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Home My WebLink About1355 BUENA VISTA WAY; ; CB140865; Permit04-17-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140865 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1355 BUENA VISTA WY CBAD PME 1562312000 Lot#: BERNARD RES- INSTALL 200 AMP POWER POLE FOR CONSTRUCTION OF NEW HOME Status: ISSUED Applied: 04/17/2014 Entered By: RMA Plan Approved: 04/17/2014 Issued: 04/17/2014 Inspect Area: Applicant: SUE BERNARD Owner: KISH FAMILY LIVING TRUST 06-27-07 1355 BUENA VISTA WY CARLSBAD CA 92008 760 212-8837 1764 IVY RD OCEANSIDE CA 92054 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $158.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $ 158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL APPROVAL / Date: ^/^/U/j Clearance: NOTICE: Please take NOTICE that approval of your projecf includes fhe "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was Issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomnation 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 vnu have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has nreviouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: dPUNNING nENGINEERlNG nBUlLDING OFIRE nHEALTH nHAZMAT/APCD Plan Check No. jL^f) ^ CITY OF CARLSBAD Building Perinit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit (li^HlnJl^/ rjV ' MPN • * SWPPP JOB ADORESS rHOTi I PHASE # I # OF UNITS |# BE0R00l SUITEf/SPACE#/UNI' CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: fnclude Square Feet of Affected Area(s) EXISTINlRiSE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE I AIR CONDITIONING YESfl* N0| I YES I |NO | | FIRE SPRINKLERS YES I |NO| I APPLICANT NAiME Primary Contact PROPERTY OWNER ADDRESS ADDRESS ^ STATE ZIP ' CITY STATE ZIP CITY FAX PHONE FAX PHONE EMAIL EMAIL ^ , DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.# CLASS CITY BUS. UC.# (Sec. 7031.5 Businessand Professions Code: Any City or Coun^ which requires a permitto construct alter, improve, demolish or repair any structure, pnorto its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapters, commending with Section TOOOof 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)). WORKERS' COIVIPENSATION Wortiers' Compensation Declaratlan: //lersby affimi under penalty of perjury one of the following declarations: Bl have and will maintain a certificate of consent to aelf-insure fbr workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wortt for which this pennit is issued. I have and will maintain workers' compensatian, as required bv Section 3700 of the Labor Code, lor the perfonnance of the work for which this pennit is issued. My workers' compensation insurance canier and policy number are: Insurance Co. Policy No. Expiratton Date Thjisection need not be completed if the pennit is for one hundred dollars ($100) or less. I I Certificate of Exemptian: I certify that in the perfonnance of the wortt for which this pennit is issued, I shall not empioy any person in any manner so as to become subject to the Workers' Compensatton Laws of Califomia. WARNING: Failure to secure workers' campensation 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 attomey's fees. jBi CONTRACTOR SIGNATURE • AGENT DATE O W fi B B - B U I i. D e R OECLARATION / hereby affiim that I am exempf 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 compensatton, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an owner of property who bultos or improves thereon, and who does such work himself or through his own emptoyees, provtoed that such improvements are not intended or offered for sato. If, however, the building or improvement is sold within one year of comptotton, the owner-builder will have the burden of proving that he did not buito or improve for the purpose of sato). I I I am exempt under Sectton. I, as owner of the property, am exclusively contracting with Itoensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor's Ltoense Law does not apply to an owner of property who builds or improves thereon, and contracts tor such projects with contractor(s) licensed pursuant to the Contractor's License Law). .Business and Professions Code for this reason: •Yes ^No 1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement 2. dto^/ have not) signed an applicatton for a building pemiit for the proposed worit. ^ . 