HomeMy WebLinkAbout2777 CITRACADO CIR; ; CB010184; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-03-2002 Electrical Permit Permit No CB010184
Building Inspection Request Line (760) 602-2725
Job Address 2777 CITRACADO CR CBAD
Permit Type ELEC Status EXPIRED
Parcel No Lot# 0 Applied 01/16/2001
Entered By CB
Reference # Plan Approved 01/16/2001
Issued 01/16/2001
Project Title SHEA HOMES/ TEMP POWER POLE Inspect Area
Applicant Owner
TEMP UTILITY SERVICES
1167LAWST
SAN MARCOS, CA 92069
619-471-5494
Total Fees $20 00 Total Payments To Date $20 00 Balance Due $0 00
Electric Issue Fee $1000
Single Phase per AMP 0 $0 00
Three Phase per AMP 0 $0 00
Three Phase 480 Per AMP 0 $0 00
Remodel/Alteration per AMP 0 $0 00
Remodel Fee $0 00
Temporary Service Fee $10 00
Test Meter Fee $0 00
Other Electrical Fees $0 00
Additional Fees $0 00
TOTAL PERMIT FEES EXPIRED PE
PP«T HAS EXPIRED IN ; WORM'
'
FINAL APPROVAL
Inspector Date 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 capactiy
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 which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1 PROJECT INFORMATIO
C3H&
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date / -*
Address (include Bldg/Suite #)
Coaclo
Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel tt.a Existing UreuKs
Proposed Use
Description of Work
CONTACT PERSON (if different from applicant)
SQ FT #of Stories # of Bedrooms # of Bathrooms
Name Address City
3 APPLICANT d Contractor J3 Agent for Contractor Q Owner Q Agent for Owner
State/Zip Telephone tt Fax tt
Name
4 PROPERTY OWNER
Address City State/Zip Telephone tt
Name Address City State/Zip Telephone tt
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 Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of-Sfction 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001)
Name
State License tt
Address
License Class C 10
City State/Zip
City Business License #
Telephone
Designer Name Address City State/Zip Telephone
State License #
6 WORKERS' COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
*^£ | 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 >J ~Ttil & r~(/ ** 4 Policy No f->-JJ'f CS "(J Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
f~1 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 workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred
thousand dollars ($1p0"ft00) in additioWo the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE ( Jtxfrl/*/ C/^n^?^»^ DATE I" '£*" ffl
7 OWNER-BUILDER DECLARATION ty
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
G 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)
(~l |, 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)
f~l 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 Q YES flNO
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 number / contractors license number)
4 I plan to provide portions of the work, but I have hired tiie 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 (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work) _ _ _
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-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? l~l YES l~l NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES l~l NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES Q 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(0 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 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 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 180 days 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 work is comrflelBcfirJ for a penockof IflO days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
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Sempra Fnergy'comoany
, Confirmation of meter and service request
01/11/01
Customer Shea .Homes Phone 858-335-5068 Want date
Service Address *342 Citracado. Clrkefl
Contact Michelle Scott @ Power Plus Phone 760-839-9431
We have investigated your request for temporary service and determined that the facilities you have
