HomeMy WebLinkAbout2220 CAMINO VIDA ROBLE; ; CB132356; Permit09-30-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB132356
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2220 GAMING VIDA ROBLE CBAD St MP
PME
0000000000 Lot #
TIME WARNER CABLE 100AMP MP
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/30/2013
SKS
09/30/2013
09/30/2013
Applicant
AUDIT MASTERS & COMMUNICATIONS INC
Owner
469 E MISSION RD
SAN MARCOS CA 92069-1822
760-535-1091
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0 00
$158 00
$0 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0 00
Inspector
FINAL APPROVAL /
Date Clearance
NOTICE Please take NOTJlCE thsf approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" Y'U 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 vou have prsviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv olhenvise expired
CITY OF
CARLSBAD
Building Perniit Application
760-602-2717/2718 / 2719
Fax 760-602-8558
www carlsbadca gov 1^
Plan Check No
Est. Value
Plan Ck. Deposit
Date SWPPP
SUITE«/SPACE«/UNIT«
» BEDROOMS » BATHROOMS TENANT BUSINESS NAME . CONSTR TYPE OCC GROUP _
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
Install new 100AMP Meter Pedestal in City ROW on Camino Vida Roble
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES I |» NC| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAIVIE (Primary Contact) Carlos Lopez (Datalog Engineering) APPLICANTNAME (Secondary Contact; Time Warner Cable
ADDRESS ADDRESS
7710 Balboa Ave STE 223C 10450 Pacific Center Ct
CITY
San Diego
STATE
CA 92111 San Diego Ca 92121
PHONE
760-497-9289 1 858 569 4273
PHONE
858-805-7330 858-635-8775
EMAIL clopez@datalogeng com EMAIL troy smith 1@twcable com
PROPERTY OWNER NAME City of Carlsbad Right of Way CONTRACTOR BUS NAME Audit Masters & Communications
ADDRESS 469 E Mission Road
CITY STATE CITY San Marcos STATE Ca 92069
PHONE 760-535-1091 760-940-8197
EMAIL
; IT [CLASS [CITY BUS LIC(* ^ ARCH/DESIGNER NAME & ADDRESS
(Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure, prior to Its issuarfce also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Law IChapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
I have and will maintain a certificate of consent to self insure for workers' compensalion as provided by Section 3700 of the Labor Code for Ihe perfomiance of Ihe work for which this pennit is issued
have and will maintain workers' compensation as required by Section 3700 of Ihe Labor Code for Ihe perfomiance of Ihe work lor vifhich this perniit is issued My workers' compensation insurance camer and policy
number are Insurance Co COOOQ") ^^OO- Policy No Expiration Date
This section need not be completed if Ihe permrt is for one hundred dollars ($100) or less
I I Certificate of Exemption I certily that in Ihe perfomiance of the work for which Ihis penrat is issued, I shall nol employ any person m any manner so as to become subject to Ihe Workers' Compensalion 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
^eS" CONTRACTOR SIGNATURE Cl^,^^*-^^.^^ AGENT DATE 9-30-2013
I hereby affirm that I am exempt from Contractor's License Lew for the following reason
Ij I as owner of the property or my employees with wages as their sole compensation, v»ill do the work and the stmcture is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's
License Law does nol apply lo 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 nol intended or offered for
sale l(, however the birildlng or improvement is sold within one year of completion Ihe owner builder will have the buiden of proving that he did nol build or improve for Ihe purpose of sale)
I I I as owner ofthe property, am exclusively contracting wilh licensed contractors to constmct the proiecl (Sec 7044, Business and Professions Code The Contractor's License Law does nol apply loan owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to Ihe Contractor's License Law)
I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide Ihe major labor and matenals for construction of Ihe proposed property improvement •Yes I~1NO
2 I (have / have not) signed an application for a building perniit for Ihe proposed wodc
3 I have contracted v«lh the follovnng person (firm) to provide the proposed constmction (include name address / phone / contractors license number)
4 I plan to provide portions of the work, but I have hired the following person lo coonlinale supervise and provide the major vwrk (include name / address / phone / contractors' license number)
5 I will provide some of the wort( but I have contracted (hired) the following persons to provide the vrorit indicated (include name / address / phone / type of worit)
>£f PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submrt a business plan, acutely hazardous maledals registralion form or nsk management and preventian program under Sections 25505,25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act? Yes No
Is Ihe applicant or future building occupant required lo obtain a penrat from Ihe air pollution control dislnct or air quality management distnct? Yes No
Is the facility to be constmcted within 1,000 feet of Die outer boundary of a school site? Yes 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
I hereby affirm that there is a construction lending agency for the performance of the work this peimil is issued (Sec 3097 (I) Civil Code)
Lender's Name Lender's Address
I ceibfyDiat I have read the application and state that the above infivmalion Is conect and that the Infomiation on the plans Is accurate I agree to comply with all City ordinances and State laws relating to building consbucUon
