HomeMy WebLinkAbout2732 BRESSI RANCH WAY; MP; CB050355; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Electrical Permit Permit No: CB050355
Job Address: 2732 BRESSI RANCH WY CBAD
Permit Type: ELEC Status: ISSUED
0000000000 Lot #: 0 Applied: 02/07/2005 Parcel No:
Reference #: Plan Approved: 02/07/2005
Entered By: KG
Project Title: 100 AMP ELEC PEDESTAL FOR CATV
Applicant:
FISHEL COMPANY
666 AIRPORT RD
OCEANSIDE CA 92054
760 967-6930
Issued: 02/07/2005 Inspect Area:
Owner:
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
100
0
0
0
$10.00 $25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 $0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00
1315 02/08/05 0002 01 02
CGF 35.00
FINAL APPROVAL
Inspector: Date: 3/2@fl 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 'Yeesiexactions." You have 90 days from the date this permit was issued to protest imposition of these feesiexactions. 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 feesiexactions 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
feesiexactions of which you have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exDired.
PERMIT. qPPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ONLY
EST. VAL.
Plan Ck. Deposit fl
Validated By
Date
1. PROJECT INFO
Address (include BldglSuite X)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Business Name (at this address)
2732 n?!!?, h?d& WAY
Assessor's Parcel # Proposed Use
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Pd IO0 MfedlL MLdi7#&flL fiL Cwii
2.
Name Address City Statelap Telephone X Fax X
CONTACT PERSON (If dlffennt from applicant)
4. PROPERTY OWNER
Name Address City Statelzip Telephone #
5. CONTRACTOR - COMPANY NAME
(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 Codel or thet he is exempt therefrom, and the basis for the alleged
exeF;y& v2;yZepion 7031.5 by any appli a t f r a p mit subjects the applicant to a civ' penalty of not more than fi e h ndred dollars IS5001).
Name Address City Statelzip Telephone #
State License x 6 784 42 License Class At 7 City Business License # /IqfbgY
Designer Name &I,+ Address City Statelzip Telephone
State License #
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate 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.
8'1 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 di"&hM C.5iJLAd &dhJ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 151001 OR LESS1
0 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 workm' compensation coveraga Is unlawful, and shall subject an amployor to criminal penaltias and civil fine. up to one hmdrd
thousand dollars ($100.000). in addition to the cost of compansatkn, dam.gu M provided for tn Section 3706 of the Labof code. Intomst and attorney's fees.
SIGNATURE DATE
I hereby affirm that I am exempt from the Contractor's License 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 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).
0 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(s1 licensed
pursuant to the Contractor's License Law).
1.
2.
3.
666 kkhk&& OL&Mdd & SZoW 66&%7473b
Policy ~o.dC276 WWZL/ Expiration Date 8- f - mD 5
7. OWNER-BUILDER DECLARATION
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed properly improvement. 0 YES
I (have I have not1 signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
ON0
4.
number I contractors license number):
5. of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-R€SD€NTIAL BUILDMG PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? YES 0 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time af
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 I address I phone
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 number I type
0 YES 0 NO
riod of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 2-7-flS
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/24/2005
Permit# CB050355 Inspector Assignment: BN
Title: 100 AMP ELEC PEDESTAL FOR CATV
Description:
Type: ELEC Sub Type:
Job Address: 2732 BRESSI RANCH WY
Suite: Lot 0
Location:
APPLICANT FISHEL COMPANY
Owner:
Remarks: TAKE OUT THE KEY TO UNLOCK BOX
Total Time:
Phone: 7609676930
Inspector: a
Requested By: ROBERT MCKINLEY
Entered By: CHRISTINE
CD Description Act Comment
39 Final Electrical A9
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
03/23/2005 39 Final Electrical NR BN NO ACCESS TO CABINET
# 1/ 2 2- 4-05; 5:lZPM; ;7807397494
1.6. 1 \ 23- Gs
I rrt I I
SDME APPLICATION REQDI CAU. - Y7 I GENERAL CUSTOMER INFORMATION
Meter Hem1 - 4'0" min. - 6'3" mex. from hish grade to center tine ol meler base.
Meters are rqured lo be readily accessible 24 hours per day. Meters must be located in a safe ana free of any potentially hazardous or dangerous condition.
Provide 3 It X 3 It. mhimum dear and level working space in front Oi meler. Where
meter room IS proposed, conlad the Planner at Ihe nearest SOObE offii.
Meter bases and meler senrice disconnects must be haled at 01 muwdiately
adjacent to each olher and be identifiad with address and uml number it serves
OVERHEAD SERVICES
PROVIDE MINIMUM QROUND CLEARANCE OF - FI. al point of attachment of service wires - Ft. over driveway or parking area - Ft at outer limit of vehicular trafiic
Ft.
UNDERGROUND SERVICE
PROCEDURE FOR INSTALLATION
1. Pay all moniss due OAPPUCABLE ONOT APPLICABLE
2. Phone SDG(LE a=& working days prior to trenching to arrange wiuI inspector and initiate henchi process.
ING FOR LOCAllON OF UNDERGROUND UTIUTIES. 3. P"EMGALERTl-(WO-2n-2600ATLEASTTWODAYSPR~TOTRENCH.
NOTE INSPEC REQ'D PRIOR TO SET' aClTY/CW&ZY aTE
POLE #- LADDER ARMS REQD
STOP TRENCH m1" 07%' PROM POLE RISER OUAD - EXISTING 0
71
ADD'L INFORMATION:-(Detach before compleling this section.)
4. Excavate trench. instal condui! and sarvics entrance equipmenl a1 meter lWi. CAU ABOVE PHONE Y FOR INSPECTION. Do not cover canduit
wilhoul inspector's written approval lo backfill
5. Call Inspector when mnch is backfilled and compacted for inspection. If service enlrancB equipment is inslalW after backfill, CALL ABOVE PHONE # FOf INSPECTION Of THE EWIPMENT.
equipment. and receipt of city/county/state' inspeclm clearance.
6. Meler win be set after inspector has approved installation, induding senric
JTTRENCH oms OTELC~ UCATV I SEC HEIGHT
CABLEPOLECONW~~BY OCUSTOMER OSDG~E sm
CABLE POLE BEND BY OCUST -E SO*- WUS SCH 80 SIZE -
WANDHME BY 0 CUSTOMER 0 SOWE 0 STD. PAGE X
CONWITBY ~USTOMER O~DG~E SIZE 1 -3 II I I TRENCH INSPECTED h APPROVED BY DATE I
PAYMENT BY CUST: CBL PL S EXCESS s MIS E
WIRE PHASE VOLTAGE 4 METEACUPS
mTEST BY PASS FACIUTIES REO'D
UlUKlES MAXIMUM CQNTRlBUTlON TO FAULT CURRENT WMPS
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TELEPHONE (1- I DATE
DI~IBUTION WHITE ORlDlNAL - Customer WHITE COPY - DisUicI Operations YELLOW - Planner oou) - C.T. Order 107-09212 (W)
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