HomeMy WebLinkAbout1942 KELLOGG AVE; MP; CB160156; Permit01-15-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
NXUTILLJTIES
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PM E) Permit
Permit No: CB160156
Building Inspection Request Line (760) 602-2725
1942 KELLOGG AV CBAD St: MP
PME
0000000000 Lot#:
COXCOMMUNICATION-NEW METERED
PEDESTAL IN PUBLIC ROW-100 AMP
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/15/2016
RMA
01/15/2016
01/15/2016
$0.00
$163.00
$0.00
$0.00
TOTAL PERMIT FEES $163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00
Inspector:
FINAL APPROV1:
Date: ;,... • ,1. r. I J. Clearance: _____ _
NCJTlCE: Rease ta<e NCJTlCE that ~ cl }OX p-qEd irdlrlls the "lrrpa;iticn" d tees, dedcaims, reserva!ims, ex dha' ex.nims rermta-roledivay
ra'erred to as "fees'exa:iioos." Yoo rave 00 days fran the date tns pemit W3S i55L.ed to prdest irrJX)Sitiai d these fees'exa:iioos. If ,w prdest them, ,w rrust
fdlONthe prdest proonres set fath in G>.iaTmrt Coda Sectioo 60020(a), crd file tre prdest crd ITT-f dJ-er req.iroo infooratia, wth the 0ty rv'a"eger fcr
pu;essirg in a::ccrclcrrewth Ca1sba:l M.rici~ Coda Sectioo 3.32.030. FailLre to tirre!yfdlONthal p-cx;ed..rewll ta ITT-f Slb5eq..a,t legal a:tioo to attad<,
review, set asioo, 'A'.lid, a ani their ini:oiitim
Yoo ae rewy FLRD-ER f\011 Fl ED that }OX rigi to µ-ctest the 5Jrofied fees'exa:tims CXES N0f .APPLY to V101a-crd = a::rn:diai fees ard ~
~. ra plarirg, zairg, ga:irg or ctha' sinilar Wicaticn pu;essirg or Sffvice fees in arriectioo wth tns ptjw. ~ CO::S IT .tlFH. Y to ITT-J
i e<aliaiscfWidi rave rusl been ·venaNOTICEsinilartotns crastoWidithestat ecflinitai ras ·ws1 dl"ewse ·roo.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING QENGINEERING 0BUILD1NG 0FIRE DHEALTH 0 HAZMATIAPCD
( Cicyof
Carlsbad
JOB ADDR1ii911
DESCRI
EXISTING U=oE
APPLICANT NAM'E"
Prlma,11 contact
ADDRESS
Bulldlng Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email; building@cartsbadca.gov
www.carlsbadca.gov
I ' 1942 Kellogg Ave MP
Plan Check No .. C~ I (oQ l'5(o __
Est. Value
Plan Ck. Deposit
Date 1 ,-s: 'ZOi SWPPP
Place new 100 Amp Meter Pedestal in City ROW for Cox Communications
Electrical Permit# CB180158
I PROPOSED USE IGAKAuE (SF! PATIOS (SF) lDECKS (SFI IRYESRE~ IAIR CONDITIONING !FIRE SPfllNKLtte;
L.r No(] VES0No0 YEsONoO
PROPERlY OWNER
------------------1-A"'DD""'R'""ESS=-----------··---····-·--····------·········· ··---······-----------
t-:,C""ITYe,---------· ..... ·-·-· .. -· ···-·-""s1=A=JE:,------------,z""1P...-------------l-=crrv::;,-;-----···----······-·· -·-· "s'i' p;f( -. . . . ZIP
PHONE --. . ------------f-;:-PH<":0':'7N:-E-----·-···-·.:: ___ --~:~JfAA .. -~:=_:-~~~---····--------1-=--=..-----------------__ JFAX EMAIL EMAIL
DESIGN PROFESSIONAL
ADDRESS ADDRESS
Prodon Corp DBA Five Star~~_m_m __
8907 Creekford Dr.
JCITY ·-·-·-
l Lakeside STATE Ca zrP 92040 ---,
.................. ____ I_FAX------------·-· PHONE __ --1-___(_6_19_)_640_-88_7_1_]~F=t.X.-_--------···----·j
STATE ---zii> CITY
i PHONE --------.. .. ... .. -----
1
IEMAIL EMAIL ·--1
Ben~5starusa.com i !------------··-········· ···········-----~-=-,=-------+===-,,-------··-----'Tic-=---,-=-==,..,..,,,.,~------;
ISTATELIC.• STATELIC.# 789902 IA.B & c1ICITYBUS uc1239281
, Workere' Compenutlan Declamii:m: I he,eby alfmi under penalty cl perjury one of fh!J fa//cwing dedaralions:
! DI have and will malnbln a cellllicllle ofcon,eatto sell-ins11re fcrworkers'oompensstion as provided by Section 3700of lhe Labor Coda. k>r1he perfonnallOII ol lhe wor1c lorwhi:h this pemil is Issued.
