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Home My WebLink About2515 PALOMAR AIRPORT RD; TP; CB121118; Permit06-15-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB121118 Building Inspection Request Line (760) 602-2725 Job Acidress Permit Type Parcel No Reference # PC# Project Title 2515 PALOMAR AIRPORT RD CBAD St TP PME 2130201800 Lot# 0 LOWES-INSTALL 200 AMP TEMP POWER POLE FOR CONSTRUCTION Status Applieci Entered By Plan Approved Issued Inspect Area ISSUED 06/15/2012 LSM 06/15/2012 06/15/2012 Applicant JEFF TUCKER ELECTRICAL Owner COUNTY OF SAN DIEGO 5979 QUIET SLOPE DRIVE 92120 619-818-3977 PUBLIC AGENCY OOOOO Plumbing Fees Electncal Fees Mectianical Fees Other PME Fees $0 00 $150 00 $0 00 $0 00 TOTAL PERMIT FEES $150 00 Total Fees $150 00 Total Payments To Date $150 00 Balance Due: $0.00 Inspector/ — APPROVAL FINAL APPROVAL Date —U Clearance NOTICE Please take NOTlC#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 penmit 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 sen/ice fees in connection with this proiect NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been given a NOTICE similar to this, or as to which the statute ot limitations has previously othero/ise expired THE FOLLOWING APPROVALS REQUIRED PRIORTO PERIVIITISSUANCE nPLANNING nENGlNEERING nBUILDING DFIRE DHEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD .^I^'TP Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 vyww carlsbadca gov Plan Check No. (IB> / JS-l vv & Est. Value Plan Ck. Deposit Date (^\l^i SWPP JOBADDRESS CT/PROJECT # PHASE # « OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s) •A EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOD APPUCANI NAME (Primary Contact! APPLICANT NAME (Secondary Contact) ADDRESS J^7f^ (?Xi^f Y I / STATf ADDRESS PHONE,y STATE ZIP FAX CITY STATE PHONE FAX PROPERTY OWNER NAME , _ ^ „ ACTOR BUS NAME ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 tiasis for the alleged exemption Any violation of Section 703i 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compehsation Declaration / hereby affirm under penalty of perjury one ofthe following declarations O I have and will maintain a certificate of consentto self insure for workers' compensation as provided by Section 3700 of the Labor Code for the performance of the work (or which this perm It IS issued ^^1 have and will maintain workers' compensation, as requiredby Section 3700 of Ihe Labor Code, for (he perfonnance of the work for which this permit is issued My workers' compensation insurance camer and policy number are Insurance Co _ Policy No . Expiration Date //ff ' ^-—' Jhis section need not be completed ifthe permit is for one hundred dollars ($100) or less JS Certificate of Exemption I certify that in the performance o( the work for which this pemiit is issued, j 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), m addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attorney's fees vgf CONTRACTOR SIGNATURE •AGENT DATE / herety affinn that I am exempt from Contractor's Ucense Law for the following reason • I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not mtended 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 bcense 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) O I am exempt under Section Business and Professions Code for this reason 1 1 personally plan to provide the major labor and matenals for construction ot the proposed property improvement • Yes • No 2 I (have / have not) signed an application (or a building pemiit for the proposed work 3 I have contracted with the (ollowing peison (firm) to provide the proposed construction (include name address / phone / contractors' license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major wori< (include name / address / phone / contractors' license number) 5 1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) >eS'pR0PERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf O Yes • No Is the applicant or future building occupant required to obtain a permit (rom the air pollution control distnct or air quality management distncP • Yes • No Is the (acility to be constmcted within 1,000 feet o( the outer boundary of a school site'' • Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY iWAY 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 perfonnance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address X un''! It" y L' f - I certify thatI have read the applicabon andstate thatthe above infomiation isconectandthattheinformation on the plans IS accurate I agreetocomply with ali City oidmances and State laws relatngto building consfructon I hereby authonze representative ofthe City of Cartebad to enter upon the above mentioned property for inspection puiposes 1 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 pemiit is required for excavations over 5'0' deep and demolition or constmction of staictures over 3 stones in height EXPIRATIGM Eveiy pennit issued by the Building Official under the previsions of this Code shall expire by limitation and become null and void ifthe building or work authonzed by such pemiit is not commenced