HomeMy WebLinkAbout151 HEMLOCK AVE; ; CB141513; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-27-2014 Permit No: CB141513
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
151 HEMLOCK AV CBAD
PME
2042521800 Lot#: 0
SETTLEMYER: MOVE & UPGRADE
PANEL TO 125
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
1 nspect Area:
ISSUED
06/27/2014
JMA
06/27/2014
06/27/2014
SETTLEMYER KAREN M 2005 TRUST 06-24-05 SETTLEMYER KAREN M 2005 TRUST 06-24-05
26046 EL CAMINO REAL #216
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
26046 EL CAMINO REAL #216
CARLSBAD CA 92008
$0.00
$158.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 7-1'(-/r' Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred 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 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.
'
!THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH OHAZMATIAPCD
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,~ • Building Permit Application Plan Check No. CB 14 · 15\? ~''"''' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Depo!jlt
www.carlsbadca.gov Date lb /2-?/l'i ISWPPP
JOB ADDRESS SUITEt/SPACEt/UNIT# IAPN
/-, I He_.., /oc.l,. A ~"" .... e. (a,,J,b .. J CA 'j.ioog ,i/q ---
CT/PRuJECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I CCC. GROUP
DESCRIPTION OF WORK: lnclUde Square Feet of Afl'ected AreB(s)
l'tvw, e I , <'< r, <-,./ l',,_...J ,f "'1' ~ /,,,_ 4,o f-utz,
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YESO
\AIR CONDlTIONING I FIRE SPRINKLERS
N<O YES•No• YES•No•
APPLICANT NAME PROPERTY OWNER 4 t1T ml I ,1 .I?_,,,-Primary Contact
ADDRESS ADDRESS I
CITY STATE ZIP CITY STATE ZIP
PHONE l"x PHONE I FAX
EMAIL EMAIL
DESIGN PROFESSIONAL RA R BUS. NAME
C~i-..('1H1<.lt10A y 'Ha.--.Oh
ADDRESS ADDRESS
3 i. ~o /'tve "' J. ne Lavole,
CITY STATE ZIP CITY STATE ZIP Ot e.,.,,, ,"-. (A qz.o,l,
PHONE I FAX PHONE l"x 1•0·211-~tH· ,.,~
EMAIL EMAIL
ho;,,.1,,t,,.o.,... c..o .. , ,;.·ft-w,J,~/.l V6J...Do~ Le,,,_ I STATE UC.# STATE UC.# re-I c/ ~s/~·\ 1 CJ l'.3k5'1 2 ,,,-·
{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 ttiat 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 exemP.t therefrom, and the basis for the alleged exemption. Any vIolatlon of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Work.en;' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations:
8 I have and wm 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 pennit is issued.
I have and wlll maintain work.en;' compensation, as reQuired bv 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 _________ _
;
section need not be comp~ted if the permit Is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the pertormance of the work for which this penn~ is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
omia. WARNING: Failure to secure worken;' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,00D), In
addition to the cost of compensation, d ag p ided for In Section 3706 of the Labor code, interest and attorney's fees.
6$ CONTRACTORSIGNATURE
I hereby affirm that I am exempt from Contractor's License Law forthe following reason: •
• •
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 arid 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 excluslvely 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (fInn) to provide the proposed construction (include name address/ phone/ 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/ contractors' license number)·
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work):
,6$ PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION 1'011 HON-RESIDENTIAL IIUILl>INO PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regislratlon 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 district or air quality management district? Yes No
Is the facility to be cori.structed 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.
I certify that I have read the application and state that the aDOYe infonnatlon Is correct and that the infonnatlon on the plans Is accurate. I agree to complywi1h all City oldlnances and S1ate laws relating 1D bullding cons1J'Uetfon.
I hereby authorize representaHve of the City of Carlsbad to enter uJX)n the atxive mentioned l'.J'Operty br inspedion purp:,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AlL U/>lllUTIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pennlt is required for excavations over 5'0' deep and demo!it'on or constructkln of structures over 3 stories n he'Jhl.
EXPIRATION: Every pennit issued by the Buik:lir,g Olh::ia\ under the provisbns of this Code shall expire by limitation and recome null and vok:I W the buik:ling or'Mlrk authorized by such pennlt is not commenced 'Mthin
180 days from the date of suci1 pennlt or if the l:xJildilg or'Mlrk authorized by such penntt is SUSJ:ended or abardoned at any ~·me after the'Mlrk is commenced for a J:elOO of 180 days (Section 100.4.4 Uniform Building Code).
