HomeMy WebLinkAbout2698 STATE ST; ; CB930161; Permit~· "
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RUCKS,S:'EPHEN
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1/!AL APPROVAL
INSpl/2 DATE §"-1o •1 ; __
CLEARANC .' ;O
CITY OF CAn1-;;,ur1,"
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
-------~----------. '-~•-------
PERMIT APPLICATION PLAN CHECK NO. .s-LC..I
City of carlsbad Building Departaent
2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161
I. PEkMI I liPE
A. U Commercial ONew Building U tenant Improvement
B •□Industrial □ New Building □ Tenant Improvement
C • □ Residential □ Apartment □ Condo □ Single Family Dwellia _ □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home r,r-lectrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PROJllCT INFORMATION FOR OFFICE USE ONLY
Address .z..<oqg Sf,,Te sf; Bui@mg or Suite No.
Nearest Cross Street /J ~
Lf:GAL DEsCRIPI ION Lot No. Su&:11vis1on Name/Number Omt No. Phase No.
CHECK BEWW IF S0BMll 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
ASSESSOR'S PARCEi.
DESCRIPTION OF WORK o / ;,-{ ¼ u { <;; EXISTING USE PHOPOSEP USE
SQ. FT. # OF STORIES
3. :U iJII ICl l!JiH.SON (ff dlHerenf from apphcant)
NAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCANI CXUNIRA.CltJR /_ □AGENI FORWNIRACIUR DOWNER □AGENIJOR1).WNER
NAME$ f,e/J,( e,.._ 'lt,c,e:, ADDRESS'f5"6/ /;/_ Ce,...,. f/0 Un
I) 'e STATEC,,-ZIP CODE IS DAY TELEPHONE 7t 6
STATE('.;,.4. ZIP CODE DAY TELEPHONE
NAMF.S' f3L (iil:;.t,..: c.,.. ADDREss 't5, 1 c1-. c..z.,.,,..._, tt1 t? ,_
CI1Y$,41\.. ~ €JO STATE en-
STATE !JC. #0$iyS34
ZIP CODE'{J,.., // S-DAY TELEPHONE 7 b S--/ 7 5" 7
IJCENSE CLASS C::-/0 CllY BUSINESS !JC. #
CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WOltRERS WMPP.NSJU ION
Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to seit-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).
INSURANCE COMPANY POIJCYNO. EXPIRATION DATE
emp oy any person m any manner
SIGNATU z..-1
0Wner-Bu1lder Declarat10n: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg 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 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.).
D 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 co 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 chis reason:
(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, 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 not more than five hundred dollars ($5001).
SIGNATURE DATE
COMPL£1E IHIS S£CIIUN FUR NUN-RESIDEN IIAL B0IIDING 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 Ace?
□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?
CYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
ll' ANY OF THE ANSWERS ARE YES, A FINAi.CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFl1lRJULY I, 1989 UNLESS THEAPPLICANT
HAS MET OR JS MEtmNG THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION <DNTIIOI. DISTIIJCT.
9. WNSIRUCIIDN IENDING XGRNCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER"S NAME LENDER'S ADDRESS
IO. APPUCANI CEUIFR!AliuN
I certify that I have read the appHcat1on and state that the afxive mformat1on 1s correct. I agree to comply with all Llcy 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 AI.<;O AGREE ID SAVE INDEMNIFY AND KEEP HARMIBSS THE Q1Y OF CARLSBAD AGAINST ALL IJABIIJTIES, JUDGMENTS, <DS1'S
AND EXPENSES WHICH MAY IN ANY WAY MiltUE AGAINST SAID Q1Y IN CXJNSEQUENCI! OF THE 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).
