HomeMy WebLinkAbout1570 BASSWOOD AVE; ; CB163879; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-13-2016 Permit No: CB163879
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1570 BASSWOOD AV CBAD
PME Status:
Parcel No: 2050603600 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
DAVID POLLEY
POLLEY: REPLACE 1 OOA WITH 200A
NEW PANEL
1570 BASSWOOD AVE
CARLSBAD CA 92008
760-717-0535
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
POLLEY DAVID
1570 BASSWOOD AVE
CARLSBAD CA 92008
ISSUED
10/13/2016
JMA
10/13/2016
10/13/2016
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:\ Date: Clearance:
$0.00
NOTICE: Please take NO pproval of your project includes the "lmpositio ' of fees, edications, reservations, or other exactions hereafter collectively
referred to as "fees/exactio . ' Yo ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedure set fo h in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH 0 HAZMAT/APCD
{'cicyof Building Permit Application Plan Check No. CBlb. 3g71
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. De~lt Carlsbad email: building@carlsbadca.gov
Date t 0 h '3 .iJ..h_ jSWPPP www.carlsbadca.gov
JOB ADDRESS .... \ L SUITEI/SPACEI/UNITI IAPN l~'?t) ~s.c:..cutvYI ALo__ fao\c:..\n.... -'< c=tzoos ---
IGI/t'HOJECT #
1
LUl # rHASt. # r OF UNITS #BEDROOMS #BATHROOMS
'TENANT IIUSINES$ NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include 5QINII8 Feet of Affected Anta(s) ~
El~e-.~<:"\(..o.. \ ~o..ue.l \.)~~<:' \00 A.-M.{) -h> '2ro At<'v\ p
EXISTING USE PQOPOSED USE GARAGE (SF) FIREPLACE PATIOS (SF) I DECKS (SF)
YESQ
II AIR CONDmONING II ARE SPRINKLERS
N<Q ves0No0 vesO NOD
APPUCANT NAME fj). ,..,.\~ f"\~ ~..Jon~ OWNER~ li~u\, (?ol \ P\A
ADDRESS \?,, J ADDRESS ~CJ.Mf J \ s f?o ~~s wncvi. Au e.
CllYLu ~ \ ":? \nc...d 'TATE ZIP CITY STATE ZIP
A 9~o9:>
PHONE . fll Or-. !lJfl_ ... 0£3 :> FAX PHONE I FAX
El'vfAIL ~ \
..1 "";, \ . ~ M
EMAIL C\o_\nQ~~ ~l\.~ 2.5 ~.
DESIGN PROFESSIONAL ...J CON1RAC10R ~NAME
ADDRESS ADDRESS
CllY STATE ZIP CllY STATE ZIP
PHONE FAX PHONE I FAX
EMAIL EMAIL
JSTATEUC.# STATEUC.# lcvss I CI1Y BUS. UC.#
.. (Sec. 7031.5 BUSiness and ProfesSions Code. Any Ci1Y or Cou~ which requares a P\Willit to construct, alter, •mprove, demolish or r~pa1r all)" structure, pnor to ns ISSuance, also requ1res the applicant for such permit to file a sillned statement tllat he is licensed pursuant to the prollisions of the Coirtrai:tor's Ucense Law /Chaoter 9, commending with Section 7000 of DMsion 3 of the Business and Professions Code} or that he is exem.Pt 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 pena~t¥ of not more than fiVe hundred dollars {$500}}.
WORKERS' COMPENSATION
Worke111' Compensation Declaration: I heteby affirm under penalty of perjury one of the following declarations: B I have and will maintain a certificate of consent to self-insure for worl<ers' 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 required by Section 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued. My workers' compensation insurance carrier and policy
number ate: Insurance Co. Policy No. Expiration Date ________ _
Jm._section need not be completed if the perm~ is for one hundred dollars ($100) or less.
I..YI Certificate of Exemption: I certify th3t in the performance of the work for which this perm~ is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compeneation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla111 (&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.
_g CONTRACTOR SIGNATURE 0AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
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.l:Juilder 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 Contractors License Law does not apply to an owner of
property who builds or improves thereon. and contracts for such projects with contractor(s) Ucensed pursuant to the Contractors License Law).
