HomeMy WebLinkAbout1416 FARADAY AVE; MULTI-PERMIT FILE; CB030427; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB030427
Building Inspection Request Line (760) 602-2725
Job Address:
Pennit Type:
Parcel No:
Reference #:
Project Trtle:
1416 FARADAY AV CBAD
ELEC
Lot#:
TEMP POWER POLE NORTH SIDE
FARADAY AT KELLY CORE
0
Appllcant , Owner:
TEMP POWER SYSTEMS
750 N. CITRACADO PKWY.
ESCONDIDO CA 92025
760 439-1999
Electrlc Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
RemodeVAlteratlon per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
Total Fees: $20.00
0
0
0
0
Total Payments To Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/12/2003
SB
02/12/2003
02/12/2003
0039 02/12/03 0002 01 02
$10.00
$0.00.
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$20.00
$0.00 · Balance Due:
CGP 20.00
$20.00
Clearance: ------
NOTICE: Please take NOTICE approval a your Pf'C4ect Includes the 'I a fees, dedications, reseMl!lons, or other exactloos hereafter collectlvely
referred kl as "feeslexactlon • ou have 00 clays from the date this pemit was Issued to protest Imposition of these fees/exactions. If you protest them, you roost
foDa.v the protest procedures set forth 11 Government Code Section 66020(a), and file Iha protest and any othoc reqlired lnfoonatlon with the City Mana1Jer for
processifYi! 11 accorclaoce with cartsbad Munic!pal Code Sec6on 3.32.030. Failure to tlmely follow that procedure wlll bar any subsequent ielJa] action to attack,
review, set eslde, void, or annul thei' lmposltloo.
You are hereby FU RT HER NOTIFIED that your rtjiht to protest the specified fees/exactloos DOES NOT APPLY to water and sewer connection fees and capacity
charges. nor plannlng, zonilg, grading or other sinilar appllcatlon processlfYi! or SB1V1ce fees In connection with this project NOR DOES IT APPLY to any
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1, PROJECT INFORMATION
*1416 IP Faraday Ave
FOR OFFICE USE ONLY
PLAN CHECK NoC]20 3 ° lf 2-4
EST.VAL._~~~~~~~~~-
Plan Ck. Deposit----------
Validated By __________ _
Date _______________ _
Addre•• (lndude Bldg/Suite #J Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phasa No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
*Tern£ Power Pole
Description or Wo SQ. FT. #of Stories # of Bedrooms # of Bathrooms
2.. CONTACT PERSON (If dlffgrent from appllcentl
Name Addresa City State/Zip Telephone # Fax #
3, APPLICANT O Contractor O Agent for Contractor O Owner, 0 Agent'f,or Owner
*Gary Seymour 2458 S Santa Fe Ave. Vis~ CA. 92084 '760-439-1999
Name Address City State/Zip Telephone#
4. PROPERTY OWNER , ,
*Shea Homes J 0721 Trenna St # 200 S D. 92131 858-653-4156
Name Address ' City State/Zip Telephone#
6. CONTRACTOR -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 ha Is licensed pursuant to the provisions of the Contractor's LJcense Law
!Chapter 9, commending with Section 7000 of Division 3 of the Business &nd Professions Coda] or that he Is exempt therefrom, ancf the basis for the alleged
exemptlon. Any violation of Sectf,2,n 7031.5 by ~y a,9~c~t f~ s permit.,:i.ubje,.ts the 11Jlµ,Uca2_s_to g.,l~I pel}'\l;J;¥flH1S1t more than flvll,Jµiii19re,il,ij91!ar1~1iM)J. *Temp Power ;".)ystems .L4:,~ i). i)atlta .t<e Ave, v1sut, L-A. ~.lulS'+ ,ou-4.,~-~~~
Name Address City State/Zlp Telephone #
State License # --"'*'.f4,-..:g~3n<J4,,_,3'\-34---License Class ----'a-C-l-0--11----City Buslnes• License # 1201652
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensstion Declaration: I hereby sfflrm under penalty of perjury one of the following declarations:
0 I have and will m&lntaln e certificate of consent to salf..Jnswe for workers' compens&tlon as provided by Section 3700 of the Labor Coda, for the performance
of the work for which this permit Is Issued.
