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Home My WebLink About2836 POINSETTIA LN; MP; CB982943; PermitB U I L D I N G 09/02/98 11:15 Page 1 of 1 Job Address: 2836 POINSETTIA LN Permit Type : ELECTRICAL Parcel No : Valuation: 0 P E R M I T Permit Project ~ Development No: CB982943 No : A9803820 No : Sui te: Lot#: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 09/02/98 09/02/98 BT Description : 100 AMP METERED PED I STAL Appl/Ownr : PATTERSO BROTHERS PO BOX 2037 LAKESIDE CA 92040 *** Fees Required *** Fees: Adjustments : Total Fees: *** Applied : Apr/Issue: Entered By : 619-390-3797 0730 09/02/98 0001 01 C-PRHT Fees Collected & Credits Tot a l redits : Total Payme n t s : .Balance Dtle: .00 .00 35.00 02 35-00 *** Fee description Units Fee/Und.t Ext fee Data -------------------~---------------------------- Enter "Y" for Eleatric l s sue .Fee 10 .00 Y 25.00 Single Phase Per A -~-~':r•-· OVAL 1•\"'>P.~'---DATE q,(f r !CLEARANCE ~~~------ L AF -·--··- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 920()<) (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE O~Y PLAN CHECK No._/_X_ .Y/({3 EST. VAL. ~ Plan Ck. Deposit ---,-=--2:......,.lt~LL>'-=--- ~:~:._a_te_d_B_v~===:(w.._~ .... ====~~:z:~:f:4.&'-:: -'-....,?)j:= Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II Existing Use Proposed Use # of Bedrooms # of Bathrooms Name City State/Zip Telephone# Fax II / :-:+-~~-L-s.~---!..L~...L.LJ~:"':-:-'....L,.lj~-¥-~,-.....i......<:....e..=-------;t;::'-=-.a.....=::.~~~~7-=L:....::'4-;::;K~~:':-s ~dlt..::.:::;__C_,4::..,...._. '3-i0 -') 11(1 N Telephone II "-··r, PROPERTY OWNER . < I ,,,.;., . "'1" '""":'.'°'' ., i' , <' -k L¢ nJj ~<"'l::tl\ I J: ~ . .r . Name Address City State/Zip Telephone# rs .. r coNTRAC"roR ,; COMPANYiN~ME;'~'.m:-'·~ ,;;;. "~- (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 e~ion. Any viol ion of Section 7031.6 by any applicant for a permit ,bjects the applicant to a civil penalty of n<>(. more than five hundred dollars ($600)). (>..1 -e "" o~ ~ l. f, ' , 0 '2.D L 1-(Qi,e.u. o lJ o--7Q'1 City State/Zip Telephone # State License # $ 0 I S 3 '-I License Class C -I c.> City Business License II f 1 I I Q O -11£ ~ 5 I -q t/ Designer Name Address City State/Zip Telephone State License # _________ _ ·e_. woRKERs .. ~ ... coMPENSATION~~-~.w .... :,.,.._::.:...:: .. io<:· .... , . -.~ ..... --·:·,H,~ .. t .. ~._.._. __ -·";"C:::~-~~ ... ~· .. , ..... u Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 _..,;i...:d:..:..I =-JJ,=-1,4:...._.:i::....::~:..!t..,_;;,l-.,._ ________ _ Policy No.f'Ju/c,.417 t,.[[l C 'i, Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O CERTIFICATE OF EXEMPTlt>N: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fall to Hcure workera' compena■tlon coverage la unlawful, and ahal aubject an employer to criminal penaltlea end civil fines up to one hundred ($ 00,000), In a . ~'.J/fAUillJlt of compen1■tion, damages .. PfOvlded for In Section 3706 of the Labor code, Interest and attorney's fees. '· -DA TE ' ..-L. -'f C{ "'• ~· J-' ...... 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 salel. 