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Home My WebLink About2420 CAMINO VIDA ROBLE; TP; CB130389; Permit02-15-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB130389 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2420 CAMINO VIDA ROBLE CBAD St TP PME 2131101600 Lot# PALOMAR JEN WIT SITE= INSTALL 200 AMP TEMP POWER FOR CONSTRUCTION Status ISSUED Applied Entered By Plan Approved Issued Inspect Area 02/15/2013 LSM 02/15/2013 02/15/2013 Applicant Owner PALOMAR CONGREGATION OF JEHOVAHS WITNESSES VISTA PALOMAR CONGREGATION OF JEHOVAHS WITNESSES VISTA ATTN GARY HULBERT ATTN DAVID PERPICH P O BOX 130845 2012 HARMONY WAY CARLSBAD CA 92013 VISTA CA 92081 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0 00 $154 00 $0 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due: $0.00 inspector INALAPPROVAL Date ^'^^-/^ Clearance NOTICE Please take NOTICE that approval of your project includes the Imposilion" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 musl follow the protest procedures set forth in Govemment 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 nght 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 previously been given a NOTICE similar to this, or as to which the statute of limitalions has previously othenwise expired THE FQILOWING APPROVALS REQUIRED FmiORTO PERMIT ISSUANCE • PUNNiNG • ENGINEERING • BUILBIfiG • FIRE • HEALTH • HAZMAT/APCD cI ry OF Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buldl[ng@carlsbadca gov www carlsbadca gov Plan Check No. (2A/'^O^^ Est. Value Plan Ck Deposit SWPP SUITE#/SPACE#/U(^IT# T2 CT/«JOJEC"F#f LOT # PHASE # # OF UNITS # BEDROOMS « BATHROOMS TENAWT BUSINESS NAME ' X CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) •for c<9A-s+rc-coH'ioiJ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SFj 3ECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • # NO • YES • NO • YES • NO • APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE , FAX PHONE FAX EMAIL CONTRACTOR BUS NAME iX ADDRESS' • _ ^ • ' ^ ADDRESS CITY " ^ . STATE ZIP ^ CITY STATE ZIP > FAX • PHONE FAX EMAIL ' EMAIL ARCH/DESIGNER NAME & ADDHESS STATE UC « STATE LIC # CLftSS CITY BUS LlC # (A (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 issuance 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 fCnapter 9 commending with Section 7000 of Division 3 ofthe Business and Professions Code} or that he is exempt therefrom anO the basis forthe 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' Compensation Declaration / hereby affim under penalty of perjury one ofthe following declarations D I have and will maintain a certificate of consent to self insure for workers'compensation as provided by Section 3700 of Ihe Labor Code for Ihe performanceot the work for whch this permit is issued n [ have and will maintain workers'compensation as required OySecBon 3700 of the Labor Code, forthepertormanceof the work for which this permif is issued My workers compensation insurance earner and policy number are Insurance Co Policy No Expiration Date . This section need not be completed if the pemiit is for one hundred dollars ($100) or less n Certificate of Exemption i certify that in the perfomiance of the work tor which this permit is issued I shall not employ any person in any manner so as to become subject to the Wori<ers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civii 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 JS^ CONTRACTOR SIGNATURE DAGENT DATE / hereby attirm thai I am exempt from Contractor's License 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 Contractors License Law does not apply la an owner of property who builds or improves thereon, and who does such work himself or through his own em^irfoyeeE, provided that such improvements are not intended or offered for sale if, however the building or improvement is sold wittiin one year of completion, Ihe owner builder will have the burden of proving tfiat he did not buiid or improve for the purpose of sale) • I, as owner of the property, am exclusively contractng with licensed contractors to construct the pro)ect [Sec 7044, Business and Professions Code The Contractors License Law does nol apply to an owner of property who builds or improves thereon, and contract for such pnaiects with contrxtor[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 lo provide ttie major labor and matenals for construclson o( the proposed property impnavement O Yes • No 2 1 (have / have not) signed an application for a building pemiit for the proposed work 3 1 have contracted with Ihe following person (frm) to provide the proposed conslnjction (include name address / phone / contractors license number] 4 i plan to provide pomons of Ihe wori(, 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 Mttdde some,of thq ^ri<, MI have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of wori<) ygfpROPERTY OWNER SIGNATURI •AGENT DATE is the applicant or future building occupant required to submit a business pian acutely hazardous matenais registration form or nsk managemeni and prevention preigram under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Accouni AcP O Yes • No Is the applicant or future building occupant required to obtain a permit trom the air pollution control distnct or air quality management distnct^ 1^ Yes • No Is the facility to be constructed within 1,000 feel of the 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 ElVIERGENCY SERVICES AND THE AiR POLLUTION CONTROL DISTRICT I hereby affirm tfiat there is a constmction lending agency for the perfonmance of the work this permit s issued (Sec 3097 (i) Civil Code) Lenders Name Lenders Address Icerti^thati have read theappiKStonaraJstatethattheabtweinfofrnaaoniscorTBd and tha^ lagreetocompiywittiallC.., >-.