HomeMy WebLinkAbout2170 JEFFERSON ST; MP; CB131107; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-08-2013 Permit No: CB 131107
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type :
Parcel No:
Reference #:
PC#:
Project Title:
2170 JEFFERSON ST CBAD St: MP
PME
0000000000 Lot#:
TIME WARNER CABLE -METERED
PEDESTAL 100 AMP 7" BEHIND CURB
0
Applicant: Owner:
DATALOG ENGINEERING/CARLOS LOPEZ
STE 223C
7710 BALBOA AV
SAN DIEGO CA 92111
760-497-9289
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $154.00 Total Payments To Date:
Inspector:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/30/2013
SKS
05/08/2013
05/08/2013
$0.00
$154.00
$0.00
$0.00
$154.00
$154.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ·tees/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
f I x i n f whi h h v r vi I I i ii whi h h f limit i n h r vi I h rwi
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~ Building Permit Application Plan Check No. (s(t o
Est. Value
~ C I TY 0 F 760-602-2717 / 2718 / 2719 Plan Ck. o,poslt CARLSBAD Fax 760-602-8558
www.carlsbadca.gov ~ Date (-f / '!:?{ L3 iswPPP _J
JO~r~b Jefferson Street mf> SUITEt/SPACEf/UNITI tTs-<o -3°, - I lo -00
CT/PROJECT# ILOT # PHASE I ltOFUNITS 1•B£DROOMS # BATHROOMS I TENANT BUSINESS NAME I CDNSTR TYPE I DCC. GROUP
DESCRIPTION OF WORK: Include Square FHt of Affected Area(s)
Install new 1 OOAMP Meter Pedestal in City ROW on Jefferson St.
-r~~G~~~L~ rv"-~ peoes~
EXISTING USE I PROPOSEO USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[}t Nc0 YEs 0 No0 YESO NoO
APPLICANT NAME (Primary Contact) Carlos Looez <DataloQ Enaineerina)
APPLICANT NAME (Secondary Contact) T W 1me amer Cable
ADDRESS ADDRESS
7710 Balboa Ave. STE 223C 10450 Pacific Center Ct --CITY STATE ZIP CITY STATE ZIP
San Diego CA 92111 San Diego Ca 92121
PHONE PHONE
760-497-9289 rx 1.858.569.4273 858-805-7330 I FAX 858-635-8775 --EMAIL EMAIL
clopez@datalogeng.com mark.stanfield@twcable.com
PROPERTY OWNER NAME City of Carlsbad Right of Way coNTRAcToR aus. NAME VCI Construction,lnc.
ADDRESS ADDRESS 1621 La Mirada Drive
CITY STATE ZIP CITY San Marcos STATE Ca ZIP
92069
PHONE PHONE (AX 760-7 44-7608 tAX 760-7 44-8286
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS 'STATE UC.# STATELIC.W l CLASS A tt1~~\qo2-765716
(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 1s licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 ol the Business and Professions Code) or !hat 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 live hundred dollars {$500)).
Workers' Compen11tlon Decluatton: I hereby affinn under penally of perjury one of the following declarations:
~e and will maintain a certifie1te of consent to 1elf-insure for workers' compensation as provided by Section 3700 ol the Labor Code. tor the perlormance ol the work for which this pennil Is issued.
e and will maintain wopompen11tlon. as reQUired by Section 3700 of the Labor Code. for lhe performance of the work for which this permit is issued. My workers' compensation lnsA
1
7r and policy
numberare:lnsuranceCo \.z,<...c~ t\e-.c"~a.-\ :f:\r(...J PolicyNo. \.>Jl\: 7 "'3QQbYZ..£e,O~oa«e l~l 13 CJ section need not be complete,rn the permit is for one hundred dollars ($100) or less. I N ~ ,
Certificate of Exemption: I certify that in the pertormance ol the work for which this penn~ is issued, I shall not employ any person in any manner so as lo become subject lo the Woncers' Compensation Laws ol
California. WARNING: F1ilure to secure worllers' compensation coverage ls unlawful, and shall subject an employer to crlmlnal penalties and clvll flnn up to one hundred thousand dollars (&100,000), In
addition to tht erst of comp1n11tlon, damages as provided f°/Jn Section 3706 of the Labor Codi, lnter11t and attorney's !ff~
JES CONTRACTOR SIGNATURE c___t2 • -GENT DATE s-~-13
I
I hereby affirm Iha/ I am exempt from Contractors License Law for the following roason: D I, as owner of the property or my employees with wages as their sole compensation, win do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseij or through his ooo employees, provided that such improvements are not intended or offered for
sale. If, however, the building or lmprovemeot Is sold 'hilhin one year of completion, the owner-builder will have the burden ol proving that he did not build or improve for the purpose of sale).