0 I have and will maintain workers' compensation, BS required by Section 3 700 of the Labor Code, for the performance of the work for which this permit Is
Issued. My worker's compensstion Insurance carrier and policy number are:
Insurance Companv*State Fund Polley No. 1589783-02 Expiration Data 10/01/03
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallure secu orkers' compensation coverBga 11 WUIIWful, and mall aubject an employer to crfmlnlll penaltleB and clvU fines up to one hundred
thousand dollars {$ 0 0 0 I addition to the cost of compensatlon, damages u provldad for In Section 3706 of 0~~r code, Interest 9!!!t attorney's feBB.
SIGNATURE DATE~~ D11.,.o i!A'O'J
7. . OWN.ER•BUILDER . ' I • " -· ' '
empt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages a• their sole compens&tlon, will do the work and the structure Is not Intended or offered for sale
(Sac. 7044, Business and Professions Code: The Contractor's License Law doe• not apply to sn 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 yaor of completion, the owner-builder will have the burden of proving that ha did not build or Improve for the 'purpose of sale).
0 I, as owner of the property, am axcluslvaly contracting with licensed contractors to construct the project (Sec. 7044, Business &nd Profeulons Coda: The
Contr&ctor's License Law does not apply to an owner of property who builds or Improves thsreon, ind contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section Business end Professions Coda for this reason:
1. I personally plan to provide the major labor end materials for construction of the proposed property Improvement. 0 YES ONO
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following parson (firm) to provide the proposed constructlon (Include name I address I phone number I 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 I address I phone
number I contractors license number): ________________________________________________ _
6. I will provide soma 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-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the Bppllcant or future building occupant requlred to submit a buslnes• plan, acutely hsz&rdous msteriala registration form or risk management and prevention
progr&m under Sections 25605, 25533 or 26634 of the Presley-Tanner Huardous Subst1nce Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollutlon control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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.
6. 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 (Sac. 3097(1) Civil Code).
LENDER'S NAME----------------LENDER'S ADDRESS -----------------------------9. A~PLICANT CERTIFICATION
I certify that I have read the a~plicatlon 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 rslating to building construction. I hereby authorize reprBBantatlves of the Cit~ of Carlsbad to enter upon the above mantloned
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 llmltatlon and become null and void If the building or work
authonzed by such permit Is not enc lthln 180 days from the date of such permit or If the building or work author1zei1 suAh permit Is suspended or abandoned
st any time after the work Is co period of 180 days (Section 106.4.4 Uniform Bulldlng Code). .W , .. : ~
APPLICANT'S SIGNATURE DATE ~ 0 °&)
WHITE: Fifa YELLOW: Applicant PINK: Finance
~ ~
City of Carlsbad Bldg Inspection Request
For: 03/19/2003
Permit# CB030427
Title: TEMP POWER POLE NORTH SIDE
Description: FARADAY AT KELLY CORE
Type: ELEC Sub Type:
Job Address: 1416 FARADAY AV
Suite: TPP Lot 0
Location:
APPLICANT TEMP POWER SYSTEMS
Owner:
Remarks:
Total Time:
Inspector Assignment:
Phone: 7607998703
Inspector: ----
Requested By: GARY
Entered By: CHRISTINE
·co
39
Description
Flnal Electrlcal
Act Comment
~---t~fu~,~~f~f~f~~~
Associated PCRs/CVs
Inspection History
Date Dascrlptlon Act. lnsp Comments
(
_J
6x6 poles RED
3 Plugs service paiels !hen
Black liarmnds Paes Brown
/~!ly ~0& e__
-1---rr 1 'j A f-'° .. ~ .5y2 fc~
d-1Ve,()_
M o ,-Le. I s p r o ~L,4--fl "~
BY APS:f5:ED
FEB 121003
City of CARLSBAD
BUILDING DEPT.