I hersby authorize representativB of Ihe City of Carisbad to enter upon Ihe above mentoned property for inspection puiposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY 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 B required for excavations over 5'0' deep and demdilion or construction of stmctures over 3 stones in height
EXPIRATION Every pemiit issued by the BuiWmg Offeial under the provisions of Ihis Code shall expire by Imitation and become nul and void if the buMmg or wrii authonzed by such pemiil s not commenced wilhin
180 days from the date of such pemiit or if the building or vmric authorized by such penrat is suspended or abandoned at any tme after Ihe wod is commenced (or a penod of 180 days (Section 106 4 4 Unifomi BuiMing Code)
ygJ'APPUCANT'S SIGNATURE (~ f\ f\ , DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OCCUPANCY ( Commerci Projects Only]
Fax (760) 602-8560, Email wwv» buildinqiSicarisbadca gov or Mall the completed fomi to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008
C0#: (Oflico Use Only)
CONTACT NAME OCCUPANT NAME
ADDf^ESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL/FAX TO OTHER
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANTS SIGNATURE DATE
Inspection List
Permit* CB132356 Type PME TIME WARNER CABLE 100AMP MP
Date Inspection Item
12/31/2013 32 Const Service/Agricultural
Inspector ^Act
Rl
12/31/2013 32
12/31/2013 39
12/23/2013 32
Const Service/Agricultural
Final Electrical
Const Service/Agncultural
PY
PY
12/23/2013 32 Const Service/Agncultural PY
AP
AP
Rl
CO
Comments
UNSURE OF ELECT CODE - METERED
PED
need ground connected
Tuesday, December 31, 2013 Page 1 of 1
SDG§
\ Sempra Energy uunty"
ELECTRIC UNDERaROUND METER & SERVICE LOCATION
Customer Copy
Wanted Date Service Type UG Service New
ProiedNo 360617 Job No 010
ProiectTitle TIME WARMER • NEW PEDESTAL
ProjectAddress CAMINO VIDA ROBLE BO YARROW D
Project City CARLSBAD
Contact CARLOS LOPEZ
Customer Phone #•
Contact Phone #• 760-497-9289
1^ Traffic Control Permit Required Excavanon/Encroachment Permits Required By Customer
Service Attachment Point and/or Meter Location. Customer IS tO locate new meter pedestal 3-4 ft
west of transformer from. Face pedestal toward street and maintain 3' radial clearance
around surface face of pedestal. Customer is to provide trench, backfill, and one 3'
conduit from edge transformer pad to new meter pedestal. SDG&E to install customer
provided radius bend into transfonner pad Address must be permanently marked on
meter pedestal.
I SDG&E Application Required - Call 1-800-411-7343
Municipal Inspection Required By City of Carlsbad
Meter height - W min (3*0* mln for mullipis meter installation) - max. From finish grade to centeriine cf meter tiase. Meteis are
required to Iw readily accessible 24 traurs per day M^eis Rust be bcatad m a sab area Itee of any potanSally hazardous or
dangerous condition Provided X 34 Minimum dear and level wcriang space in front of meter Vl/here meter room is proposed,
contact the planner at the nearest SDGSE ofSce
Meter bases and nneter service disconnects must be loc^ at or irnmediately adjacent to each other and tie idOT
and unit number it senres
PROCEDURE FOR INSTALLATION
1 PHONE DIG ALERT 1-800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION
OF UNDERGROUND UnLITIES
2 Phone SDG&E at760-432-5808 for the following
• 3 woriang days pnor to trenching to anange pre-meet with inspector and Initiate trenching piocess
• After excavaton of trench, mstallafion of conduit and service entrance equipment at meter location, CALL
FOR INSPECTION Do not cover conduit without mspectoi's wntten approval to baddi
• When trench IS badcftiledaiKlooinpacted. CALL FOR INSPECTION
• If senice entrance equipment & installed after backfill, CALL FOR INSPECTION OF THE EQUIPMENT
Meter cannot be set until inspector has approved installation, including seivice equipment, and receipt of
city/oounly/state inspection clearance
PowerSource STA1269-124 Structure Number d3483768706
Joint Trench with Handhole Installed by-
Standards Page #• HandholeLid Shall Read
Ladder Anns Stop Trench from pole Riser Quad
Bend Installed by- SDG&E Type Transformer 3" 90 Deg 36"R DB60
Conduit Installed by- Customer Conduit Size l-DBS"
Service Panel Ratng 100 Number/Size of Man Switch 1-100Amp Voilage 120/240
# of Wires 3 Phase Single Utaies Maximum Contribution to Fault Cunent 42000 Amps
Metenng Self-Contained, Test Bypass Facilities Rqrd Meter Clips. 4
emp Seivice Chaige Due on Fiist Bfll $
T.B. 1127-E4
Customer Type Commercial Date Prepared: 09/24/2013
t N if %
1269 750 AL 3
3 DB 5" 424'
CITY OF CARLSBAD
BUILDING DIVISION
Additional Infomiation • Right-of-way Required Assessor's Parcel dumber
Please call your Service Cooidinator Shaun Summers at 760-432-5808 with questions about appTication,
inspection, constnictnn installation and to schedule a ciew
IISOGIE encoinlOT haardaus or t» material wide perignnng constucM of ^ retponsUybiwnowandAv dean up dhazadnavudc material pitr to SIXiSE SOGlEilialhsmnoiabitirorotGgaaon •Msomr to dean up, mm V icniedUa any hazanim or tide ma^^
SDGiE. (Moncr-ownedtacSiiesbiEcene electncal serace are sitiect III al applet Buidng addiessandArmelerbaMnuttepoiMprioriomelBrtel InfanaioneninittiieKltwrtaflerpfflmortlatttndab; KeeptMnofcenllituiiIng ponit
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Planner JANYSTALEY Telephone. 858-636-3976