3. nia^e contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' lk»nse number): L,Jy1 ^/VV. OWC^ 4.1 plan to provide poriions of the worit, but I have hired the foltowing person to coordinate, supen/ise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the following persons to provtoe the worit indicated (inciude name / address / phone / type of worit): jeii PROPERTY OWNER SIGNATURE •AGENT DATE f// y/zy COMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L BUILDING PERMITS ONLY Is the appitoant or future bultoing occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the appitoant or future bultoing occupant requiredtoobtaina pennit from the air pollutton control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet of the outer boundaiy 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a constmction lending agency for the perfonnance of the worit this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceit% that I have lead the applkation and stale thatthe above Infonnation is oonect and thatthe Infbitnatkm on ^ I hereby aulhorize nspresenlative of the City of Carlsbad to enter upon the above menttoned property for inspectton puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA peimit Is required for excavations over S'C deep and demolitton or constmctton of structures over 3 stories In height EXPIRATION: Every peimit Issued by the Building Oflicial under the provisions of lhis Code shall expire by limitation and become nuH and void if the building or worit authorized by such permit is not commenced wilhin 180 days Irom the date of such peimil or if lhe bultoing or writ aulhoii?^ by su^ vfifAPPLICANT'S SIGNATURE 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) 602-6560, Email buildina(S)Carlsbadca.aov or Man the completed fonn to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS cmr 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: CONTACH'(Listedabove) OCCUPANT (Listedabove) CONTRACTOR (On Pg 1) MAIL/FAXTOOTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permits: CB140865 Type: PME BERNARD RES-INSTALL 200 AMP POWER POLE FOR CONSTRUCTION OF Date Inspection Item Inspector Act Comments 04/18/2014 32 Const. Service/Agricultural PY AP Tuesday, May 06, 2014 Page 1 of 1 A j^Sempia Enogy^ iMty' Wanted Date: on Inspection ELECTRIC OVERHEAD METER & SERVICE LOCATION Customer Copy T.B. 1106-E4 SetviceType: OH Service Temporary CuskxnerType: Residentitri Date Prepared: 03/13/2014 Project No: 453244 Job No: 030 Pioject TMe: BERNARD RESIDENCE (SOT) Pioject Address: 1355 BNAVISWY Prpject CHy: CARLSBAD Contact: SUE BERNARD Customer Phone t Contact Phone ft 760-212-8837 Q Traffic Conlrol Penntt Required t PenrilB Required By Senice AtiBciiment Point and/brMeiar Locafion: Install 200 amp temporaiy meter pole wKhln lOOO feet of pole P20664. Meter pole must be viiifMn 20 feet of driveable surface for truck ^ access. Face meter toward driven wqrwd permanently label with address.emporary (/ fee of $1005.00 win appear on first month's bill. C) c o •> D CTI c I SDG&E Application Required-CaR: 1-800-411-7343 1J CCI Municipal Inepectian Required By City Of Carlsbad Meter hei^-4V'min. (3^)* min. fer nmrit^ meter nstBHalkm)-6^'ma^ From finisti grade to centeiline of meter baaa. Meters are required to be raadly acoessUe 24 houre per day. Melere must lie tocated in a safe araa tree of any potenfially hazardous or dangerous oondHlon. Provide 341X 3-fl Minimum ctear and fevei worldng spaoe in front ofmeter. Wtwre meter room is praposed, contact the planner at the nearest SDG&E office. Meter bases and meter senrice disconnects must (»located at or immediataly aijaoertt to eech other and be idenfified with address and unit number it selves. Power Souroe: 781-743 Stnicture Number P20664 Provide Minimum Ground Clearance Of: 10 FT Frombottomof drip loop at service wire point of attachment 12 FT Over driveway or paridng area 18 FT At outer limit of vehicular traffic Service Panel Rating: 200 NumbecfSize of Main Switch(es): # of Wires: 3 Phase: Single Voltage: 120/240 Ufilifies Maximum Contrfeufion To Fault Current 10000 Amps Metering: Self-Contained Meter cups: 4 Temp Sennce Charge Due on First BiU $ 1005 N x-st- Pio Pico 1370 MJEmvimww (3- >-CD O LU CD o o LU Dd 200 wap^^ temp pole . I- Addttional Infennafion: Q Right-of-way Required Assessor's Paroel Number Please call your Service Coonilnator Andrew Castro at 76(M76-5614 with questions about application, inspection, construction installation and to schedule a crew. IfSOGSEeiiowBtwIiazirtnieglc^nwtMiilfcpeiKiiningcon^^ t«6p(in8tilll|rlofeniciW8nd»rcl«ani|>«lh«Mda» SOGlEsMtannollsHlrvoHgAin «h^n«er to dean rennra a renndhM aiy hssRlous cr adJrwsandter meter beaenwrt lie polled pto ID nlBr set Inbtintlancn We shaal Is void altered (6) monanfton dale. Keep INs nonce wHh buMng pennit Allnslal«lonsp«rtbnnadund«-W» order mat meal SOG»E standards urtaasaw^ Ptanner LOISAHIGGINS I Telephone: 760-476-5613