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HomeMy WebLinkAbout2537 TOWN GARDEN RD; MP; CB044151; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-15-2004 Electrical Permit Permit No: CB044151 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2537 TOWN GARDEN RD CBAD ELEC 0000000000 Lot#: ADELPHIA COMMUNICATIONS 0 100 AMP MET PED FOR CATV@ BRESSI RANCH Applicant: FISHEL COMPANY 666 AIRPORT RD OCEANSIDE CA 92054 760 967-6930 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 TOTAL PERMIT FEES 100 0 0 0 Owner: Total Fees: $35.00 Total Payments To Date: NOTICE Please ta E that approval of your project includes the "I osition" Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/15/2004 SB 11/15/2004 11/15/2004 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 Balance Due: $35.00 5447 11/15/04 0002 0.1 CGF· Clearance: referred to as ''fees/exaction You have 90 days from the date this permit was issue 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 APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fe s/exactions of which ou have reviousl b n iven a NOTICE similar to this or as to which th f limi ti ns has reviousl otherwise ex ired 02 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PROJECT INFORMATION _ A ~'/J ~ I /,1 _. j\ ~ 5 3 7 "TZJJJJN b~J e:N {(/)/IV FOR OFFICE USE 0~ _ PLAN CHECK NO. CJ:V ~ ti) b EST. VAL. _________ _ Plan Ck. Deposit ~ ....... -~------ Validated By_,..---r...4f!.:._:.....:::::-,... ____ _ Date _____ -1,--,...,.;>-----,1,-..:...+---- Address (include Bldg/Suite #f Business Name {at this addressf Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Asse,;;or~s Pa;.tel # j) -/~;' /.-:J\/'.'?~ting Use j) rLlfCe 10/J ,--t-171/ m~rkl-.. 1cue.?1-;./L ftJtL CA-n/. Proposed Use DescnptIon of Work SO. FT. #of Stories # of Bedrooms II of Bathrooms 2. CONTACT PERSON (if different from appllcentl Name Address City State/Zip Telephone II Fax# 3. APPLIC'1"1; ~tractor O Agent for Contract9r O Owner O Ageni for °»'')er,(,I ,u'\ .4-lJeL,JhA aJt11111uA11CA'rl~11l> r,A fJtJY 3Vtf £.4K.L5tJtrv L~ 9Uof" 76P ¥3'f'--77YI x 5/1/ Name Address City State/Zip Telephone II 4. PROPERTY OWNER Name Address City State/Zip Telephone II 5. CONTRACTOR· COMPANY NAME (Sec. 7031.5 Business and Professions Code: Anv City or County which requires a permit to construct, alter, improve, demolish or repa,r 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 [Chap1er 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 .. ~,_,-, violation o! jecti~n_,7031 .5 by any applic'1'J,fo#.a peri:,Ji}_subjects the ~plican! to _J,dvil penalty of not more than five hun ed dollars I $50011. A5wf.. OJl/1/mt}'f 6IP6 lrllltJtC'f /(LJ, LJ~s1/Jt::: c,,f-, 9ZJJ91 "160 1~7-£930 Name State License II _6_7_~~9_l/_"'2_ ___ _ Address City State/Zip Telephone II City Business License# I/ 1f'6?'(,/ License Class _/4_L __ -; _____ _ Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afform under penalty of perjury one of the following declarations: D I have and will maintain a certificate or consent to sell-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. ~have and w,11 maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit ,s issued. My worker's compensation insurance carrier and policy number are: Insurance Company tttHift.f tA-AJ £/JS1.M·tr Y CfJ. Policy No.u/LZ /b 1/~ '17 :2. V Expiration Date R'-/,-Cl 5 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100! OR LESS) D CERTIFICATE OF EXEMPTION: l 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: Failure to aecure worker•· compenaetlon coverage is unlawful, and ahell subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 0,0 ddltlon to the coat of compemiation, d■m■gea as provided for In Section 3708 of the Labor code, Interest and attorney'■ fus. SIGNATURE __ 'l!=----'=-+--'e::...<.:::L.;w.:;:;;______________________ DATE // -/ 5 4 tf' 7. I nereby afflfm t D I, as owner of the property or my employees with wages as the,r sole compensation, wlll 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 propeny who builds or improves thereon, and who does such work himself or through his own employees, provided that such ImPfovements are not intended or offered for sale. If, however, the buildtng or improvement is sold w1th1n 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 propertv, 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 ot property who builds or improves thereon, and contracts for such proIects with contractor/sf licensecl pursuant to the Contractor's License LawL D I am exempt under Section ______ Busmess and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2 I !have I have notl signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed consiruction (include name / address/ phone number / contractors license number): 4, I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the ma1or work (include name I address I phone number I 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 I address I phone numbe1 I type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is !he applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management ,md prevention program uncler Sect,ons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a,r quality management district? D YES O NO Is the fac,lity to be constructed within 1,000 feet of the outer boundary of a school stte? 