HomeMy WebLinkAbout2101 LAS PALMAS DR; B; CB973102; PermitBUILDING PERMIT
10/17/97 10:52
Page 1 of 1
Job Address: 2101 LAS PALMAS OR Suite: B
Permit Type: ELECTRICAL
Parcel No: 213-050-33-00 Lot#:
Valuation: 0
Occupancy Group: Reference#;
Description: ADD 200 AMP/3 PHS PANEL ON
: BACK WALL OUTSIDE METER CABINET
Permit No: CB973102
Project No: A9703956
Development No:
0364 10/17/97 02""
Appl/Ownr
* * *
NEILSEN, WAYNE
2101 LAS PALMAS UNIT B
CARLSBAD CA 92009
Fees Required ***
110-00
Construction Type: NEW
Status: ISSUED
Applied: 10/17/97
Apr/Issue: 10/17/97
Entered By: RMA
760 431-1112
Collected & Credits
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Elec
Three Phase Per
* ELECTRICAL TOTAL
Total
Bailee
Nv.-ORPORATEr;
las.c
At A A
IF
.00
. 00
110.00
Ext fee Data
10.00 Y
100 . 00
110.00
H., L:-. »« *-
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 OA 92009
(760) 438-1161
1. PROJECT INFORMATION
'Z/O/ ^AS PAlMMS. U^'^T ^
(d
FOR OFFICE USE ONLY
PLAN CHECK NO. j
EST. VAL.
Plan Ck. Deposit
Validated By
Date ' j I '"j n
^ .. C'l^iUT^ TA/C.
Address (include BIdg/Suits #1 Busirwss Name lit tNs address)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total f of units
Assessor's Parcel f Existing Use Proposed Use
/I x^Oat/oaJ.
Description of Work SQ. FT. ffof Stories 9 of BedrotBedrooms # of Bathrooms
2. CONTACT PERSON (If dtffermt from a^^l
(IZ ///
Name ' Address Chv
3. APPLICANT Q Contractor Q Agent for Contractor Q Owner Q AgeM for Owner
State/Zip Telephone 'Fax #
Name
4. PROPERTY OWNER
Address Citv State/Zip Telephone 9
Name Address City State/Zip Telephone 9
5. CONTltACTOR - COMPANY NAME ...
(Sec. 7031.5 Business end Professions Code: Any City or Courrty which reotrires e permit to construct, elter, improve, demolish or repeir any structure, prior to Its
issuance, also requlras the applicant for such permit to file a signed statement ttwt he is licensed pursuant to the previsions of the Contractor's License Law
IChaptsr 9, commending with Section 7000 of Division 3 of the Business and Professiorts Code] or that he is exempt therefrom, end the basis for the alleged
exemption. Any viotation of Section 7031.6 by any applicant for a permit subjects the ipplicsnt to a civil penalty of net more then five hundred dollars (fSOOj).
Name
State License 9
Address
Licertse Class
City State/Zip
City Busktess License 9
Telephone 9
Designer Name Address City Stste/Zip Teiephorie
State License 9
6. WORKERS'COMPENSATION 7 7' " 7 "7^ ; '
Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the fotlowifig declarations:
0 I have end will maintain a certificate of consent to self-insure for wwkere' compenietton as provided by Section 3700 of the Labor Code, for tfw 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 tfie work for which this permit is
issued. My worker's compensstion traurance carrier end policy number are:
Insurance Company Policy No. Expiration Data
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IFIOO) OR LESS]
Q CERTIFICATE OF EXEMPTION: I certify that in the performance of tfie work for which this permit is iesuad, I ehell net employ any person in any marmer so as
to become subject to the Workers' Compensation Laws of California.
WARNING: FaiJura to secure work en' cempeneation coverage Is unlawful, and ahal subjact an ampioyar to crtminal panattlaa and civil fkwt up to orw hwMlrad
thousand dollars (*100,000], In addition to tha coat of companastion. damagaa aa provided for In Sacden 3706 of tha Labor cx>da, Intaroat artd attomay'a faaa.