APP~ DATE: ~l2--t3
WHITE: File YEIJ.OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB930161 FOR 05/05/93 INSPECTOR AREA PD
PLANCK# CB930161
OCC GRP DESCRIPTION: 0/H TO UG ELEC SERVICE AT
2698 STATE ST 100 AMP lPH
TYPE: ELEC
JOB ADDRESS: 2698 STATE ST
APPLICANT: ROCKS,STEPHEN
CONTRACTOR:
OWNER:
REMARKS: MH/STEVE/765-1757
SPECIAL INSTRUCT:
TOTAL TIME:
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619-765-1757
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INSPECTO:(??~ ~ ·
ACT COMMENTS CD LVL DESCRIPTION
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
,,. 8'00030-..3'70
SOG[ ELECTRIC METER LOCATION AND SERVICE ORDER
WA NTED DATE 0 OVERH£.AD UNDERGROUND-SPECIFICATIONS ATTACHED RESIDENTIAL 0
'NORK# 20 21 DATE NUD(D 26 27 (ST HRS. 31 en 55 DATE COMPL 60
7
NAME: A SSUME STREET RUNS EW O
ADDRESS:
SDGg.[ APPLICATION REQUIRED O CALL INSPECTION REQUIRED PRIOR TO SET
• . GENERAL CUSTOMER INFORMATION
Meter Height -4'0" m in. -6'3" max. from finish grade to center line
of meter base. Meters 11re required to be readily 11ccesslble 24 hours per
d11y. Meters must be located In a safe 11rea free of any potentially h11z11rd-
ous or dangerous condition. Provide 3 ft. x 3 ft. minimum cle11r and level
worldng space In front of meter. Where meter room Is proposed. contact
Customer Extension Planner at nearest SDGg.E office.
Meter bases and main switches must be Identified with address 11nd unit
number It serves.
' • .I' , ovrnHEAD SERVICES
PROVIDE MINIMUM GROUND CLEARANCE OF:
Ft. at point of attachment of service w ires
Ft. o ver driveway or p11rl<lng area
Ft. at outer limit of vehlculu traffic
Fl.--------------
UNDERGROµND SE.RVICE
PROCEDURE FOR INSTALLATION
1. Pay all monies due O APPLICABLEU. Q_ WT A~fABLE.
LADDER ARMS REQUIRED 0
I" RISER QUAD. ___ _
• N
I i 0
t
' 0 ..,
0 ..,
ii C li Ii
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.i
l 0 u
C .;
0
' t 8 w 2. Phone SDGM 111 fucrJ /Oj;Jj worfdi(g~; p'7fo'r t~r~hlng to
cm11nge premeet with Inspector and Initiate trenching process.
3. Open trench and Install service entrance equipment <1nd conduit sweep·s
ilt meter location. CALL ABOVE PHONE K FOR INSPECTION.
t-A_D_D_IT-IO_N_A_L_I_N_F_O_R_M_A_T_I_O_N_:_(_D_e_ta_c_h_b_e_f_o_re_c_o_m_p_le_t_ln_g_rh_l_s_s_e_ct_l_o_n_:)----1 I
4. After trench Is approved allow 5 working d<1ys for service lnst<1llatlon.
5. Merer will be set "fter Inspector h<1s approved lnstc11latlon, bacl<flll. com-
paction, and city/county' Inspection.
6. for underground utility location prior to trenching
Phone: 1-800-4 22-4 I 3 3.
JT TRENCH GAS O TELCO
CABLE POLE CONDUIT BY CUST O SDG&.E O SIZE
8END BY CUST O SDGM O SIZE SEC. HGT.
HANDHOLE BY CUST O SDG&.E 0 STD. PAGE#
CONDUIT BY CUST SDGM 0 / I SIZE
TRENCH INSPECTED g_ APPROVED 0Y
FT
DATE
PM~T BY CUST: CBL PL $ ___ EXCESS S ___ MISC $ __ _
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MAIN SWITCH -9-eC> CT'S O SELF-CO NTAINED;)(°
If SIXA[ encounters hazardous or roxlc mnterlal while performing construction or your pr 1ect, S
will hc1lt work Immediately M d It will be your responslblllty to remove and/or clean-up all hazar us
or toxic material prior to SDG&.E continuing construction. SDG&.[ shall have no liability or oblig rlon
w!)a~ocver to clean-up, remove or remedlare any hazardous or toxic materials discovered during -..,-~
Customer-owned lacllitles to receive electrical se 1cc ar subJect to all
applicable local and srate of Calllornla Inspection author y requirements.
Building address and/or meter b;,se must be posted prior to merer set. Infor-
mation on this sheet Is void after 6 mcnths from date. l(eep this notice
wi.lbJ>ulldln'lOCrmlt.