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Home My WebLink About1287 Buena Vista Way; ; CBR2017-1221; PermitPrint Date: 12/12/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1287 Buena Vista Way BLDG-Residential 1562310100 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: WRIGHT: RELOCATE GAS METER IN FRONT YARD OUTSIDE OF ROW Applicant: SAMUEL WRIGHT 2911 State St, A CARLSBAD, CA 92008-2338 760-213-1460 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER WRIGHT SAMUEL B Ill ET AL 1287 Buena Vista Way CARLSBAD, CA 92008 Total Payments To Date: $166.00 Status: Applied: Issued: Fina led: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. Permit No: CBR2017-1221 Closed -Finaled 06/07/2017 06/07/2017 A Krog $0.00 $166.00 ~HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0 BUILDING O FIRE 0 HEALTH D HAZMAT/APCD · C_cityof Building Permit Application Plan Check No~ZOl, ... 17.7,1 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov lD -1 l""l www.carlsbadca.gov Date - JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN l 2-&., ~~A. '-t< <;:Tt'-\. \A""Y --- CT/PROJECT# ILOT# I PHASE# l # OF1fNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) \~i.. \.-u~--rc-~~ , ...... e-~ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES O I AIR CONDITIONING I FIRE SPRINKLERS NOD vEs O NoD vEsO NoD APPLICANT NAME PR~TYOWNER \.~ pi,,., W"\-\. T9 Primary Contact ~'°';.,-\ ADDRESS ADDRESS \1.. ,e,, \ P.,....;~A '-it f t"A ,.~\6-'\ CITY STATE ZIP CITY STATE ZIP C:::..~C:..\b ...... -::> (:~. °12.uu~ PHONE I FAX PH.,E I FAX 'P~· 2..P, •l4-v C) EMAIL EMAIL ~A,-:a.., ....r~~""u .. ~ \:l,,,u1-.,..-;, ~.;,e,...._ -c.. (l '-' DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX EMAIL EMAIL I STATE UC.# STATE UC.# I CLASS I 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 [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]). te'J,:---;,-·~"--= ,":~~~1 1 .... -~r-.=•~-~,..,, ,.. -.----,-.~~ -· ~ ~, ·'"'"':;:•"" --~":'-----~---·, m!"~~-!(ERS' co~_P_~-~.~'!:,,!.~-N::•.:,:;__~:, ... _ ~:.'..,..=_ __ ,~:-.~-~--"" -' -·--~-'---.d,~-\ltl:_:_, .... L ... _~ -------~i_LJ Workers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: D 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. D I have and will maintain workers' compensation, as re<iuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date ---------- This section need not be completed ~ 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 Galifornia. 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. fi5 CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D 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 himse~ or through his own employees, provided that such improvements are not intended or offered for ale. 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]. 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). I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 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 the proposed construction (include name address I phone 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 I contractors' license number): 5. I will provide some oft ave contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work]: fi5 PROPERTY OWNER.SI " .,., DATE' • 1 e:,.7.,7 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? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution 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? 0 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. 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 Lender's Address I certifythatl have read the application and state that the above info1111ation is correct and that the info1111ation on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEM"JIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND NSES 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 CNer 5' and construction of structures <:Ner 3 stories in height EXPIRATION: Every permit issued by the Building Officia nder the provis· e shall exp re by imitation and become nuD and void if the building or WOO( authorized by such pem,it is not corrmenced within 180 days from the date of such pemlit or ffthe building WOO( authorized b permit is ded or abandoned at any time after the WOO( is corrmenced for a period of 180 days (Section 106.4.4 Uniform Building Code). fi6 APPLICANT'S SIGNATURE DATE {p, 7 .