014378'1 ~t 4S J'{
l20/l40vol
E~1h"'1 !rr Pt)
AJ r~Se J A<, fl-{ I 6
3 plug
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07/18/2000 Electrical Permit Permit No:CB002656
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
1416 FARADAY AV CBAD
ELEC
Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
07/18/2000
MDP
07/18/2000
07/18/2000
Project lltle: 100 AMP PED. FOR PED XING Inspect Area:
Applicant:
SOUTHERN CONTRACTOR CO
559 N TWIN OAKS
SAN MARCOS, CA 92069
619-744-0760
Total Fees: $35.00 ·.
Electric Issue Fee :., ·
Single Phase per Atv1(:> .. -,
Three Phase per AMP ! 1
Three Phase 480 Per AMP
Remodel/Alteration per AriXP.-
Remodel Fee .
Temporary Service· Fee.
Test Meter Fee ,
Other Electrical Fees
'
TOTAL PERMIT FEES'·
\
Inspector:
' ,'
Owner:
CITY OF CARLSBAD
_Total _Payments To Date: $0.00
• I
-100
0
0
0
FINAL APPROVAL
. ' . ... '\ ·. '·
3340 07/18/00 0001 01 02
Balance Due:
$1.0:00
$25.00 ·.
· $0:cxi. ·. ·
·$·Q,OO :
$0.00·
$0.00
$0.00
$0.oo.
$0.00
$35.00
C-PRNT 35.00
$35.00
,f
Date:-----Clearance: ------
NOTICE: Please lake NOTICE that approval ex your project Includes the 'lmposttlon' of fees, dedlcatloos, reservalloos, or other exactloos hereafter coliecllvely
refooed to as 'fees/exactions.' You have 90 days from the date this pemilt was Issued i:J 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 me the protest and any other required illormallon with the City Manl:IIJef' for
processing In accordaoce with Carlsbad Municipal Code Section 3.32. 030. Failure to timely fo!klw that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul !her Imposition.
You are hereby FURTHER NOTIFIED that your rJJhl to protest the spacifled feeslexactlons DOES NOT APPLY to water and sewer connection fees and capactly
changes, nor planoog, zoning, gradilg or other slm!lar appllcatlon processing Of 561Vlce fees In connection with this project NOR DOES IT APPLY to any
fees/exactions of which have ousl been lven a NOTICE slmftar to this Of as lo which the staMe of llmtations has rev otherwise
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. 6~ ·z.Gs{;,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL. __________ _
Plan Ck. Deposit---------
Validated By __________ _
Date ______________ _
1, PRo.iECT INFQRMATION
Address (Include Bldg/Sulte 11) Business Name (at thla address)
Legel Description Lot Na. Subdivision Name/Number Unit Na. Phase No. Total ti of units
Assessor's Parcel tJ Existing Use Proposed Use
Name Address City State/Zlp Telephone ti Fax ti
13. APPUCAl\!T . 0 Contractor O A~t for Contreator _ o· Owner . 0 Agent for Owner
Name Address City State/Zlp Telephone ti '4. PROmNrr t'!Jtl~·-11:Ji-~~ IJ,1:--t~
Name Address City State/Zlp Telephone ti
.6, CONTRACTOR· COMPANY tiAA'11= _______ .
(Sec. 7031.6 Buslnttss and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish ot repair eny structure, prior to Its
lseuance, also requires the applicant for such permit to flle a signed statement that he Is licensed pursuant to the provisions of the Contractor's Ucenae Lew
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professlona Code) or that he Is exempt therefrom, end the basis for the alleged
I ~ 1 "fl'. a"JI/ per t p t ta e civil penal 'P'lve?Jle~,bl
Name Address ,I J A
LlcenSQ Claes _IJ__,_/_t!-/ __ ,V ___ _
City State/Zlp &.ljj,/pelephone tJ
City Business License tJ __ 77_ '-----;.;,;..,;,-
State License 11 ~
Designer Name # Ir
State Ucense tJ _____ .,,_'fJ ___ _
Address City State/Zip Telephone
6, WOR"EflS' COMPEt,ISA TION . . .
Workers' Compensation Declaration: I hereby affirm imder panalty of perjury one of the following declarations:
0 I have and will maintain e certificate of consent to self-Insure lot workers' compensation as provided by Section 3700 of the Lebor Code, for the performance
~ worlc for which this permit Is Issued.
