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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 HIT <RETURN> TO CONTINUE... 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 2-^ i^4J!r l/{A4^ . (^xY" '^{jlt(Ma>i /A^