HomeMy WebLinkAbout159 HEMLOCK AVE; ; CB142575; Permitl City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-03-2014 Permit No: CB142575
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
159 HEMLOCK AV CBAD
PME
2042521900 Lot#: 0
MELIDEO RES -INSTALL NEW 200
AMP METER PANEL AT EXISTING LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/03/2014
SKS
10/03/2014
10/03/2014
HAMMON CONSTRUCTION MELIDEO NICHOLAS&MARY REVOCABLE SURVIVORS TRUST
C/0 NANCY MELIDEO
3260 AVENIDA DE LOYOLA
OCEANSIDE CA 92056-3225
760-271-6865
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
159 HEMLOCK AVE
CARLSBAD CA 92008
$0.00
$160.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
FINAL APPROVAL
Date 1'2'/~ 1/¥ . , 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.
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
f x in fhih hv rvi I nivn NTIEimilr hi r whihh limi inh ri I
•••-aes ______ _
THE FOLLOWING 4PPROVA•s REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING QENGINEERING QBUILDING QFIRE •HEALTH 0HAZMAT/APCD ~-------------------------.-------: ~ «(:'~' Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Z(7S
¥ CITY Of
CARLSBAD
SUITEf/SPACEf/UNIT#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) £ ( e dt'v .'~ l U P8 vc l O O /ti'---{)
GARAGE (Sf) PATIOS (Sf)
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC, #
SWPPP
AJR CONDITION/NG
YES0No0
c,11J
FIRE SPRINKLERS
YESONoO
(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, comme_nding with Sect/on 7000 of Otvision 3 of the Business and Professions Code) or that he is exempt therefrom, and the basrs 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' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
8 I have and will maintain a certificate of consent to self-insure for workers' compensaliOn as provided by Section 3700 of the Labor Code, for the perfoITTJance of the work for which this peITTJil is issued.
I have and wJII maintain worters' compensation, as reQuired by Section 3700 of the Labor Code, for the perfoITTJance of the work for which this permit Is ·issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. _____________ _ Expiration Date _________ _
ection need not be completed if the permit is for one hundred dollars ($100) or Jess.
Certificate of Exemption: I certify that in the perfonnance of the work forwhK;h this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
Califomia. WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), ill
addition to the cost of compensation, ages as provJd r I Section 3706 of the Labor code, Interest and attorney's fees,
.JiS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractors License Law for the 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 r.ot 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. Jf, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he d'd not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracUng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Lftense law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed j)Jrsuant to the Contractor's license Law).
I am exempt under Section _____ Business and Professions Code for this reason:
1, I i:ersonally µan to p10vide the major labor arid materials for construction of the proposed property improvement. QYes 0No
2. I (have/ have not) signed an applieation for a building permit for the proposed work.
3. I have contracted with the following person (!inn) to provide the proposed construc~on (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, biJI I have hired the following person to coordinate, supervise and provi:::le the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, blll I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE •AGENT DATE
I
I
COMPLETE THIS SECTION FOR No'N-RE$1Dl!NTIAL BUILDING PERMITS ONLY'
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? Yes No
Is the appl;cant or Mure building occupant required to obtain a permit from the air pollution c011lrol district or air quality management district? Yes No
Is the facility to be constructed 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 lS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the appllcatlon and state that the abcwe information Is correct and that the lnbnnatlon on the plans Is accurate. I agree to comply with au City ordinances and State laws relating to building construction.
I hereby authorize representative cl the City of Carlsbad to enteru~n the aOOve mentioned property br inspection purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARL.SB.AD
AGAINST All LIABllfflES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCR\JE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: AA OSHA permit is req..iired for excavations over 5rJ deep and demofrt"oo or construction of structures over 3 stories in he'Jhl
EXPIRATION: Every permit issued by the Buik:ling Official under the provisions of this Code shall expire by limitation and become null and vokl ~the buik:ling orv.ork authorized by sud! permit is notmmmenced 'Mlhin
180 days from the date of such pa-mil or if the buiding orViOrk authorized by such perm'1t is suspended or abandoned at anytime after the w::Jrk is oommenced ror a period of 180 days (Section 106.4.4 Uniform Building C,ode).
