HomeMy WebLinkAbout2175 SALK AVE; TP; CB090138; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-26-2009 ' ' Electrical Permit Permit No CB090138
Building Inspection Request Line (760) 602-2725
Job Address 2175 SALK AV CBAD St TP
Permit Type ELEC Status ISSUED
Parcel No 2120210200 Lot# 0 Applied 01/26/2009
Entered By RMA
Reference # Plan Approved 01/26/2009
PC# Issued 01/26/2009
Project Title TEMP POWER POLE-100 AMP-FOR Inspect Area
CONSTRUCTION OF NEW BUILDING
Applicant Owner
POWER PLUS RIO SD PLAZA II MASTER LLC
C/O NEWPORT NATIONAL CORPORATION
436 N QUINCE ST 1525 FARADAY AVE #100
ESCONDIDO CA 92025 CARLSBAD CA 92008
760 839-9430
Electric Issue Fee $1000
Single Phase per AMP 0 $000
Three Phase per AMP 0 $0 00
Three Phase 480 Per AMP 0 $0 00
Remodel/Alteration per AMP 0 $0 00
Remodel Fee $0 00
Temporary Service Fee S10 00
Test Meter Fee . $0 00
Other Electrical Fees $0 00
Additional Fees $0 00
TOTAL PERMIT FEES $20 00
Total Fees $20 00 Total Payments To Date $20 00 Balance Due $0 00
FINAL APPROVAL
Inspector / >-^ Date ^x"*2-"'^ / Clearance2JL
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 fee^/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
City of Carlsbad
1635 Faraday Ave , Carlsbad. CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
Building Permit Application
Est Value
Plan Ck Deposit
Date
JOBADDRESS mr SUITE#/SPACE#/UNIT#
CT/PROJECT*PHASE* # OF UNITS # BEDROOMS £ BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
EXISTINCtDSE PROPOSED USE GARAGE (SF)PATIOS (SF)FIREPLACE
YES| |# N0| |
AIR CONDITIONING FIRE SPRINKLERS
YES| |NO| |
CONT ACT NAME (If Different Fom Applicant)flfr iL H* \^'APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY ST
PHONE FAX PHONE FAX
EMAIL
PROPERTY OWNER NAME _— r I/I\ A H CONTRACTOR BUS NAME
U foplt
' STV
ADDRESS
CITY STATE ZIP CITY ST
PHON FAX PHONE
0
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC *. __ .
$
CLASS CITY BUS LIC*
(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 ($500))
Workers' Compensaton Declaration I hereby affirm under penalty of perjury one of the following declarations
I 11 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
I xTI have and will maintain workersVcompensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance earner and policy
number are Insurance Co 0 ftf &j_d 1 fa I / L ^ g H "X-^-f ix. C ' Policy No HXC A- 3 ~) V.(~f<f V \ Expiration Date ,?- 3 1 - V °l
This section need not be completed if the permit is for one hundred dollars ($100) or less
I | 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), m
addition to the cost of compensation, damages as prqjmjed forta Section 3Jjlfc of the Ljrbor code, interest and attorney's fees
^CONTRACTORSIGNATURE lA/l A A / * M\ /Tf^W DATE /- ? )- O *)
- ;^'
/TO
I hereby affirm that I am exempt from Contractors bcense Law for the following reason
| | 1 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 tor
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 Contractors License Law does not apply to an owner of
property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law)
[ [ 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 I |Yes I iNo
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 / 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 / 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 / type of work)
^PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan acutelv hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act? I I Yes I' iNo
Is the applicant or future building occupant required to obtain a permit from the air pollution controldistrict or airjjuality management district? LjYes I I No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' I lYes I I No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender s Address
'•sSs-i'a'iii., -..ifllS. "
I certify that I have read the application and state that the above information is correct and thattrie information on trie plans is accurate I agree to comply with all City ordinances and State laws relating to building construction
I hereby authonze representative 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, 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 stones in height
EXPIRATION I
Worm Building Code)
-^APPLICANT'S SIGNATURE DATE
CITY OF CARLSBAD
ELECTRIC AND'GAS METER CLEARANCE
INTER-DEPARTMENT
ADDRESS:
S E O Service Equipment Only YES
NO
Reason, If Denied
ELECTRIC METER
COMMERCIAL _
RESIDENCE _
NEW SERVICE _ YES
RELOCATE _ NO
TSPB _ .