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ ~~ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans 1s accurate, I agree to comply with all Ci1y ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above men1ioned 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 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 llm,tation and become null and void if the building or work authorized by such permit is not commencP.d within 365 days from the date of such permit or if the building or work authorilecl by such permit ,5 suspended or abandoned at any time after the ork is ommenced for a period of 180 days !Section 106.4.4 Uniform Building Codel. APPLICANT'S SIGNATURE DATE /(-/7-t''/ WHITE: File YELLOW: ADplican1 PINK: Finar]ce City of Carlsbad Bldg Inspection Request For: 12/29/2004 Permit# CB044151 Inspector Assignment: PS --- Title: ADELPHIA COMMUNICATIONS Description: 100 AMP MET PED FOR CATV@ BRESSI RANCH Type: ELEC Sub Type: Job Address: 2537 TOWN GARDEN RD Suite: Lot O Location: APPLICANT FISHEL COMPANY Owner: Remarks: Total Time: Phone: 7609676930 Inspector:~ Requested By: BOB Entered By: CHRISTINE CD 32 39 Description Const. Service/Agricultural Final Electrical l/tCommen~~ 1----- ----------- Associated PCRs/CVs Inspection History Date Description 12/28/2004 39 Final Electrical 12/15/2004 34 Rough Electric Act lnsp Comments CO PS GROUND LOOSE @ S & 0 BOX CO PS 1 1 -1 5-04; 7: 44AM; ;7607387494 # ,,, sos; ~ ~Sempra Energy u111;1y-ELECTRIC METER ERVICE LOCATION T.B //2--71-p-_ WANTED SPECS ATTACHED OJTMEETREO'D OC0MM'L 0 RESIDENTIAL GENERAL CUSTOMER INFORMATION Meler Height• 4'0" min.· 6'3" max. from finish grade to center line □I meter base. Meters are required to be readily accessible 24 hours per day. Meters must be located in a safe area free cl any potentially nazardoos or dangerous condition. Provide 3 ft. X 3 ft. minimum clear and level working space in front of meter. Where meter room ls proposed, contact the Planner at the nearest SDG&E office. Meter bases and meter service disconnects mlJSI be located at or 1mmedialely adjacent to each other and be identified wilh address and unit number it serves. OVERHEAD SERVICES PROVIDE MINIMUM GROUN0 CLEARANCE OF: Ft al 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 all monies due D ~l:'.!J.CABLE ~T APPUCASLE 2. Phone SDG&E at ='32~ 3 working days prior to trenching to arrange with inspector and initiate trenching process. 3. PHONE DIG ALERT 1-800-227-2600ATLEASTTW0 DAYS PRIOR TOTRENCH- JNG FOR LOCATION OF UNDERGROUND UTILITIES. 4. Excavate trench, install conduit and service entrance equipment at meler location. CALL ABOVE PHONE II FOR INSPECTION. Do not cover conduit without inspector's w~tten approval to bacJ<.rm 5. Call inspector when trench is hackfil led and compacted for inspection. lf service entrance equipment is installed after backfill, CALL ABOVE PHONE # FOR INSPECTION OF THE EQUIPMENT. 6. Meter wm be set after inspector has approved installation, including service equipment, and receipt of city/county/state' inspection clearance. JT TRENCH OGAS □TELCO □CATV SEC HEIGHT CABLE POI.£ CONDUIT BY OcusTOMER □ SDG&E SIZE------- CABLE POLE BENO BY O CUST O SDG&E !IO' ___ RADIUS SCH 80 SIZE __ _ HAN□HOLE BY O CUSTOMEl'1 0 SOG&E O STD. PAGE # CONDUIT BY UST0MER 0sDG&E SIZE' / -2,_ u TRENCH INSPECTED & APPROVED 8Y DATE PAYMEITT BY CUST; CBL PL$ MISC$ __2i WIRE ~--PHASE /2£._· ... ·,.__-'-"'-VOLTAGE --,"=,,,__METER CUPS MAIN SWITCH IC() MET§31NG: □ CT'S SELF-CONTAINED 13fEST BY PA.$$ FACILITIES REO'D UTILITIES MAXIMUM CONTRIBUTION TO FAULT CUARENrL/:2MtJ AMPS II sDG&E encounters llazardo~s or toxic material wh~e performing cons1ruc1I0n 01 your project, SDG&E will halt work lmmedialely and ~ will be your responsibility to remove and/or clean up all hazardous or toxic malerlal pr,or to S0G&E continuing consrrucliOn. SOO&E shall have no Nability or cbJigalion whatsoever to clean up, remove ol remediate any hazardous Of toxic materials discovered during the oourse of consrruclian unless it is throogh negligence ol SDGa:E. PROJECT NO. JOB NO, MORATORIUM EFFECT -AGENCY ___________ _ TYPE ______________ _ DATE CRITICAL -PENDING STREET RESURFACING MONTH __________ YEAR _______ _ TCPREQ'0O NOTE; INSPEC REQ'0 PRIOR TO ser □STATE POLE #-~--LADDER ARMS RE0'D O EXISTING 0 STOP TRENCH 01" On," FROM POLE: RISER QUA0 __ ♦ j :v l ~ ~ -~ ·yvuJrJ ~6AJ ;t/J l ~ r=-1 '\.) ·T - ?L;a; il.:iHM aj . ..__ -......J '{ ADD'L INFORMATION: (Detach before completing this-section.) DATE /I Cuslomer-ownecl lacililies lo receive electJical service are subjecl ta all applicable local and srale ol California inspeclicn aulhorily requ·i,ements. Building address and/or meter base must be posled prior lo mstor sat. lnlormation on lhis sheet is void alter 6 monlhs trom date. Keep this notice wilh building permit. DISTRIBUTION: WHITE ORIGINAL -Customer WHITE COPY -Dist<ict 0peraUons YELLOW -Planner GOLD -C.T. Order 107-09212 (:li04)