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Home My WebLink About2562 EL CAMINO REAL; MP; CB161606; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-27-2016 Permit No: CB161606 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2562 EL CAMINO REAL CBAD St: MP PME 0000000000 Lot#: DISCONNECT/RECONNECT SERVICE Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: TO SWITCHBOARD. REPLACING TEST BLOCK FOR SDG&E FOR CONNECTION Applicant: J GROTHE ELECTRIC INC OBA J G ELECTRIC 15632 EL PRADO RD CHINO CA 91710-9108 909-993-9400 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: ISSUED 04/27/2016 JMA 04/27/2016 04/27/2016 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: 5:-zt, ~f ~ Clearance: $0.00 NOllCE F1ea5e take NOllCE that app-oval of yrur prtject irdudes tre "lrrpcsition" of fees, dooications, reservations, or otrer exoctions rereafter rolEdively referred to as "fees'exoctions." You mve 00 days frCX'Tl tre date this pc,rrrit was is.sued to protest irrpcsition of trese fees'exoctions. If yru protest trern, yru rrust fdlONtre protest procedures set forth in Goverrrrent C.aJe Section oo:l20(a), ard file tre protest ard any otrer required information wth tre Oty rv1anager for processirg in aax:roarce wth Carlsl:Ja.:j Mnicipal C.aJe Section 3.32.030. Fa lure to tirrely fdlONthat procedure wll oor any subsequent legal action to atta::k, ffMeN, set aside, vcid, or cmul trnr irrpcsitim You are reret,; Fl.RTl-ER NOllFIED that your right to protest tre sp3cified fees'exactions i::xxs NOT ,Af'R..Y to v..eter ard = cmnection fees ard capacity changes, nor plannirg, zroirg, grcdirg or otrer sinilar application prooessirg or savice fees in a:nnection wth this prtject. r--rn i::xxs IT AJ=A.. Y to any fees'exactions of Wlidl mve ·ous1 bffi,i ·ven a NOTICE sinilar to ths or as to v.hdl tre statute of linitations has eviousl otrerwse ·red. THE FOLLOWING.APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING O FIRE OHEALTH 0HAZMAT/APCD C_cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ~f (o • JOB ADDRESS CT/PROJECT # EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY f' '": ~"W\O PHONE ADDRESS LOT# Est. Value Plan Ck. Deposit Date SWPPP CONSTR. TYPE OCC. GROUP PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) STATE Cl\ ZIP qr1to FAX qoC-f CITY STATE ZIP CITY WlO STATE CA ZIP '1 7 / 7) PHONE FAX EMAIL EMAIL , &.v"V\Ge <AX)('~ STATE UC.# (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)). WORKERS ' COMPENSATION Woriters' Compensation Declaration: I hereby afflnn under penalty of perjury one of the followir,;; declarations: [:li have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain worl<ers' compen,ation, as req~ireq by Sec~ 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Sa,yvr\-~ t\XKt1o()t\ l"'Sut' I\~?(.... Policy No. ~'\ll(C, 101 2-o \ \ Expiration Date Y' c,I · I le, ~section need nol be compleled ff the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which lhis permil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia. WARNING: Failure to secure worl<ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama9es n ection 3706 of the Labor code, interest and attorney's fees. _65 CONTRACTOR SIGNATURE I hereby afflnn that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages 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 Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, p<ovided 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 p<oving 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 constnJCI the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law). 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 p<operty improvement. 0 Yes 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate. supervise and provide the major work (include name I address I phone I 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 I address I phone/ lype of work): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE • Is the applicant or future building occupant required to submit a business pl~, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley.Tanner Hazardous Substance Account Acri O Yes ;n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districrl O Yes Jl1 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0'No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UtfLESS 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 this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the aboYe lnfonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State lav.s relating to building construction. I hereby aulhorize ~ntative of the City of Carlsbad to enter uix,n 1he atx>ve mentioned property for inspecfun purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSEWJ AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requied for excavations over 5'0' deep and demolifun Of construction of structures over 3 slories n height. EXPIRATION: Every permit issued by the BuikJing Offcial under the provisoos of this Code shall expire by Imitation and become nun and voo ~ 1he buik:ling Cl( v.of1< aulhorized by such permit is not commenced \\ithin 100days fi'om the date of such permit Cl( if the buikJilg ()(v.ofl< aulhorized bys rmlt is suspended