D I, as owner of the property, am exclusively contracting with liceosed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractots License Law does not~ lo an owner of
property whO builds or improves tliereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
D I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials lor construction of the proposed property improvement O ves D o
2. I (have I have not) signed an appllcallon lor a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions ol the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone 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 I type of work):
JES PROPERTY OWNER SIGNATURE 0AGENT DATE
~
•
Is the applicant or Mure building OCC1Jpant required lo submit a business plan, ac11tely hazardoos materials registration form or risk managemoot and prevention prog,am undef Sections 25505, 25533 or 2553" of the
Presley-Tanner Hazardous Substance Account tv;rl Yes No
Is the applicant or future bLilding OCCllpanl required lo obtain a pennil from the air pollution control district or al, quality management dlstrid? Yes No
Is the facility to be ccnslruded within 1,000 feet cl the ooter bounda,y cl a school site? 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 POLLUTION CONTROL DISTRICT.
I hereby affim1 that there is a construction lending agency for the perfom1ance of the work this pem1il is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and stale 1ha1 the above information Is colll!d and 1ha1 the Information on the plans is accurate. I agree ID comply with all City onlinances and Stab! laws relating ID blllldlng conSINctlon.
I hereby authorize representative ol the City of Cirlsbad to enler upon the abow mentioned property for inspection pwposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS lHE 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 perml is required for excavations <MK 5'0' deep and dernotioon or construction of srucbJAlS <MK 3 stories in height
EXPIRATION: Ew,y permit issued by lhe Buik!ilg Official under lhe Pf™Sions of this Code shaU expre by lmitatioo and become nul and \'!lid l lhe blliklrig or v.o1( aulhaized by such pennit is nc4 oommenced 'Mlhi1
180days torn lhe dale of sudl pennitor llhe butlrig orv,oi( ~ by such pennl is suspended or abandoned al any line afllirlhe vdi< is corM1erlCed b' a period of 180days (Secoon 106.4.4 Unibm Building Code~
LS°APPLICANT'SSIGNATURE c_P, __. DATE ~-30,-. / ~
I ' "
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEl?TIFICATE OF OCCUr>ANCY f(ommcrc,.,I r>roiccts 0 n IV I
Fax (760) 602-8560, Email www.bu1lding@carlsbadca.gov or Mall the completed loon to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Calffomia 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
---ADDRESS BUILDING ADDRESS
CITY STATE -ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
I Li
Permit#: CB131107 Type: PME
Date Inspection Item
08/08/2013 32 Const. Service/Agricultural
08/08/2013 32 Const. Service/Agricultural
08/08/2013 39 Final Electrical
Friday, August 09, 2013
Inspector Act
PD
PD
RI
AP
AP
TIME WARNER CABLE -METERED
PEDESTAL 100 AMP 7" BEHIND CURB
Comments
Page 1 of 1
SDG~ .,, •• /E
'" ~ Se~pra Energy utllily.
ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Customer Copy
'-
Wanted Date: Service Type: UG Service New
Proiect No: 351611 I JobNo: 010
Proiectrrtle: TIME WARNER· NEW PEDESTAL j
Proiect Address: JEFFERSON ST & MARRON RD 21,0 J if"f"ea,..S,:r-.) ~ t
Proiect CilY: CARLSBAD I Customer Phone #: I
Conm~ CARLOSLOPEZ I Contact Phone#: 760-497 -9289
D Traffic Control Pennit Required. Excavalion/Enaoachment Pemlits Required By Customer
Service Attachment Point and/or Meter Location: Customer to locate new pedestal a minimum 6 ft
north of SDG&E transformer. Face pedestal toward sidewalk and maintain 3' radial
clearance around surface face of pedestal. Customer is to provide trench, backfill, and
one 3" conduit with Y." pull tape from edge of transformer to pedestal. SDG&E to
install customer provided radius bend into transformer.