SIGNATURE DATE
7. OWNER-BUILDER DECLARATION - , , rr.n .
1 hereby affirm that I am exempt from the Contractor's License Lew for tha following reason:
^ I. as owner of the property or my employees with wages as their sole compensstion, will do the work and the atructure is not intended or offered for sale
(Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, ertd who does
such work himself or through his own employees, provided that such Improvements ere not Intended or offered for eels. If, however, the building or Improvement it
sold within one yesr of compiation, the owrfer-builder will have tha burden of proving that ha did not build or improve for the purpoee of seie).
^ I, as owner of the property, am exclusively contracting with licensad contractors to construct tha projact (Sac. 7044, Buainesa and Profasalena Coda: Tha
Contractor's Licensa Law does not apply to an ewnar of property who builds or improves thereon, end contreete for such projects with contractcrle) licensed
pursuant to the Contractor's Uceraa Law).
□ I am exempt under Section Buslneas and Professions Code for this reason:
1. I par>a(i8lly plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO2. I (Ka^/ have not) signed an application for a buildlr>g permit for tha proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (Include name / addreee / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired tha fdtowing persm to coordinate, supervise and provide tfte major work (irtclude name / address / pf>onenumber / contractors license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Irtdicated (include name / address / phone rHimbar / type
of work):
PROPERTY OWNER SIGNATURE DATE
□ NO
COMPLETE THIS SECTION FOR NOH-^OBOIAL BUJLDINQ PERMITS OUtY
Is the applicant or future building occupant required to lubmit a business plan, scutaly hazardous materials registration form or riak martagemartt arKf prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tarvter Hazardous Substanca Account Act? O YES Q NO
Is the applicant or future building occupant required to obtain a permit from the sir pollution control district or sir qualltv management district? □ YES
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sits? 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 POLLU'HGN CONTROL DISTRICT.
3. CONSTRUCTION LENDING AQEWCY " ' t. » —r v. , .
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
iS.APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct end tfwt the information on tfw piana is aeeursta. I agree to comply with allCity ordinances and State laws relating to building construction. I hereby authorize representatives of tfie City of Carlsbad to enter upon the above mentionedproperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS. COSTS AND EXf^NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0* deep and demolition or corutruction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall axpire by limitation and become null end void if tha building orwork 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 suspendedor abandoned at any time after th^yoii is commenced for e »riod of ISO days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE .DATE
07/27/98 INSPECTION HISTORY LISTING
FOR PERMIT# CB973102
DATE INSPECTION TYPE INSP ACT COMMENTS
11/07/97 Underground/Conduit-Wir TP WC
11/07/97 Rough Electric TP AP
11/06/97 Final Electrical TP CA
10/30/97 Rough Electric TP CO
NEW MTR PNL
Cy^*&
0
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SDG[^
An Enova Company
WANTED DATE
ELECTRIC METER & SERVICE LOCATION
□ overhead
CMfi [ mj'hv
JgljNDERGROUND^PECS ATTACHED □JTMEETREQ'D ^COMM'L □ RESIDENTIAL
NAME PROJECT NO.JOB NO.
ADDRESS ^loj L/\s PpiUh/^ De "^6/MORATORIUM EFFECT • AGENCY
TYPE
POWER SOURCE CONTACT DATE CRITICAL - PENDING STREET RESURFACING
MONTH YEAR
PHONE#TCP REO'D □ ST EXC S PERMITS REQ'D □ CUST □ SDG&E
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
kJcuJ otJ 3/tic^ iA^au-7Sts?^ii3<iS77r^e^ />7£m7Z^CA&Af0T7 BcmOirintO KfyrjfZ. CA0I^£T> W//2^ ^CoA p^^jfL. IKP^iS(Oi>A Mi^/A) sio/TTit^ \ij adi/jrrOBTA-trO Liy-f OV- Cj^/Zls-Sao P^/Zjo/L.