)!iJ '. have end wlU malntein workers' compensation, as required by Section 3700 of the Lobar Code, lot the performance of the work for whlch0~s mlt Is
Issued. My woti<er't£.9~a~1'15M1JZeRW_l~~9,pq~Y"JPJ~r nre: . IJl/f,fJ-:/J'p//f/' (It) . d / ~/
Insurance Campen~ Ti'/Cln' /lf/{f"rl'11l/Ct-J}/ Polley Na. Explflltian Date __ ..,...c.. , ____ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 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: Falluro to oecuro work era' companeatlon coverage lo unlawful, IIIUI Bhan oubjact en omJ)loyer to crlmlnol panaltleo end clvD flneo up to one hundrad
thoualllld doDlllll I $1 00 ,0001, In eddltlon to tho coat of compensation, damngeB ot1 provkloo for In Section 3 706 of tho Labor coda, lntoreot and attorney' o foaa.
SIGNATURE DATE _________ _
7._ _OWNER-BUll,PER D!:Cl.AR.O,TIOI\! ___ . --------.. _ ---__ .. __ --_ .
I hereby affirm that I am exempt from the Contractor's LlcMUie Lew for the fallowing reason:
0 I, as owner of the property or my employees with wages BB their sale compensation, will do the work and the structure Is not Intended or offered for sale
(Sec. 7044, Business end Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or lmprovea thereon, and who d088
such work hlmself or tlvough his own employees, provided that such Improvements are not Intended or offered for IIBle. If, however, the buildlng ot Improvement Is
said within one year of completion, the owner-builder will have the burden of proving that he dld not build or improve for the pw~ of sale).
0 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, BuslnBsa and Profe&slons Code: The
Contractor's License Lew doas not apply to an owner of property who builds or Improve& thereon, and contracts for 11uch projects with contractor(sl licensed
pursuant to the Contractor's License Lew).
0 I am exempt under Section ------Business and Professions Code far thls reason:
1. I personally plan to provide the major labor end meterlals for construction of the proposed property Improvement. 0 YES ONO
2. I (have I have not) signed an application lot e buildlng permit for the proposed work.
3. I have contracted with the following person (flrml to provide the proposed construction (Include name I address I phone number I contractors license numlwr):
4. I plan to provide portions of the worlt, but I have hired the fallowing person to coordinate, supervise end provide the major worlt Onclude name I addreas I phone
number I contractors license numbilr): ___________________________________________ _
6. I will provide some of the work, but I have contracted (hired) the follawlng peraans ta provide the work Indicated (include name I address I phone number I type of work): _____________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-R£SIDEN11AL BUlf..DlfiG Pl:RMJTS OfiLY.-
Is the applicant or future building occupant required to submit a business plan, acutely hozardOU!l materials registration ~ or risk management end prevention
program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES J!SI NO
Is the applicant or future building ocoupsnt required to obtain a pannlt from the air pollution control dlatrlct or elr quality management dlatrlct7 0 YES ~ NO
Is the facility to be constructed within 1,000 feat of the outer boundary of a school slte7 D YES ~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 POUUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
lending agency for the performance of the work for whl~j permit Is Issued (Sec. 3097(11 Civil Cadel.
------¥---------LENDER'SADDRESS ____ ,,_/_~~------------------~
9, APPI-ICANT CEIJTIFICATION
I certify that I have read the epplicetlan and lltate 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 buildmg construction. I hereby authorize representatives of tho Cit~ of Carlsbad to enter upon the above mentioned
property for inspection purposoo. 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 J}flrmit Is required for excavations over 6'0" deep and demolition ot construction of structwea over 3 stories In holght.
EXPIRATION: Every permit Issued bY. building Official Ullder the provisions of this Code shall expire by llmltatlon and become null end void II the buUdlng or work
authorized by such permit Is not co need within 180 days from the date of such permit or if the buUdlng or work authonzed by such permit Is suspended or abandoned
at any Ume after the work Is co for a pert of 1 ys ( n 106.4.4 Uniform Building Code}.
