HomeMy WebLinkAbout2503 PALOMAR AIRPORT RD; ; CB131471; Permit06-17-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB131471
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2503 PALOMAR AIRPORT RD CBAD St MP
PME
0000000000 Lot # 0
PALOMAR COMMONS METER PEDESTAL
200 AMP FOR TRAFFIC SIGNAL
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
06/17/2013
SKS
06/17/2013
06/17/2013
Applicant
LEKOS ELECTRIC
Owner
1370 PIONEER WY
EL CAJON CA 92020
619 447-7661
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 $0 00 Balance Due: $154.00
Inspector
FINAL APPROVAL
Date V ff'^ Clearance
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 perniit was issued to protest innposition 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 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 limitations has previously othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE • PUNNING • ENGINEERING • BUILDING • RRE • HEALTH • HAZMAT/APCD
Plan Check No
^ CITY OF
ARLSBA
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email buldling@carlsbadca.gov
www cailsbadca gov
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
( I LOTS I PHASE * / |# OF UNITS I # BEDROOMS
SUITE#/SPACE«/UNIT#
t BATHROOr CT/PROJECT #
ipiicRIPTlbN OF WORK Include Square Feet of Affected Area(sj
# BATHROOIVIS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
Co
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NOD
(Pfiaiafy Contact) / /
Holier C.^cf^'oLZ
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY . , STATE
ADDRESS
CITY . , STATE ZIP
PHONE _ ^ 7 , . ' ^ IFRX
CITY STATE
PHONE
EMAIL EMAIL
tONTRACTO^t^NAM^^^^^^^^^^^^^^^^^^^^^^ PROPERTY OWNER NAIVIE
ADDRESS ADDRESS ,
1270 r/o^^^i^ L^^y
CITY IL _ STATE *^ CITY STATE ZIP STATE ZIP
r4 ^^^^^
FAX ^ , , ^ _ ,
PHONE
EMAIL
CTATC I ir» « . I r^l ACC ARCH/DESIGNER NAIVIE & ADDRESS IC *j>^ rs ^ CLASS _ CITY BUS LIC # / _L ,-,
(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 ofthe 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 exempUon 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 / tmreby affirm under penalty of perjury one ofthe following declarations
I have and will maintain a certificate of consent to self insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worts for which this peniiit is issued My workers' compensation insurance camer and policy
Policy No Expiraton Date number are InsuranceCo.
This section need not be completed if the pemiit is for one hundred dollars ($100) or less
d Certificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not 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 Sectig^ 3706 ofthe Labor code, interest and attomey's fees
vfiS" CONTRACTOR SIGNATURE f^tn ^^^0^.^-1-•AGENT DATE
/ hereby affirm f/iaf / am exempt from Contractor's License Law for the foliowing reason
a I, as owner of the property or my employees with vrages 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, 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 Contractor's License Law)
• I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (fimi) to provide the proposed construction (include name address / phone /contractors license number)
4 I plan to provide portions of the wori(, but I have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number)
5 I 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 wori()
>e^i PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration former nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP • Yes • No
Is the applicant or future building occupant required to obtain a pemit tram the air pollution control distnct or air quality management distncP • Yes C3 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' O Yes O 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 perfomiance ot the work this permit is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender's Address
Icerbly that lhaveieadtheapplicabonandstatethattheabove infoimaton isconectand thatthe infoimataon on the plans isaccurate lagreetocomplywith all Cityoidinancesand State laws relatingto building construction
I hereby authorize nepresentative ot the City of Carlsbad to enter upon the above mentoned property for inspecton 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 for excavations over 5'0' deep and demolition or constnjction of stnicturBS over 3 stones in height
EXPIRATION Every perniit issued by the Building Official under the provisions of this Code shall expire by limitaton and become null and void if the building or work authonzed by such pemnit is not commenced within
180 days from the date of such pemnit or if fhe building or vrork authonzed by such pennit is suspended or abandoned at any tme alter the work is commenced for a penod of 180 days (Section 106 4 4 Unifomn Building Code)
^/^^^eS'APPLlCANT'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.
CERTIFICATl
Fax (760) 602-8560, Email www buildinqiaicarlsbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0# (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CiTY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LiC No
DELIVERY OPTIONS
• PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above)
D 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
^APPLICANT'S SIGNATURE DATE
WANTED DA'
Sempra Eiiergy uiiiuy" ELECTRIC METER & SERVICE LOCATION
• OVERHEAD BtJNDERQRpUND-SPECS ATTACHED DUM • JT MEET REQ'D
PROJECTNO Jl.S50^Y~
T.