Of abandoned al any time after the v.O!k is commenced for a peood of 100days (Section 100.4.4 Uniform BuikJing Code). ~ 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (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. DELMRY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#•------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: ________________ _ o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB161606 Type: PME Date Inspection Item 05/26/2016 33 Service Change/Upgrade 05/26/2016 33 Service Change/Upgrade 05/26/2016 39 Final Electrical 05/11/2016 34 Rough Electric Inspector Act RI PB AP PB PB AP AP DISCONNECT/RECONNECT SERVICE TO SWITCHBOARD. REPLACING TEST B Comments DISC/REC soqf ~nMcfed ELECTRIC UNDERGROUND METER & SERVICE LOCATION A~ Sempra Energy 11111,ry-Customer Copy Notification#: 300000069461 Job#. 530000035936 I TB: 1106-G3 Wanted Date: ON INSPECTION Date Prepared: 11/24/2015 Customer Type: Commercial Service Type UG REWIRE (NO TRENCHING) Project Title: CARLSBAD PLAZA LLC (SOT) Project Address: 2562 EL CAMINO REAL I Project City: CARLSBAD Additional Address Info: STRIP MALL SOUTH OF CVS IN BACK IN P-LOT Customer POC: Tom Cuellar Customer Phone#: 619 666 6140 SDGE Contact: Service Coordinator Contact Info: TIM SHERLOCK,760-476-5619 0 Traffic Control Permit Required 0 SDG&E Application Required-Call: 1-800-411-7343 Excavation/Encroachment Permits Required By: Municipal Inspection required By: CITY OF CARLSBAD I Temp Service Charge due on First Bill$ 0 00 SERVICE ATIACHMENT POINT AND/OR METER LOCATION: Customer to repair test blocks and wire after disconnect, reconnect after city inspection. Call SDG&E Service Coordinator Tim at 760-476-5619 to schedule a morning disconnect with an afternoon reconnect provided that the City/County releases inspection to SDG&E by 2:00 PM on the same day the crew 1s scheduled To avoid delays with reconnection, your permit should read (Customer Outage Involved). Station ID tt. 213-177 Structure It. 03698067234 I Joint Trench With: Handhole Installed By: Handhole Lid Shall Read: Standards Page: Ladder Arms: I Stop Trench: from Pole Riser Quad: Bend Installed By: I Bend Type: Bend Info: Conduit Installed By: Conduit Size: Service Panel Rating: 100 Number/Size of Main Switch: I Voltage: 277/480 # of Wires: 4 Phase· 1 Utilities Maximum Contribution to Fault Current Metering: Self Contained Test Bypass Facilities Reqd Meter Clips: Meter height -4'0" min. (3'0" min. for multiple installation) -6'3" 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 a safe area free of any potentially hazardous or danQerous condition. Provide 3-ft. x 3-ft. clear and level worl<ing space in front of meter. 11\/here meter room is proposed, contact the planner at the nearest SDG&E office. Meter bases and meter service disconnects must be located at or immediately adjacent to each other and be identified with address and unit number. PROCEDURE FOR INSTALLATION 1. PHONE DIG ALERT "811" AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES. 2. Phone Service Coordinator at 760-476-5619 for the following· -3 Working days prior to trenching to arrange pre-meet with inspector and initiate trenching process -After excavation of trench, installation of conduit and service entrance equipment at meter location, CALL FOR INSPECTION. Do not cover conduit without inspector's written 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 installation, including service equipment, and receipt of city/county/state inspection Additional Information: 0 Right of Way Required Assessor's Parcel Number: City/County inspection should be received prior to 2:00 p.m. on the same day as the disconnection of service to allow the SOG&E crew enough time for reconnection of the service on the same day. If SDG&E encounters hazardous or toxic material while performing construction of your project, SDG&E will halt work immediately and it will be your responsibility to remove and or clean up all hazardous or toxic material prior to SOG&E continuing construction. SDG&E shall have no liability or obligation whatsoever to cleanup, remove or remediate any hazardous or toxic materials discovered during the course of construction unless it is through negligence of SOG&E. Customer-owned facilities to receive gas service are subject to all applicable local and state of California inspection authority requirements. Building address and/or houseline must be permanently identified prior to meter set. Information on this sheet is void after six (6) months. Keep this notice with building permit j Planned By: Steven Ossey ! Phone#-. 7604765612 \ HAY1\1AR DR CARLSBAD PLAZA Job Notification # 3-69461 Planner Name: STEVE OSSEY Construction Contact: TIM SHERLOCK Customer Name: TOM CUELLAR CVS Date: 11-24-2015 Planner Phone: 760-476-5612 Construction Phone: 760-476-5619 Customer Phone: 619-666-6140 100 AMP 3 PH. 4W 2771480V. CUSTOMER TO REMOVE BAD TEST BLOCKS AND BURNT WIRE DISCONNECT AT TRANSFORMER ~ -~~~~~~~~~~~~~~~ 213-178 D369806723 . ~~ I ,............... - :.MTR# 6518010 EL CAJ\IIINO ~ • REAL ~ r, .... . Coll 811: Two V,brking Days Before You Oig! soG.·· ..... /£ ~ r~ S1:111pr,, l:n<'ntv' ~,;1.;• ~~ '~ t N