HomeMy WebLinkAbout1436 FOREST AVE; ; CB162429; Permit' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-21-2016 Permit No: CB 162429
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1436 FOREST AV CBAD
PME
1560522100
Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: MOORE RES-REPLACE ELECT PANEL
W/ NEW 200 AMP PANEL
Applicant:
GREGORY ELECTRIC
639 VALLEY MEADOW PL
ESCONDIDO CA 92027-4251
760-504-7 490
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
MOORE MARGARET P
1436 FOREST AVE
CARLSBAD CA 92008
760 846-2324
Issued:
Inspect Area:
ISSUED
06/21/2016
RMA
06/21/2016
06/21/2016
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL . S"· Date: Clearance:
$0.00
f,,OllCE: Aease-f,,OllCEthat 'W"M riyo.r ptjec! indudes thl "lrrpc,jticri' ri ~ cledcaticrs, resavaticro, or ctherexa:ticrs -cdlec!ivay
refenal to as 'fee&exa:licrs." You rave 00 days frcrn thl date ttis pa-nit""' issued to p-dest ini:,csti01 ri thlse fee&exa:lioris. If you p-dest thlm you rrust
fcJIONthl p-dest J)'OCS(ires set fath in G:Mm-rert Oxle Sec!irn 60020(a), and file thl ?otest and any cther req.ired inforrrali01 wlh thl Qty Mnlger fO"
~rg in axada-cewlh Ca1sbro Mridpal Oxle Sec!i013.32.COO. Falcreto tirrelyfcJIONIM iroa<irewll ta-anystbse<µ,11 lega ec!ion to attax
revieiv, set aside, vcid, a am tteir in,n;itioo.
You ae reret,,, F\RTI-ER f,,OllRED that yo.r rigt to p-dest thl specified fee&exa:licrs OCES NOT" APPLY tower and seAEr oorredi01 fees and~
chrgas, nor plarrirg, zairg IJ'drg or cther sirrila-,wicati01 ~rg or sooioe fees in WT'Bdial wth ths ptjec!. loffi OCES IT APPLY to any
f dwidl ·a.s a sinil toth as Yh the lirri icns ·cus1
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING
(city of
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
CT/PROJECT# LOT# PHAS # # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
="f~ cef,O-• I
0BUILD1NG OFIRE
Plan Check No_
Est. Value
SW PPP
CONSTR. TYPE OCC. GROUP
-(
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[),_ N<O
AIR CONDITIONING
YES0No0
FIRE SPRINKLERS
YES0N00
APPLICANT NAME
Primary Contact
ADDRESS G :,9
ADDRESS
Cl1Y
PHONE
EMAIL
Voll
e . I '""
STATE
FAX
WORKERS' COMPENSATION
PROPERTY OWNER
ZIP Cl1Y
PHONE
EMAIL
STATE LIC. #
Workers' Compensation Declaration: I hereby affirm under penalty of peljuf'/ one of the following dedaratklns:
STA~
v''i.
FAX
STATE
FAX
ZIP
ZIP
Ot 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 'Mlich this permit is issued.
~ I have and will maintain workers' compensation, ~s required 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 pol~
oumbecare lcsu,aoceCo. '::i.PA1.\;02I 'lq~Jt111<'<?. C,o PolicyNo. 7J._LJ~C"1Q~g fapi,atiooDate l/20 /Z,:'I 2
~section need not be completed if the permit is for one hul'ldred dollars ($100) or less. 1 7 LJ 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 covera unlawful, and shJll 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 provide ~-oif'3706 _9'.the La.fiOrCooe, Interest and attorney's fees. _. _.....-,,.-. . __.-/ I = CONTRACTOR SIGNATURE // <:--·/ ,,r OAGENT DATE c:, -2 -/ f,
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
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 himself or through his own employees, provided that such improvements are not intended or offered for
sale. 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 'Nith contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. 1 (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the follo'Ning 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 of the work, but I have contracted (hired) the following persons to provide the work indicated {Ir.elude name I address I phone I type of work):
.8$ PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plari, acutely hazardous materials registration form or risk management and prevention program under Sectkms 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 district or air quality management district? D Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D 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 certify that I have read the application and state that the above Information is correct and that the infonnation on the plans is accurate. I agree to complyYAth all City ordinances and State lav.s relating to building construction.
