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HomeMy WebLinkAbout2500 EL CAMINO REAL; ; CB072083; PermitCity of Carlsbad . , 1635 Faraday Av Carlsbad, CA 92008 08-08-2007 Electrical Permit Permit No CB072083 Building Inspection Request Line (760) 602-2725 Job Address 2500 EL CAMINO REAL CBAD St TP Permit Type ELEC Status ISSUED Parcel No 1670303200 Lot# 0 Applied 08/07/2007 Entered By KG Reference # Plan Approved 08/08/2007 Issued 08/08/2007 Project Title CHEVRON-100 AMP TEMP POWR POLE Inspect Area Applicant . Owner POWER PLUS KELLY RICHARD C TR&KELLY ROBERT P TR C/O CHEVRON TEXACO PROPERTY TAX D 436 N QUINCE ST P 0 BOX 1392 ESCONDIDO CA 92025 BAKERSFIELD CA 93302 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 $10 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 FINA^OVA^V-Inspector 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 FOR OFFICE USE ON PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date 1 ,' \PROIECTINJfpRMATlON ,-. 2500 TP El Cammo Real Address (include Bldg/Suite #) Chevron Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Temporary Power Pole 100 Amp Existing Use Proposed Use Description of Work SO FT # of Stones n of Bedrooms # of Bathrooms •2 ---CONTACT PERSON (if different fromapphcant) Michelle Scott 436 N Quince St Escondido CA 92025 760-839-9430 760-839-9436 Name Address City State/Zip Telephone M Fax* 3 '..„ APPLICANT '._QvCohtractor; D Agent ^Contractor ., Jennifer Cole _ P O Box 711564 .. Q Owner D, Agent for Owner " Ca 92072 619-405-2648 Name 4' '>ROPERTY OWNER! Spencer & Jones Address 398 N 10th Street City State/Zip Telephone # Colton CA92016* 909:825-2624 Name Address City State/Zip Telephone** . (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]) Power Plus' 436 N Quince Street Escondido CA 92025 760-839-9430 Name State License #523596 Address License Class C61. C10. D31 City State/Zip Telephone # City Business License # 1206255 Designer Name State License # Address Crty State/Zip Telephone # 6 ..--WORKER'S COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 I / I 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 peimit is issued My worker's compensation insurance carrier and policy number are insurance Company Old Republic General Insuarance Corp p0ncy NO A1CW37450700 Expiration Date,03-31-08 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION- I certify that m (fie performance of me work for wfiicfi this permit is issueo1 I sfiaff not emptoy any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure wbrkers compensation coverage is unlawftn~tmd shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollare($100 000) in addition t/th&cqst of compensation damages an/provjded4oE.inJBection 3706 of the Labor Code, interest and attorney s fees Q- f\ SIGNATURE ^>~ /CJj'/l-Si t P^^CjCj*^. DATE (] ~.7 ' " ' " " '" ' I hereby mum that I arngtempt from thContractor s License Law for the following reason D ll as owner of^Jne property or mxemployeeswitn wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044 BusinessSind_PjpKssions Code The Comraotef's^jcense 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) D 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) D 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 D YES 2 3 D NO I (have/have not) signed an application for a building permit for the proposed work 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 / /ontractors license number) 5 I will provide some of the work but / have corrtracfed (firred) trie following persons to provide the work indicated (rncfude name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE Rle YELLOW Applicant PINK Finance PERMJT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION F/OR WOW f^ .