~ APPLICANT'S SlGNATURE DATE (,j 'Z,1/1y
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 fonn to City of Carlsbad, BuilcKng Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office use Onty)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
,MS APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB141513 Type: PME
Date Inspection Item . _ _
07/10/2014 33 Service Change/Upgrade
07/10/2014 33 Service Change/Upgrade
07/10/2014 39 Final Electrical
Friday, July 11, 2014
Inspector Act
RI
PB AP
PB AP
SETTLEMYER: MOVE & UPGRADE
PANEL TO 125
Comments
BEFORE 2 PM, METER RELEASE
Page 1 of 1
sos/· .-'E
A~ Sempra Energy u1~;ry·
ELECTRIC OVERHEAD METER & SERVICE LOCATION
Customer Copy
Wanted Date: On City Inspection Service Type: OH Service Rewire/Relocation
Project No: 456787 I Job No: 010
Project Title: smLEMEYER RESIDENCE (SOT) OH RJW
Project Address: 151 HEMLOCK AV
Project City: CARLSBAD Custnmer Phone#: 310-405-1020
Contect KARENSmLEMYER Cootectl'tlone#: 310-405-1020
0 T raffle Control Pennlt Required
Excavation/Encroachment Pennlts Required By
Service Attachment Point and/or Meter Location: Locate new 125-amp meter panel on the
west wall at the northwest corner. Locate the new point of attachment
within 18-inches of the northwest comer on the west wall. Install rigid
riser a minimum of 2-feet above roof and meet minimum clearances as
noted below. Once the new panel is wired and inspected by the City, call
Andrew at 760-476-5614 to confirm inspection and schedule a joint me~
with the SDG&E crew. vlh
c:i "' • SDG&E Application Required -can:
Municipal Inspection Required By City of Carlsbad
Meter he~ht -4'0' min. {31>' min. for mulllple meter installation) -6'3' max. From finish grade lo~~~
base. Meters are required to be readily aa:ess,ble 24 hours per day. Meters must be located in a• 'a
any potential~ hazardous or dangerous condition. Provide 3-ft. X 3-ft. Minimum clear and level working space in front
of meter, Where meter room is proposed, contact the planner at the nearest SDG&E office. 1 ~ Q: ; c: 11 f~ v
Meter bases and meter semte disconnects must be located at or immediately adjacent to each othei arl'a'be L. -· '--
identified with address and unit number it serves.
Power Soorce: AG1-71 I Structure Numbec P221558
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
2 FT Minimum rigid riser above roof
Service ranel Rating: 125 Number/Size of Main Switch(es): 1@125 Amp
# of Wires: 3 Phase: Single Voltage: 1201240
Utiities Maximum Contribution To Fault Guoent 10000 Amps
Metering: Self-Contained , Meter Clips: 4
Temp Service Charge Due on First Bffl $
1 I
CustnmerType: Residential
,;}, ~,.,o ,;
x-s1/
GARFIELD.
AG1-71
1-25W
P221551 llew125✓'
meterpanet
T.B. 1106-E7
Date Prepared: 06/1812014
AG1-63
1-!0W
0~
1." ·-:,•·1· ~bad· VOi::,
di. q Divisior-
on post
RFShiltfng
0!1""1ced,op
JUN! 2 7 2014
::)\.'' '-" 41----·
Call (760) 476-5614
to schedule a crew
once you have
City Inspection ~--'----
Additional Information: D Right-of-way Required Assessors Parcel Number:
Please call your Service Coordinator Andrew Castro at 760-476-5614 with
questions about inspection, construction installation and to schedule a
crew. Please contact the City regarding permits and
inspections.
If SOG&E encol.l8S hazadous or mic maleria whle perfonrtng constdon ci your project. SOG&E .. halt work irnmecl8lely and it wB1 be your
responsl:lilty to nmM a'Klla°clean ~ al haza-dous or mic material pfklrloSOG&Econtlnting const1.don. SOG&E shall have nolat,ity oroblgation
whalsoeller b dean 1'1, remove or remetlale any hazadous «tlXic mmials dscovered durlr¥;I the course d construc1lon unlesS ii is through negftgerw::e of
SOG&E.
CUsbner.owned fa:itieS lo recelYe eleclical serviCe ae s~lo al appi:able local and st.-of caRfomla inspedon authority requirements. Builclng
address and/or meter base must be pos1ed prirt to meter set. lnformalion Oil this sheet is void ak six (6) monlhs from dale. Keep this notice with blilltng -1-1 i:n_stalalions perfonned ~tis order l1'llSt rreet SDG&E stancla"ds ~ a MIiien deviation has been
Plannec ANDRE J ARELLANO
~