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HomeMy WebLinkAbout2794 GATEWAY RD; TP; CB082065; Permit11-12-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB082065 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2794 GATEWAY RD CBAD St TP ELEC 2133001100 Lot# TEMP POWER POLE FOR CONSTRUCTI FORTI Status Applied Entered By Plan Approved Issued Inspect Area Applicant POWER FABRICATING INC 625 S FEE ANA ST PLACENTIA CA 92870 714223-3600 Owner NEGMLLC 12264 EL CAMINO REEAL #400 SAN DIEGO CA 92130 ISSUED 11/12/2008 RMA 11/12/2008 11/12/2008 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 0 0 0 0 $1000 $000 $000 $000 $000 $000 $1000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 Inspector FINAL APPROL Clearance NOTICE Please take NOTICEXhat 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 APPl Y to watei and sewer connection fees and capacity changes, nor planning, zoning grading or other similar application processing or service fees in connection with this projuct 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 o:: limitations has previously otherwise expired flby of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 /.2718 / 2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# CT/PROJECT tt LOT#PHASE tt tt OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME /) CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Aeea(s) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DEChS(SF)FIREPLACE YESD #NOD AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Font Applicant) CITY PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS STATE ZIP ZIP PH FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #STATE LIC * (Sec. 70315 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 Contractors 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self insure lor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued ive and will maintain workers' compensatuui, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensajcajnsurance carrier and policy number are Insurance Co fo £-& IL£rt>&*4£— Policy No ft-f C,Uj«-f *l &&Q& G2— Expiration Date IO * P T' 00 This section need not be completed if tyT»tmit is for one hundred dollars ($100) or less Certificate of Exemption I certify thatirNhe performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to sJcure worms' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation! damagerts ftewted for in Section 3706 of the Labor code, interest and attorney's fees J£$ CONTRACTOR SIGNATURE \ IHlVJ ) DATE / hereby affirm that I am exempt from Contractor's Licoise Law tor the lollowmg reason I, as owner of the property or my employees with wages as their <,ole compensation, will do the work and the structure is not intended or offered lor 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 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) 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) I am exempt under Section Business and Professions Code (or this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes O 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 wo: k (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) ^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account Act7 d Yes CD No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distru V d Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 O Yes O No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT ' hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 309 / (i) Civil Code) Lender's Name Lender's Address ^J^Mi^^^ £&%•£&•'-": 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 hereby authorize representative of the City of Carbbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 forjetcaxations over 5'0" deep and demolition or construction of structures over 3 stones m height EXPIRATION Every permit issued tMrc BuilSiafMficial under the provBions of the Code shall expire by limitation and become null and void if the building or work authorized by such permit B not commenced withm 180 days from the date of such perm* or if th*Uliildirjg or work authorized by such permit e suspended or abandoned at any time after the work e commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT'S SIGNATURE DATE Inspection List Permit* CB082065 Type ELEC TEMP POWER POLE FOR CONSTRUCTI FOR Tl Date Inspection Item Inspector Act Comments 11/19/200839 Final Electrical - Rl 11/18/200832 Const Service/Agricultural PY AP T P P (EMR) 11/14/200832 Const Service/Agricultural - Rl 11/14/200832 Const Service/Agricultural PY CO BOX AT POLE NEAR BUILDING MUST BE ATTACH ED TO POLE 11/14/200839 Final Electrical - Rl 11/14/200839 Final Electrical PY CO Wednesday November 19, 2008 Page 1 of 1 UNSCHEDULED BUILDING INSPECTION DATE M / '°/ ° INSPECTOR PERMIT # fc>% ^^° ^ S PLAN CHECK # JOB ADDRESS 2 1 DESCRIPTION CODE DESCRIPTION ACT COMMENTS " »3 2| § O < * O O »3 3 aoc e a \ ijn ui A (/5~ Sempra Energy company -.