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'• 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 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) 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 (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 BUitDiNG PERMITS'ONL'Y, ,.,.;, .... .:i.1 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 26534 of tha Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES O NO is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. is,_. ~CONSTRUCTION.LENDING A'GENc.VmJ~...zr' .,~i."',._;:: .;;';(':,:•.;,". ,' ''"., I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS _________________________ _ 19."' 'APPLICANT'CERTIFICATI0r,I f~. f}?" !:.t':..!s';;;~:i.'z:· : . "'''r;.1-~"·: :',:~•·· .,, ··· 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 Cit\< 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 & SERVICE LOCATION ADDRESS POWER SOURCE CONTACT 'D 1~2. 737 SDG&E APPLICATION REC'D GENERAL CUSTOMER INFORMATION Meter Height .4 •o• min. -6 '3• max. from finish grade to center line 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, contact the Planner at the nearest SDG&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 ___ Fl. over driveway or parking area ___ Ft. at outer limit of vehicular traffic ---Fl. ____________ _ UNDERGROUND SERVICE PROCEDURE FOR INSTALLATION 1. Pay all monies due □APPLICABLE ~PPLICABLE 2. Phone S0G&E at 132~3 working days prior to trenching to arrange With inspector and Initiate trenching process. T.B. f/l:J G- MEET REC'D 6/W MORATORIUM EFFECT• AGENCY ___________ _ TYPE ___________ _ DATE CRITICAL· PENDING STREET RESURFACING MONTH _________ YEAR ________ _ TCP REQ'D0 ST EXC & PERMITS REC'D OcusT D SDG&E IA.JCM C./J,1..ltJIJ Ir NOTE: INSPEC REC'D PRIOR TO SET' TY/COUNTY □STATE POLE# ____ LADDER ARMS AEQ'DO EXISTING □ STOP TRENCH OP 07½" FROM POLE RISER0UA0 __ + N I -+~-C•J-- f 'PO/ IJ5£Tl7A lJJ · I /-2-" I I 3. PHONE DIG ALERT 1·800-422-4133 AT LEAST TWO DAYS PRIOR TO TRENCH-ADD'L INFORMATION: (Detach before completing this section.) 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 backfill. 5. Call Inspector when trench is backfilled and compacted tor inspection. If service entrance equipment is installed after backflll, CALL ABOVE PHONE# FOR INSPECTION OF THE EQUIPMENT. 6. Meter will be set after inspector has approved Installation, including service equipment, and receipt of cltyfcounty/state· Inspection clearance. JTTRENCH □ GAS D TELC0 D CA TV SEC HEIGHT CABLE POLE CONDUIT BY O CUSTOMER O SDG&E SIZE ER OsDG&E CONDUIT BY OsoG&E TRENCH INSPECTED & APPROVED BY PAYMENT BY CUST: CSL PL S ~ WIRE _{_ PHASE MAIN SWITCH /('JQ OsTD. PAGE• SIZE -I DATE MISC S EST BY PASS FACILITIES AEO'D UTILITIES MAXIMUM CONTRIBUTION To FAULT cuARENTP,oou AMPS If SDG&E £:icounters na..:ardous or toxic material while performing construction 01 your proJf:iCI, S:'.>G&E will hall work immed1alely and II will be your responsibility to remove arid'or clean up all ha.:a;.Jous or toxic material prior to SDG&E continuing ccns::;.::io:i. SOG&E :shall have no liability or obligation whatsoher 10 Clean up, remove or remedia:e dr,y ha..ardous or toxic materials discovered during the course of construction unless 11 1s through negligence ol SDG&E. Customer•cwned facllltie:s to receive electrical :service are subject to all ap;iUcable local and slate c1 Colilor11ia ir.spection auth.J~t'.}' re:;~::e-'?r!!. !:biJ:;:i:,-; ~::::::re~! a:ic•ormeterbase must ~e pos~ed pier 10 miter ~el. !,iformation on this sheet Is void alter e months from date. Keep lh•s nouce with building permit. (/ ------------1-1-A-r.ed19-+--"-1-c(:!:;--=--.i.r----'