HomeMy WebLinkAbout2217 CHESTNUT AVE; ; CB022710; PermitCity of Carlsbad
: ' 1635 Faraday Av Carlsbad, CA 92008
09-12-2002 Electrical Permit Permit No: CB022710
Building Inspection Request Line (760) 602-2725
Job Address: 2217 CHESTNUT AV CBAD
Permit Type: ELEC Status: ISSUED
Parcel No: Lot#: 0 Applied: 09/12/2002
Entered By: SB
Reference #: Plan Approved: 09/12/2002
Issued: 09/12/2002
Project Title: CITYS OPEN SPACE IRRIGATION Inspect Area:
100 AMP METERED PEDESTAL
Applicant: . -Owner:"
CITY OF CARLSBAD , •' V
Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: $0.00
Electric Issue Fee $0.00
Single Phase per AMP 0 $0.00
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 $0.00
Test Meter Fee $0.00
Other Electrical Fees $0.00
Additional Fees $0.00
TOTAL PERMIT FEES - ' $0.00
* ~ FINAL APPROVAL
f — (^ Date: '"Inspector: - - — _ Date: ' ^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications,.reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. . '' •
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
e£/C QuCT, J)
' Busirtess-MaffQ
FOR OFFICE USE ONLY
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suj*e /)M!at this
Legal Description Lot No.Subdivision Name/NurmJer Unit No.Phase No.Total # of units
Assessor's Parcel v. c-Existing Use Proposed Use
Description'of Work "
2. CONTACT PERSON (if di««_$nt from appli
SQ.J /wof Storier # of Bedrooms # of Bathrooms
Narrre ' ^ Addreds City
3,. APPLICANT Q Contractor Q Agent for. Contractor Q Owner Q Agem for Owner
State/Zip Telephone #Fax*
Name
4. PROPERTY OWNI
Address City State/Zip Telephone
Name "/ ^ Address City State/Zip Telephone #
5. CONTRACTOR - COMPANY NAME.
(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]).
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6, WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
n 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
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy, No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
PI 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)/(n 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 , , ,. .
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
f~l 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).
l~l 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 projects with contractor(s) licensed
pursuant to the Contractor's License Law). ''""*--<>,.,
'*W-
l~l 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. Q YES I~|NO
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):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant 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? O, YES Q 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES d 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.
8. 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 LENDER'S ADDRESS
9. APPLICANT CERTIFICATION :
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 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 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
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced.for a period.aj^80 days (SectioX__,b6.4.4 Uniform Building Code).
x— .Xi^X . ^&^ ' ' ~
APPLICANT'S SIGNA
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection
For: 09/25/2002
Permit# CB022710
Title: CITYS OPEN SPACE IRRIGATION
Description: 100 AMP METERED PEDESTAL
Inspector Assignment:
2217 CHESTNUT AV
Lot 0
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
APPLICANT CITY OF CARLSBAD
Owner:
Remarks:
Phone: 9094531596
Inspector:
Total Time:
CD Description
32 Const. Service/Agricultural
Act Comments
Requested By: JOHN
Entered By: CHRISTINE
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
P AJ^SempraEnergy-c.-npany ELECTRIC METER & SERVICE LOCATION
D OVERHEAD JSL UNDERGROUND-SPECS ATTACHED
TR l-}<£~
D JT MEET REO'D *gj COMM'L D RESIDENTIAL
NAME of CA&S&AD PROJECT NO.JOB NO. Qrf Q
ADDRESS SUE./?&LO.
POWER SOURCE
MORATORIUM EFFECT - AGENCY
TYPE'
CONTACT
DATE CRITICAL - PENDING STREET RESURFACING
MONTH YEAR
PHONE #TCPREQ'DD ST EXC & PERMITS REQ'D DCUST DSDG&E
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
;aclTY/8eW*FY d STATE
Meter Height - 4'0" min. - 6'3" max. from 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. 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.
POLE^ff^a87^'1^LADDER ARMS REQ'D D EXISTING^
STOP TRENCH Dl" ^1%" FROM POLE RISER QUAD
PROVIDE MINIMUM I
Ft. at point olj
FJ. over
Ft. at outtf limit \
Ft..
CLEARANCE OF:
iment of service wires
or parking area
vehicular traffic
UN'DEfJqROUNOS^RViqr
PROCEDURE FOR INSTALLATION
1. Pay all monies due "^APPLICABLE NOT APPLICABLE
2. Phone SDG&E at ^ ^ 3 working days prior to trenching to arrange
with inspector and initiate ti
3. PHONE DIG ALERT 1 -800-227-2600 AT~LE»SW3SO DAYS PRIOR TO TRENCH-ADD'L INFORMATION: (Detach before completing this section.)
ING FOR LOCATION OF UNDERGROUND UTILrri
4. Excavate trench, install conduit and service entrance equiprnent^at^jjeter
location. CALL ABOVE PHONE # FOR INSPECTION. Do not cover con
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.
JT TRENCH DGAS DrELCO DCATV SEC HEIGHT
CABLE POLE BEND BY ^.CUST D SDG&E 90°_36_2L RADIUS SCH 80 SIZEe
HANDHOLE'BY DSDG&E
CONDUIT BY ^CUSTOMER D SDG&E SIZE / _
TRENCH INSPECTED & APPROVED BY DATE
PAYMENT BY CUST: CBL PL $EXCESS $MISC $
. ^. WIRE
MAIN SWITCH
PHASE
^ METERING:
.VOLTAGE .METER CLIPS PLANNER / PMA
^SELF-CONTAINED
^TEST BY PASS FACILITIES REQ'O TELEPHONE
UTILITIES MAXIMUM CONTRIBUTION TO FAULT CURRENT ^^
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 SOG&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 service are subject to all applicable local and state
of California Inspection authority requirements. Building address and/or meter base must be posted
prior to meter set. Information on this sheet is void after 6 months from date. Keep this notice with
building permit. '