-.,•, Q/no Confirmation of meter and service request Customer Ellis Contracting Phone 858 581 1160 Service Address 2794 Gateway Rd TP. Carlsbad, CA 92009 DPSS# 540945-060 Contact Gary Seymour Phone 760 644 6107 We have investigated your request for temporary service and determined that the facilities you have identified as D201515 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 Utility source described above (see generic sketch below) We can schedule the installation of your facilities upon receipt of both billing application, municipal inspection For questions concerning this form or further information call San Diego Gas & Electric at Bruce Sisson 7609317301 General Customer Information. Meter height = 4'0" mm -6'3" max from finish grade to centerhne of meter base Meters are required to be readily accessible 24 Mrs /day Meters must be located in a safe area free of any potential hazards or dangerous conditions Provide 3' \3' clear and level working space in front of meter Where meter room is proposed, contact the nearest SDG&E office Meter bases and service disconnects must be located at or immediately adjacent to each other and be identified with address and unit number it serves For dead front transformers, trench to Facility in the shaded area 3'x3' Clear & Level in Front of mtr Dead front Transformers D. Overhead services 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 services phone Dig Alert 1-800-422-4133 at least 48 hrs prior to installing to verify the location of underground utilities in the vicinity Mam Switch 200 amps Single Phase 3 Wire 4 meter clips 120/208 Volts Utilities maximum contribution to fault current 10K. AIC amps Customer owned facilities to receive electric service are subject to all applicable local and stale of California inspection authority requirements Building address and/or meter base must be posted prior to meter set Information on this sheet is void after 6 months from date of issue If SDG&E encounters hazardous or toxic material while performing construction of your project, work will halt immediately and it will be your responsibility to remove and/or clean all hazardous or toxic material prior to SDG&E continuing construction SDG&E shall have no liability or obligation to clean, remove or remediate any hazardous or toxic matenal discovered during the course of construction Unless it is through negligence of SDG&E deadfront (4) doc revised 12/29/00 f I AGQBBL CERTIFICATE OF LIABILITY INSURANCE PRODUCER Risk Strategies Company 2040 Main Street Suite 580 Irvine CA 92614 INSURED Temp Power Systems Pole Installers 625 Fee Ana Street Placentia CA 92870 COVERAGES DATE (MM/DD/YYYY) 10/13/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES-BELOW ' / j--f INSURERS AFFORDING COVERAGE NAIC # . INSURER A Old Republic General Ins A+ VIII INSURER B INSURER C INSURER D INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE B£EN REDUCED BY PAID CLAIMS. INSR LTR A JXDDL NSRD T TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | | OCCUR GEN L AGGREGATE LIMIT APPLIES PER 1 POLICY 1 1 JECT 1 1 LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS/ NON-OWNED'AUTOS GARAGE-LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR 1 | CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND* EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/6XECUTIVE OFFICER/MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER A1CW49500803 POLICY EFFECTIVE DATE (MMfOD/YYI 10/1/2008 POLICY EXPIRATION DATE (MM/DD/YYI 10/1/2009 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES fEa occurrence! MED EXP (Anv one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN EAACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE X I WCSTATU- OTH1 TORY LIMITS ER EL EACH ACCIDENT EL. DISEASE EA EMPLOYEE E L. DISEASE - POLICY LIMIT s $ $ s $ s '_ $ s s s s s s $ s s s s S 1,000,000 S 1,000,000 S 1,000,000 DESCRIPTION OF OPERATIONSfLOCATIONS/VEHICLES/EXCUISIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE Evidence of Insurance as respects License #483433 'Except 10 Days Notice of Cancellation for Non- Payment of Premium CERTIFICATE HOLDER CANCELLATION (916)255-4535 Contractors state License Board Attn: Insurance Department P.O. Box 26000 9821 Business Park Dr. Sacramento, CA 95826-0026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 6 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^^ Michetel ChnsLldn^GLUj. ^*^?p^.<±> <^_^«V*-.«= •*...... ACORD 25 (2001/08) INS025 (0108)088 © ACORD CORPORATION 1988 \ Page 1 of ,2