HomeMy WebLinkAbout1311 CORVIDAE ST; ; CB950530; Permit" BUILDING PERMIT
04/21/95 08-14
Page 1 of 1
Job Address. 1311 CORVIDAE ST Suite:
Permit Type. ELECTRICAL
Parcel No: Lot#:
Valuation. 0
Construction Type: VN
Occupancy Group: Reference*.
Description: TEMP. POWER POLE FOR "ENCORE"
• TAYLOR WOODROW
Permit No- CB9505JO
Project No: A9500775
Development No-
Appl/Ownr TEMP POWER SYSTEMS
1111 N TUSTIN
ANAHIEM, CA 92807
Status: ISSUED
Applied- 04/21/95
Apr/Issue- 04/21/95
Entered By: MDP
714 639-1999
Fees Required ***
Fees.
Adjustments
Total Fees-
Fee description
Enter "Y" for Elec
Enter "Y" for Tern
* ELECTRICAL TOTAL
ected & Credits * * *
00
00
20 00
Ext fee Data
10.00 Y
10 00 Y
20 00
1598 04/21/95 0001 01 02
C-PRMT 20-00
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr.. Carlsbad, CA 92009 (619) 438-1161
1 PERMTI TYPE
From List 1 (see back) give code of Permit-Type
For Residential Protects Only From List 2 (see back) give
Code of Structure-Type
Net Loss/Gain of Dwelling Units
PLAN CHECK NO.
EST VAL
PLAN CK DEPOSTT_
VAUD BY
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Building or Suite No
Nearest Cross Street
LEGAL DESCRIPTION it No Subdivision Name/Number Unit No Phase No
CHECK BELOW IF SUBMITTED
Q 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS
3 UUN l ALTI FKKijUN (.it cinierent trom applicant;
(last name-first) {
,-NAME (last napif first) j&- cv-j x~tCITY I I
HJH CUNTKAL.TUK UOWIMliK U AUtN 1 hUK"OVVXEK
ADDRESS
STATE ZIP CODE DAY TELEPHONE
5 PROPERTY OWNER
NAME (last name first)
CITY
6 CONTRACTOR /
NAME (last name first)r? W£
STATE
i f\ \
ADDRESS
ZIP CODE DAY TELEPHONE
•? \6vpC5"*" ADDRESS ^"V y/ <ip \ O^T^A.
STATE LIC
ZIP CODE Z DAY TELEPHONE]
LICENSE CLASS C,\O CITY BUSINESS LIC #
DESIGNER NAME (.last name lirst)
CITY STATE
ADDRESS^
ZIP CODE DAY TELEPHONE STATE LIC #
COMPENSATION
Workers' Compensation Declaration I hereby affirm that I have a certificate ol consent to self insure issued by the Director ol Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the jnsurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
INSURANCE COMPANY POLICY NO DATE \Q ~- \
Certificate ot Exemption 1 certily that in the 'performance ot 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
SIGNATURE DATE
8 OWNFJI-BUILDER DECLARATION
uwner-builder Declaration 1 nereDy attirm tnatTam exempt trom trie Contractor's License LawTorlne loHowing reason
D 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)
D 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)
D I am exempt under Section Business and Professions Code for this reason
(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, commencing 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])
SIGNATURE DATE
COMPLETE THIS 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?
P YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Q YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NOIF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANTHAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9 CONSTRUCTION LENDING AGENCY
I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
1U AFFLKJANT
I certity that Thave read the application and state that the above information is correct I agree to comply with all City ordinances and State laws
relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes IAISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TI IE CITY OF CARLSBAD AGAINST ALL UABIIJTIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSI1A. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height
Expiration Every permit issued
building or work authon: ' " """
such permit is suspended
APPLICANTS SIGNATURE
J;he provisions of this Code shall expire by limitation and become null and void if the
ithin 365 days from the date of such permit or if the building or work authonzed by
is commenced for a penod of 180 days (Section 303 (d) Uniform Buildiifg CqHe) _
DATE *f \Z\\*£»
>W: Applicant PINK: Finance
CITY OF CARLSBAD
ADDRESS-
ELECTRIC AND CAS METER CLEARANCE
INTER-DEPARMENT
|3\\
SEO Service Equipment Only
Reason, If Denied __
ELECTRIC METER
COMMERCIAL
RESIDENCE
NEW SERVICE
RELOCATE
TSPB
TEMP P/P
UP-GRADE
TEST METER
IRR PEDESTAL
COMMERCIAL
RESIDENCE
TEST METER
CAS METER
/wuildmg Ins^ctor Signature
V ('^,
Called' In By" *
Called In To
Date
YES
NO
YES
NO
YES
NO
Time
Time
San Diego Gas & Electric
INSPECTION ORDER DATE/TIME REQUESTED
to
JOB/PROJECT NUMBER
JOB TITLE LOCATION
I3U
INSPECTION REQUIREMENTS
CUSTOMER REQUIREMENTS
1 YOUR TRENCH D IS
ED CABLE CONDUIT
D IS NOT APPROVED FOR THE INSTALLATION OF
D GAS D''BACKFILL D ENERGIZING D SUBSTRUCTURES
THE FOLLOWING CORRECTIONS.ARE REQUIRED
2 L~J Survey, easements and R/W 10
3 ED Pavement removal and replacement 11
4 EH Excavations s 12
5 ED Installation of conduit 13
6 ED Installation of pullropes 14
7 ED Mandrellmg 15
8 ED Concrete encasement
9 ED Meter panel installed correctly P°le-
ED Backfill and compaction Native
ED Gas Line
ED Trench performance
ED Substructure installation
ED As builts
ED Distance required to be dug by SDG&E crew to
Import
. ft, padmount.. ft, pullbox.
COMMENTS OR ACTION REQUIRED
ait-
A COPY OF THIS ORDER HAS BEEN LEFT ON THE JOB
n AT : •! WITH .
INSPECTOR DATE PHONE NO
DISTRIBUTION White — District Operating Dept, Canary — Customer, Pink — New Service/Planner FORM 124910 (12/89)