3X)g7AU-/Aj4 PAa)^ .
SDG&E APPLICATION REQ'D □ CALL NOTE INSPEC REO'D PRIOR TO SET* ,C?}CITY/COUMW □ STATE
GENERAL CUSTOMER INFORMATION
Meter Height-4'0' min.-S'S* max. from finish grade to center llneof meter base.
Meters are required to be readily accessible 24 hours per day. Meters must t>e
located In a safe area free of any potentially hazardous or dangerous condition.
Provide 3 ft x 3 ft. 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.
OVERHEAD SERVICES
PROVIDE MINIMUM GROUND CLEARANCE OF:
Ft. at point of attachment of service wires
Ft. over driveway or parking area
Ft. at outer limit of vehicular traffic
Ft
UNDERGROUND SERVICE
PROCEDURE FOR INSTALLATION
t. Pay all monies due DAPPLICABLE □ NOT APPLICABLE
2. Phorte SDG&E at 3 working days prior to trenching to arrange
with Inspector and initiate trenching process.
3. PHONE DIG ALERT 1-80(M22-4133 AT LEAST TWO DAYS PRIOR TO TRENCH
ING FOR LOCATION OF UNDERGROUND UTILITIES.
4. Excavate trench, install conduit and sen/ice entrance equipment at meter
location, CALL ABOVE PHONE i FOR iNSPECTION, Do not cover conduit
without inspector's written approval to backfill.
5. Caii inspector when trench is backfilled and compacted for inspection. i< 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, includini, service
equipment, and receipt of cityfcounty/state* Inspection clearance
PAYMENT BY CUST: C8L PL $
T WIRE PHASE vni TAGF ^ MFTFP Cl IPS
MAIN SWITCH METERING- I.ICT-S nSELF-CONTAINEr
EXCESSS MISCS
^TEST BY PASS FACILITIES REQ'D
UTILITIES MAXIMUM CONTRIBUTION TO FAULT CURRENTiTUi^^ A MPS
If SDG&E ericounlers haiardous or to*ic material wtille performing construction <-f your
project, SDGSE wiii halt worK immediately and it will Ira your responsipilliy lo r<moveand/Of clear! op all haratdous or toxic material prior to SDG&E coniinuing cons'rucHon.
SDG&E shall have no liability or obligation whatsoever lo clean up. remove or re<'>ediaieany hazardous or toxic materials discovered during the course ol construction o' less it
is throuah negligence ol SOG&E.
POLE# LADDER ARMS REQ'DG EXISTING□
STOPTRENCH Gl* G7W FROM POLE RISER QUAD.PAumAs pA
WlVtL.
BilbTftjC —^
ADD'L INFORMATION; (Detach before completing this sect/
Tb (M-ATCH
Car-our to iZ/et*/
iMereE wu.
JTTRENCH GgaS GtelCO □ CATV SEC HEIGHT
CABLE POLE CONDUIT BY □ CUSTOMER Grdgaf sizf
CABLE POLE BEND BY GCUST GsDG&EPO •RAnilJR.SCHflOSIZF
HANDHOLE BY G CUSTOMER GsOGaE risrn PAGF *
CONDUIT BY □ CUSTOMER G SDG&E SIZE
TRENCH INSPECTED & APPROVED BY DATE
TEZCPHONE
'LANNER I PMA
)N£DATE
to -lo~'77
Customer owned facilities lo.'eceive elect tlcal service ate subiecl to all applicaf local and stale
of California inspeci ion authority requirements Butldingaddfessandformelerba:-. must be postedprior to meter set Inlo'maiion <jii this sheet Is void after 6 monitis from dai«> ■ vep this notice
with building permii
3ZdL
DISTRIBUTION. WHITE ORIGINAL - Customer Vi'HlTE COPY - Diairlcl Opeiations YELLOW - Planner GOLD - C.T. Order 0921? (V<)6I
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