HomeMy WebLinkAbout2171 SALK AVE; MP; CB062495; Permit08-30-2006
City of Carlsbad
1635 Faraday Av Carlsbad CA 92008
Electrical Permit Permit No CB062495
Building Inspection Request Line (760) 602 2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2171 SALKAVCBADSt MP
ELEC
2120210200 Lot#
CARLSBAD RESEARCH CENTER
100 AMP MP FOR CONSTRUCTION
Applicant
ROCK ELECTRIC
STE211
7950 SILVERTON AV
SAN DIEGO 92126
8585664419
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
08/30/2006
LSM
08/30/2006
08/30/2006
Owner
FENTON CARLSBAD RESEARCH CENTER L L C
C/0 H G FENTON
7577 MISSION VALLEY RD
SAN DIEGO CA 92108
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
100
0
0
0
$1000
$2500
$000
$000
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $3500
Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000
Inspector
FINAL APPROVAL
Date 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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave Carlsbad CA 92008
>r
PROJECT INFORMATION^
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit .
Validated By _
Date _
Address (include Bldg/Suite #)Business Name (at this address)
Lot No Subdivision Name/Number Unit No Phase No Total tt of units
Assessor s Parcel #Existing Use Proposed Use
Descnptioaof Work
k
CONTACT PERSON (if diff
\V<S>\A iJo
SQ FT #of Stories # of Bedrooms # of Bathrooms
Afrom applicant)
£ \
Name Address ' ^City
'3 APPLICANT D Contractor CjAgent forContraotor ^Owner Q Agent for Owner
State/Zip Telephone # Fax
Name
4 * ^PROPERTY OWNER i
Address City State/Zip TelephWie ,-O
Name Address ' City ' State/Zip Telephom
6> CONTRACTOR COMPANY NAMP i "
(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 Code! or that he is exempt therefrom and the basis for the alleged
exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001)
IxorN Blfc'V\<- \J-rvC
Name '
State License tt (S> M; G> <} ^ <D
Designer Name
State License #
7150 ^,lv,,<\t><N /V&-SK
Address
License Class O~" | O
Address
.Z.i\ WOiA^ Lfr ^Zn
City / State/Zip
City Business License ft. ^(uC
1 c
City State/Zip
l<o %/b-^<J«. UC^«\
Telephone tt
\ \(\^~l~[~ £\
Telephone
6 &WORJCERS COMPlNSATION v
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
(3 — 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
Policy No Vj to I017-6Z-
Issued My worker s compensation insurance carrier and policy number are
Insurance Company Expiration Date ILL
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
l~| 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 addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE DATE
7, OWNER BUILDER DECLARATION ... ,f - ^ \ * » ^ t- ' -
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
D 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)
^ 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 protects with contractors) licensed
pursuant to the Contractor s License Law)
C] 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 D 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)
DATE
NO
PROPERTY OWNER SIGNATURE
COMPLETE f H(S SECTION FOR N(fN-ftESIDENTtAL BUILDING PERMITS ONLY „ ^ f* ^ - ^ # ^
Is the applicant or future building occupatn 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? Q YES S' NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES 0 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
€ CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER S NAME |AOIA€L- LENDER S ADDRESS
I certify that I have read 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 CitV 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
JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5 0 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
in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedauthorized by such permit is not commenced
at any time after the work is comme
APPLICANT S SIGNATURE
j)f 180 days (Section 106 4 4 Uniform Building Code)
DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 12/18/2006
Permit* CB062495 Inspector Assignment
Title CARLSBAD RESEARCH CENTER
Description 100 AMP MP FOR CONSTRUCTION
Type ELEC Sub Type
Phone 6199848711
Job Address 2171 SALKAV
Suite MP Lot 0
Location Inspector
OWNER FENTON CARLSBAD RESEARCH CENTER L L C
Owner
Remarks P M PLEASE
Total Time Requested By CHUCK
Entered By CHRISTINE
CD Description Act Comment
32 Const Service/Agricultural Pi
39 Final Electrical
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
10/04/2006 31 Underground/Conduit Wiring AP PY
/ X?ELECTREi i F tR&SERVCfc
DATE__ J«_ ^~VFRhF TZllNDERGROUf IP Si-1 S •
ADCRESS
IT Mf F I 11 _ JjjfcOMM L C R ) l_ IA
I JOB NO
VPL
^OWER SOURCE CONTACT
5IM55 OILK3G FH ™ --y? I i
r
i
f i-
RESURFACING
YEAR
XC & "^RMITS REQ D DCUST D DC&E
SERVICE ATTACHMENT PCI 1
510E SP
/= ri I OCA I ION 05TUW «^ F7 i
C£UUO
'(VMa. k i
MYJflXM
k) RU)NT"f SEUIQKJ .s
SDG&E APPLICATION REQ D & HAI I 3QCH HrU-r?3iT&
?~POtLf(JDFE
NOTE INSPEC RED D PRIOR TO SET ^CITY/OOUNTV D STATE
GENERAL, CUSTOMER INFORMATION"!
Meter Height 4 0 mm 6 3 max f om 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 X3ft minimum clear and level working space in front of meter Where
meter room is proposed contact the Planner a the nearest SDG&E office
Meier oases and rrett, service cnsru meets m j t be located at or immediately
adjacent to each other and be identified with address and unit number it serves
POLE # _ I.ADDER ARMS REQ D D EXISTING D
STOP TRENCH Dl D?/ FROM POLE RISER QUAD .
i* sav CONDUIT
fcY
OVERHEAD SERVICES
PROVIDE MINIMDBKaFiOUND CLEARANCE OF
Ft at point of attacnTflsot of sseftee wires
Ft over dnvewayotperrKing a
Ft at oujtaHtrfiitof vehicular traffic
UNDERGROUND SERVICED
PROCEDURE FOR INSTALLATION
1 Pay all monies due INAPPLICABLE D NOT APPLICABLE
2 Phone SDG&E at 3 working days prior to trenching to arrange
with inspector and initiate trenching process
3 PHONE DIG ALERT 1 -800-227 2600 AT LEAST TWO DAYS PRIOR TO TRENCH
ING FOR LOCATION OF UNDERGROUND UTILITIES
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 inspector when 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
CAIQIMTS Ktt WAf
ADD L INFORMATION (Detach before completing this section )
JT TRENCH QTEI;LCO JCATV SEC HEIGHT
CABLE POLE CONDUIT BY D CUSTOMER D SDG&E SIZE .
CABLE POLE BEND BY D GUST D SDG&E 90 RADIUS SCH 80 SIZE .
HANDHOLE BY ^CUSTOMER D SDG&E PTsTD
CONDUIT BY [^CUSTOMER D SDG&E SIZE
TRENCH INSPECTED & APPROVED BY DATE
PAYMENT BY CUST CBL PL $EXCESS $MISC $
.WIRE
MAIN SWITCH lUU
. PHASE VOLTAGE .METER CLIPS PLANNER / PMA
UTILITIES MAXIMUM CONTRIBUTION TO FAULT CURRENT
METERING DOTS gfsELF CONTAINED
STTEST BY PASS FACILITIES REQ D
tffiiQ
TELEPHONE
AMPS
DATE
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 ot 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 sen/ice are subject to all applicable local and state
of California inspection authonty requirements Building address and/or meter base must be posted
pnor 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 GOLD - C T Order 107 09212 C7/00)