within 180 days fnjm the date of such pennit or ifthe building or work authorized by such pemiit is suspended or abandoned ai anytime after the work is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code) ygf 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. C E R T I CCUPANCY I C o m m e r c j a I Projects Fax (760) 602-8660, Email www buildinq(a)carlsbadca 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 STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS • PICK UP • 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 ^APPLICANT'S SIGNATURE DATE Inspection List Permit* CB121118 Type PME LOWES-INSTALL 200 AMP TEMP POWER POLE FOR CONSTRUCTION Date Inspection jtem Inspector Act Comments 06/19/2012 32 Const Service/Agricultural - Rl C/O ECR AND PAR 06/19/2012 32 Const Service/Agricultural AP AP 06/19/2012 39 Final Electrical PY AP Wednesday, June 20, 2012 Page 1 of 1 4. A Sempra Energy utility" Wanted Date on Inspection ELECTRIC UNDERGROUND STER & SERVICE LOCATION Customer Copy Service Type UG Senrice Temporary Pro;ect No 256022 Job No 010 Project Title CSI Contracting Project Address <gae?-Palomar Airport RD "7°"/? Proiect City CARLSBAD^STS^ Contact Jeff Tucker Customer Phone # Contact Phone # 619-818-3977 D Traffie Control Pennit Required Excavation/Encroachment Pennnits Required By Customer Service Attachment Point and/or Meter Location Locate 200 amp temporary meter pole/pedestal within 10 feet of transformer D3501368555. Customer to provide all trench, excavation, 3 inch conduit, backfill, compaction and 3/4" pulling and measunng tape from transformer to meter panef. Customer to trench to the corner of transformer pad as directed by the trench inspector, SOG81E to install customer-provided sweep into transformer. If selected, Customer assumes responsibility for condition of existing stubs. NOTE: If on private property, acquire permission. Temporary fee of $ 803.00 will appear on first month's bill. NOTE: CONTRACTOR TO PROVIDE ROOM FOR SDG&E CREW TO PARK ON PRIVATE PROPERTY TO INSTALL TEMPORARY SERVICE AND METER. 1^ SDG&E Application Required - Call 1-800-411-7343 Municipal Inspection Required By City of Carlsbad Meter height - 4'0' mm (3'0' mm for multiple meter instailaton) - G'S' max From finish grade to centerline of meter base Meters are required to be readily accessible 24 hours per day Meters must be located in 3 safe area free of any patentaliy hazardous or dangerous conditon Provide 3-ft X 3-fL Minimum clear and level vmrking space in front of meter Where meter room is proposed, contact ttie planner at the nearest SDG&E oflice Meter bases and meter sennce disconnects must be located at or immediately adjacent to each other and be identified with address and unit number it serves PROCEDURE FOR INSTALLATION 1 PHONE DIG ALERT 1-800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILHES 2 Phone SDG&E at 760-476-5614 for the following • 3 vrerking days pnor to trenching to arrange pre-meet with inspector and inibate trenching process • After excavation of trench, installation of conduit and service entrance equipment at meter location, CALL FOR INSPECTION Do nol cover conduit without inspector's wntten 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 installabon, including service equipment, and receipt of city/county/slate inspection clearance Power Source 585-127 Stmcture Number D3501368SSS Joint Trench with Handhole Installed by Bend Installed by SDG&E Type Transformer 3" 90 Deg 36"R DB60 Conduit Installed by Customer Conduit Size 1 - DB 3" Semce Panel Rating 200 Number/Size of Mam Switch Voltage 120/240 # of Wires Phase Single Utilities Maximum ContnbuMon to Fault Current 42000 Amps Metenng Self-Contained, Test Bypass Facilities Rqrd Meter Clips 4 Temp Service Charge Due on First Bill $ 803 T.B. 1127-E3 Customer Type Residential Date Prepared 06/06/2012 t N <0, Palomar Airport Rd CUSTOMER TO PROVinF ROPy FOR SDG&E CREW TO PARK ON SITE TO INSTALL SERVICE AND METER 3 Additional Infomiation • Right-of-way Required Assessor's Parcel Nunfiber Please call your Service Coordinator Terry Zepeda at 760-476-5614 with questions about appiication, inspection, construction installation and to schedule a crew. If SDG&E encounleis hazartlous or toxic maleaal while pertormtng constmction of your ptojecl SOG&E will hall woHt uTiinedialely and it will t)e your lesponsibclity to remove end/or clean up aD hazardous or tone matenal pnor to SDG&E coottnuns constiuclion SDGgE shall have no liablity or oblgation whatsoever to dean up remove or remediate any hazaitlous or lone malenals discovered dunng the couise of constmction unless it is through negligence ol SDG»E Cuslomer-owned laalilies lo receive electncal seniice are sutiiecl to all applicaljle local and slate of California inspection aulhonly requirements Building addiess androi meter base must lie posted pnor lo mele/ set Infomation on this sheel is void after six (6) months fiom date Keep ths notice with building pemut All installations peifoimed under this order must meel SDG4E standards unless a wntten devalion has tieen appioved Planner LOISAHIGGINS Tefephone 760-476-5613