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Home My WebLink About1052 CHESTNUT AVE; ; CB030041; Permit01-06-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB030041 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1052 CHESTNUT AV CBAD ELEC 2051120800 RAMOS RES ELEC UPGRADE 100 TO 200 AMP Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/06/2003 SB 01/06/2003 01/06/2003 Applicant: CITYWIDE ELEC SUITE #204 5710 KERNY VILLA RD 92123 1-800-797-8677 Owner: RAMOS FAMILY TRUST 04-03-rtf57 01/06/03 0002 01 02 1052 CHESTNUT AVE CARLSBAD CA 92008 35 «00 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 $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ; $0.00 $0.00 $35.00 Total Fees:$35.00 Total Payments To Date:$0.00 Balance Due:$35.00 Inspector: FINAL ARPBJDVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 o4 1. PRpJECliliilitMATIONchestnut Av FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By_ Date / ~£?-«»^ ddress (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel # of Existing Use Proposed Use Description of Work .(A 2. .CONTACT PERSON (if different from applicant) SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name 3. APPLICANT Address City Contractor D Agent for.Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax « 0 Name 4, PROPERTY OWNER Address City i State/Zip Telephone # Address City State/Zip Telephone #Name ^ S. CONTRACTOR i COMPANY NAME : .:" •'. (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 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 [$500]). C'vYv W\de EUe<s"VTCc iTTtfl fcevviv V\i\q*vA ZOIT Name State License if Address License Class City State/Zip City Business License # 17-O Telephone # Designer Name Address City State/Zip Telephone State License # WORKERS^ COMPENSATION 'Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: |~| 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. (~1 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 Policy No. . Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~l CERTIFICATE OF EXEMPTION: 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: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. \/SIGNATURE_"S.DATE OWNER-BUILDER DECLARATION 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 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). n 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). l~1 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, O YES O^C) 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 IFORWOVV^E^IvlllBliililllRMITSONLY .; 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? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES d NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? . d YES d 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(i) 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 is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 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 180 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 aoeabd of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/04/2003 Permit* CB030041 Title: RAMOS RES ELEC UPGRADE Description: 100 TO 200 AMP Inspector Assignment: JM 1052 CHESTNUT AV Lot 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT CITYWIDEELEC Owner: RAMOS FAMILY TRUST 04-03-01 Remarks: Phone: 7607299639 Inspector: Total Time: CD Description 33 Service Change/Upgrade Act Comment Requested By: LAURA RAMOS Entered By: ROBIN / <l Associated PCRs/CVs Inspection History Date Description Act Insp Comments 01/08/2003 33 Service Change/Upgrade AP JM ON 1/7/03 01/07/2003 33 Service Change/Upgrade AP JM NEED FINAL INSPECT FOR STUCCO PATCH sMgjE Af^SemPraEnerey"<™'p^ ELECTRIC METER & SER) WANTED DATE (J.L f^VFRHFAD nilNnFRfiHDI .NAMEs /~TL/£3 PNJ ADDRESS J Q C^ POWER SOURCElOj.CltfG i/ICE LOCATION T.H. / I O U JND-SPECS ATTACHED DJT MEET REQ'D DCOMM'L .^-^RE O T*jQ/°f3?S" PROJECT NO^^O-^VV/tf JOBNO^jl" ) <~ kFTTA ) I/T" >Q V £TB MORATORIUM EFFECT - AGENCY TYPF CONTACT ~f{ )C~ _| C'llllO^HK) MONTH YFAR /**^_2 ESIDENTIAL-o PHONE # *JT 'C JL" ~) ~~7 ^ TC^Ai ~7~~7 TCPREQ'DD ST EXC & PERMITS REQ'D DCUST DSDG&E SERVICE ATTACHMENT POINT AND/OR METER LOCATION: (~ L/'SlOMFrT 7O //NTS ")/)•/£ /VV-'k-J 's^2C$~) A VUO J^NLTL OKJ H~A?T I^^LL OF CA/LAAlTi 5V CT CQRAtTYL /3T ^RXlTT/rM/^ M1N Z' ri na^^M^ TO T^K rn TTQA->GL_ LOC^ 7 / OrO - /^/S-OY/DLT AJfTUr ^IG/£7 l^J^L /3T5OVE KDOF L.1KF TO /-^lETTT MIAIML/M rTKOU^ 'LTST T^FLtDi-j C.