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Home My WebLink About2193 CAMINO ROBLEDO; 1 | 3; CBC2020-0395; PermitPrint Date: 10/21/2020 Permit No: CBC2020-0395 Building Permit Finaled Commercial Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2193 CAMINO ROBLEDO, # 1/3, CARLSBAD, CA 92009-9358 BLDG-Commercial $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 09/30/2020 09/30/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled TAlva Plan Check #: Project Title: Inspector:ROW2020-0341Orig. Plan Check #:Bathrooms: Description:INSTALL 15A FUSE BOX NEAR SDGE TRANSFORMER TO SERVE SMALL CELL SITE (A01Q8KE) (E-REVIEW) Final Inspection:10/21/2020 Bedrooms:Construction Type: Contractor: HP COMMUNICATIONS INC 10400 TREENA ST SAN DIEGO, CA 92131-1126 (951) 572-1200 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 1 of 2 Rev. 0/ COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Est. Value PC Deposit Date Suite:Job Address APN: Tenant Name: Lot #: CT/Project #: Year Built: ___________ Occupancy: ___________ Construction Type:___________Fire Sprinklers: yes no A/C: yes no BRIEF DESCRIPTION OF WORK: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Name: Name: Address:__________________ Address: City: State: Zip: Phone: City: State: Zip: Phone: Email: Email: ______________________________________________ DESIGN PROFESSIONAL APPLICANT CONTRACTOR BUSINESS APPLICANT Name: Address: City: State: Zip: Phone: Email: Architect State License: Name: Address: City: State: Zip:_______________ Phone: Email: State License: Bus. License: Solar: KW, Modules, Mounted, Tilt: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No Plumbing/Mechanical/ElectricalOnly:__ Other: Additional Gas or Electrical Features?Pool/Spa:SF Addition/New:New SF and Use, New SF andUse, _ Deck SF, _ Patio Cover SF (not including flatwork) Tenant Improvement: SF, Existing Use Proposed Use SF, Existing Use Proposed Use CBC2020-0395 10/5/20 2193 1/3 CAMINO ROBLEDO CARLSBAD A01Q8KE AT&T CALIFORNIA 15A FUSE FOR SMALL CELL SITE ■Service for street light mounted small cell HP COMMUNICATIONS 15453 OLDE HIGHWAY 80 EL CAJON CA 92021 951-616-7125 JASON.MARTINEZ@HPCOMMINC.COM 752762 BLOS1219108 Small Cell □ □ □ □ □ □ ( City of Carlsbad DD DD □ □ □ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 2 of 2 Rev. 0/ IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed 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: 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. Policy No.___________________________________________________________________________________________________ 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 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’s Address: CONTRACTOR PRINT/SIGN: ______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). 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). I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: _____________________________________________________________________________________________________________________________________ “Owner Builder acknowledgement and verification form” has been filled out, signed and attached to this application. Proof of identification attached. Owners “Authorized Agent Form” has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner’ behalf. Proof of identification attached. 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. I 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 Web site: http://www.leginfo.ca.gov/calaw.html. OWNER PRINT/SIGN: ________DATE: APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor’s behalf. 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 construction of structures over 3 stories in height. APPLICANT PRINT/SIGN: ___DATE: 09/23/2020 09/23/2020 JASON MARTINEZ Digitally signed by JASON MARTINEZ DN: cn=JASON MARTINEZ, o, ou, email=JASON.MARTINEZ@HPCOMMINC.COM, c=US Date: 2020.09.23 08:44:18 -07'00' JASON MARTINEZ Digitally signed by JASON MARTINEZ DN: cn=JASON MARTINEZ, o, ou, email=JASON.MARTINEZ@HPCOMMINC.COM, c=US Date: 2020.09.23 08:43:43 -07'00' □ □ □ □ □ □ □ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBC2020-0395) BLDG-Commercial 09/30/2020Application Date:Permit Type:Owner: P/M/E 09/30/2020Work Class:Issue Date:Subdivision: 04/19/2021Expiration Date:Status: IVR Number: 29058 Closed - Finaled 2193 CAMINO ROBLEDO, # 1/3 CARLSBAD, CA 92009-9358 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 10/21/2020 10/21/2020 BLDG-34 Rough Electrical 141513-2020 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency October 21, 2020: 1. AT&T cell site 17" x 30" inground vault, with 15-amp fuse (OCPD)-and overcurrent protection device breaker, scope of work-approved. 2. INSTALL 15A FUSE BOX IN NEW HANDHOLE NEXT TO POLE, TO SERVE SMALL CELL SITE. (E-REVIEW) Yes BLDG-Final Inspection 141514-2020 Passed Tony Alvarado Complete COMMENTS PassedChecklist Item BLDG-Structural Final October 21, 2020: 1. AT&T cell site 17" x 30" inground vault, with 15-amp fuse (OCPD)-and overcurrent protection device breaker, scope of work-approved. 2. INSTALL 15A FUSE BOX IN NEW HANDHOLE NEXT TO POLE, TO SERVE SMALL CELL SITE. (E-REVIEW) Yes BLDG-Electrical Final October 21, 2020: 1. AT&T cell site 17" x 30" inground vault, with 15-amp fuse (OCPD)-and overcurrent protection device breaker, scope of work-approved. 2. INSTALL 15A FUSE BOX IN NEW HANDHOLE NEXT TO POLE, TO SERVE SMALL CELL SITE. (E-REVIEW) Yes Wednesday, October 21, 2020 Page 1 of 1 {cityof Carlsbad