identified as D140048 are mechanically available for your use in providing temporary power for
your project If temporary service is to be provided underground, please place your facilities no closer
than 7 ft or no further than 20 ft from the UnJity -source described above (see generic sketch below)
We can schedule vour service installation as soon as you have provided us with a firm date you plan
to have your facilities installed. The meter wttl be set pending receipt of billing application and
municipal inspections
For any questions concerning this form or further information call San Diego Gas & Electric at
John Acuna 760-438-6290
General Customer Infortnrttan
Meier height - 4 0" mm -6 V max from finish grade 10 ccnicrlme of meter
base Meters are required to tic readily accessible 24 Mrs /day Meters <nuu be
located in * lafe area free of any pmcrmil-hirarts or dangerous conditions
Pi0vide 3' x3' cleat and level working space in from of merer WhcrO moter
room is proposed, contact the rlearoir SDG&E office
Meter basca aid service disconnects must be touted at or immediately
adjacent to each other and be identified Mvith address and unit number 11
serves
.must maintain a minimum of
12 ft @ point of connection 18 ft @ center of street or 12 from
curb whichever is less 16 ft over commercial driveways, 12 ft over
residential driveways Maintain all required G O 95 clearances
Underground aervkea: phone Dig Alcn I 800-422-4133 at least
48 hrs prior to trenching
Mam Switch amps
Phase Wire mtr clips Volts
Utilities maximum contribution to fault current.amps
For dead front transformers, trench to
Facility in the shaded area
^h
1 ^^^™\ pWfW
Clear &
Level in
From of mtr
rr— ' -f
i Dead front
i TranSfotmeK 'I
n i
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Cuitoiner owned facilities to receive electric service are subject to all applicable local and suu> of California inspection authority icquivcmcms Building
addcMi and/or meter base rm»i be posted prior to meter sei Information on this sheet 11 void after 6 months from date of issue
If SDG&E encounters ha/aidous or toxic material while performing corurruction of your project uork will halt immediately ind it will be your responsibility
to vcmove and/or clean all hazardous or IOMC material pnor to SDG&E continuing construction SDG&E shall have no liability or obligation to clean, remove
or remediate any hazardous or toxic material discovered during the course of construction Unless it is through negligence of SDG&E
deadfront doc revised 12/29/00
APP,-0£-00 09 23AM P..S r-323 P 01/01 F-MO
I N 5 U B A,N C E
PO BOX 007, SAN FRANCISCO CA 94101-0807
cornncATE » WORKERS* COMPCKSATJON INSURANCE
ISSUE DATE- 03-31-00
POufC. NuwlSES- tooSflO OSS
CERTIFICATE EXPIRES 03-31-01
CONTRACTORS STATE UCEH&E. BOWU1
F. (K BOV 260OO-
SACRAMENTO, CA
95816
JOB. 4-623596
INCEPTION DATE: O3-31 O6
SANTA ANA
,s -o cer'rf, trwt vvs rave ssuea a va»a Wefkfirs1 Compensanon nsur^ncer poucy m a form apjwoved D/
Cd-forna nsurartce Commssioi^r to ihe employer nam«a beow for lh« poticj periao .nciicarefl
This Pftie- >S JWt sjfe^eci to carcelwion py ttie Fund except upon 30 days' Jflwanc* written noltce 10 me
Vrf» w»i. ateo- ^w^xou. 3fcjw«s" aavarce- rrorice stwah*-»m> pt^cy *»e c*»e«»*d- pc ot to. rfs normal axp rst.on.
This czru-ftciia of tfrsKfancv- •» FKH- a*- -ntf.'•yc-' f" ••* j fr" abes noc amend, extend or ater m« coverage afforded
o^ ina policies hstdcThereoi HUin«ni>3Uiin*»tf -iny mmnafnanr, t»«v ac- cooduion al any corcr^ci or oitier
rtap*ct la vnbtch- itus^ceflificate cT insurance map cur rasu^ri w fiat- per-unl v»e- msiJtanca .atforded- by the
ere.n 5 »ivb;«c: ic *, ~"Tf '*'«•< e*-f'«sion* amf cOtiihluin of
PRESOEW
L1ABILJTV LIMIT XMCCUpINB DEFENSE COSTS- I1,OOO,OOO 00 PER OCCURRENCE-
AZ065, EftatTLZD CERTIFICATE HOLDERS' NOTICE EFFECTIVE O3/31/OO IS ATTACHED TO AND
f
LEGAL NAME
POWER PLUS! TEMPORARY UTILITY
SERVICES
128] £ SU»S*fH4E. WAY32806 " -
S R BRAY CORPOKATIOH AND/OR
S.R BRAr UTILITY SVC TNC
CORP
02-17-00 F0410