! [ll I have and will malnteln worker,;' comp1n11tion, as 111Quired b¥ Section 3700 of Iha Labor Code. '°' lhe perfonnaoca of the work lor which Olis permil iS issued. My W!Mkers' compensatioo insurnnce carrier and policy
' nunt,e, a,e: Insurance Co.-····-------~---·· .. _ _ _ . _ .. _ .. ····--········· ...... Policy No. RWCC48536161 E>lpiration Dale 10/0t/2011
This sa;llon med nat bl ~led if the pennlt iS forcne ~ dollars ($100) or less. IZ] Clflilcate or &lmplfon: I certify lhal in lhe ~ GI tne IIIOrk for whicll this pemiills issued, I sllall not employ any person in arrv maimer so as to llecome subject to lhe Workers' Compensa~on laws of
California. WARNING: F1llure to secl/re worllers' compansal!on covelllge Is unl1Wlul, and shall tulljacl ., amplopr to crlmlnal p1nattles and clvll lmaa up to one hundred thousand dohrs (&100,000), In
addition to lh• @lit ofl;ompensatlcn, damages H provided for In Sacllon 3706 of the Labar coda, lnllnlll. ud 1ttomey"9 lees.
8$c~TAACTORS1GNATURE ~
I /Je.reby a/li1111 lhat I am enmpt mim Conlraclo('s Lioense I.aw for Ifie following iuson: 0 I, as l!¥llllf ol 1111 pioperty or my tfllllb,ileS with wai,.es as lheir sole ~. will do 11'111 Nllk 111d lhe strucwre Is not lnlend&l or oltar.«l l'Qr sale {Sl!c. 7044, Businau lllld Pnllessloos Code: The Coorracws
LicBnse i,., does not apply IO an -of pi0peqy wlio builds or imsmes 0-, and who does llud! work hlmser or lhfllllllh his 01111 ~. PIO"kled lhat slJCh ifflpro'll!ll1MI& are not lnl8nded or oll'ered !of
,;ale If, however, the buikingor iml)ll)vemenlis soldwllhin one year or completion, Lhe ownQf-buik!erwlll '-lhe bwdenof proving lhathe did no1 build orlmprow for the pufP(lliE! of sale) D I, as wner af llm pnllN!lly. am llldusrielv' ~ willl licen$ed contradlllS IO conslnx:l lhe projact (Sec. 7044, Bllslness and Pro!lllslons Code: The Contracto(s License Law does not apply to an owner or
poparty who builds ar imprOYes lhaan, and QJl'llra;l$ lo! StJCh Pltljeel& will1 Cllnlraclor(sJ Noensed purRlilfll lO 1h11 Cal,lradofs Ucne law~
D I am exempt under Section _____ Business and Prolessions Code ror this M!ason:
1. I peraonally !]Ian ID provide the major labor and materials for conslrudion of 11,e propo&ed property improwmenl. 0Ves 0No
2 I (l!a1111 /have not) signed an application fora bllildirigpermltforthe proposed1Mlrk
J. I have conlracled with Ille lallowlng peraon {firm) ID provide Che proposed COll$1nlCUon (inCIUoe name address I phone I contrac\olS' liCeflSe number]:
4. I (llan to provide poroons of lhe w:111<, but I have hillld Iha !Qllowilig pelSIXI ID ooon1nma, sopaNise allll provi!Q tile mapr work \irolJde name I a:kkesg I ptioo,e I oolllr8cl0n;' bns1rnumbe1l.
5 I will pm~de some of the work, but I have oon1facted (lliled) Ille folloWing pemons to pmvld& lhe Wllrk indJcaled (include name I address I phone I type ol Wllrk):
---------------·-·····-········-··-····-·······--··-----------------------·-.... --.. -----····
~PROPERTYOWNERl!lGNATURE \L-~ ~ENT DATE \ \'."Uc\ °1-0\\, ···-------------\ _______ . J\ .. -------~---·------
Is lhe applcant or future buildln9 oa:upanc requln!d lo submit a bUSlness plan, acutely hazailoos malerlals raglslradoo form or ~sk rrmagemenl and pre·ienUon program under Sections 25505, 25533 or 25534 o/ lhe
Presley-Tanner Hazardous Subslance AccoonC Acri Yes No
Is Ile appllcanl or fuUXe btild,ng ocx:upan1 reqijred lo ob!ail a perm11 from lhe air pollulon coolrOI cfistliclor ail Quaily managemenl dis'1cl'I Yes No
Is tie facility lo be constructed wilhin 1,000 feet ol lhe ooler boundary o/ a school Sile? Yes 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.
