HomeMy WebLinkAbout2772 LOKER AVE W; MP; CB122573; Permit.-
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-03-2012 Permit No: CB122573
Building Inspection Request Line (760) 602-2725
Job Address:2772 LOKER AV WEST CBAD St: MP
Permit Type:PME Status:ISSUED
Parcel No:2091001100 Lot #:0 Applied:12/03/2012
Entered By:JMA
Reference #:Plan Approved:12/03/2012
PC #:Issued:12/03/2012
Inspect Area:
Project Title:100 AMP METERED PED. FOR
TIME WARNER
Applicant:Owner:
L&G CABLECONSTRUCTION EPQUEUE L L C
2776 E MIRALOMA AV 2772 LOKER AVE W
ANAHEIM CA 92806 CARLSBAD CA 92010
714-936-4088
Plumbing Fees $0.00
Electrical Fees $154.00
Mechanical Fees $0.00
Other PME Fees $0.00
TOTAL PERMIT FEES $154.00
Total Fees:$154.00 Total Payments To Date:$154.00 Balance Due:$0.00
-;FINAL APPROVAL
Inspector:4.-
1—
Date:1 2"•I 7'1 1--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 permit 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 service fees in connection with this project.NOR DOES IT APPLY to any
fees/exactions of whichyou have previously been oiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
Now....1001111110111111111111111 .ilii err 1111111111111111111•11111111 lk
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING EJ BUILDING 0 FIRE Ej HEALTH ID HAZMAT/APCD
Plan Check No.Ca t Z 2.5"--7..4\kitr Building Permit Application(4:41fi')1635 Faraday Ave., Carlsbad,CA 92008 Est. Value
..'\411re."CITY 0 F Ph:760-602-2719 Fax:760-602-8558
CARLSBAD email: buidling@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 1..I 3 1 12--SWPP
JOB ADDRESS SUITE#/SPACE#/UNFT#APN
'2'"41-Z W.Late.k.
?0E.
MP ---
CT/PROJECT#LOT #PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
'DU STALL Fop 01.0..tp ME TEA-Pecies'l-ftk -F192-71'ut-€liakteAl eit--Ctie LE •
3ly s I Si za Cos-ce.I)A-0 1 (A)IT4 6A\i'l1/43E9
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES 0 #NO 0 YES 0 NO 0 YES 0 NO 0
APPLICANT WIMP (Primary
Cpntackie....
APPLICANT NAME (Secondary Contact)
...70_60 --WA'ADDRESS ADDRESS
2--"+"4-Le E..•tA4 %414-t...cAA_•t-A-Li 6".
CITY a _•STATE ZIP CITY STATE ZIP
Hai4446.' f 0 '...cA./241.0 40
PHONE FAX PHONE FAX
7 I tt -931e -4D45/)1 ici -1036 -G02."4-ciEMAIL .EMAIL
Z•tifilEIC.-62--L—(3 644111EVerNkts.n2fit 01.44.e•D eA"
PROPERTY OWNER NAM CONTRACyoR BUG.
NA6ikia
..E "I r*4E-Wftal&2_ eivacE.L Or b LE CO ALSTILEALTI oL
ADDRESS ADDRESS
104 c D PitkeA 6 C..eaUTER.—C-ri 2.-i -4-c4.£KA 124L-014.tbok i4ve.
CITY STATE ZIP CITY —STATE ZIP$iliu 31 et...0 cA ..cizr -Lt iq•u Atfes ..."..._CA ..i VE93.
PHONE FAX PHONE FAX
lotet -q21 -pito (4 7"41 -‘134.-4.02-.)2."Ill -1230 -Co 2:4 4
EMAIL EMAIL
Jt/4/141EK g LC5
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CITY
6? zic.(i e4iARCH/DESIGNER NAME & ADDRESS STATE LIC.it STATE LIC.#CLASS
42 -61 S3 -A.
(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct,alt3er,improve, demolish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
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.gI have and will maintain workers' compensation,required by Section 37 of the Labor Code, for the performance of the workforAich this permit is issued. My workers' compensation igsurance
caper
and policy
,•(number are: InsuranceCo&v$401:11.11001 +. Tif Ca. ......."1.--'111 Policy No.011 --"4"eft-LS / 3 S Expiration Date / oe.(1
This section need not be completed if the permit is for one hundred dollars ($100) or less.
171 Certificate of Exemption:Icertify 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: Failureto secure workers' 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, dame s provided •in Section 3706 of the Labor code, interest and attorney's fees.
AK CONTRACTOR SIGNATURE .
-.GENT DATE-.'ii.i -I-3 2
....,OWNER -BU.I..k.DER DECLARATION ....
I hereby affirm thattam exempt from Contractor's License Law for the following mason:
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 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(s) licensed 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 CI 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 (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, supervise 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 work):
...ePROPERTY OWNER SIGNATURE CiAGENT DATE
.!