BCbMM'L • RESIDENTIAL
JOB NO
ADDRESS olSOZ
CONTACT /^f'isjiiYatijhtr' ^UA^/^ljSg
PHONE* 74^^rf/-3fSC^
MORATORIUM EFFECT • AGENCY
TYPE
DATE CRITICAL PENDING STREET RESURFACING
MONTH YEAR
TCP REQ'D • ST EXC a PERMITS REQ'D DCUST DSOQaE
SERVICE ATTACHMENT POINT AND^JR METER LOCATION /j7(Lt/^ /U^i/t^GOo^ ^MS^ Jll^^l^ iS^J»t>jr. /O^
-f:^i9w -/y^^y*/3W- -H} >r^e3>^ .li^g^l^
SDQSE APPLICATION REQ'D (0^ CAU NOTE INSPEC REQ'D PRIOR TO SET* 0ClTY/OeW#¥ DaTATC
GENERAL CUSTOMER INFORMATION POLE #.
Meter Height - 4'0" min - 6'3" max (rom (inish grade to canter line ol meter base
Meters are required lo be readily accessible 24 hours per day Meiers must be
located In a safe area free of any potentially hazardous or dangerous condlllon
Provide 3 ft X3ft mmimum clear and level working space In Ironlol meter Where
meter room Is pioposed, contact the Planner at the nearest SOG&E office
Meter bases and meter sen/Ice disconnects must be located at or Immediaieiy
adjacent to each other and be Identified wilh address and unit number it sen/es
OVERHEAD SERVICES
PROVIDE MINIMUM GROUND CLEARANCE OF
Ft al point of attachment of SOQ
Ft over driveway orjiarldngarea
Fl at oulscJoitrofvehlcular traffic
UNDERGROUND SERVICE
PROCEDURE FOR INSTALUTION
1 Pay all monies due H^PLICABLE • NOT APPUCABLE
2 Phone SDG&E at 3 working days prior
to trenching to arrange with Inspector and Initlale trenching process
3. PHONE DIG ALERT AT S11 OR 1-800-227-2600 AT LEAST TWO DAYS PRIOR
TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES.
4 Excavate trench, install conduit and service entrance equipment at meter
location CALL ABOVE PHONE # FOR INSPECTION Oo not cover conduit
without Inspector's wntten approval lo backfill
5 Call inspector when trench Is backlllled and compacted for inspection If sen/Ice
entrance equipment Is Installed after backfill, CALL ABOVE PHONE # FOR
INSPECTION OF THE EQUIPMENT
6 Meter will be set after inspector has approved InslaDallon, Including service
equlpnnent, and receipt ol city/county/slate* inspection clearance
JT TRENCH DsAs DTELCO DCATV SEC HEIGHT
r^ABI E POI F CONDUIT BY DciWTOMFR ns™S«P
r:ini p POi 1: PFND RY rici i-ST n sn<>»FPO" PADiliSPnHflORIZF
HAMfiHriiF BY rioUSTOMFR nsnnni: DRTOPAOFH
CONDUfTBY (B^USTDMER •SDQ&E r3 //KlA^
TRENCH INSPECTED & APPROVED BY DATE
"^RECEIVED
JUN 1 7 2013
CITY OF CARLSBAD
BUILDING DIVISION
PAVMEMT BY CUST CBL PL $
3; WIRE ~1
MAIN SWITCH
PHA§E 5&45V4TAGE
iillSC$
METERING nCT'S • SELF CONTAINED
IBfisT BY PASS FACILITIES REQ'D
.METER CLIPS
UTILITIES MAXIMUM CONTRIBUTION TO FAULT CURRENT. AMPS
I CLcrnunc
IISOGSE encounters hazardous or loxlc mateilal while performing constiuclion ol your
project, SDQ&E will halt work Immediaieiy and II will ba your responsibility lo remove
and/or clean up ali hazardous or loxic malanal pnor lo SDG&E continuing construction
SOG&E shall have no liability or obligation whatsoever to clean up, remove ol remediate
any hazardous or loxlc matsnais discovered during the course ol construction unless il
Is through negligence ol SOG&E
Customer ovtned laciiilles to receive electrical service are subject lo ali applicable local and slate
oC CslHoinIa inspectian autltoiity requirements Building address and/or meter base must bs posted
prior to metar sel Inlormallon on itils sheet Is void alter 6 months Irom dale Keep Ihis notice with
buiiding perinjl
DISTRIBUTION WHITE ORIGINAL - Customer WHITE COPY - District Opai