HomeMy WebLinkAbout1075 CHINQUAPIN AVE; 1; CB152372; Permit07-27-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI52372
Building Inspection Request Line (760) 602-2725
Job Address: 1075 CHINQUAPIN AV CBAD St; 1
Permit Type: PME Status: ISSUED
Parcel No: 2061203900 Lot#: 0 Applied: 07/27/2015
Entered By: SLE
Reference*: Plan Approved: 07/27/2015
PC#: Issued: 07/27/2015
Inspect Area:
Project Title: HOENIG RES - INSTALL NEW GAS
METER DUE TO UNDERGROUND LEAK (1 NEW METER FOR EACH UNIT)
Applicant:
HOENIG SETH
Owner:
HOENIG MARCY
P.O. 1958
CARLSBADCA 92018
760-434-9668
1075 CHINQUAPIN AVE
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$160.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: I'l^-fT Clearance:
NOTICE: Piease talte NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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 infomiation 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: IZlPLANNING OENGINEERING nBUILDING OFIRE •HEALTH nHAZMAT/APCD
• Ccityof
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. Q2) CQ 23~{X
Est. Value
Plan Ck. Deposit
Date-7-27- IS SWPPP
JOBADDRESS SUITE«/SPACE#/UNIT*
CT/PROJECT # # OF UNITS # BEI « BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude Sqfuare Feet of Affected Areafs; .
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESf")* NO] I
AIRCONDITIONING
YES I INO I I
FIRESPRINKLERS
YESQ NOj I
APPLICANT NAME
Primary Contact
PROPERTY OWNER
ADDRESS 6 ADDRESS
h- STATE CITY/ • I STATE ^ ^"^
PHONE TFAX
ZIP
9 20c s
PHONE PHONE FAX
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY^ I f / S"W[E ZIP
PHONE FAX PHONE
EMAIL EMAIL
STATE LIC. # STATE LIC.# CITY BUS. LIC.#
(Sec. 7031.5 Business ana Professions Code: Any City or County virhich requires a permitto 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 • ' .... — ... ^ Business and Professions Code) or that he is exempt therel civil penalty of not more than five hundred dollars ($500)).
applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Bl have and will maintain a certificate of consent to self-Insure for v^orkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as reguired by Section 3700 of the Labor Code, for the perfomiance ol the wori( for which this permit is issued. My workers' compensation insurapce carrier and policy
numberare: Insurance Co. ^-^gC^-g- f-" A PolicvNo. i{M^J2. ( ^ Expiralion Date & ^< A .^T"
Tte section need not be completed if the permit is for one hundred dollars ($100) or less.
I I 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 prav^ed for in ^ection 3706 of the Labor code, interest and attomey's
JS^ CONTRACTOR SIGNATURE
/ hereby affm that I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensafion, will do the work and the stmcture is nol inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does nol apply lo an owner of property who builds or improves thereon, and who does such work himself or Ihrough his own employees, provided thai such improvemenls are not intended or offered for
sale. If, however, the building or improvemenl is sold wilhin one year of completion, the owner-builder will have the burden of proving lhal he did nol build or improve for the purpose of sale).
I I I, as owner of the properly, am exclusively contracting with licensed contraclors to constnjct the projecl (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 contracls for such projects wilh conlraclor(s) licensed pursuant to the Contractor's License Law).
I I I am exempt under Seclion Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construciion of the proposed property improvement. I lYes •NO
2.1 (have / have nol) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed constnjction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, bul I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / lype of wori():
>€irPROPERTY OWNER SIGNATURE QAGENT DATE
OMl>LETE THIS SECTiON FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ly the applicani or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managemenl and prevention program under Seclions 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acl? Yes No
Is the applicani or future building occupani required lo obtain a permii from the air pollulion control districi or air qualily managemenl district? Yes No
Is the facility to be constmcted wilhin 1,000 feet of the ouler boundary of a school sile? 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 ANO THE AIR POLLUTION CONTROL DISTRICT
NSmuCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lenders Address
I certily Uiat I have raad the applteation and state that the above Infbimation is coirect and that the infbmiation on the plans is accurate. I agree to comply witti all City oidinances and State laws relating to buildmg constructkin.
I hereby auihorize 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 COISEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmctbn of structures over 3 stories in heght.
EXPIRATION: Every pemiit issued by the Buikiing Official under the provisions of this Code shall expire by limitation and become null and vok) 'i the buikling or work authorized by such pemiit is not commenced within
180 days from the date of such pennil or if the ljuifcling or worl/aulhorized by such permit is suspended or abandoned at any time after the vwr1< is commenced for a perkxJ of 180 days (Section 106.4.4 Unifonn Buikling Code).
II
ygf APPLICANT'S SIGNATURE 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.
Fax (760) 602-8560, Email buildina(5).carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ygf APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB152372 Type: PME
Date Inspection item
07/28/2015 23 Gas/Test/Repairs
07/28/2015 23 Gas/Test/Repairs
07/28/2015 29 Final Plumbing
Inspector Act
Rl
PB AP
PB AP
HOENIG RES - INSTALL NEW GAS
METER DUE TO UNDERGROUND LEAK (1
Comments
Wednesday, July 29, 2015 Page 1 of 1
Seinpra Energy isiaity"
GAS METER & SERVICE LOCATION
Customer Copy
Notification #: 300000041913 Job #: TB: 1106-G6
Wanted Date: ON INSPECTION Date Prepared: 04/29/2015
Customer Type: Residential{1-2 Units) Service Type: GAS SERVICE NEW
ProjectTitle: HOENIG, SETH (SOT)
Project Address: 1075 CHINQUAPIN AVE Project City: CARLSBAD
Additional Address Info:
Customer POC: Seth Hoenig Customer Phone #: 760 518 9668
SDGE Contact; Service Coordinator Contact Info: WENDY JENSEN, 760-476-5611
Q Traffic Control Permit Required El SDG&E Application Required-Call: 1-800-411-7343
Excavation/Encroachment Permits Required By: Customer
Municipal Inspection required By: CITY OF OCEANSIDE
SERVICE INSTALLATION AND/OR METER LOCATION:
Meter to be located on west wall. Install first houseline 19" to the right ofthe riser and 18 inches above final grade. Customer to
provideall trench, excavation, 4' x 3' weldholes, backfill, compaction and surface repair from point of interception to new riser
location. Please contact your Service Coordinator to schedule a construction pre-meet after the fees have been paid.
Barricade Required By:
Trench By: Customer Joint Trench With:
• Tier Header Required Date Header Wanted:
Number of Meters on: #01 Regulator: SINGLE
Meters are required to be readily accessible 24 hours per day. Meters must be located in a safe area ft'ee of any potentially hazardous or
dangerous condition. Provide 3-ft. x 3-ft. clear and level working space in front of meter Meter must be located on premises to be served.
PHONE DIG ALERT "811" AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES.
Additional Information: Fl Right of Way Required Assessor's parcel Number
Please call your Service Coordinator at 760-476-5611 with questions about application, inspection, construction installation and to schedule a
crew.
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.
All installations performed under this order must meet SDG&E standards unless a written deviation has been approved.
Planned By: Steven Ossey Phone#: 7604765612