•••WIPIONnia 411 vitt .TARACOMPLETETHISSECTIONFORNON-RESIDENTIAL BUILDING 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?0 Yes 0 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
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
APPLICANT CERTIFICATION op-a
I certify thatI have read the application and state that the above information is conact and that the information on the plans is accurate.I agree to complywith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City 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 ofstructures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions ofthis Code shall expire by limitation and become null and void if the building orwaftauthorized by such permit is not commenced within
180 days from the date ofsuch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a per of 180 days (Section 106.4.4 Uniform Building Code).
AKAPPLICANT'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 www.buildino@carlsbadca.dov 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
A•DDRESS BUILDING ADDRESS
C•ITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CBS0MAILTO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION
0 MAIL/FAX TO OTHER:
o CHANGE OF USE/NO CONSTRUCTION
RS-APPLICANT'S SIGNATURE DATE
_
Inspection List
Permit#:CB122573 Type:PME 100 AMP METERED PED. FOR
TIME WARNER
Date Inspection Item Inspector Act Comments
12/17/2012 32 Const. Service/Agricultural -RI METER PED
12/17/2012 32 Const. Service/Agricultural PD AP OK TO REL
•
Tuesday, December 18, 2012 Page 1 of 1
I .ELECTRIC UNDERGROUND METER & SERVICE LOCATION
E SDGsmal Customer Copy,
A c...s-Sempra Energy utility T.B.1127-F2
Wanted Date:Service Type:UG Service New Customer Type:Commercial Date Prepared:1013012012
Project No:261048 Job No:010 1'4 \\
Project Title:TIME WARNER -NEW METER PED N \
1 \\
Project Address:2772 W LOKER AV MP .•
Project City:CARLSBAD Customer Phone #:\
Contact:JEFF THREW Contact Phone #:760-754-9240 \
0 Traffic Control Permit Required.Excavation/Encroachment Permits Required By Customer
\
Service Attachment Point and/or Meter Location:Customer is to locate new meter pedestal .\DI 01836 \approximately 23 ft wouth of existing transformer.Face pedestal toward sidewalk and 2772\maintain 3' radial clearance around surface face of pedestal.Customer is to provide Sto 585 -89
----\trench, backfill, and one 3" conduit with 314"pull tape from edge of transformer pad to '\
\\
new meter pedestal.SDG&E will install customer provided radius bend into .\transformer pad.Address must be permanently marked on meter \\\\ \pedestal.3 "\
I 00 Amp
0 SDG&E Application Required -Call:1 -800-411-7343 \\\
--,`(\.,Pedestal
Municipal Inspection Required By City of Carlsbad \
.Meter height —4'0* min. (3'0' min. for multiple meter installation)—61'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 \(..-\
dangerous condition.Provide 3-ft. X 3-ft. Minimum clear and level working space in front of meter.Where meter room is proposed,\0 \contact the planner at the nearest SDG&E office.\11)4.-
-
Meter bases and meter service disconnects must be located at or immediately adjacent to each other and be identified with address
and unit number it serves.
„____,....„....„/"..\\
-V
PROCEDURE FOR INSTALLATION (t)
.------"' 1.PHONE DIG ALERT 1 -800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION \\
OF UNDERGROUND UTILITIES.'..--'--
------------\\...--•
2.Phone SDG&E at 619-699-1039 for the following:\\s.
---
•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 Additional Information:12 Right-of-way Required Assessor's Parcel Number:
city/county/state inspection clearance.Please call your Service Coordinator Shaun Summers 760-432-5808 with questions about application,
Power Source:Sta 585-89 ..—Structure Number.D101838 inspection, construction installation and to schedule a crew.tS"
Joint Trench with:Handhole Installed by:
Standards Page #:Handhole Lid Shall Read:
-Ladder Arms:Stop Trench:from pole Riser Quad:
Bend Installed by:SDG&E Type:Transformer 3" 90 Deg 36"R DB60 If SDGSE encounters hazardous or toxic material while performing construction of your project. SDG&E will halt work immediately and twit be your
4 Conduit Installed by:Customer conduit size:1 -DB 3"responsibility to remove and/or clean upal hazardous or toxic material prior to SDG&E continuing construction.SDG&E shall have no liability or obligation
whatsoever to clean up, remove or remediate any hazardous or toxic materials discovered during the course of construction unless it is through negligence of
Service Panel Rating:100 Number/Size of Main Switch:1-100 Amp Voltage:1201240 SDG&E.
Customer-owned facilities to receive electrical service are subject to all applicable local and state of California inspection authority requirements.Bulking
# of Wires: 3 Phase:Single Utilities Maximum Contribution to Fault Current 42000 Amps address and/or meter base must be posted prior to meter set.Information on this sheet is void after six (6) months from date.Keep this notice with building
pe
Metering:Self-Contained, Test Bypass Facilities Rqrd Meter Clips:4 All installations performed under this order must meet SDG&E standards unless a written deviation has been approved.
Temp Service Charge Due on First Bill $Planner:JANY STALEY Telephone:858-636-3976
Cb(.2 1c73