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Home My WebLink About1351 COBBLESTONE RD; ; CB010767; Permit02/21/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB010767 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1351 COBBLESTONE RD CBAD ELEC Lot# STANDARD PACIFIC/ TEMP POWER POLE Status ISSUED Applied 02/21/2001 CB 02/21/2001 Entered By Plan Approved Issued Inspect Area Applicant TEMP UTILITY SERVICES 1167LAWST SAN MARCOS, CA 92069 619-471-5494 Owner 02/21/2001 2326 02/21/01 1Q02 01 02 Total Fees $2000 Total Payments To Date $000 Balance Due $2000 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 TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $2000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr , Carlsbad CA 92009 (760)438-1161 PROJECT INFORMATION ',//-/ - r) / b<> >L JTofi <- Kd FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date "Z-"2- }- O ) Address (include Bldg/Suite Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total if of units Assessor s Parcel tt Proposed Use Description of Work SQ FT #of Stories ft of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different from applicant) Name 3 APPLICANT £ (tow Name C] Contractor ' Pta „ , 1 Address S'Agent for Comrt Address ictor C] Owner K -7631 City D Agent for Owner J'# City State/Zip 6?$! £7 State/Zip Telephone * Telephone tt Fax tt ?0 M &«&* s-751 s Name Address City State/Zip Telephone tt 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 o' the Business and Professions Codel or that he is exempt therefrom and the basis for the alleged exemption Any violation of .Section 7031 5 by any aoplicant-for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I/v?2w nvc tfj6p/vrat/t^5-f' £ic.wZ7i ffix' ift-' ' Name State License # O J-^JT £ Address License Class C-£' City State/Zip City Business License tt / Telephone tt 3^~ Designer Name Address City State/Zip Telephone State License tt 6 WORKERS' COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 *jSJI 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 compensatiojS insurance carrier and policy number are , h_l_^ . , .,ff-fcft r^I PohcvNo \s-sTiio~9t - -•-Insurance Company Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 * fees SIGNATURE DATE 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the 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 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) C] 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 contractorls) licensed pursuant to the Contractor's License Law) CD 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 Q YES QNO 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-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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES £] NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q 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(0 Civil Code) LENDER'S NAME _ 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 permitia-not ooTnmenced wrrfim MS days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after/th APPLICANT'S SIGNATURE menced wrrfi is commencfta fqr/6 period of 180 days (Section 106 4 4 Uniform Building Code) I . f 'DATE *^ 'WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/12/2001 Permit# CB010767 Title STANDARD PACIFIC/ TEMP POWER Description POLE Inspector Assignment 1351 COBBLESTONE RD Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT TEMP UTILITY SERVICES Owner Remarks Phone Inspector Total Time CD Description Act Comments 32 Const Service/Agricultural Requested By MICHELE Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments JPP-06-00 09.23AIH FPCM-PC*EP P..S T-323 P 01/01 f-710 PO BOX 807, SAN FRANCISCO CA 94101-0807 CERTTRCATE Of WORKERS' COMPCNSAHOU INSURANCE ISSUE DATE 03-31 OO 1555 T1O - CERTIFICATE EXPIRES 03-31-Ot CONTRACTORS STATE 4 »««$£_ BOARD •WORKERS'*" JOB. *B23596 WCFPTION DATE: O3-31-OO (Ml— SANTA ANA 5ACRAHENTO. CA 95816 ,s ro certif', **& '"•& •'»* :$suea a tfana Worfeets' CofnpeosaTicx\ nsardnee policy m a form approved o/ in* Cd.forn^ nsuraoce Ccjmin ssiane*1 W th* employer runv&o beow for ih« PO.ICT perioo .ndica(0a Thss po.iey is not sufajecl to caneelwtion oy me Fund exc«pt upon 30 