\~TY /AJTPS^TT/O^ ^7^7*3 /n<ir *PIL\C.r/^ir/rr^ ^—^ SpftftF APPI irATIDN RFp'Ofl I":AI 1 ^^^^^-.-a tSS^if^ri^^E^ Meter Height - 4'Q" 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. PROVIDE MINIMUM GROUND CLEARANCE OF: / I 'i* R. at point of attachment of service wires / •ph. Ft. over driveway or parking area / (j> Ft. at outer limit of vehicular traffic Ft £SE '^ ^i- '"'^ UNDERGROUND' SERVICE-*- " "* -" '.*% * PROCEDURE FOR INSTALLATION 1. Pay all monies due D APPLICABLE D NOT APPLICABLE ? Phnno RDfifcF at 3 working rtfiys prior tn trenrhing tn arranrjp with inspector and initiate trenching process. 3. PHONE DIG ALERT 1-800-227-2600 AT LEAST TWO 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 backfill 5. Call inspector when trench is 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. JT TRENCH DGAS DTELCO DCATV SEC HEIGHT CABLE POLE CONDUIT BY C CABLE POLE BEND BY DcUST HANDHOLE BY D CUSTOMER CONDUIT BY D CUSTOMER r.DSTOMCCI P RHRRF RI7F r n<?DrsaFan= RADII is sow an RI7P PISDRRP risTn PARP* DSDG&E SIZE TRENCH INSPECTED & APPROVED BY DATE PAYMENT BY CUST: CBL PL $u— T - - \ 3 WIRF I PHASF MAIM swrrrj-T^) ^DC'J UTILITIES MAXIMUM CONTRIB EXCESS $ f MISC $ \'~~Y~}l"3j\fJ i~f/(0*-7«^'vniTAf5F V? MFTFR CLIPS * / -J J METERING: LJ CTS (J£ SELF-CONTAINED D TEST BY PASS FACILITIES REQ'D /\r^)?v~n~)UTION TO FAIII T HI IRRFNT/O^CX-/ ^AMPS f SDG&E encounters hazardous or toxic material while performing construction of your project, SDG&E will halt work immediately and it will be your responsibility to remove md/or clean up all hazardous or toxic material prior to SDG&E continuing construction. SDG&E shall have no liability or obligation whatsoever to clean up, remove ot remediate any hazardous or toxic materials discovered during the course of construction unless itis through negligence of SDG&E. ^5 iK. 1 NOTE: INSPEC REQ'D PRIOR TO SET'(J^,CITY/f)oUNTY D STATE Pni F # 1 ADDFR ARMS RFO'D fl FXISTINIR D STOP TRENCH Dl" D?1/!11 FROM POLE RISER QUAD . CJDJ7 TO TJL1M 17Z£E * TO /OLLQU FOfL NE>^ 1 ^1 ^K^rtZ L.1A/E L?OC!TT/A)6 J / • • 20CT)jNy OF71 / •^ lO^^L ^ V ^ 3 \n • * \ 0 " \. _^1 ^. (^r j NEVI D /^i n.*) ' CJ-JLTTTAJLTT yQW / -i J r •*— -//•* 1 RI3S.O)0 ft ADD'L INFORMATION: (Detach before completing this section.) OTV OF OQtosAO -TOnTOER^PMA ^ * ~iS [} } jfasM ^Ctdlfofs^X 'TB.EPHONE (1 SATE t~~7l I — ) ^/**V?/' — 7"^.ef^i~^ / I/ '^^ / Customer-owned facilities to receive electrical service are subject to all applicable local and state of California inspection authority requirements. Building address and/or meter base must be posted prior to meter set. Information on this sheet is void after 6 months from date. Keep this notice with building permit. : DISTRIBUTION: WHITE ORIGINAL - Customer WHITE COPY - District Operations YELLOW - Planner GOLD - C.T. Order 107-09212 (7/00) FROM IINOUKANUC DIINUtK (MON)JAN 6 2003 14:50/ST. 14:50/NO, 6306016853 P OP ID J»d 12/30/02 THIS BfNPBB H A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONWTION« 8HOWN ON THE REVERSE SIDE OF THIS FORM. 181^401-6692 o. *. liCvlD* Insuranceservices, inc.3377 Caxawl Mountain Ro«d0ao Di«go CA 92121 COM:suBcooet COMPANY Inauraaoe fund DATE 01/01/03 12:01 AM PM 17766 03/01/03 U-Ot/IM KUON THl$ NNRft 1515HKD TO BWEM3 CCWERWH IN THE ABOVE NAMED CCMPWf PER BXPKWO POLICY »: Q40Q01042102 INSURED cm xntoxprlaea, tno, D/B/A Citywide BleotrioS710 R«*ray Villa ad. #204-205 CA. 93123 COVRRAOKB UMTTI me OGN Aim __ «W 8£I TYPCOriNSUWNCB FWT CAUSES Of LOSS BASIC [ J HPOAP [ | fpXK EMAL LIAilUTY COMMERCIAL GBttML LIAOILnT OCCUR JMOHLEUttlUTY ANY AW* ALL OWNED AUTOS 5CKWLED AUTOS HIRF!nAJ.Wl< NONflWNED ALTOS CCT.LJSWN: OWSRTH**!**,- fiCUABLITY AN* AUTO — IMBReLLAIKMM OITCR THAU UMBRELLA K)RM WQWwriCDMPINIATION wm.amfSutHLm TWN«/ WMt p. ' SWYBRAUWORMS • .• 1 RETRO DATE POR CLAIMS MADC J AU VBMICLBS | | ^Meouueo YBMICLES tETRO DATE rOft CLAIMS MODE! 1 LOW PAYEE LOAN* JL^ ^^•»"••• iu««.*»i»l» •>-r««»lui-Mt,_. . _... J... _^.._ .„.,. ._.._ PCDUCllULt OOfNS H ^SS^wi)- PeraONALdADV INJURY CEicniLA&eaeeATe PftOOuCTS - COIW/OP AGO COMBINE SINHB UMfT IMOI,yiNJUPV|PW|Mf«)|l) BODILY INJURY (PW M«dM) PROPERTY OAMACE MTTttTAJ. PAVMPNTS PERSONAL INJURY PRQT UNINSURO? MOTORIST ACTU*!. CASH VALUE STATED AMCVNT AUroOH.V.EA.ACCI»4r OIHBS THAN AUTO W*.Y- fiACHACCIDeNT EACH OCCURRENCE A07WWTB 3t WC STATUTORY LIMITS ELBACHAcatienT . EL. DISCASC - EA EMPLOYEE EX. DtSCAM - POLICY LIMIT nes TAXES lOWL INSUM-O -c. AttOWfT . . .. . .._ ... t t 1 1 . 1 ; | tioooooo tiooooootioooooo 1 *i*Mt A,' » • VWk M •*' 4MV