-/ 7 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. !~ f R I I r I C. l'. T £ 0 F OCCUl'ANCY ( C O n1 rn C r C I cl I f1 r o ; c ,: 1 ~ \; ~~ j \ I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 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. UC. No. DELIVERY OPTIONS O PICK UP: o CONTACT (listed above) o OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# O MAIL TO: o CONTACT (listed above) o OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION D MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE : . ' \ ' ~ . .. , .. . PERMIT INSPECTION HISTORY REPORT (CBR2017-1221) Permit Typo: BLDG-Residential Application Date: 06/07/2017 Owner: Work Class: P/M/E Issue Date: 06/07/2017 Subdivision: Status· Closed -Finaled Expiration Date: 01/01/2018 Address: IVR Number: 4195 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 07/05/2017 07/05/2017 12/12/2017 12/12/2017 December 12, 2017 BLDG-23 027860-2017 Gas/Test/Repairs BLDG-Final 043065-2017 Inspection Checklist Item BLDG-Plumbing Final BLDG-Gas Meter Release 043066-2017 Passed Andy Krogh Passed Andy Krogh COMMENTS Passed Andy Krogh COOWNER WRIGHT SAMUEL B Ill ETAL KNOWLES TERRACE 1287 Buena Vista Way Carlsbad, CA 92008-1534 Reinspection Complete Complete Complete Passed Yes Complete Page 1 of 1 GAS METER & SERVICE LOCATION Customer Copy Notification#: 300000147935 Job#: I TB: 1106-E4 Wanted Date: ON INSPECTION Date Prepared: 06/09/2017 Customer Type: Residential(1-2 Units) Service Type: GAS SERVICE RELOCATION (PARTIAL) Project Title: WRIGHT, SAMUEL (SOT) Project Address: 1287 BUENA VISTA WAY I Project City: CARLSBAD Additional Address Info: Customer POC: SAMUEL WRIGHT Customer Phone#: 760-213-1460 SDGE Contact: Service Coordinator Contact Info: TIM SHERLOCK, 760-476-5619 D Traffic Control Permit Required D SDG&E Application Required-Call: 1-800-411-7343 Excavation/Encroachment Permits Required By: Customer Municipal Inspection required By: CITY OF CARLSBAD SERVICE INSTALLATION AND/OR METER LOCATION: The CHANGED GAS METER FROM 250-SC is to be located on the EAST wall, as indicated on sketch. Customer is to provide a 5#x5# TIE IN HOLE at the NEW meter location as indicated by sketch or trench inspector. Install the new houseline 30 inches to the right of the new SDG&E gas riser and 18 inches above final grade. The new sdg&e riser must be a minimum 36 inches away from the electric meter panel. Once all fees have been paid and prior to digging, please call your Service Coordinator TIM SHERLOCK AT 760-476-5619 to schedule a pre-meet with vour trench inspector. Barricade Required By: Trench By: Customer Joint Trench With: D Tier Header Required Date Header Wanted: Number of Meters on: #00 I Regulator: SINGLE 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. 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: D Right of Way Required Assessor's parcel Number: Please call your Service Coordinator at 760-476-5619 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 soG,. ~/E Last Revised: M arch 13, 2015 A ~ Sempra Energy utility GAS SERVICE ORDER Special Instructions: [Type a quote from the document or the summary of an interesting point. You can position the text box anywhere in the document. Use the Drawing Tools tab to change the formatting of the pull quote text box.] -~------------------1 -112•• ___ __.. __ BUENA VISTA lNAY SDG&E TRENCH INSPECTOR PRE-MEET REQUIRED - ii XST. PIO PICO 1287 ,., 0 '"""" t ~ -C'0 F 30-·I SDGE RISER HOUSE LINE CUSTOMER TO PROVIDE s· BY s· TIE IN HOLE AND TRENCH. CREW TO CUT AND ABANDON 3/4 IN STEEL PIPE IN PLACE AND ROUTE NEW 1 -PE TO NEW SC LOCATION EXISTING 2 50 GAS METER Notification #: 300000147935 Location: 1287 BUENA VISTA WAY CARLSBAD Planner Name: Steven Ossey Construction Contact: TIM SHERLOCK Customer Name: SAMUEL WRIGHT CA 92008 ~annerPhone:7604765612 Construction Phone: 760-476-5619 Customer Phone: 760-213-1460 Know what's below. ca11 e11 behn you c1g. t N