days' afli/ance written notice 10 tne c- aovapce1 nonce snootd mi$-pQ»-cy-be cMc^Ufld- pt oc. to. tfs normal axp.rdt.oa This eern-ficaw of insurance-is-TKH- ao-irou-jmce poae-^anti cfoes not ameno. exiend or aief me coverage afforded o/ infl policies ftsrdcf hereai f^utn.iui3l*n*ii9 a»»r ynxi"amB«t. Maw. ot- ranrlinfin at any contract or other wrth ra-.r*<"t TO viiriirh thin r-wfi*"r^g or" insurance may PC tsaiXirf -Of- ma»- pemutt me. tnijLaaca affSr<J»tt by the PRESDENT UABlMTy* LWZT IWCtUpIWS OCFENSE COSTS: It,OOO.OOQ OO PEA OCCURRENCE J«O»5 EMCXtLED CERTiriCATE MOtDERS' NOTICE EFFECTIVE O3/31/OO IS ATTACHED TO r EMPLO'CeR (.COAL NMWE: P1WER PLUS! TEMWJRARY UTRITY 1281 £ SUttStfWE WAVgztcft " S R BRAY CORPORATIOH fHO/OK S.R SRAY UTXLtTV SVC tNC AND/OR; PRINTED. 02-17^00 F041O FAX #(760) 602-8558 TELEPHONE #(760) 602-2718 CARLSBAD BUILDING DEPARTMENT Fax T»>RAENETTE ABBEY F*JO **-? IM*t R«CCi D Urgm* D F«r Mwtow D !>!•«•• CCM»MM«m O Pto«*« Reply D PhtM* R*eyvto You can use the address of your temporary power pole'./ mewsrfed pedlstal. / , T0AA for Be sure to send in this cover sheet and the enclosed map with the person that Is coming in to pull the permit for this pole. 10 'd 89S8 209 091 'ON Xtfj JO AIIO W 21:60 301 SDGj \ £5 Sempra Fneigy' Confirmation of meter and service request 02/15/01 Customer Standard Pacific Phone 858 292 2200 Want date Service Address 1351 Cobblestone Rd CB DPSS 132671-010 Contact. Michelle Scott Phone 760 839 9431 We have investigated your request for temporary service and determined that the facilities ygu have identified as D142785 are mechanically available for your use in providing temporary power for your project If temporary service is to be provided underground, please place your facilities no closer than 7 ft or no further than 20 ft from the Utility source described above (see generic sketch below) We can schedule YOU service installation as soon as you provide us with a firm date you plan to install vour facilities. The meter will be set pending receipt of both billing application and municipal inspection. For any questions concerning this form or further information call. San Diego Gas & Electric at John Acuna 760 438 6290 General Customer Information Meter height = 4'0 mm -6'3 ' max from finish grade to centcrlmc of m.ctcr base Meters arc required to be readily accessible 24 Hr» /day Meters must be located in a safe area free of any potential hazards or dangerous conditions prnvidc V x3" clcai and level working space in front of metei Where meter room is proposed, contact the nearest SDQi-E office Metgr bases and fjCfyKC disconnects m.ust be located at or immediately adjacent to each other and be identified with address and unit number it Ovef head services, must maintain a minimum of 12 ft @ point of connection 18 ft @ center of street or 12 from curb whichever is less 16 ft over commercial driveways. 12 ft over residential driveways Maintain all required G O 95 clearances Underground services phone Dig Alert 1-800-422-4133 at least 48 hrs prior to trenching Mam Switch 100 amps amplePhase 3 Wire 4 meter Clips 120/240 Volts Utilities maximum contribution to fault current 42K Aldamos For dead front transformers, trench to Facility in the shaded area ^M-w*piiflUB'' flUBUM* BW • 1 MMMW1*ttMM^B"°- 3'x3' Clear & J.cvel in Front of mtr , Dead front ', i Transformers i Ln S-Wlf.l" •< "HI llU.Vtllin Customer owned facilities to receive electric Service arc subject to all applicable local and state of California inspection authority requirements Building address and/or mcrei base must be posted p«oi to metci set Information on this sheet is void after 6 months from date of issue If SDG&E encounters hazardous or toxic material while performing construction of your project, work will halt immediately and it will be your responsibility to icmove and/or clean all hazardous or hwc material puor to SDG&E continuing construction SDG&E shall have no liability or obligation to clean, remove ot remediate any hazardous 01 toxic material discovered during the course of construction Unless it is through negligence of SDG&E dcadfront doc revised 12/29/00 i-i, .-• cuui HJL. uoi ic nn 01 IT Uf ND. /BO 602 8558 P 03