TEMP P/P /
UP-GRADE _
TEST METER _
IRR PEDESTAL _
GAS METER
COMMERCIAL _ YES
RESIDENCE _ NO
TEST METER _
Buildmgjuspector Signature i Date Time
Called In By ^ Dale ' Time
Called In To
City of Carlsbad Bldg Inspection Request
For 01/30/2009
Permit# CB090138
Title TEMP POWER POLE-100 AMP-FOR
Description CONSTRUCTION OF NEW BUILDING
Inspector Assignment RB
Type ELEC Sub Type
Job Address 2175SALKAV
Suite TP Lot 0
Location
OWNER RIO SD PLAZA II MASTER LLC
Owner
Remarks
Phone 7608399430
Inspector
Total Time
CD Description
32 Const Service/Agricultural
39 Final Electrical
Act Comments
Requested By MICHELLE
Entered By JANEAN
L
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
01/28/2009 32 Const Service/Agricultural NR RB
Storm Water Compliance Exemption Form
I am applying to the City of Carlsbad for the following type(s) of construction permit
[y Building Permit Q Right-of-Way Permit
r ^
Electrical^
Fire AddltionaT
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
project is categorically
EXEMPT frorryfne requirement to prepare a
storm water pollution prevention plan
(SWPPP) because it only requires issuance of
one or more of the following permit types
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
Plumbing
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
| | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP)
because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of
Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below
Tierl • Low Threat Assessment Criteria
| | My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria
• Results in some soil disturbance, and/or
• Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste
stockpiling)
Tier 2 • Moderate Threat Assessment Criteria
[ ] My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following
criteria
• Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling,
pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following
criteria
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
• Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
• Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30)
Tier 3 - Significant Threat Assessment Criteria
I | My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres
including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas
and/or
[ | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas or,
| | My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s)
/ certify to the best of my knowledge that the above
checked statements are true and correct I
understand and acknowledge that even though this
project does not require preparation of a
construction SWPP, I must still adhere to, and at all
times during construction activities for the permit
type(s) check above comply with the storm water
best management practices pursuant to Title 15 of
the Carlsbad Municipal Code and to City Standards
*The City Engineer may authorize minor variances from the Storm Water
Threat Assessment Criteria in special circumstances where it can be shown
that a lesser or highte Construction SWPPP Tier Level is warranted
Project Address Assessor Parcel No
Owner/Owner s Authorized Agent Name
Owner/Owner s Authorized Agent Signature
City Concurrence
a NO
Title
LUST
Date
A vrTSemPra Energy company Qj/96/09
Confirmation of meter and service request
Customer TSA Contracting Phone 858 784 3650
Service Address 2175 Salk Avc, TP, Carlsbad, CA 92008
DPSS# 864151-040
Contact Michelle Scott Phone 760 839 9430
We have investigated your request for temporary service and determined that the facilities you have
identified as D200233 are mechanically available for your use in providing temporary power for your
project If temporary service is to be provided underground, please place your facilities no closer than 7 ft
or no further than 20 ft from the Utility source described above (see generic sketch below ) We can
schedule the installation of your facilities upon receipt of both billing application, municipal inspection
For questions concerning this form or further information call San Diego Gas & Electric at
Bruce Sisson 760931 7301
General Customer Information
Meter height = 4:0" mm -6"3" max i'rom finish grade to ccntcrlme of meter
base Meters are required to be readily accessible 24 Hrs /day Meters must be
located in a sate area free of any potential hazards or dangerous conditions
Provide 3: \3' clear and level working space in front of meter Where meter
room is proposed, contact the nearest SDG&E office
Meter bases and service disconnects must be located at or immediately
adjacent to each other and be identified with address and unit number it
serves
For dead front transformers, trench to
Facility in the shaded area
3 x3'
Clear &
Level in
Front of mtr
Dead front
Transformers
Overhead services must maintain a minimum of
12 ft % point of connection 18 ft @; center of street or 12 from
curb whichever is less 16 ft over commercial driveways, 12 ft over
residential driveways Maintain all required G O 95 clearances
Underground services phone Dig Alert 1-800-422-4133 at least
48 hrs prior to installing to verify the locution of underground
utilities in the vicinity
Mam Switch 100 amps
Three Phase 4 Wire 7 meter clips 277/480 Volts
Utilities maximum contribution to fault current 10K A1C amps
Customer owned facilities to receive electric service are subject to all applicable local and state of California inspection authority 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 of issue
If SDG&E encounters hazardous or toxic material while performing construction of your project, work will hall immediately and it will be your responsibility
to remove and/or clean all hazardous or toxic material pnor to SDG&E continuing construction SDG&E shall have no liability or obligation to clean, remove
or remediate any hazardous or toxic material discovered during the course of construction Unless it is through negligence of SDG&E
deadfront (3) doc revised 12/29/00