HomeMy WebLinkAbout2500 GATEWAY RD; MP; CB143624; Permit12-30-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB143624
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2500 GATEWAY RD CBAD St: MP
PME
OOOOOOOOOO Lot #:
VIASAT- INSTALL 100 AMP MP FOR
TRAFFIC SIGNAL
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/30/2014
LSM
12/30/2014
12/30/2014
Applicant:
LEKOS ELECTRIC
Owner:
1370 PIONEER WY
EL CAJON CA 92020
619 447-7661
Plunnbing 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 APPROVAL
Date: /-^"AS' Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these tees/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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING nENGINEERING nBUILDING DFIRE nHEALTH •HAZMAT/APCD
V 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.carisbadca.gov
Plan Clieck No. (2£i/^
Est. Value
Plan Ck. Deposit
Date t ^ 50 f SWPPP
JOB ADDRESS
linT# • TPHA^
SUITE*/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~|# NOl I
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YES I |NO[ I
APPUCANT NAME
Primary Contact
PROPERTYOWNER
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS 137 0 ProrML^rAv/^
CITY STATE ZIP CITY STATE
Ch
ZIP
PHONE FAX PHONE FAX
EMAIL
ri ' I Pl ACQ CITY BUS. LIC.# , C'to \ioAZl2.
(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 pursuanttothe provisions ofthe Contractor's License LawfCnapter 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 7031.5 by any applicantfor a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
«IteB$' compewsAtto
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations:
• I have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued.
and will maintain woriiers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My woriiers' compensation insurance canier and policy
number are: Insurance Co fSCO^^*^^ Mfl"^ ( {v\Sore.v-t^ Co • Policy No. S^C^j 01>%S^i Expiration Date / fT-'Z/l.^
Thjs section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificateof Exemption: I certify that in the perfomiance of the work for which this permitis issued, I shall notemploy any person in any manner so asto become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure woriiers' compensation cov«rgg^is uniawful, and shall subject an empioyer to criminai penalties and civii fines up to one hundred thousand doiiars (&100,000), in
addition to the cost of compensation, damages as provided for in ^dion/tlOS of the Labor code, interest and attomey's fees.
CONTRACTORSIGNATURE • AGENT DATE
I hereby affinn that I am exempt from Contractor's Ucense Lau for the following reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the worii and the stmcture 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 Ucense 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).
• 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 nol) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (firni) to provide the proposed constmction (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 work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to pravide the worii indicated (inciude name / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SiCTION FOR N O N - R £ S I D E N Tl A L BUItOING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, xutely 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 permit 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.
CO N s T if (I c r I o fii ten OIN a AXS ENCY
I hereby affirm that ttiere is a construction lending agency for the performance of ttie work this permit Is Issued (Sec. 3097 (i) Civil Code)
Lender's Name
.A.E.Pt.tCA..NX.. C B.R T,|F I C.A T| o N
Lender's Address
i certif that I have read the application and state that ttie above intbimation is conect and that ttie Intbrmation on the pians is accuiate. i agiee to complywith aii CHy oidinances and State iaws relating to building constmction.
I hereby authorize repfesentative ofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEIVNIFY 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 fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIRATION: Every pemnit issued by the Building Ofiicial under ttie provisions ofthis Code shall expire by limitatbn and become null and void if the building or vrork auttiorized by such permit is not commenced within
180 days trom the date otsuch pemiit or if the building or worii authorized by such pemiit is suspended or abandoned at any time after the viork is commenced fbr a peiiod of 180 days (Section 106.4.4 Uniform Buikting Code).
vfiS"APPLICANT'S SiGNATURE 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.
Fax (760) 602-8560, Email buildinq(Slcarlsbadca.qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY ZiP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: 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
>eS'APPLICANT'S SiGNATURE DATE
Inspection List
Permit*: CB143624 Type: PME VIASAT-INSTALL 100 AMP MP FOR
TRAFFIC SIGNAL
Date Inspection Item Inspector Act Comments
12/31/2014 32 Const. Service/Agricultural - Rl
12/31/2014 32 Const. Service/Agricultural PB AP
12/31/2014 39 Final Electrical PB AP
Monday, January 05, 2015 Page 1 of 1
gggjE *(S?SempraEnergy-oomp.n, ELECTRIC METER & SERVICE LOCATION
WANTED DATE ^ Tl^MU//At5P • OVERHEAD BfuNDERGB0UND-3PECS ATTACHED
NAME Vlf^AT UPiA^r n TkPtm. SiLiM
SERVICE ATTACHMENT POINT AND/OH METER LOCATION;
MjoTO life wxm
ADDRESS zsQQ QkWtJPif RQflP^ CMLSbfiSd
POWER SOURCE CONTACT
PHONE «
PROJECT NO.
