HomeMy WebLinkAbout2710 MADISON ST; ; CB970937; PermitQef ..#-/ // &;100 I
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~~OVAL
DATE 7 ~JJcr,,t1?-
CLEARANCE_,-,,(' __ Mf-1----
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. q7 {jf'J 7
CITY OF; GARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161 R
Address (include Bldg/Suite I)
?..."'\lO '#'-~\~N
SrP
Busineu Name lat thia address)
Legal Description Subdivision Name/Number Unit No. Phase No. Total I of units
2:llo V"'A~S.ON
Assessor's Parcel I Existing Use 2c> '°3, -I \ O -0 L\--(:) C C°"' \ 'lL t:.P
Proposed Uae
~-E
I
Oescnption of Work ~cu:>> i N;,,,lc.-\i'II°"\ /5-?.,.. ~O. FT.
t"IIJ~~"~,o\.-~.c\v\co..\,o('\"lA.\\ -~~ '-", • ~ q4~ !i:'. CONTACT PERSON lit different from appUcantl > , ·
#of Sto(es /'(j)J~S F' of Brooms # of Bathrooms
·•·:· ... _f l . ~·<"·,2,..,_L /.{) _.. • . . , . _ / _ .. V(,/V: <.I .J--~l/1,j,Gv
Name Address City State/Zip Telephone # Fax II
a: ·:. APPLICANT
'.?,0112£:; r:z,...-s:
0 Contractor 0 _Agent f.!>L Cont{a\:lor
ft::,(X)')( 4-o 2..4
m..---~-.-... •-•...-•~~.r~-irc.,• _.,. l!:f1.1Wner .•. □ ~gent for Owner. la ~~..:.:I!-~lrltf'fA,~-; ._ .
'."tk<Z.C:a ~ ~ C&::: 9Z.C ''z 1S<..f-Zlt:iC::.
Name Address City State/Zip Telephone I
(Sec. 7031.5 Business and Professions Code: Any City or County which requires e 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
, . ,mption. 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)).
Name Address City State/Zlp Telephone#
State License# __________ _ License Class _________ _ City Business License I _______ _
Designer Name Address City State/Zip Telephone
State License # __________ _
le.... .-.. WORJU:llS: COMPENSA TIOft.., ;, ... : ... l, L:.. .. __ ;_ .• ' ,: -"::i_ _. -· .. -_.. , ,. ~ ;-1 ~;,,~~~.-.J:~~~:i~".':i:J~~t '_.,: . .'· '; );_;.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a cPrtificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company _____________________ _ Policy No .. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE C9MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit is iuued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to aecure· workera' compenaation coverage ia unlawful. and shall subject en employ■, to criminlll penattiea end civil fines up to one hundred
thousand dollars ($100,0001, In addition to the coat of compensation, damages ea provided for In Section 3706 of the Labqr code, lntere1t end ■ttomey'1 fH1.
SIGNATURE ______________________________ _ DATE ________ _
'7. OWNER-BUILDER DECLARATION • __ ·• j -~(:.: !t~flt'!$,":.;1!;-:,.~,.:-'5}'.,;t,:i-i}1P'.;i;-='~:' ·,:_:.-,"~::-~·''
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 Contr1ctor's License Law does not apply to 1n 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 purpo1■ of "le).
$-,. IS owner of the property, am exclusively contracting with licensed contractora to construct the project (Sec. 7044, Bu1ine11 and Profesal'.>na Code: The
Contractor's License Law does not apply to an owner of property who build• or improves thereon, end contract, for auch project■ with contrectorls) licenaed
pursuant to the Contractor's License Law).
0 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 property improvement. 0 YES ONO
2. I lhave / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person lfirml to provide the proposed cons11uction !include name / address / phone number / contractors license number!:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number):. _________________________________________________ _
5. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated (include neme / address / phone number / type
of work): ____________ _,,.-9---::----;;-,:;------------------------.---:----------------
PROPERTY OWNER SIGNATURE ---~~.J.Q_:zt:....l,i~~;:::::=-----------DATE _ _._.,~.....;.....a..9_,_J.,__ __
.COMPLE:Tf JHIS SECTION FOR NON-RESIDEN1JAL BUILDING ITS, ONL Y;'.i..:. ·•--"•Ih ... ~:~r-.:;.:..'1U~~!~z~ 'f]'.'J,g,: '. :3.' • :~:'
l~ th., c~::,lic::~t c~ future tui:clir,w occupant • 6quiro.:S tu ouUmit a bubine» µien, acuteiy haza,oous material• reg1strat1on torm or risk management end prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
i8;_-•. CONSTIIUCTION LENDING AGENCY ·:.'..;.· ~r i''.::,_'.. . .•• , . -, ·; .?' ·:, ·_,'. ''.,,".Z;~fuW1-•~~~~~Q:J!:,f.,@"IE![~::·, , ·.:.'.·.
