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HomeMy WebLinkAbout2832 POINSETTIA LN; MP; CB982945; PermitB U I L D I N G P E R M I T Permit No: CB982945 Project No: A9803823 Development No: 09/02/98 11 :16 Page 1 of 1 Job Address: 2832 POINSETTIA LN Permit Type: ELECTRICAL Parcel No: Valuation : 0 Suite : Lot#: Construction Type: Occupancy Group: Reference#: Status: Applied: NEW ISSUED 09/02/98 09/02/98 RMA Description: 100 AMP METERED PEDISTAL FOR : IRRIGATION-RANCHO CARRILLO Appl/Ownr : PATTERSON BROTHERS LIGHTING *** P.O. BOX 2037 LAKESIED CA Fees Required *** 92040 619 Apr/Issue: Entered By: 390-3797 0730 09/02/98 0001 01 C-PRHT Fees Collected & Credits 02 35.00 *** Fees: 3,5 . 00 .00 35 .00 ---.--------------------------------- Adjustments: Total Fees : Fee description Enter "Y" for Elec,tric Single Phase Per fA Tota l <:::redi t ss : Total Pp fl'ents: Bal u\ce D e: Units fee/un·t .oo .00 35.00 Ext fee Data 10.00 Y 25.00 CLEARANCE ________ _ ---------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE O~jr7'Y] PLAN CHECK NO._'-:'~ l yr- EST. VAL. -----_...,::.--,-~- Plan Ck. Deposit -----,.-,,,---4"--SJL.=.:::;;__ Validated By __ -'-,__,._.._=-::,:-1-.::--+.:.-n- Date. _________ --->:;,___.r::_,:.....a:.J,,,C.- Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use otftories '# of Bedrooms # of Bathrooms .rstGA-rl d"v\_. City State/Zip Telephone# Fax# 7 L,4 vC:es d_e C.14-. '3 0-J 71(~ N Address Telephone# 14. .PROPERTY oWNER : -· -~ ·, a•" .. i?••o:.L , ·" ,. .•,. -k C ¢ nJj ~ <"':tA l {tt:o ~,J Name Address City State/Zip Telephone# rs: .. ¥cortmAt:1bFi'-COMPAr.!t~e;~~ •~ .:;:·":'·~ ···~ ·• ISec. 7031.5 Business and Professions Coda: Any City or County which requiras 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 ·1chapter 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 e~ion. Any violJion of Section 7031.5 by any applicant for a permit ,bjacts the applicant to a civil penalty of not.more than five hu dred dollars 1$600)). l>-1 -e v, O o~ ~ L IJ.T,..; · . O o "2.v L ltot ,t.lA. b o o--7/J "I Address City State/Zip Telepl\bne # State License # $ 0 I S 3 4 License Class C -I c) City Business License # f 1 I ( Q O ~ ~ 5 I -q tf Designer Name Addrass City State/Zip Telephone State License # _________ _ e. woRKERs.· . .coMi'ttis-ATJ0 ... ~ :z:d ... :....:.:.:..:..:_, .:.:. -~ i ••• ~ ......... -· ~--· ;;,....:.. ... , ____ .~.:':.~' :~::~ .•... 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. 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 __ ~...;d::...:..l .:::.J..A-=-.:.."'_:e£::....::t,j.:.....<9...;:~:::,.....---------Expiration Date '7 -I -e; '7 {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI 0 CERTIFICATE OF EXEMPTl'oN: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallu to a■cura worker,• compenHtlon coverege 11 unlewful, end 1hall 1ubject en employer to crlmlnal panaltlea and civil finea up to one hundred thou1and dollar ($ 00,000): In ,IMl,,WLJ;ill!'l of compenHtion, damage• 11 provided for In Section 3706 of the Labor code, Interest and attomay's fees. DA TE ,. .,.... L--9 q SIGNATURE:_-/.::::)..L/.~..::::.-/-/:-J.~~:....L,.!~(JZ_==:_ _____________ _ 7. · OWNEA-B ON -~~-. · --!..~ ... ~ 1' .•...• I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sol~ compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Profeasions 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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 Profassions 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 (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm I 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 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 I hired) the following persons to provide the work Indicated Unclude name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ ,COMPLETE THIS'SECTiON FOR NO/i,Rl!SIDEN7fAC,iUitDINO PERMITS~0NC:Yi., ·t· 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 26605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain I permit from the air pollution control district or air quality management district? 0 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 AND THE AIR POLLUTION CONTROL DISTRICT. fa. :,.coNsmuCT1o~wiD1tfG AGENcy{~,;.'tf;,X" ' ~;,,;-: ::r;,;.7 ::. ~'.':-!(" :.