^.,.^..ces and State laws relatingtobuiSding constmcbon 1 hereby authonze refxesentative of Ihe City of Cailsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEff" HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRIE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA penml is required for excavations over 5'0' deep and demoliton or consinjdion of stnjctures over 3 stones in height EXPIRATION EverypeirnitisEijedbyfheSiiiWingOfibalunderlheprovisonsofteCodeshalfexpirebyiimrt^ 180 days fom the dateofsudi pemitonflhe buildmg or viork authonzed by such permit is suspended cr abandoned at any time aterltiework iscommencedfora penod of 160 days (Section 1064 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE O 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 OF OCCUPANCY IConimercia! Projects Only) Fax (760) 602-8560, Email www buiidinqlScarlsbadca gov or Mail the completed form to City of (^risbad. Building Dmsion 1635 Faraday Avenue, Carlsbad, Califomia 92008 C0# (Ofnce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE 21P CiTY STATE ZIP Carlsbad CA PHONE FAX ElVtWU OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP c CONTACT (Listed above) • OCCUPANT {Listed above) • CONTRACTOR (On Pg 1) • MAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL/FAXTOOTHER • ASSOCIAI^D CB#- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ,€$• APPLICANT'S SIGNATURE DATE Inspection List Permits CB130389 Type PME PALOMAR JEH WIT SITE= INSTALL 200 AMP TEMP POWER FOR CONSTRUC Date Inspection Item Inspector Act Comments 02/19/2013 32 Const Service/Agricultural - Rl 02/19/2013 32 Const Service/Agricultural PB AP Wednesday, February 20, 2013 Page 1 of 1 ELECTRIC UNDERGROUND METER & SERVICE LOCATION Customer Copy * Service Type UG Service Temporary Projea No: 260025 Jobhb 050 ProlaaTiilB CARLSBAD KINGDOM HALL fTEMPI PmiBaAddiaa M2Q CM VIDA ROBLE TP ProjacCity- CARLSBAD Corlact STU ALOEROYCE Ciatcrr^rPrjiiaS CoiiaiaPtonetf 760-43^7373 Q T'affic ContfD- Fwmit Roqjjad EKCgvaton>Encroaciims.r Pemirts RcqjifBd By CU8tQin8r_ 3c[Vj:eAmdviwfit Point anVorKifaierLcatari: LOCatO 200 aiTip temporary lUSter pole/p«destai within 6-10 feet of transformer D202672. Customer to provide all trench, excavatk>n, 3 inch conduit, backfill, compaction and 3/4** pulling and measuring tape from transformer to meter panel. SDG&E to install customer-provided sweep into transformer. NOTE: If on private property, acquire permission. Temporary fee of $803 will appear on first month's bill. lEI SDG&E Application Required - Call 1-800411-7343 Munlcpal insgeaiDn Reguifgi By Citv of Carisbad lbUrheqh:-4t^nirtprcrrm.tu-iiiiipl«iimicfb^ali^ Uemue toqulrej G tx najirr msststw U hou^ stt ia/ Main niol bs toc«ad ui a ssfi ana trntttny pcanUti*/ tjoxioas a dar1ae^»JScard£a^ i^DuldeS4X34iMn3;mci9Dadi^ VitmmttBrrtccnftpspMed, canissi l^e Flsnw d £w raaioE-SD:^ olBst. Ma bsn asti ntier lenba dluaniuca rust be «c«le<t tl cr LTnadatity ac\»x-M b each alhtf ord c« dsrtifittl adcrau and unt t\.nt»r rt Hfwat PROCEDURE FOR MSTALLATION 1 PHONE DtG AL£RT 1-800-227-2S00 AT LEAST TWO DAYS PRIOA TO TRB1CHW6 KIR LOCATION OF UH DERGROUNO UTIUTIES z :»honfi SOGiE st 76&432-580S for the follov;ing- • 3 woifcrs days jaoi to InuxhlnG to Birar^e preset lutn Inspectir and knibaie irencTuig process. • After excavaiion ottroncn insaUiaioAof ariduttandsenoKedrariceBqulpiriGntats^ FOR INSPECTiCN DorutcoKf conduawilhoulffiapsaac'SMntOTappnwallQbacK^ • WTwn tvKh 1$ b&ckfiUed and compacted, CAU FOR 1NSPHCTK3N • If uivtn vsarm atViKment s Inaaaed sSer baaM, CAU FOR IKSPeCTlQM THE EQUIPMENT 3 Molar cannot bo ut until jspactof h*s appraved nsU^atm, oidudir^ saivH» equipnwti, and lecupt d Pctfjer Source 588-205 Siniaue Number D202672 Standards Page #• Handhoia Lij Snai Read Udder Arms StopTccfteh Iron ocie RaerOuad BendinsaiiaQiy SDG&E Type. Tiansformar 3* 90 Defl 36"R DB60 CondnJilnstaiiedby Customer CcnduitSize' 1-DB3" S«vicePanal Rating 200 NunbeD'SizeofMaiii5wtctt llgZOO Vctaoe. 120/240 # af Wires. 3 Phase Striflle UQies ^Uudmum ConlraiuGon to FaiUC-jpani 1QQQ0 Aims Matannfl. Sfllf'Contained Meier OlCkS 4 TempSffivia Chaige Que cn First fc: < 803 T£. 1127-E3 CustonerTypa Residential DanPts^-ttd 12113/2012 A N Temp meter panel, 200A, 120/240V. Customer to trench and install 1 - 3" DB There must be a 3' X 3' minimum and level ground space in front of the meter panel D2^^ of Carlsbad Building Division FEB 1 5 2013 |Y i: o AddibcnalicJcnnaLon. • Right-of-way Required Assessor's Parcel Number Please call your Service Coordinator Linda Koenig at 760*432- 5805 with questions about application, inspection, construction Installation and to schedule a crew. saatz «umantt^'BB»t«ii!utiMpaadpialDac»wiiii»uuoilb(e«CB«adifltf ia^atxtwi^tt^it , Planner MICHAEL SCtORTINO Teieptog 94a-36&4724