I hereby affirm that there is a construction lending agency for the performance of tha work for which this permit i1 issued (Sec. 30971il Civil Codel.
LENDER'S NAME i9. APPUCANT _C_E-RT_I_F-IC_A_TI_O_N _________ _ LENDER'S ADDRESS _________________________ _
.. '•of,:-~,!:"._.,,;11_: ·-,
I certify _that I have read the application end st~te that the abo_ve information is correct and that the information on the plans is accurete. 1 agree to comply with all
Coty ord,nanc~s and _State laws relating to buoldong construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for onspectoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. .
OSHA: An OSHA permit is required for excavations over 5'0" deep end demolition or construction of structures over 3 ■tories in height.
EXPIRATION: Every permit ia~ued by the Building Offi~lal under the proviaiona of this Code 1h1II expire by limitation and become null and void if the building or
work authonzed by s~ch per mot Is not co_mmenced within 36 5 d_ays from the date of such permit or If the building or work authorized by such permit is suspended
or abandoned at any time after the rk os commenced for ■ period of 180 days (Section 106.4.4 Uniform Building Codel.
APPLICANT'S SIGNATURE
DATE __ 4;..&..l_'l..\..;..,\....:57'-'-----
YELLOW: Applicant PINK: Finance
PERMIT# CB970937
DESCRfPTION: PLUM
ELEC
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/08/97
REWORK,PARTIAL STCC0400SF
65A-200AMP,DRYWALL,REROOF 1145 SF
STE:
INSPECTOR AREA PY
PLANCK# CB970937
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2710 MADISON ST
APPLICANT: BERG, ROBERT
CONTRACTOR:
PHONE: 760 754-2100
PHONE:
OWNER:
REMARKS: R/ROBERT/754-2100
SPECIAL INSTRUCT:
PHONE:
INSPECTOR ---'1/-+----------
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
060297
052997
052797
052797
052297
052097
052097
052097
052097
052097
•
DESCRIPTION
Interior Lath/Drywall
Rough Electric
Insulation
Exterior Lath/Drywall
Insulation
Frame/Steel/Bolting/Welding
Roof/Reroof
Rough/Topout
Rough Electric
Exterior Lath/Drywall
ACT INSP
AP DC
AP DC
AP PY
AP PY
CO DC
AP DC
AP DC
AP DC
AP DC
NR DC
COMMENTS
NO ACCESS
, · '>-18-1997 11:26
, G"'. $fl f' San Diego Gas & Electric
I M Eno"• Ccrnp;,ny
PROJECT MANAGEMENT NORTHERN
F/!!X# (619) 746-0651
FACSIMILE COVER SHEET
D.AiTEJ-/./°?·97 TIME /f '15 __,_ _______ _
FRfM Lais 1-/,·~'j,',-,-, {D~
PHONE/EXTENSION 4~0-7 7 7 5
TOr-R o bLJ: ]?1/Lj
CO~PANY/DEPARTMENT __________ _
F~ NUMBE~ J.-/1(· 00 5/o
P.01
•
PHONE/EXTENSION ~----,,---------'"---"-'----------------
MESS AGE O vu~,J
c«lt.
THIS FACSIMILE CONSISTS OF Q_ PAGES, INCLUDING THIS COVER SHEET. IF
YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL THE NUMBER IND/CA TED
ABOVE BY THE SENDER'S NAME.
