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Home My WebLink About2441 IMPALA DR; MP; CB150596; Permit02-25-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB150596 Building Inspection Request Line (760) 602-2725 Job Address: Pernnit Type: Parcel No: Reference #: PG#: Project Title: 2441 IMPALA DR CBAD St: MP PME 2090410800 Lot#: COX CABLE METERED PEDISTAL 100 AMP Status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 02/25/2015 RMA 02/25/2015 02/25/2015 Applicant: FIVE STAR COMMUNICATIONS Owner: R I F lll-IMPALA LLC 6910 MISSION GORGE RD SAN DIEGO CA 92120 619-640-8871 11620 WILSHIRE BLVD #300 LOS ANGELES CA 90025 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL AP e Date: Clearance: NOTICE: Please take NOTfCE thfe)! approval of your project includes ttie "Imposition" o(fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." Yist 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 Munidpal 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING •ENGINEERING •BUILDING DING LlFIRE •HEALTH •HAZMAT/APCC Plan Check No. (J^/ 5 pSf^ City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS ^ SUITEf/SPACE#/UNIT» CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s; p /I l/} fM ^ ({^ 13 c?^i3 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfn* N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY PHONE PHONE EMAIL EMAIL DESIGN PROFESSIONAL COJITRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE EMAIL CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County whicli 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 ' . . . .^i . ^ ... _ .. ,„ . . _ , Business and Professions Code) or that he is exempt therefi civil penalty of not more than five hundred dollars ($500)). 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 andProfessions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affirm under penalty of perjury or]e ofthe following declarations: ve 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. LJJ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for Ihe performance of the work for which this pemiit is issued. My workers' compensalioo insuionce earner and policy number are: Insurance Co^^^^ t^tOtivyVXA^ Policy No, H*Vv)00 VTH'S^ Expiration Date Vp\ 0\\ito\S" Thisaection need not be completed If the permit is for one hundred dollars ($100) or less. I *^ Certificate cf Exemption: I certify that in the performance ofthe work for which this permit is issued, I shall nol 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 employerto 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. CONTRACTOR SIGNATURE X^""" Aj^ . . ^ V.-..^-^ [»JAGENT DATE ER DECLARATI '•'•t^i>'ll^^ / herelby affirm (hat / am exempt from Contractor's License Law for the following reason: I I 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 I 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 Contrxtor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1,1 personally plan to provide the major labor and materials for construction of the proposed property improvement, •Yes I INO 2,1 (have / have not) signed an application for a building permit for the proposed work. 3,1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major worii (include name / address / phone / contractors' license number): 5.1 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): ^eTpROPERTY OWNER SIGNATURE QAGENT DATE E THIS SECTION FOR NO riiii lil i riiit'iiii'iiittt-iiiui 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? Yes No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet 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 EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construdion lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address f.^ ICANT CERTIFICATION I cetti^ that I have read the application and state thatthe above infomnation is cotrect and that the infonnation on the plans is accurate. I agree to comply with all Ci^ ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentbned property lor 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 pennit is required tor excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION; Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 180 days from the date of such pemiit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work commenced for a period of 180 days (Section 106,4.4 Unifonn Building Code). APPLICANT'S SIGNATURE DATE 1^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email builljinq(S).carlsbadca.qOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008, C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA PHONE OCCUPANT S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: 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 JSSAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150596 