|J, '—T ^'j^--J:^ 'l^'V-^r'^vjSrV'"? '."''^"V^':^;:;. Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097!lj Civil Code) LENDER S NAME LENDER S ADDRESS '9;'V -APPLICANT CERTIFICATION, .; '•'''-',, \,t. ,"----\ M'"! :J:& .XI- ","•?'.£ v'j.;hV • .;•'••"'/"••""'"- '.'•• V>$>.^-" .-'•„• ,-. ••.. '• ".. , :-,-,;.' ;;.",'i...il: •:,' :i 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, JUDGEMENTS, COSTS AND OSHA An OSHA permit is required for excavations of 5 0" cfeep ancf demolition or construction of structures over 3 stones in neigfit by such permit is not commenced within 180 days from the date of such pemiiterMhe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 Jays (Section 106 A 4 UnifornyBaflaing/Code) APPLICANT S SIGNATURE s^" I [/ ,ff I x^Y'>C^v^\^--'OA-^/f I/ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/17/2007 Permit* CB072083 Title CHEVRON-100 AMP TEMP POWR POLE Description Type ELEC Job Address Suite Location APPLICANT POWER PLUS Owner Remarks Sub Type 2500 EL CAMINO REAL TP Lot 0 Inspector Assignment Phone 7608399430 Inspector Total Time CD Description 32 Const Service/Agricultural Act Comments Requested By MICHELE Entered By CHRISTINE fe Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments CO C7 <T £> t* c 2 d 8991tl0999 ON/9S-H IS/96 H 9 9(1V(NOW) FROM (MON)AUG 6 2007 14'36/ST 14 36/No 6660747663 P 3 Sempra aetty^www 08/06/07 Confirmation of meter and service request Customer; Spencer & Jones -Chevron Phone 9098252624 Service Address- 2500 El Cammo Real TP, Carlsbad, CA DPSS# 641572-050 Contact: Michelle Scott Phone 760 839 9430 We have investigated your request for temporary service and determined that the facilities VQU have identified as P29553 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 & Elcctnc at Bruce Sisson 7609317301 General Customer Informafign. MWOJlglfift! ~~ 4'0" mm -6'3" max (rum finish grade tu uatterlide uf meter base. Mctcro arc required to be readily accessible 24 Hrs. /day Meters must be located m a safe area Tree of any potential hazards or dangerous conditions. Provide 3' »3' clear and level walking space in front of meter Where meter room is proposed, contact the eeateu SDG&E office, Meter basts, and service disconnect! must be located at or immediately adjacent to cadi other and be identified with address and unit number it saves. For dead front transformers, trench to Facility m the shaded area Y-p-—. Clear & Lcvdin Front of mtr Dead front j Transformers 1 n i Ovrf head ECTVJCTS. 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 0 95 clemtiwcs. Uddtfgfimnd aervicCT. phone Dig Alert 1-800-422-4133 at least 48 hrs prior to installing to verify the location of underground utilities in the vicinity Mam Switch 100 amps Single Phase 3 Wire 4 meter slips 120/240 Volts Utilities maximum contribution to fault current 10K AIC amps Customer owned facilities to iccciv« cnxtrfc service ir« subject in all applicable local and St3» of California inspection authority requirement), Building address and/or metCT base must be posted pnpr to meter set bifbnnation en this sheet is void after 6 months from date of issue If SDO&E encounter hazardous or toxic material while performing construction