequestCIZ9.For:04/22/2003Permit#CB030670 Inspector Assignment:TPTitle:HARRIS CORP-ADD 100 AMP METERDescription:3 PHASE/480-FOR NEW SUITE B-WAREHOUSE/STORAGEONLYType: ELEC Sub Type:Phone:6195716753Job Address:2080 LAS PALMAS DR
Suite:B Lot 0
Location:Inspector:
APPLICANT BERG ELECTRIC
Owner:2080 LASPALMAS DRIVE LLC
Remarks:CALL WITH ETA
Total Time:Requested By:MICHAEL
Entered By:CHRISTINE
CD Description Act Comment
39 Final Electrical
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
03/26/2003 34 Rough Electric AP TP ADD 100A MTR PNL