0 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. DYes Do
2. I (have I have not) signed an application for a building permit for the proposed wor1<.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone 1 contractors' license number):
4. I plan to provide portions of the wor1<, 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 wor1<, but I have ed (hired) the followi pe vide the work indicated (include name I address I phone I type of work):
_g PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required Ill submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous SubslanCil Aa:ount Act? [] Yes [] No
Is the applicant or future building occupant required Ill obtain a permit from the air pollution control district or air quality management district? [] Yes [] No
Is the f<lcility to 1M! constructed within 1,000feet of the oufer boundary of a school site? []Yes []No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
1 Cllllifytllatl halle read the application and slatethatthealxllle inbmation is oonectand that the infonnatlon on the plans is IICCURI1B.I agteeiD comply with all Cfl¥oldlnaooesand Slale laws llllalingiD building construction.
I hereby au1horize representiiM! of the City of Carfsb!JI kl enilr upon the allow mentioned property ilr inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS EXPENSES WHICH MAY IN ANY WAY ACcRuE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permft is required of structures over 3 stories i1 height
EXPIRATION: shal expire by rmitaOOn and become nul and ..00 W lhe building or \\Oik au1horized by such permft is not ooll'VI"1e00ld >Mthil
180days from the is suspended or abandoned at anytime aller1hev.orkis rommenred ilra periodof180days (Section 100.4.4 Unibm 9.Jilding Code).
f#! APPLICANT'S SIGNATURE OATE /0-/3-/.
PERMIT INSPECTION HISTORY REPORT (CB163879)
BLDG-Residential 10/13/2016Application Date:Permit Type:Owner:DAVID POLLEY
Subdivision:P/M/E 10/13/2016Work Class:Issue Date:
1570 Basswood Av
Carlsbad, CA 92008
Address:Issued - Active 04/11/2017Expiration Date:Status:
IVR Number: 717686
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
11/21/2016 BLDG-Final
Inspection
002356-2016 Passed Paul York Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
11/15/2016 11/15/2016 BLDG-33 Service
Change/Upgrade
001198-2016 Passed Paul York Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
November 22, 2016 Page 1 of 1
soq;~tH
A~ Sempra Energy uhlity•
ELECTRIC OVERHEAD METER & SERVICE LOCATION
Customer Copy
Notification#: 300000114416 Job#: 530000061153 I TB: 1106-F5
Wanted Date: ON INSPECTION Date Prepared: 10/03/2016
Customer Type: Residential(1-2 Units) Service Type: OH SERVICE REWIRE REATTACH AT WIH
Project Title: POLLEY, DAVID (SOT)
Project Address: 1570 BASSWOOD AVE ! I Project City: CARLSBAD
Additional Address Info:
Customer POC: DAVID POLLEY Customer Phone#: 760-717-0535
SDGE Contact: Service Coordin&or Contact Info: TIM SHERLOCK, 760-476-5619
[~Traffic Control Permit Required _USDG&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:
Customer to install new 200-amp meter panel at the existing location. Customer Must Install New Rigid Riser within 18-inches of the
SIE corner of house and a minimum of 2-feet above roof. Meet minimum clearances as noted below. Call TIM at 760-476-5619 to schedule
a morning disconnect with afternoon reconnect provided that the City releases inspection to SDG&E by 2:00 PM on the same day the
crew is scheduled. To avoid delays with reconnection, your permit should read (Customer Outage Involved).
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
-16_ Ft. At outer limit of vehicular traffic
_2_ Ft. Minimum rigid riser above roof
-18_ Ft. CENTER LINE OF ST
Service Panel Rating: 200 I Number/Size of Main Switch: I Voltage: 1201240
#of Wires: 3 I Phase: 1 I Utilities Maximum Contribution to Fault Current: 10000
Metering: Self-Contained I 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 potentially 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 SDG&E
office. Meter bases and meter service disconnects must be located at or immediately adjacent to each other and be ider~tified with address
and unit number it serves.
Additional Information: 0 Right of Way Required Assessor's Parcel Number:
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 time for reconnection of the service on
the same day.
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