HomeMy WebLinkAbout2665 WILSON ST; ; CB153103; Permit09-22-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB153103
Building Inspection Request Line (760) 602-2725
2665 WILSON ST CBAD
PME
1561301700 Lot#: 0
WILEY RES-REPLACE 100 AMP ELEC
PANEL W/ NEW 200 AMP PANEL-SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/22/2015
RMA
09/22/2015
09/22/2015
WILEY STUART P&JUDY L WILEY STUART P&JUDY L
2237 S 48TH ST
LINCOLN NE 68506
760 458-7500
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2237 S 48TH ST
LINCOLN NE 68506
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL r.PRQ~ A:s-
Date: /;~J I Clearance: ------
$0.00
NOTICE: Rease ta<e NOTICE Iha~ rJ ~ i:rqect irdudes tt-e ··1nµ:.siti01" <i fees, doocaioos, resaVciioos, ex ether e)(l:dioos rereata-oolectivay
reterroo to as ''feese)(l:dioos." Yoo rave 00 days frcrn tt-e date tns pemit = issued to prctest i rri;ootioo <i tt-ese feesexoctioos. If }OJ prctest 1tal\ }OJ rrust
f dloo the prctest l)"l'.Xl3(ires set fath in C?o.lanTa't Cooo Sectioo €0020(a), and file tt-e p-otest and any ether reqj red infcrm:iioo wth tt-e Oty ~ fex
~rg in~ wth Ca1sboo M.ridpa Cooo Sectioo 3.32.030. Failu-e to tirrely fdloothat ~ wll oo-any &.t6Eqs1 le;ial ociioo to attoo<,
rfMfm, set aside, \.Od, ex an.I treir irri:a,itim
Yoo are herecy FlRll-ERNOTIREDtret }0-lr rig-( to prdest the~fied fees'exa:tioos OCESNOT APA...Ytovaa-and 5e118"cxmedi01 fees and~
ctmges, ra pla-rirg, mrg, ga:irg ex ether sinilar ~icatioo ~rg ex 58"\ire fees in cxmectioo wth tlis i:rqect. t-rn OCES IT APA... Y to any
fees wi ·va, a NOTICE "nilar o th ex as t wi t statil linit.ii01S has • "red.
THE FO\LOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
( City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
SWPPP
JOB ADDRESS
d7'1 Sf.
SUITEI/SPACEI/UNITI
CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS
NcCJ YES □No □ YES O NoD
APPLICANT NAME PROPERTY OWNER
ADDRESS
s& Zl~;;>oop CITY STATE ZIP
FAA PHONE FAA
EM EMAIL ,.
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAA PHONE FAA
EMAIL EMAIL
STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.#
(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 (Cha'f.ter 9, commending with Sec~on 7000 of Div1s1on 3 of the Business and Professions Code) or i.hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subJects the applicant to a c1vII penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of conunt to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the wor1< for which this permit is issued. D I have and will maintain workers' compensation, as reQu1red bv Section 3700 of the Labor Code, for the performance of lhe wor1< for which this permit is issued. My wor1<ers' compensation insurance canier and policy
number are: Insurance Co. Policy No._______________ Expiralion Date _________ _
~ section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the wor1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
2$ CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
fv'1 I, as owner of lhe prtiperty or my employees with wages as their sole compensation, will do the wor1< and the structure is not intended or offered for sale (Sec. 7044, Business and Prtifessions Code: The Contractor's ~ License Law does not apply to an owner of prtiperty who builds or imprtives thereon, and who does such work himsett or thrtiugh his own employees, provided that such imprtivements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wil have the burden of proving that he did not build or improve for the purpose of sale).
~I.as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prtifessions Code: The Contractor's License Law does not apply to an owner of
prtiperty 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 this reason: ,....0 /1 0 r C, CA.J /Jf!?/4.._
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supeivise and prtivide the major wor1< (include name/ address I phone / contractors' license number):
5. t will provide some of the wor1<, but I have contracted (hired) the following persons to prtivide the wor1< indicated (include name I address I phone I type ot wor1<):
2:) PROPERTY OWNER SIGNATUR AGENT DATE
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? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control disl!ict or air Quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of 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.
e of the work this permit is issued (Sec. 3097 (i) Civil Code}.
Lender's Address
I certify that I have read the application and state that the above infonmation Is conectand that the lnfonmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construcllon.
I hereby authorize representative of the City 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 penmrt is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories ri height.