THIS COMMUNICATION IS INTENOEO FOR THE USE OF THE INOIVlOUAL o,~ ENTIN TO WHICH IT IS AOORESSED ... ND
,....,_y CONTAIN INFORM.I.TION THAT IS Pill\llLEGED, CONFIOENTIALANO EXEMPT FROM DISCLOSURE UNDER
APPLICABLE LAW. I~ THE READER OF THIS COMMUNIC,.TION IS NOT THE INTENOeO RECIPIENT OR EMPLOYEE/AG~NT
RESPONSIBLE FOR DELIVERY TO THE INTENOEO RECIPloNT, YOU ARE HERESY NOTIFIED THAT AN'!' DISSEMINATION.
OISTRISUTION OR COPYING Of THIS CO/dMUNIC:ATION IS STRICTLY PROHIBITED. . ,•• . •. .., . . . . .
IF YOU HAVE RECEIVEO THIS COMMUNICATION IN ERROR, PLE.Ase NOTIFY SENO:R IMMEOI.\TELY BY THE TELEPJ:!ONE
ANO RUURN THE ORIGINAL COMldUNICAT/ON TO SENOER AT Tlio A50VE ADDRESS VIAU, S. MAIL . . . ~-
• • • • PLl:ASE DEL_IVER AS SOON AS POSSIBLE • • • "
---------··
A' ,~-18-1997 11: 27 P.02
T.8. JILJI~~:::;::'.'.~~::::!===-;:;;;.;[i;'i,'.;.';-e 25) L ~ ~RHEAD □UNDEFIGROUNO.SPECS ATTACHED 0JT MEET FIEO'D □COMM'L ~ENTIAL
~ ·NAME .. '.-F"'t~\o--'t' ~ --r;;z., -tEJ r -
ADDIIESS -"l T1 I l"'I lff I ~ C"\ I '-0 n
•' -~ (" ' c;;;;,. ' , -•-'""'
PROJECT NO.~ O'-l '-t"-I JOB i,jO,
MORATORIUM EFFECT• AGENCY __________ _ TYPE ___________ _
Pw~' : t./ CONTACT -~ ...-l.~ r; ( -OATECRmCAL-PENDINGSTREETRESUFIFACING
\'
,_, · -~ ,: ,-. .-, ~, _ MONTH ________ YEAR _______ _
.,,,. PHONE# ~ -_, --' -TCP REO'D □ ST EXC & PERMITS FIEO'D □CUST □ SDG&e f-'-__c_-'-'...;cc:;:_:;c_..;...J..:.,::=::.::..-=1..-
S ERV ICE ATTACHMENT POINT AND/OR MeTER I ncATION:r" ... ,., -... " -, n ""Tn \ D r e,_ F'l i..e__-r ,. i "\..
1 ,0 1. l 't"ti-1 ~ I <i<: '"' ,-~c: £. c. c::-r r • } r ,,v v c. = J .ru..:. , -l
( '{.J,,C~ -\JV,-.l ,n -.o .-.c-e;>Y1 "-rt::,~ ·~ I
,r"'\, /JIY t\Y =
SDG&E APPLICATIO,,. REO'D □ CALL NOTE: INSPEC REO'D PRIOR TO SET' ia'1::JTY_.,. □STATE
i--~,.!--'-! _· __ · i._' G;;.E::N.::ERA=::L:.:CU=STo;.:_·=M;;.Elt;.:_'.::1"'.,:t;Qa:, ;.:_.RM'.li:, .. ,:. ·,,_iTIQK,,.·;.:_. :;.:;..: '-"\_,'..,. '•:.:·•·:.:'"''·..:•.;..IL,:.;_':,!,,I, POLE •1~LAODER ARMS FIEO'D □ EXISTING □
MeterHelgtlt-◄'0~ min., 8'3" mu. from tlni.tl gradetocanterllneaf metarba!Je.,
Meters are requira::f io be readily ai:cesstbl• 24 hours pet day. Meters must be
located ln • safe a{ea free or any potentlall)' l\azardous or dangerous condition.
