HomeMy WebLinkAbout2690 STATE ST; ; CB930159; Permitf ' .
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2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161
110.00
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
2075 Las Pal11115 Dr.• Cerlsbad, CA 92009 (619) 438-1161
I. PFJlMI I I i PE
A -U Commercial U New Budd mg U I enant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home ,,Electrical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other
2. PllillECT INIDRMATION FOR OFFICE USE ONLY
Address Z-(,'f I) 2 11¥ 7(;) ;a 6 ~
Nearest C~ S~t
BuUdmg or Suite No.
LEGAL DEsCRIJYl ION Lot No. Suixi.1V1s1on Name/Number Dmt No. Phase No.
CHECK BEWW IF SOBMII 1£0:
□ 2· Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL ...
DEscruPTioN oF woRK O /11 ..,-0 V{ 0 EXISTING JISF:. w~p USE A-'{" ,:}-. 667..i.6 '/DI .;J,. 5 1'4-"r,tr
SQ. IT. # OF sroJrns
3. WN ]At.I PERSON (IC dnlerent from apphcan0
NAME . ADDRESS
,.,,. o .... • 2, o Q,,,. t---+ ,: e II
CI1Y STATE ZIP CODE DAY TELEPHONE •-~ffl~,o~!•RA~~!1::.~□AG£N1 FOR%ik?s~1~*''uowp[ c'!~!~·t/2,0RowNER
CI1YSA"-Oi-e. STATEC4 ZIP CODE 1J... II DAY TELEPHONE 7 6 f,' -
NAME 'J" "Ck LAtK. h v,....., ADDRESS 2. (,, q 0
crrvCAf' Ls b,1,,{ STATEC4 ZIP CODE DAY TELEPHONE 6. WN IRACIUR
NAME sPR /3L ... C/-/,.,c__ ADDRESS lfS-, I B • a 6e ·-=-C e_..,..,,..;fo
CITY C,9» f:.s ~> I cf STATEC A-S 4'-.0 ,'e~ 6
ZIP CODEGf ~ / / ~ DAY TELEPHONE 76 fl"-/7 6-7
STATE LIC.#,f8f>831./ LICENSE CLASS C,.-/0 CI1Y BUSINESS LIC. #
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORRERS' WMPENSAIION
Workers' Compensatton Uedarat1on: I hereby aUlrm that I have a certlilcate of consent to self-msure issued by the Director of lndustnai
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
POLICY NO. EXPIRATION DATE
SIGNATU DATE -It-
I hereby affirm that I am exempt from the Contracto?s Llcense Law for the following reason:
□ 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 Llcense 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 for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit 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. punuant to the
provisions of the Contractor's License Law (Chapter 9, commencing 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 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of noc more than five hundred dollars {$5001).
SIGNATIJRE DA11!
COMPLEIE IHIS SECIION FOR NON-RESIDEN IIAL BOIIDING PERMll's 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?
□YES □NO
Is the applicant or future building occupant required. to obtain a permit from the air pollution control district or air quality management district?
□ YES Cl NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANYOFTIIE ANSWERS ARE YES, A FINALCERTIFICA11! OFoa:IIPANCY MAY NOT Bl! ISSIIED AFI1lR..JIJLY I, 1989 UN1J'.SS Tifl!APPIJCANT
HAS MET OR IS MEETING Tifl! RllQIIIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND Tifl! AIR POIUmON ffiNTilOL DISTRICT.
9. WNSIR0CIION i.kNDING XGP.NCY
I hereby afhrm that there 1s a constructmn lend mg agency for the performance of the work for which this penmt 1s issued (Sec 309?(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS to. APPilCAN I <EtlWICAiiuN
I certify that I have read the apphcat1on and state that the above mformatlon 1s correct. I agree to comply with ail 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS THE CflY OF CAR1SBAD AGAINST AIL IJABIIJTlFS, JIJDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY A£DUJE AGAINST SAID CflY IN mNSEQUENCE OF nm GRANTING OF TIIlS 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 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 303(d) Uniform Building Code).
DATE: 2-/[9,3
YELl.OW: Applicant PINK: Fmance
,
i.