•JT MEET REQ'D
T.B,
gfcOMMl qRESIDENTIAL
JOBNO. 030
MORATORIUM EFFECT • AQENCY
TYPE
DATE CRITICAL - PENOINQ STREET RESURFACING
MONTH YEAR
. TCPRECyDD ST EXC 4 PERMTO REQ'D • CUST DSDG&E
«pL " m^mL m ifc I
SDQ&E APPUCATION REQTI itlONREOB^ CAa NOTE: INSPEC REQ'D PRIOR TO SET -Eft riTirniiiim • STATE
GENERiM. CUSTOIIKR INFORMATION POLE #_ . LADDER ARMS REQ'D • EXISTINQ •
Meter Height - 4'0" min. - S'3" max. from finish grade to cenler line of meter base.
Meters ^re required to be readily accessible 24 hours per day. Meters must be
located In a safe area free of any potentiaily hazardous or dangerous condition.
Provide 3 ft, X 3 ft. minimum clear and lavai vrarMng space In front of meter. Where
meter room is proposed, contact the Planner at the nearest SDQ&E offlce.
Meter bases and meter sen/ice disconnects must be located at or Immediately
adjacent to each other and be identified with address and unit number H serves.
STOP TRENCH Dr aTVi" FROM POLE RISERQUAD
cusmrnais ioo ami m.
UNOERQROUND SERVICE
PROCEDURE FOR INSTALLATION
1. Pay all monies due •APPLICABLE • NOT APPLICABLE
2. Phone SDQ&E HtTt%**IM.'5ill5a woridng days prfor to trenching to arrange
with Inspector and Initiate trenching process.
3. PHONE DIG ALERT 1-8(XKa7-260O AT LEAST TWO DAYS PRiOR TO TRENCH-
ING FOR LOCATION OF UNDERGROUND UTILITIES.
4. Excavate trench. Install conduit and sen/ice entrance equipment at meter
iocation. CALL ABOVE PHONE « FOR INSPECTION. Oo not cover conduit
without inspector's written approval to backfin
5. Call Inspector when trench Is baddiiied and compaoted for inspection, il sen/ice
entiance equipment Is InstaHed after baddU, CALL ABOVE PHONE * FOR
iNSPECTION OF THE EQUIPMENT.
6. Meter wHI be set after Inspector has approved instaUatton, including setvice
equipment, and receipt of clly/county/state* Inspection clearance.
P
'-'ly or Cartsbad
Building Division
DEC 3 0 2014
APPROVED BY-
ADD'L INFORMATiON: (nntnrhhnfhm nompletino thill nection.)
ISSUED BY:
JTTRENCJI DQAS • TELCO DCATV SEC HEiGHT
r»BiPPniPfyiiuniiiTBV riPMSrOMFR nsnn*": SITP
CABI F pniF nPNnRV r]cii!iT nsnoipon* , PAnillPSnHHOSlTP
HiiuriHniFBV DOMffr^MFn flRPffftF GfTn PAOP*
CONDUIT BY BTCUSTOMER OsOQaE SIZE
TRENCH INSPECTED & APPROVED BY DATE
PAYMENT BY CUST: CBL PL $ EXCESS $ MISC$
C'^1 f,C^Ui^
^ WRP _L_ PHASE WB/g-HOyniTAnF __JL_IMETER CLIPS
MAIN SWITCH J55J?f!^^ METERING: DCTa [^LF<X)NTAINED
[^ST BY PASS FACILITIES REQ'D
UTILmES MAXIMUM CONTRIBUTION TO FAULT CURRENT 32ipdk- AMPS
lEPHONE ^ TELEPHONI 7(,o^ ^^O' 77S7
IISDQAE aneounlaia hazardout or toxic material while pariorming construction of your project, SDQ&E wW halt work Immediately and K wil be your laspcnslbMty lo remove and/br dean up al hazaidoin or loxlo malarial prior to SDGAE conlnulng constnidion. SOGftE ShaN havt no MMIIy or obngtUon whatsoever to dean up, remove ot remedMe any hazardoua or toxlo mattrialt diseovartd during the couist of constmction unless tt Is through negligenet of SDQ&E.
CuslomwHiwntd fidlillti lo rtctlve eltoMcal swvict art subjtd lo al apploable local and slala d CaWomia Intpacdon authority rtquirsnitnti. BuiMkig addrett andtor tnaltr twsa niust to prior to matar stt. IntemaHon on this shed Is void alter 6 months (rpm date. Keep tMs noDca with bunding ptimit
DISTRIBtJTION: WHITE ORIGINAL - Customar WHITE COPY - Dislrid Operations YELL<