I hereby affirm thal there is a construction lending agency for the performance of the worll this permit is issued (Sec. 3097 Q) Civil Code).
Lender's Name Lender's Address
f certify that t have read the application and state thattheaba;cinfonnation Is mnectandthat the lnloonatioo on111e p(anslsaa:urate. I agree to complywllh all Otyordinances and Slate laws relating ID building construclforL
I herabyau!holizll repe;entliYeoltheOtyof caitsbad klElllerUIXJO the .ilovemenlialed ~b i1spediln JUpooes I ALSO AGREE TO SAVE, IN:>EJ.I.NIFY ANO~ HARMLESS ™E CITY a= CARSBAD
AGAINST All LIABLITES, JI..OOMENTS, COSTS AlfJ EXPENSES 'MilCH MAY IN ANY WAY ACCRUE AGAINST SAO OlY IN COOSEOJENCE Cf' THE GRANTING a= THS PERMIT
OSHA: An OSHA pem1it is required b excavaoons over 5'0' deep 81d demolitioo or mistrudioo ol slructures over 3 slories il heghl
EXPIRA TIOO: Every permit Issued by the BLild~ Ofcial under the provisions ol lhis Code shall expire by imitation 81d beoome nul and \od W 1he buikli,g a 'Mlfk aulhoized by such perml is not amnenced wilhil
180days from llledala o/such pemllorilllle bultli,g orv.m auGlorized by such permit is suspendedorabardoned at anylimeafterlhev.m is amnertced iY a perixl of 180days(Sa:oon 100.4.4 Uribm aJidilg Code)
AS APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602~560, Email building@car1sbadca.gov or Mail the oompleted form to City of Carlsbad. Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Uae Only)
CONTACT NAME CUPANTNAME
OR SS BUILDING ADDRESS
Cf'n' STATE ZIP CllY
Carlsbad CA
PHONE FAJ/.
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (Qn Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER:
,IS APPLICANT'S SIGNATURE
OCCUPANT (Listed above)
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE I NO CONSTRUCTION
DATE
IP
Inspection List
Permit#: CB160156 Type: PME
Date Inspection Item __ _
02/25/2016 32 Const. Service/Agricultural
02/25/2016 33 Service Change/Upgrade
02/25/2016 39 Final Electrical
02/25/2016 39 Final Electrical
Friday, February 26, 2016
l_lllSJ,)E!C~C>~ Act
RI
PD AP
RI
PD AP
COXCOMMUNICATION-NEW METERED
PEDESTAL IN PUBLIC ROW-100 AMP
Comments
Page 1 of 1
38
Job Notification #
300000073238
Planner Name:
Jessica Mims
Customer Name:
COX/KEN MOREHEAD
P/G 1127 C3
' \,
METER AND SERVICE LOCATION:
583-142',
1 -15. NOS --
D 11515,5J .... -·--.. --~-~·
, 583 3 -BOA _.,~.---~""~~-;, .
\,. 011s154--,-~·,,
• ,..-r.
'\:;. ..,.,.-.,,1 ..... 1.,--
Hl 05~4;.,,:·''· .. ·'
., ~·'.'+ ,.; -. . ,•
Date:
01/14/15
Planner Phone:
858-636-5713
Customer Phone:
760-497-4465
-~,,.-···,r>~r'"... CUSTOMER TO· INSTALL
~-~·,,-NEW METER PEDESTAL ~"
I!.
~.':,
\ \ ... •• \ \ .; .. ~
WITHIN 70• WEST OF
D1151&&, STAY WITHIN
FRANCHISE. 194
CGII art: Two \'tbrldng Days Bf!f_on:. Yoll tJigl
PY
..
.
~~uJ , t,.A~u{:;, \ \J:> \",l\~'€(2.
?r-o~~"t"()c\..... ~ \}\~ ~~ ~ ~~ ~S.S\b~~t> B"1 ~\.~
\ '\ ~ ,r;..., 't-c\."t> \!..('~\:,\a :A-,i-e:.
o S e earth
-Jo .•