~ APPLICANT'S SIGNATURE DATE
• 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
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:---------------~
Ai APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
•
Inspection List
Penni!#: CB142575 Type: PME
Date Inspection Item
10/16/2014 33 Service Change/Upgrade
10/16/2014 39 Final Electrical
Thursday, March 12, 2015
, ······--···-~ "• --~---------
MELIDEO RES -INSTALL NEW 200
AMP METER PANEL AT EXISTING LOCAT
Inspector Act Comments
PB AP
PB AP
Page 1 of 1
. J,Y ,. r ~·. sos;-
i~~---Nollllcatlon #: 300000015888
Wanted Date: ON CllY INSPEC
ELECTRlri OVEl,i~D-~ETER & SERVICE LOCATION
J CustoHI: Cop;
Job#: ITB:11~7
Date Praparad: 10/02/2014
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Customer Type: -1(1-2 Units) Sarvice Type: OH SERVICE REWIRE/RELOCATION
Project TIiie: MELIDEO RESIDENCE (SOn (SOI.AR)
Project Addl9S8: 159 HEMLOCK AVE I Project City: CARLSBAD
Add_ Add""'° Info:
Customer POC: Cralg Hamnol Cusm,ar Phone#: 760 271 6866
SDGE Contact Sarvice Coon111,alol Ccntact Info: ANDREW CASTRO, 760-476-5614
•Traffic Control Permit~ OSDG&EAppllcation R~: HI00-411-7343
ExcavatianlEncroachment Permits Reqund By:
Municipal Inspection Requirad By: CITY OF CARLSBAD I Temp Service Cllarge due on First BiH S 0.00
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
Customer to Install ,_ 200-amp rnetar panel at the umting location. Cusm,ar Must lnstal -Rigid Rm« within 111-inches of the
southwest comer of house and a mlninun of 2-feet above roof. Meet minimum clearances as noted below. Call Andrew at 760-476-5614 to
schedule a morning dlscoi,MICI wllh a-.oon reconnect~ lhat the City re-inspec:tion to SDG&E by 2:00 PM oo the sama
day the craw is scheduled. To avoid delays with reco,.ieclion, your pennlt sllould reed (Customer Ou1age Involved).
Provide Minimum Ground c-.nce Of:
_10_ Ft From bollnm of drip loop at service win, point of allachmanl
_ Ft 0-drlvaway or parking area
Fl. Al outer llmlt of vehicular traffic
_2_ Fl Minimum rigkl riser above roof
Ft
Service Panel Rating: 200 Number/Size of Main Switch: 1@200 I Voltage: 120/240
# of Wires: 3 I Phaaa: 1 Utillties Maximum Contribution to Faun Current 10000
Metering: Sell-Contained I MaterCllpe: 4
Mater height -4'0" --(3'0" min. for multiple Installation) -6'3" max. From finiah gra. to c:enterllne of rnetar base. -are required to
be readily ac:cesalble 24 hours per day. -muat be localed in a safe area free of any potentially -or dangerous condillon.
Provide 3-ft. x 3-ft. clear and --ng spaca In front of molar. Where molar room is propooed, contact the plamer at the,_,,.. SDG&E
offlca. Mater baaea and mater service discooneds must be localed at or lmmedlalaly adjacent to eact, -and be identified wllh address
and unit number it serves.
Addltlonal Information: 0 Right of Way Roquirad Assessor's Parcel Number:
Please call your Service Coordinator at 760-476-5614 wllh questions about appllcatlon, il1SjJOdion. c:onstruclion inslallalion and to schedule a
aew.
Plaaae cag your Service Coordinator Andrew Castro at 760-476-5614 wllh questions about inspection, coos1rudion 1ns1a-., and to
schedule a crew. To rnlrimlze the -outage, you are advised to schedule a morning disoonnect wllh an atlemoon """""-
There Is oo cl1arge for this service. Belont you change oot your mater~ SDG&E will not recoonect the service without
municipal _.. on the ,_ panel. Please c:onlad the City regarding pennits and lnspectioo,s. City Inspection should be J8C8lved
prior to 2:00 p.m. on the same day as the discoo,_ of service to a-the SDG&E mow enough lime for 18CXJ1ol8dioo of the
service oo the same day.
W SDG&E enccunlanl hazardoua or -,_ whlla performing construction of your projac:I, SDG&E will hall wortc lmmedlalaly and It wll
be your reeponsl)lllty to remove and or clean up al hazardous or toxic material prior to SOG&E continuing conatnEtion. SDG&E shall have no
llablllly or obllgatlon whalaoeYer to cleanup, remove or remedlate any -or --la discxM!nld during the coun,a of
oonstrudion unlasa It is through negtlgance of SDG&E.
Customer-owned fadllles to rec:olve gas service are subject to au applicable local and -of California inspection dUthorily n,quin,menta.
Bulldlng addnlsa and/or '"'"8eline must be pennanantly Identified prior to mater sat. lnlonnalion oo this .,_ is void -six (6) moolhs.
Keep this notice wllh ~ permit
All lnslallationa · under this order must meet SDG&E standards unless a written deYtation has been
I Planned By: Andre Arellano I Phone#: 7604765612
RECEIVED
OCT O 3 2014 dr-
CITY O:= CARLSBAD -'-\,,,0
BUILDING DIVISIO~Y .
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Job Notification #
300000015888
Planner Name:
Andre Arellano
New200Amp
meter panel at
existing locatlon
Construction Contact:
Andrew Castro
Customer Name:
Cral1_ Hammon
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Date: 10/2/2014
Planner Phone:
760-476-S&U
~ Phone:
760-476-5614
Customer Ph11!lll:
760-271-6865
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AG1-63 j P28332
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Call (760) 476-5614
to schedule a
Disconnect/Reconnect
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