Type: PME COX CABLE METERED PEDISTAL 100 AMP Date Inspection Item Inspector Act Comments 05/07/2015 32 Cotist. Service/Agricultural PY AP 05/07/2015 39 Final Electrical - Rl METERED PEDESTAL 05/07/2015 39 Final Electrical PY AP Friday, May 08, 2015 Page 1 of 1 SD6§ ELECTRIC UNDERGROUND METER & SERVICE LOCATION Customer Copy il Notification #: 300000032754 Job #: TB: 1127-E1 Wanted Date: ON INSPECTION Date Prepared: 02/25/2015 Customer Type: Commercial Service Type: UG SERVICE NEW Project Title: COX COMM - 2441 MP IMPALA DRIVE, CARLSBAD, CA Project Address: 2441 IMPALA DR MP Project City: CARLSBAD Additional Address Info: 2441 IMPALA DR MP, CARLSBAD Customer POC: Mktg, Rsch, & Analytics Customer Ptione #: SDGE Contact: Project Planner Contact Info: ERICA JORDAN,858-636-5765 • Traffic Control Permit Required El SDG&E Application Required-Call: 1-800-411-7343 Excavation/Encroachment Permits Required By: Municipal Inspection required By: CITY OF CARLSBAD Temp Service Charge due on First Bill $ 0.00 SERVICE ATTACHMENT POINT ANDK>R METER LOCATION: Customar is to instalt now metw pedestal 150 feet from SDGE hand hole H3866068705. Face pedestal toward street and maintain 3 radial clearance around surface face of pedestal. Customer is to provide trench and 3" conduit from H3556068705 to new meter pedestal location near fire hydrant. Address must be permanently mar1<ed on meter pedestal. Customer responsible for permit and jnspection from City of Carlsbad. This location is contingent on existing conduit from pad D3SS596a722 to hand hole H366fi0S8705. Customer assumes responsibility for extended trenching and possible hand hole If conduit from D3SSS963722 to H3SS606S70S can not be used or mandrelled for secondary service. Station ID #: 586-74 Stmcture #: D3555968722 Joint Trencti Witti: Electric Handhole Installed By: Handhole Lid Shall Read: Standards Page: Ladder Arms: Stop Trench: Riser Quad: Bend Installed By: SDG&E Bend Type: HANDHOLE Bend Info: 3" 90 DEG 36"R DB60 Conduit Installed By: CUSTOMER Conduit Size: 3" Service Panel Rating: 100 Number/Size of Main Switch: 1-100 Voltage: 120/240 # of Wires: 3 Phase: 1 Utilities Maximum Contribution to Fault Current: 42000 Metering: Self Contained. Test Bypass Facilities Reqd Meter Clips: 4 Meter height - 4'0" min. (3'0" min. for multiple installation) ~ 6'3" max. From finish grade to centeriine 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. 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. PROCEDURE FOR INSTALLATION 1. PHONE DIG ALERT "811" AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES. 2. Phone Project Planner at 760-432-5805 for the following: - 3 Working days prior to trenching to arrange pre-meet with inspector and initiate trenching process. - Affer excavation of trench, installation of conduit and sen/ice entrance equipment af meter location, CALL FOR INSPECTION. Do not cover conduit without inspector's written approval to backfill. - When trench is backfilled and compacted, CALL FOR INSPECTION. - If service entrance equipment is installed after backfill, CALL FOR INSPECTION OF THE EQUIPMENT. 3. Meter cannot be set until inspector has approved installation, including service equipment, and receipt of city/county/state inspection Additional Information: • Right of Way Required Assessor's Parcel Number: Please call your Project Planner at 858-636-5765 with questions about application, inspection, construction installation and to schedule a crew. SDG&E application is needed - call 1-800-411-7343 Call SDG&E at 760-432-5805 for pre-construction meeting, inspection, and power. City of Carlsbad permit and inspection is needed prior to energizing. If SDG&E encounters hazardous or toxic material while performing constnjction 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 constmction. SDG&E shall have no Ilability or obligation whatsoever to cleanup, remove or 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 gas service are subject to all applicable local and state of Califomia inspection authority requirements. Building address and/or houseline must be permanently identified prior to meter set. Information on this sheet is void after six (6) months. Keep this notice with building permit. Planned By: Erica Jordan Phone#:8586365765 X STREET: PALMER WAY Cox Communications - Meter Pedestal N rip NEW COX COMM METER PEDESTAL-100 AMPS 120/240 3W CUSTOMER NOTE: JOB IS CONTINGENT TO SDG&E BEING ABLE TO MANDREL AND USE EXISTING 3" CONDUIT FROM D3555968722 TO H3556068705. CUSTOMER RESPONSIBLE FOR ADDITIONAL TRENCHING & HANDHOLE IF MANDREL CAN NOT BE DONE. Job Notification # 300000032754 Date: 02/25/15 Planner Name: Erica Jordan Planner Phone: 858-636-5765 Customer Name: Customer Phone: t N Cart 8th Two Working Days Before You Dig! SDGi fc