I hereby authorize representative of the City of Carlsbad to enteruJX)n the alxlve mentk:lned property br 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 ANYWAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: All OSHA perm~ is required for excavations over 5'0' deep and demolition or constructioo of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under~~~~ of this ~-shafl expire by limitation and berome nul and vokJ if the tx.Jilding orv.orl< authorized by such permit is notrommenced 'Mthin
180 days from the date of such permit or if the bu.ilding .. ~~-:'!~ ~rfn~ is suspended or abandoned at any time after the v.orl<: is rommen~ for a period of 100 days (Section 100.4.4 Uniform Building c.ode).
,@f APPLICANT'S SIGNATURE / ./Y _/ DATE b .. ). \ . I k
• 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 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 FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (listed above)
o CONTRACTOR (On Pg. :1.)
o ASSOCIATED CB#------------
MAIL TO: o CONTACT {Listed above) o OCCUPANT (Listed above)
o CONTRACTOR {On Pg. :1.) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:----------------o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB162429 Type: PME
Date ln_spection Item
06/22/2016 33 Service Change/Upgrade
Monday, January 09, 2017
Inspector Act
PD AP
MOORE RES-REPLACE ELECT PANEL
WI NEW 200 AMP PANEL
Comments
Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB162429)
Permit Type: BLDG-Residential Application Date: 06/21/2016 Owner:
Work Class: P/M/E Issue Date: 06/21/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 12/19/2016 Address: 1436 Forest Av
Carlsbad, CA 92008
IVRNumber: 715352
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
Date Start Date
01f05f2017 BLDG-Final 008629-2017 Passed Peter Dreibelbis Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
January 05, 2017 Page 1 of 1
ELECTRIC OVERHEAD METER & SERVICE LOCATION
Customer Copy
Notification #: 300000044565 Job#: I TB: 1106-F4
Wanted Date: ON INSPECTION Date Prepared: 05/12/2015
Customer Type: Residential(1-2 Units) Service Type: OH SERVICE REWIRE REATTACH AT W/H
Project Title: MOORE RESIDENCE (SOT) (SOLAR)
Project Address: 1436 FOREST AVE I Project City: CARLSBAD
Additional Address Info:
Customer POC: Hector Mata Customer Phone#: 310 560 3302
SDGE Contact: Service Coordinator Contact Info: WENDY JENSEN, 760-476-5611
D Traffic Control Pennit Required 0 SDG&E Application Required-Call: 1-800-411-7343
Excavation/Encroachment Permits Required By:
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 the new point of attachment within 18 inches of the S/W _comer on the WEST wall. Install rigid riser minimum of 2 feet
above roof and meet minimum dearances as noted below. Locate new 200 amp meter panel at existing meter panel location.
Provide Minimum Ground Clearance Of:
_ 10_ Ft. From bottom of drip loop at service wire point of attachment
_ 12_ Ft. Over driveway or parking area
Ft. At outer limit of vehicular traffic -_2_ Ft. Minimum rigid riser above roof
Ft. -
Service Panel Rating: 200 Number/Size of Main Switch: I Voltage: 120/240
# of Wires: 3 TPhase: 1 Utilitie$ Maximum Contribution to Fault Current: 10000
Metering: Self-Contained T 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 potentiaHy 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 SOG&E
office. Meter bases and meter seNice disconnects must be located at or immediately adjacent to each other and be identified with address
and unit number it seNes.
Additional Information: D Right of Way Required Assessor's Parcel Number:
To minimize the electrical outage, you are advised to schedule a morning disconnect with an afternoon reconnect There ls no charge
for this service. Before you change out your meter consider (1) SOG&E needs advance notice to schedule a crew and
(2) SOG&E will not reconnect the seNice without municipal approval on the new panel. Please contact the City/County regarding
permits and inspections.
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 lime for reconnection of the service on the same day.
If SOG&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. SOG&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 SOG&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 permanentty identified prior to meter seL Information on this sheet is void after six (6) months.
Keep this notice with building permit. 4
All installations nerformed under this order must meet SDG&E standards unless a written deviation has been a--roved.
Planned By: Lois Higgins I Phone#: 7604765613