of your project, work will hall immediately and it will be your responsibility tu remove anil/CT Clean all hazardous, or toxic imlenal pnor to SDO&E COdtrtumg construction SDG&C Shall have no liability OF obligation to dean, remove of remediate any ha&tidou* or to«c material discover**! tuning the course of eonsuuetioa. Unless it n through negligence of SDG&E dcadfixmt revised 12/29/00 Rug 07 07 03:49p Jennifer Cole I ACOflO, CERTIFICATE OF LIABILITY INSURANCE 0*3, /MOB PRODUCER , , - .... , , THIS CERTIFICATE IS ISSUED AS A MATTERLoctton Companies, LLC-L Los Angeles ONLY AND CONFERS NO RIGHTS UPON 725 S Rgueroa Street, 35lh Fl HOLDER THIS CERTIFICATE DOES NOT AA CALicense#OF15767 ; ALTER THE COVERAGE AFFORDED BY THE (aafwMOB9™*17 ' ' INSURERS AFFORDING COVER INSURED S R Bray Corp dba ^cnet Plus' 10620U SmootfiSlone Ccro dba ME NoBkampera Assoc Kirs' Equpmert Co ine SR Bray Ulilily Services Inc 1005 N Edward Ct Anaheim CA 92806 04/01/2007 OF INFORMATION FHE CERTIFICATE SEND, EXTEND OR .ED LIC IEJLBE_UQ_ML_ AGE INSURERA Old Republic General In^iuaiKt. Coip INSURERS Haitloid Kiit; liTiuiante Co 'NSORERC INSURERS INSURER E _„„__- .-.-, THIS CERTFICATE OF INSURANCE DOES MOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING COVERAGES LJ 1 INSURER/SI. AUTHORIZED REPRESENTATIVE <?R PRODUCER AND THE CERTIFICATE HOLDER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMCD ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM QR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TCRMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSRLTn \ B _ TYPE OF INSURANCE GENERAL LIABILITY X _COMMERCIAL GENEAALL1ABIUT f 1 CLAIMS MADE |_ X , OCCUP ( QENL AGGREGATE LIMIT APPLIES PER 1 1 1 PH°- ; 1 POLICY 1 1 JEC- LOG AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS X Comp $1K/$2K X <.«>ll-MK.'S;k GARAGE LIABILITY ANY AUTO EXCESS LIABILITY j OCCUR | 1 CLAIMS MADE n l 1 UMBRELLA oeoucT-fBLE 1 — 1 mm RETENTTON S WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER AKGWS07<X> 72UENVZI756 XOT APPLICABLE NOT APPLICABLE A1C\\ V7450700K. A) POLICY EFFECTIVEDATE fMWDD/YYl OVM/2007 OV11/2007 «V1 1/21X17 POLICY EXPIRATIONDATE ^Mf^^DD^V) LIMITS OVU/21IOM OV»1/2(X)N EACH OCCLIBBENCE FIHb DAMAGE lArv ore tiral MED EXP lA-iy one 2«isort PERSONAL & AOV INJUPY LGENERAL A3GPEGATE PRODUCTS COIWOPAGG t \ 01)001)1) UX)O(H) o 5 000 t 1 000 000 j 2000000 2JXKXKX) COMBINED SINGLE UMfT(Ea accident) BODILY INJURY (Per parson) BODILY INJURY(Per arodort) PROPERTY DAMAGE(Per accident) AUTO ONLY EA ACCIDENT s 1 000,000 * XXXXXXX t XXXXXXX * XXXXXXX XXXXXXX OTHH,Tb||aB| EAACC ^ XXXXXXX AUTO ONLY AQG EACH OCCURRENCE AGGREGATE , I WC Si Air ' ICTHX I-TOBY Lryj-s i !ER EL EACH ACCIDENT EL DISEASE EAEMPLOVEE EL DISEASE POLCYLIMr » XXXXXXX i XXXXXXX HT XXXXXXX 5 XXXXXXX - XXXXXXX * XXXXXXX s 1 000 (XX) 1 (100 000 1 000 000 DESCRIPTION OF OPERATION9LOCATIONS/VEMCLES/EXCLUSIONS ADDED BY ENDOBSWIENT/SPEC1AL PROVISIONS CERTIFICATE HOLDER X ADDITIONAL INSURED INSURER LETTF* CANCELLATlONrM7ii.i5ini7iU7irr«l8VWW 2685861 For Evidence Only i — i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL J^ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO O0LX3AT1ONOR LIABILITY OF ANY KIND UPONTHE INSURER ITS AGENTS OR REPRESBCTATIVES AUTHORIZED REPRESENTATIVE -y ,& - ^fajT^j ^^Sfaf- ACORO 25-S (7/97) For <l««"*«9 tats certificate contfict Ift* number l«I*d IP lh« P»«o«r s«(»n »6ov« atut tpecily the client toOe>•SHBRAOI © ACORD CORPORATION 1988