PmYldEI 3 fl X 31t. minimum clew and level working apac:e I" fn,nt of meter. wn8te
meter: room i■ proposed, contact tr,• Planne:r at tn. neare1t SDG&.E office.·
Metar:baHs and meter service Glscon~s mu$t be locatea at or immec:llately
adjacent toe:ach o~t\er and be Identified with adOl'N• and unit numbarit ■erves,
.... _ .. ··L._:. t;.·_~:-·rt. / . : o~~-~~::::•,:r:.'.,\1J-~~r~;!~t\i( -·:~•\f,,_1~
I-E MINIMUM GROUNO CLEARANCE OF:
Ft at po-,nt of attachment of service wirea
Ft. over ~riveway ol' J'ari(lng area
Ft. at ol4er flmlt of Y11hicular traffic -----Ft.-~•------------
.·-:· · j: ·:-,: \·.. UNOE~:SEffV~Ef.'-.:'~;~'-S.}:■,:~,• ":•· ~-,,. ( .'{·
PROCEDURE FOR!INSTALLATION
1, Par all monln ~ue fJ APPLICABLE LJ NOT APPLICABLE
2. PhJne s·DG&.E ~-----3 working days prior to trenohll'lg to arrange
wltCI. tnspectot ~ Initiate t,.nching prooess. ·
3, PHONEDIGAU!RT1.IJIIM2M1UATLE.&S1'1WODAY&PRJOATOTR&NCH·
ING FOR LOCA110N OF UNDERGROUND UTILmE&.
4. Exdavate ttencti, Install conduit and MNlc• entranoe ea111pment at meter
location. CALL ABOVB PHONE f FOR INSPECTION. 0o not "'""" conduit
wltl'lout lnepecit~r's written qiprovar to backfill.
5. Calllnapector~,rencl'lisbeckfilledandcompactadforlnsoectlon.tfaarvQ
ent/ance oqulpf11ont Is lnatoll«I after backllll, CALL ABOVE PHONE f FCi>R
IN!i"ECTlON Of THE EQUIPMENT.
6. Meter wlll be ae~ after Inspector hu aopraved in■tallatlol'I, Including aervlce
eQ~Dmant, and recolpt of clty/ca\lntyJstal:e"' inapectlora clearance.
JT TFll;NCH
CABt.E: -_PCILE CiONDUfT BY O CUSTOMER O 5001.E StZJi:
CABLE POLE BEND BY □ CUST □ SDGI.E ao· RADIUS $CM aa 8tZE
HANOHPLE ilv □ c,isro .. i~ □ SDGH □ &TO. PAOE.
CONO~T SY O CUSTOMER O SDGI,& SIZE
TRENC~ INsncTED a APPt=IO\tED BY DATE
PAYMi;'.tlT GY CUST: CSL PL$ EX.CBS$ I" MISC$
3,;vme LJPHASE t ,;:,_ ...,LTAGEii -,.. METERCllPS
MAIN SWITCH ,.;2 eo M!'r ..... NG; □CT·~•LF-CONTAINED
Orur BY PASS FACILmES REO'O
-
UTll.ffll:S MAXIMUM CONTRIBUTION TO ,-o.UlT CUAReN, ' , ,
~-&ri A-□ 7v,• FROM POLE RISER QUAD, _
-=
' N
I
ADQ'L INFORMATION: (Oetac.n befOnil completlr,g tnis section.)
~atomer-owneG ls.illti■s tor~ electrlcal aeMce -subject toall appjlcable local and alate
ol Clllil(ltnla in:s~IQn -ill.ltnot1t)' requiternomU. Buildlng ~dl'9SI and/Or meter~ must be pc,Sled
prior 10 met"r 381, lntom,afron on thhi ~naet 1$ void erter 6 me.in lh.!1 frDfll dare. kNp th1$ nat!ce
'
If $Dll&E 111nc:;ountqr.1 tiazardou• 01 toxic m:at.rt•I White petfonnin9 ,;onalf1Jctlon ol your
protect, :SOGl,I! wm halt wotk immMII.Jltely and It •Ill be )'QUr rt11pon•lblllty to N1mq11e
.1nd/or Cllean UID all ..._,..u.; or toxic ,,_..rial prie1r to SOGI.E continuing conatrucllon.
SOG&E ~hall ....... na ~UIUty or obllO•tlon wltlltt0e¥er le ckl#I up, rlll'l'ICl\'e or ntmlldi~•
&n!t l"lauird~~ i:,r toxic matltfiala Clhlco,,,erec:I during the cou1$9 Qf conalructlon utll•U it
Is 11irough neo11aenc111:01 SDG&E.
wt1'ti building s,t,ffltll. I
I
... , .. -ra,., ................. ,, __ ,_, ........ -911> fe0r'!i 't..P IN 'l.7 TOTAL p. 02