~':. : •· ' , I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued ISec. 30971i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. _______________________ _ r,-: "'Al'PLICANT CERTIFICATIOK:" -., ,~v~;;..;;;1i~~ ·•~·· ~ r P:~,:~f: . .\· 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 6'0" 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 after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE __________________________ _ DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance ~£ ELECTRIC METER & SEHVICE LOCATION /4z:=I!' OT/ oc·:,IH liM"NDERGRouNDsPEcsAnAcHEC: MEETREQ'D T.B. IJ'Z...7GZ ~M'L □RESIDENTIAL PROJECT NO. 7 u 12{) I I JOB NO. /.A/I ADDRESS Z..X .3 2 'POIN.SETTI A-OJ UMJ MORATORIUM EFFECT· AGENCY ___________ _ TYPE ___________ _ I,, • ,s:-rn o...-,-1 "lJ HAJ DATE CRITICAL. PENDING STREET RESURFACING POWER SOURCE I CONTACT ,L.J<.:. n 11 J MONTH ________ YEAR D 13 Z 7 .3 7 I PHONE, 15:3){ -1 • l~l 11 1 TCP REQ'D o ST EXC & PERM1fs REQ'D--,□=-cu_s_r_O_s_D_G_&_E_ sERv1cE ATTACHMENT POINT AND/OR METER LOCATION: C1.LJ·1. TZl 'R2 ll U J{JC7TlEWCl-!, /-z..JJ\ r IA C(JJ. VJJ 1 )Tl ,,m~ PVU/UlfE. F/UJ/Y) 'rt11• •1n1 '7TJ S/Lu r-QA.I\J;rn 7 OF'TllfttJ,1-."P/JY.J, 1•L1U/ ·FIi/,/ r.-v r ..:IJ\l.S.,., -, "11,11,;;:. - / / / SDG&E APPLICATION REQ'DIS!I CALL I •z"" --,n /-> '-t.$ NOTE: INSPEC-REQ'D PRIOR TO SET" 12fCITY/COUNTY □STATE 1--------G-EN_E_R_A_L_c_u_s_T_O_M_E_R_IN_F_O_R_M_A_T_IO_N _______ .j POLE·---LADDER ARMS REQ'D □ EXISTING □ Meter Height -4 'O" min.• 6' 3" max. from finish grade to center llne 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. Provide3 ft. x 3 ft. minimum clear and level working space in front of meter. Where meter room is proposed, contact the Planner at the nearest SOG&E office. 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. OVERHEAD SERVICES PROVIDE MINIMUM GROUND CLEARANCE OF: ___ Ft. at point of attachment of service wires ___ Ft. over driveway or parking area ___ Ft. at outer limit of vehicular traffic ,. ---Fl.-------------- UNDERGROUND SERVICE PROCEDURE FOR INSTALLATION _,,.,.,.- 1. Pay aH monies due □APPLICABLE [B"'"NOT APPLICABLE 2. Phone SOG&E att{-32-S]'~ working days prior to trenching to arrange with Inspector and initiate trenching process. 3. PHONE DIG ALERT 1-ao<M22-4133ATLEASTTWO DAYS PRIOR TO TRENCH· ING FOR LOCATION OF UNDERGROUND UTILITIES. 4. Excavate trench, Install conduit and service entrance equipment at meter location. CALL ABOVE PHONE# FOR INSPECTION. Do not cover conduit without inspector's written approval to backllll. 5. Call Inspector when trenctils backfilled and compacted for Inspection. If service entrance equipment Is installed after backfill, CALL ABOVE PHONE # FOR INSPECTION OF THE EQUIPMENT. 6. Meter will be set after Inspector has approved installation, Including service equipment, and receipt of city/county/state• Inspection clearance. JTTRENCH OGAS □TELCO □cATV I sec HEIGHT CABLE POLE CONDUIT BY OcusTOMEA □sDG&E SIZE CABLE POLE BEND BY O CUST O S0G&E 90• __ RADIUS SCH 80 SIZE __ HANOH0LE BY O CUSTOMER O S0G&E O STD. PAGE# CONDUIT BY [12'cusroMEA □ SDG&E SIZE /-? Fl TRENCH INSPECTED & APPROVED BY DATE PAYMENT BY CUST: CBL PL S EXCESS S ~ MISC S lw1RE __l_PHASE rz.t)/2 .. .'dlvoLTAGE I..J., _....-METER CLIPS .. MAIN SWITCH I O cJ METpRf°NG: 0 CT'S ELF-CONTAINED [R'fEsT BY PASS FACILITIES REC'D UTILITIES MAXIMUM CONTRIBUTION TO FAULT CURRENT <p..,44{) AMPS U S0G&E encounlers hazardous or toxic material while performing co:,struc:ion of )'Our project, S0G&E W/11 hall WDfk immedialely and ii vr,ill be your responsibility to remove anolor clean up &II hazardous or toxic malerial prior lo SDG&E conlll'\uing constructio:"I. S0G&.E Shall have no llabllily or obligat!on whatsoever lo clean up, 1emove or remediale any hauin:lous or toxic materials discovered during the course ol CO:"lstruction untus it Is through negligence ol S0G&E. nl~TAIRI IT1n .... , "~•-UT., ...... .,,, •• " 1 STOP TRENCH O 1 • 0 7½ • FROM POLE RISER QUAD __ • N I r'OJil56771r LN I -z." I AOO'L INFORMATION: (Oelach before completing this section.) ' / , . . Cuslomer•Owned facilitles to rece-ive electrical service are s.vtijeet toall a;:,;ilicable1ocal and sta:e c.l C.r.lilornia lns;:,e=:lion aut ho~lly reQui~eme:,:s. Suildin; .:.j:::e!S and'or r:ieter tase must be postej prior 10 meter set. Information on this sheel is void aller6 months lrom date. Keep this notice with building permit. ~07-09212 ,5 ,i-51