181 SDG&E Application Required -can: 1-800-411-7343
Municipal Inspection Required By City of Carlsbad
Meter height -4'0" min. (3'0' min. for multiple meter installation) -6'3" max. From finish grade to centerline of meter base. Meiers are
required to be readily accessible 24 hours per day. Meters roost be locaCed in a sale na free rl any potentialy haznous or
dangerous condition. Pl'OYide 3-ll. X 3-ll Minimum clear and level woriling space in front of meter. Where meter room is proposed,
contact the planner al the nearest SDG&E office.
Meter bases and meter seivice disconnects must be located at or immediately adja::ent to each other and be identified wilh address
and un~ number~ serves.
PROCEDURE FOR INSTALLATION
1. PHONE DIG ALERT 1-800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION
OF UNDERGROUND UTILITIES.
2. Phone SDG&E at 760-484-7314 for the following:
• 3 wor1dng days prior to trenching to arrange pre-meet with inspector and initiate trenching process .
• After excavation of trench, installation of conduit and seivice entrance equipment at meter location, CALL
FOR INSPECTION. Do not cover conduit without inspector's written approval to backfill.
• When trench is badcfilled and compacted, CALL FOR INSPECTION .
• If seivice entrance equipment is lnsmlled after backfill, CALL FOR INSPECTION OF THE EQUIPMENT .
3. Meter cannot be set until inspector has approved insmllation, including service equipment and receipt of
dtv/countv/smte insoection clearance.
Power Source: Sta 902-73 I Structure Number: D103381
Joint Trench with: Handhole lnstafted by:
Smndards Paoe #: Handhole Lid Shall Read:
Ladder Arms: I Stop Trench: from pole I Riser Quad:
Bend Installed by: SDG&E TVDe: Transformer 3" 90 Deg 36"R 0860
Conduit lnsmlled by: Customer Conduit Size: 1 • DB 3"
~\'«t ~ire\ R~~·. ,oo Num~ISile of Ma'rl SW\\ch: 1. 100 Amp Voltage: 1201240
#of Wires: 3 Phase: Single Utilities Maxim.Im Contribution to Fault Current 42000 A~
Metering: Self-Contained, Test Bypass Facilities Rqrd Meter Clips: 4
Temp Service Charge Due on First Bin $
T.B. 1106-F3 •
Customer Type: Commercial Date Prepared: 419113
N
p I I New 100Amp
Pedestal
JI.Fie~~sr
APR 3 0 2013
CITY OF CARLSBAD
BUILDING DIVtSION
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Additional Information: 0 Right-Of-way Required Assessor's Parcel Number.
t.,..,.: ~ ..
Entrance into
Shopping Ctr
~
1.~ ~ 4>'1;~"'4' •,: ~ <J"' r \,.-J
Please call your Service Coordlnltor Shaun Sumfflffl It 760-484-7314 with questions about appllcatlon,
inspection, construction Installation and to schedule a crew.
ff SOG&E encounllr1 hmnlous or twde "'*111 whit~ c:onsndon cl yoo, P1t1iect. SOG&E w1 hilt _. immecl*y Ind I w1 be yoo, ~ lo...,.,.. llldolor_ ~ al hlza'dowormic "'*111 prior lo SOG&Econhing-..:ion. SOG&E--no.-,. or~ -lode.,141,,_or.-...,llounlousorlodc __ _,..,.co,ner;l~llllJf!,Ull»}l~{I
SOO&E.
C.,,,W-o,,ned ldlll lo ...... ela1ca ...... Ujld lo al llll*llllt loc.tl ,nd ... dCllbnil npdon dlarly ,...._.._ IIIMng
dm llldolor -blle must be posted prior lo llllllr' set lnlcrmlllon on tis lheet ii void m lix (e) monlhl from dm. Keep tis nob wllll buikq
pennl
_Ml~ per1ormld "'* llisonler must meet SOG&E mndads rim I wri11N1 deoillon hll been~
Planner. JANY ST ALEY I Telephone: 858-636-3976