PERMIT# CB930159
DESCRIPTION: O/H TO U/G ELEC
2690 STATE ST
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/05/93
SERVICE AT
200 AMP 3 PH
INSPECTOR AREA PD
PLANCK# CB930159
OCC GRP
JOB ADDRESS: 2690 STATE ST
APPLICANT: ROCKS,STEPHEN
CONTRACTOR:
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619-765-1757
::~::: /l ;f i\ /} ;! OWNER:
REMARKS: MH/STEVE/765-1757
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
INSPECTOI(Y:;t::if-?~ '
ACT COMMENTS
_34 __ EL _R_o_u_g_h_E_l_e_c_tr_i_c ______ ¥-/JI( 1t, l£LV½,t "fo ',PG[;
--------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
0-V V L .. -----
/HJ o ro o o 3 o -~----330
SDGt ELECTRIC METER LOCATION AND SERVICE ORDER TH. BROS. 13-E.L/
WANTED DATE or.:r::. 0 OVERHEAD UNDERGROUND-SPECIFICATIONS ATTACH£D
WORK# 20 21, DATE NEEDED 26 27 £ST. HRS. 31 CR£
7
NAME: ASSUME STREET RUNS EW O
ADDRESS:
SDG&.E APPLICATION RE.QUIRED O CALL ______ _
, . ' , : ' l · • · • I · GENERAL CUSTOMER INFORMATION 1--'--~-~---------------------t POLE It ____ LADDER ARMS REQUIRED 0
Meter Height -4'0" min. -6'3" max. from finish grade to center line
o f meter base. Meters are required co be readily accesslb:e 24 hours per
day. Meters muse be locilted In a safe area free of any potentially hazard-
ous or dangerous condition. Provide 3 ft. x 3 ft. minimum clear and level
worl<ing spilce In front or meter. Where meter room Is pro posed. contact
STOP TRENCH O I " 0 7 '12'' FROM POLE RISER QUAD. ___ _
Customer Exrenslon Plilnner ilt nearest SDG&.E. office.
Merer bases and main switches must be Identified with address c'nd unir
number Ir serves.
' • i j • I .. • OVERHEAD SERVICES , • • ·· ·
PROVIDE MINIMUM GROUND CLEARANCE OF:
Ft. at point of attachment of service wires
Ft. over driveway or parking are.1
Ft. at outer limit of vehicular traffic
Ft. _____________ _
1 t, 1 .-, • , ! ' : -· , i . • . UNDERGROUND SERVICE. ' ' . . .
PROCEDURE. FOR INSTALLATION
I. Pay all monies due O APPLICABLE O ~T APP~AB¼
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I
<» 'E! 0
0 ' 0 -~ 0 c.,
t
8 2. Phone SDG&.E ar4?9 -Mt-7 3 wo'fi<~~ys ~o9t'i?c~chlng to
,m ange premeet with Inspector and Initiate trenching process.
3. Open trench and lnstc1II service entrance equipment and conduit sweep's
at meter location. CALL ABOVE PHONE # FOR INSPECTION.
w 1-_A_D_D_I_T_IO_,N.._A_L_I_N_FO_R_M_A_T_IO_N_: _(D-et-~-c-h__.t,_e_f_o_,e-'c'-o-m_p_le_t_ln-g-th_l_s -se_c_t_lo_n_:_) ---4 ~
4. After trench Is approved .-I low 5 worl<ing days for service insr.-llarlon.
5. Merer wlll be sec ilfter Inspector has approved lnstc1llarlon. backfill. com-
paction, and city/county• Inspection.
6 . for underground urllity loc.-tlon prior to trenching
Phone: 1-800-422-4 I 33.
JT TRENCH GAS O TELCO
CABLE POLE CONDUIT BY CUST ':J SDG&.E 0 SIZE
BEND BY CUST □ SDG&.E O SIZE SEC. HGT.
HANDHOLE BY CUST C! SDGM 0 STD. PAGE M __ _
COt-.:DUIT BY CUST SDG&.E O _ I I SIZE
TRENCH INSPECTED &. APPROVED BY DATE
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