EXPIRATION: Every penmit issued by the Buikling Official under the provisions of this Code shall expire by limrtation and become null and void W the buikling or v.or1< authorized by such penmil is notoommenced v.ithin
180days from the date of such penmit or if the buiklrig orv.orl< authorized by such penmrt is suspended or abandoned at any time after thev.orl< is oommenced for a period of 180 days (Section 106.4.4 Uniform Buikling Code).
,,€$ APPLICANT'S SIGNATUR~ DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUl'ANCY jCommcrcial l'rojccts on I y I
Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 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
PICK UP: 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
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB153103 Type: PME
Date Ins ection Item -----
11/25/2015 33 Service Change/Upgrade
11/25/2015 39 Final Electrical
Tuesday, March 15, 2016
Inspector Act
PO
PO
AP
AP
WILEY RES-REPLACE 100 AMP ELEC
PANEL W/ NEW 200 AMP PANEL-SAME L
Comments
Page 1 of 1
• sos/'<MMCIH .,_,/E
,. ~ Sempra Energy utilty"
ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Customer Copy
Notification#: 300000060314 Job#: I TB: 1106-F4
Wanted Date: ON INSPECTION Date Prepared: 09/21/2015
Customer Type: Residential(1-2 Units) Service Type: UG SERVICE CONVERSION
Project Title: CLINT MILLER (SOT)
Project Address: 2665 WILSON ST J Project City: CARLSBAD
Additional Address Info:
Customer POC: Clint Miller Customer Phone#: 760 458 7500
SDGE Contact: Service Coordinator Contact Info: SERVICE COORDINATOR,760-476-5621
[ZI Traffic Control Permit Required 0 SDG&E Application Required-Call: 1-800-411-7343
Excavation/Encroachment Permits Required By: Customer
Municipal Inspection required By: CITY OF CARLSBAD I Temp Service Charge due on First Bill $ 0.00
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
Locate 200 amp panel on NORTH wall near EAST corner of HOUSE. Customer is to provide all excavation, trench, 3" conduit,
backfill, compaction, 3/4" pulling and measuring tape in conduit and surface repair from P229482 to new meter panel. Take
conduit to within 7 1/2" of P229482 or within distance as instructed by SDG&E inspector. If selected, Customer assumes
responsibility for condition of existing stubs.
Station ID#: 781-556 I Structure #: P229482 I Joint Trench With:
Handhole Installed By: I Handhole Lid Shall Read: Standards Page:
Ladder Arms: EXISTING j Stop Trench: 7 1/2" from Pole Riser Quad: North-West
Bend Installed By: CUSTOMER J Bend Type: CABLE POLE Bend Info: 3" 90 DEG 36"R SCH80
Conduit Installed By: CUSTOMER Conduit Size: 3"
Service Panel Rating: 200 Number/Size of Main Switch: J Voltage: 120/240
# of Wires: 3 _j Phase: 1 Utilities Maximum Contribution to Fault Current 10000
Metering: Self-Contained Meter Clips: 4
Meter height -4'0" min. (3'0" min. for multiple installation) --6'3" max. From finish grade to centerline 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. 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.
PROCEDURE FOR INSTALLATION
1. PHONE DIG ALERT "811" AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES.
2. Phone Service Coordinator at 760-476-5621 for the following:
-3 Working days prior to trenching to arrange pre-meet with inspector and initiate trenching process.
-After excavation of trench, installation of conduit and service entrance equipment at meter location, CALL FOR INSPECTION. Do not cover conduit without inspector's written approval to backfill.
-When trench is backfilled and compacted, CALL FOR INSPECTION.
-If service entrance equipment is installed after backfill, CALL FOR INSPECTION OF THE EQUIPMENT.
3. Meter cannot be set until inspector has approved installation, including service equipment, and receipt of city/county/state inspection
Additional Information: D Right of Way Required Assessor's Parcel Number:
City/County inspection should be received prior to 2:00 p.m. on the same day as the disconnection of service to allow the SDG&E
crew enough time for reconnection of the service on the same day.
If 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 and or clean up all hazardous or toxic material prior to SDG&E continuing construction. SDG&E shall have no
liability or obligation whatsoever to cleanup, remove or remediate any hazardous or toxic materials discovered during the course of
construction unless it is through negligence of SDG&E.
Customer-owned facilities to receive gas service are subject to all applicable local and state of California inspection authority requirements.
Building address and/or houseline must be permanently identified prior to meter set. Information on this sheet is void after six (6) months.
Keep this notice with building permit.
I Planned By: Steven Ossey !Phone#: 7604765612