DATE ___,.7_-__.___,/[=---" uU'D __ _
PINK: Finance
.-,_~'-'-"" _:, sor;'E,.... .. , -ELECTRIC METER & SERVICE LOCATION ·r.e. / I ;2 lz -fL ___ _
071 -~GROUNO.SPECSATTACHC!D LJJTMEETRcO"D ~MM"L LiRESIOENTIAL _ W1Z ··-·;~ECT Ne --· JOB ~o. NAME
ADDRESS MORATORIUM EFFECT· AGENCY ________ _
1--..;:..;.__:.;:_;___,1...-.L...J......t:---~..::....:ia:;.~::;.:;..=....:...._.....:...;;..:.-==---.:=~=-----i TYPE-----------~
DATE CRmCAL • PENDING STREET RESURFACING
1--....:...----~!::.'::""=!:::'--L-'-':l:::::=::c-'-~~:"--:~-&.....::-..-----I MONiH VEAR ___________ _
TCP REO"DD ST EXC & PERMITS REC'D OcusT OsOG&.C!
1-::!S~DG&E~:_::AP~P~L~ICA~~~O~N~R=EO~it:.::::~~::::::::!:~:::::::::~:::!...~..!..:.-::::!..._~N~O~T~~~l~NS~PE:=:C~R~E~O~~~PR~l~O~R~T~O~S~CT:..'.....'.!:!.i::;~;;:.:_;~~~--=U.~:~TE __
~------G_EN-'-. EAA __ L_CUST __ OM_ER_IN_FO_RM_fli._TIO_N ______ ~ POLE 11 ___ !..ADDER ARMS REO'D0 EXISTING!]
Meter Haight.•• o• min. -6 · 3• max. from llnl,h graoa to Ot'lnt11r line ol me111r base
Meter-a 81'11 requlred ro be readily accesullble 2• houra per day Me1era muet be
loeaied In a safe area free of any potentlally hmardoua or d11ngerou:, condition.
Provldo 3 fl x 3 fl. minimum ~learand level working space 1n frcnlof meter. Whoro
motOI' room Is propo)O(I, contact tl'\o Planl"I()( at 1no noatMt SDG&E office.
Meter b83eli and meter servle11 dlsconn&el11 must be located ;at or lmmed~tety
adjacent to each other and be identified with .lddresz; and unit number It serve:..
OVERHEAD SERVlCES
PROVIDC MII\IIMUt.1 GROUI\IO CLEARANCE OF:
___ Fl. at point ot attachment ol 59rvl~ wires
___ Ft. over drtvewey or parking area
____ Ft. at outer limit ol vahlcu~ tralfle
---Ft.-------------------
UNDERGROUND SERVICE
PROCEDURE 'FOR INSTALLATION
1. P.,-all mon.l.e4.p..J:lr ~~LE DNOT APPLICABLE .
2. Phone SOG&t~ ~ng days prior to trench Ina to arrange
with lnspoctor and 111111:110 tronenrno process.
STOP TRENCH n 1 • il7't, • FROM POLE RISER OUAD __
4:---<:> ----
·--._,. ·--·------------------------------------3. PHONE DIC Al.EAT 1.aoo.422 .. 135AT LEASTT\110 DA.VS PRIOR TO TRENCH-ADD'l. INFORMATION: (Detach b!tfore complotl119 lllls soctlon.1
INC FOR LOCATION OF UNDERGROUND UTllmES.
4.. Excava1e trench, install conault and 11BNlc11 entrance equipment at rmiter
loc11tlon. CALL ABOVE PHONE ti FOR INSPE~ON. Do not cover conduit
wl1houl tn,poetors wrllten approval to backfill.
5. Cal I lnspectorwhen trench I:, bacldllled and compacted lor lnapectfon. It service
entrance equipment la Installed after bsclcfiU, CALL ABOVE PHONE II FOR
INSPeCTtON OF TH~ fQUIPM~T.
15. r.4eterwlll be eet aftM lnapector haa apprc,yad lnstallatlon, lncludlng IIBrvlca
equipment, and NIC81pt of cl1y/coun1yl11ta1e· Inspection clearance.
