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1573 AVIARA PY; MP; CB101468; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09-2010 Electrical Permit Permit No: CB101468 Building Inspection Request Line (760) 602-2725 Job Address: 1573 AVIARA PY CBAD St: MP Permit Type: ELEC Status: ISSUED Parcel No: 0000000000 Lot#: 0 Applied: 08/09/2010 Entered By: RMA Reference #: Plan Approved: 08/09/2010 PC#: Issued: 08/09/2010 Project Title: TIME WRNER CABLE-100 AMP METER Inspect Area: PEDISTAL Applicant: Owner: TIME WARNER CABLE 10450 PACIFIC CENTER CT 92121 858 740-7069 Electric Issue Fee $10.00 Single Phase per AMP 100 $25,00 Three Phase per AMP 0 $0,00 Three Phase 480 Per AMP 0 $0.00 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 ', }• ! $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: $0.00 ^ Fl NAL APPROVAL Inspector: r~ !\ - Date: .ft- ; "? "'r 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 given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Appli v^£/^ 1635 Faraday Ave., Carlsbad, CA ^ CITY OF 760-602-2717/2718/27 C^ARI ^RAF) Fax:760-602-8558V-./"\r\L_.»jD/"'\L/ www.carlsbadca.gov JOB ADDRESS A . CT/PROJECT* LOT* J PHASE # # OF UNITS # BEDROOMS cation Plan Check No. ( A / '{) / ^{[oPcation **•• i6-' * *•* ' i i/\j92008 Est. Value la ^ Plan Ck. Deposit //o(yuL_ Date^/*y <^/yVj SWPP SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . •fn?>>\&,ll /iX) flw^/i Sfl-rV ffljJt*- fl&Ls/T^/ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD# NOD YES D NOD YES D NOD APPLICANT NAME — - . /* / ////yLp A JA f fljtf f^gtto^j? ADDRESS . /) » /! /* / CITY ef A ' STATE jf Z'P <? *7,\^A IJ^CfO C tr 7c//i9/ PHWFO -t/jf-j ~~),-\/ «? FAX<? o?' / -?r— st ~T")r—XSzi"" /y<^ /o'fc r Y S a 6?-3*T~ \ / /$' EMAIL " CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# CLASS CITY BUS. LIC.# (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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this perm it is issued. 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 workers' compensation insurance carrier and policy number are: Insurance Co. PolicyNo. — Expiration Date CJAGENT DATE i section need not be completed if the permit is for one hundred dollars ($100) or less. CK 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 afldition to the cost of compensation, damages as provided for in Section 3706 of the Laboccode, interest and attorney's fees./^ <T^*^ -V /fi /s JK CONTRACTOR SIGNATURE ^>l£2/O7*-4<^ O'C^l-'? / hereby affirm that I am exempt from 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 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 contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. G Yes d No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DAGENT DATE 'O- 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-Tamer Hazardous Substance Account Act? DYes n 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 D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes D No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 I hereby aulhorize representative of the City of Carlsbad to enter upon Ihe 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 ANYWAY ACCRUE AGAINST SAID CfTY IN OSHA: An OSHA permit is required for excavations over SO' 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 ai 180 days from Ihe date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). vfi^APPLICANT'S SIGNATURE •~^^~c-TfOi&^l C)C^^ DATE "K / (^fj //('") City of Carlsbad Bldg Inspection Request For: 09/10/2010 Permit* CB101468 Title: TIME WRNER CABLE-100 AMP METER Description: PEDISTAL Inspector Assignment: Type: ELEC Sub Type: Job Address: 1573 AVIARA PY Suite: MP Lot: C Location: APPLICANT TIME WARNER CABLE Owner: Remarks: Phone: 7149364088 Inspector: Total Time: CD Description 32 Const. Service/Agricultural 39 Final Electrical Act Comments AP Requested By: JOE Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 1 Temp Service Charge Due on First Bill $| Metering: Self-Contained, Test Bypai-n&>o. CD' CO S. cf O ^ •""Service Panel Rating: 100 Number/Size ol# of Wires: 3 Phase: Single Utilities IVDJ =» 3' |- 3 £ s iH. " " CT — *1© 1 i 0?Sic E S "S 3- •Pk hO 11 ~o | Conduit Installed by: CustomerO M"CD o CD IS3 | Bend Installed by: SDG&E Type:3 2ko SO ^ "i CO0 O S Wen 70 ODO 0 i —a? i- C/) CO 0•a — 1 CD OH3~ i TDo_ CD TO t?)" 1I Standards Page #::rOS §.ole Lid SI^rDJSz 3 C13 Q.| Joint Trench with: CATVXEU3§>ole InstalCDa. ?| Power Source:tn tructure f-c 1 PROCEDURE FOR INSTALLATION1 . PHONE DIG ALERT 1 -800-227-260OF UNDERGROUND UTILITIES.2. Phone SDG&E at 858-636-3974 for• 3 working days prior to trenching t• After excavation of trench, installaFOR INSPECTION. Do not cover• When trench is backfilled and corr• If service entrance equipment is ir3. Meter cannot be set until inspector has <city/county/state inspection clearance.-a Sj 03 o § D) nr ^ — - s? o g_ § ro o~ ^ = S ^ ° =' 3 c2" ~* | a. ' — m t/i" ^ -1 tn ^ O si o3 2- O S Tj | | 1 0 _g o S s. =>• ^3 -i- = i- 1 i §3s: S1 S ^ <^> o> _( R; 3 S- ^ a. -^- S: S 5' 25_ t rn " CD tn o i S si r- •S' E §.. 8 ga 2 § 8 >§ ">" I i —Meter height - I'D" min. (3'0" min. for multiple meter irequired to be readily accessible 24 hours per daydangerous condition. Provide 3-ft. X 3-ft. Minimum icontact the planner at the nearest SDG&E office.Meter bases and meter service disconnects must beand unit number it serves.o ii - =S S sg | |I| 1 § S <? I «3§.a & illQ5 CD Z5 s 5"!I £§•<*CO O D) Q. I i!^=• <? ^ « 1 illI i|i 1 3 l5 =" &' ca " g- ~° Q ^1 HI 2_o' "S' sr1 5' CD•g S ot? S,o 5T^f ClQ. Kl (/IdOB=m tg^D o' So"_3 X3 1 CDCL oD3_ Sp AlCO Service Attachment Point and/or Meter LocaticCustomer to provide all trench, batfrom transformer D119515 to meteimeter equipment. Obtain a permit iSDG&E to schedule a trench inspe£ 1 » Z£ • -si ~n 1 =" w" ? | P- =• 1 fo ^ O. 3 -i<ii S. n. a. CD£5 3: £ £ -Q O <fl S- c. CJ1 7 CO < "O !tl|~*i w r+-oi-g s SJ 0) CD «3. 3 - SOl o> O) < M -^ ^ S 0 3 S =O SB -•( "• O Q. SJ. 3 "§•"1 1 PI Traffic Control Permit Required. Excavasr.o m 13n 1is- is T3£S 5? ;O 1 CD O CO- CD O c_m-n-n — l 70 oo a 5O33CD ?? rt! O O1COVCOro en [ Project City: CARLSBADocoos3CD T3 §• =:CD _=fe | Project Address: 1573 AVIARA PKWY-D | Project Title: TIME WARNER CABLEi 1 PoOl— 1o> l_ 0- p o 0 A ^5 Sempra Energy utility1 "Wanted Date:S"— i we 0 CO CD ^"CD CDi ^^1 m mO Dm °I3