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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