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HomeMy WebLinkAbout1845 CHESTNUT AVE; ; CB972081; Permit07/29/97 10:03 BUILDING PERMIT Page 1 of i Job Address: 1845 CHESTNUT AV Permit Type: ELECTRICAL Parcel No: 205-230-31-00 Valuation: 0 Suite: Lot#: Permit No: CB972081 Project No: A9702636 Development No: Occupancy Group: Description: 100 AMP PANEL-OVERHEAD GROUND Appl/Ownr : BRUCE ELECTRIC 3970 GLORIA LN CARLSBAD CA 92008 *** Fees Required **; Reference*: TO UNDR Construction Type: NEW Status: ISSUED Applied: 07/29/97 Apr/Issue: 07/29/97 •7*n .« Entered By: RMA 760 434-0586 Fees : Adjustments: Total Fees: Fee description *** 35.00 .00 35.00 Fees Collected & Credits *** Enter "Y" for Electric Issue Fee" Single Phase Per AMP * ELECTRICAL TOTAL Total Credits: Total Payments: Balance Due; Units Fee/Unit 100 .25 .00 .00 35. 00 Ext fee Data 10.00 Y 25 . 00 35. 00 CLEARANCE T D OF CARLSBAD Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK N0._ EST. VAL. Plan Ck. Deposit Validated By, Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work *t^><* CONTACT PERSON (if different from SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name APPLICANT 1 Address Contractor nOHfent fflFfiontrictoT City "D Agent for Owner" State/Zip Telephone tt Fax # Name 4. Address City State/Zip Telephone * Telephone #Name •" Address City ' State/Zip B. CONtlACtORHTOMPANVr^ME'^'"'-"^-'**'" T' "' •»—~*>--v~- -<*~ ' -"- '-' -£ • •• .-; ----—**- ^- -.,> ^ . (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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violationaLgeption7Q3J.5 by any applicant for a permitsubjects the applicanj toa^civil penalty of not more thanjive hundred dollars [$5001). State License # &~%5&£-& License Class £?S^) City Business License * Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION . " . . " " "" ""' . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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 Policy No. Expiration Date • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) JX, 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,OJM), In addition/KMherCost of compensation, damages as provided for In Section 3706 of the Labor cpde. Interest and attorney's fees: SIGNATURE sgJZ^t&Jf ^^—-^l^t^-^-^-^fJ DATE ^SfP-^S^ 2? 7. OWNER-BUILDErfDECLARATION ^ • -^ ~ S .' ' , ' •'-. , i , I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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). n 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 «OAf^S/0£W7Mi BUILDING reRMITS 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? O 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? O YES D 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 ™T"^ T- • -- -;-™»^''»rT**~>^ r ~ •• ™ -.- •• . -,_ .- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed 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 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, OSHA: An OSHA permit is required for excavations over S'O" 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 after the wp^t is comme^cjd^for a^gnyad of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERMITfl CB972081 FOR 08/04/97 INSPECTOR AREA DESCRIPTION: 100 AMP PANEL-OVERHEAD TO UNDR PLANCK# CB972081 GROUND OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1845 CHESTNUT AV STE: LOT: APPLICANT: BRUCE ELECTRIC PHONE: 760 434-0586 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/BRUCE/434-0586 OR 729-7256 SPECIAL INSTRUCT: INSPECT TOTAL TIME: CD LVL DESCRIPTION 34 EL Rough Electric ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS An Enova Company WANTED DATE. ELECTRIC METER & SERVICE LOCATION T.B. J_U ^5 T TL-— DOVERHEAD pgUgDERGROUND-SPECS ATTACHED DJTMEETREQ'D DCOMM'L NAME /7?PROJECT NO. £Tnn~77<JOB NO. APDRESS A\/MORATORIUM EFFECT - AGENCY. TYPE DATE CRITICAL - PENDING STREET RESURFACING MONTH YEAR SERVICE ATTACHMENT POINT AND/OR METER LOCATION: A/MSDG&E APPLICATION REQ'D D CALL.NOTE: INSPEC REQ'D PRIOR TO SET' j!$CITjr/COUNTY D STATE GENERAL CUSTOMER INFORMATION POLE # Meter Height • 4' 0* min. -6 '3' max. from finish grade to center line of meter base. Meters are required to be readily accessible 24 hours per day. Meters must be located In a safe area free of any potentially hazardous or dangerous condition. Provide 3 ft. x 3ft. minimum clear and level working space in front of meter. Where meter room Is proposed, contact the Planner at the nearest SDG&E office. Meter bases and meter service disconnects must be located at or Immediately adjacent to each other and be Identified with address and unit number It serves. STOP TRENCH . LADDER ARMS REQ'D Q EXISTING D Dl" D7V4* FROM POLE RISER QUAD. 203- / 2~} OVERHEAD SERVICES'. PROVIDE MINIMUM GROUND CtSARANCE OF: Ft. at point of attachment ofsMyjce wires Ft. over driveway or parkings icular traffic Ft $S?jVK:£UNDERGROUND SERVICE PROCEDURE FOR INSTALLATION 1. Pay all monies due D APPLICABLE"-V^JJHlafAPPUCABLE 2. Phone SDG&E dm5£~Q Q 3 wonting days prior tc^renchtag to a^ge"". with Inspector and Initiate trenching process. - • - " • ,:'- 3. PHONE DIG ALERT 1-800-422-4133 AT LEAST TWO DAYS PRIOR TO TRENCH- ING FOR LOCATION OF UNDERGROUND UTILITIES. ADD'L INFORMATION: (Detach before compiling this section.)-•-- 4. Excavate trench, install conduit and service entrance equipment at meter location. CALL ABOVE PHONE # FOR INSPECTION. Do not cover conduit without inspector's written approval to backfill. . ...._ '~..•'; _- ..;:_ 5. Call inspectorwhen trench is backfilled and compacted for Inspection. If service entrance equipment is installed after backfill, CALL ABOVE PHONE # FOR INSPECTION OF THE EQUIPMENT. 6. Meter will be set after inspector has approved Installation, Including service equipment, and receipt of city/county/state* inspection clearance. JT TRENCH DGAS jg$6LCO SEC HEIGHT CABLE POLE CONDUIT BY DCUSTOMER DsOG&E SIZE. CABLE POLE BEND BY DCUST D SDG&E 90'RADIUS SCH 80 SIZE. HANDHOLE BY D CUSTOMER D SDG&E D STD. PAGE # . CONDUIT BY ^<^ISTOMER D SDG&E SIZE TRENCH INSPECTED & APPROVED BY DATE PAYMENT BY CUST: CBL PL $EXCESS S MISCJ WIRE MAIN SWITCH PHASE CTAGE .METER CLIPS METERING: DCT'S DSELF-CONTAINED DTEST BY PASS FACILITIES REQ-D UTILITIES MAXIMUM CONTRIBUTION TO FAULT CURRENT / 01 00 U/l If SDG&E encounters hazardous or toxic material while performing construction of your project, SDG&E will halt work Immediately and it will be your responsibility to remove and/or clean up all hazardous or toxic material prior to SDG&E continuing construction. SDG&E shall have no liability or obligation whatsoever to clean up, remove or remediate any hazardous or toxic materials discovered during the course of construction unless it is through negligence of SDG&E. Customer-owned facilities to receive electrical service are subject to all Aplicabfe local and1 state of California inspection authority requirements. Building address and/or meter bam must be posted prior to meter set. Information on this sheet Is void after 6 months from date. Keep this notice with building permit. DISTRIBUTION: WHITE ORIGINAL - Customer WHITE COPY - District Operations YELLOW - Planner GOLI