JTTRENCH u~ l.,)Taco UC-ATV sec tiEIGHT
C41:JLE POLF. CONDUIT 11v U cusroMIA Ostx:iol.Ei sizE _______ _
CAtlLt! r>OLI: l:IENO tlY LJ OVST O ::SOO&.E go•-...--i,M!1JS SCH l!O SIZl: ---
HANl>HOI.E t!V UcvsTOMEk USOGa.l! Usro.1',.Gt:•------------
TRENCH INSPECTED A .t.PPAOVli:D BY DATE
F AJC.I L /'1 I E."'S
PAV~NT_BY~~~L~ .. FXC.SS$ -MlSCS/:'.fP
•• WIRE , __ PHASe/~:;).,,OLTACE ~ METEfl CLll'S P~A
1
"°""'~; -
"1AINSWrTCH~l:T!{IINC:0cr·s~-coN,AINE.0 ~--'~ ~
unun~~ ~~l:M~M_CON_Tfll_ ~evr __ to_N_:_:_:_:_~_:T_F_:_RR_UTI_EN_ES_~_A_E
0
_._
0
___ PS __ ,-TE2zo. 'irD; =::;;' 14?;;21-x
II SOC&.c enco .. nlet'~ ~• ur I axkl nialerlal ,ohllo perlarmlno cunal rvcliC)(I or rour
prolo(:1, soar. E will !\ell -"' IITIIM<llllte!Y Wl<l n wm ~ your IQOOMll)lltly to remoowe
w,cllo1" ci-up all r,~ <n ,..,.;" rl\alot<bl prlo, 10 SDG&C .:onUnufnu con,lru.:tlon.
SOG&E :,hdl "-no lllOhhy or oc,Ug;,Uon ""~"-IO Ctewl up, rem~ or ,e,,,odl~IO
IIIIY ll&UIOOUI or IOXJe ma1anai.11tacow.ied dutlng the oouree ol coneln.cll0t1 unlNI il
.In 1hro<.1gh nngMgnnc« of SOGI.E.
eu11--ownec:1 llcillllN 10 rtc&i..ee!ectrkal eeNlc• we 1U01K1 to all aopllc;.,oln loClll ""Cl a1a1a
of C...foml,, lru,pectlon ;,u1 hori,y ,__.i-, ~. n..lldl"IJ akJ .... al>dloo-,n.,llrt' i:.aee mull c,e l)O""'Nld
prlOt' lo rnel&r MIi. lnJ()(ff\,IUOn on 1h11 81\MI ~ VOIO ..m, G montM rron, (laln KHlp ..... o\Ollce
wi1h bullliln'1 l"'""lr.
DlnTIIIBUTION: IMilTF ORIGIN61 -Cuarn,n..-ieiHITF r.oP.X -D1"'rlel Ont1n<!IM0 \'.ELLO~ -P.lnn"°' GQLO • C-T Qrllotf
\.
CITY OF CARLSBAD
REQUEST FOR REFUND
Account No. _00_1_3_6_1_0_-_4_2_23 ______ _ Vendor No. ---------
Amount of Refund $140 • 00
DateFeePaid: 07/18/00
Fee Paid For: Building permits CB002659, CB002657. CB002658, CB0026
56
Fee Paid By_: SOUTHERN CONTRACT! NG CO
Facts Supporting Request: These permits are duplicates of permits already pulled by the City of
Carlsbad Engineering Department for a municipal project.
Name of Applicant: So wT: th:;~ Co u T7LtCJ7 IJ C,
Address: s~ tJ TW I ~J O,t~S 1/A(J f.'·(M ~ ,lf,ttct>S, Q..
Street _ City State
Signature of Applicant: Jy, rv. J Cf. .,, o , o,,_ , -. " ...... (
Dept. Justification:
Rec:
D Approve D Disapprove
Finance Investigation:
Rec:
D Approve D Disapprove
City Manager's Action:
D Approve D Disapprove ·
•
Zip Telephone
Date i-2~-DO
-Date
?
Dept. Head Signature Date
City Manager Signature Date
i .