HomeMy WebLinkAbout1643 FRAZIER AVE; TP; CB150579; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-24-2015 Permit No: CB150579
Building Inspection Request Line (760) 602-2725
Job Address:1643 FRAZIER AV CBAD St: TP
Permit Type:PME Status:ISSUED
Parcel No:1562124900 Lot #:0 Applied:02/24/2015
Entered By:JMA
Reference #:Plan Approved:02/24/2015
PC #:Issued:02/24/2015
Inspect Area:
Project Title:CARLSBAD 17: 200A TEMP POWER
Applicant:Owner:
POWER PLUS
436 N QUINCE ST
ESCONDIDO CA 92025-2522
760-839-9430
Plumbing Fees $0.00
Electrical Fees $160.00
Mechanical Fees $0.00
Other PME Fees $0.00
TOTAL PERMIT FEES $160.00
Total Fees:$160.00 Total Payments To Date:$160.00 Balance Due:$0.00
FINAL APPROVAL
Inspector:Date:Clearance:
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
fees/exactions of which you have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
mem ereenime —
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FIEFOLLOWING AP?ROVALS REQUIRED PRIORTO PERMIT ISSUANCE:OK/INNING (ENGINEERING [BUILDING OFIRE (HEALTH [31AZMAT/APCD.-;4 '
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CF3 I._'05 7qBuilding Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad,CA 92008 Est. Value\7/CITY OF 760-602-2717 /2718 /2719
-A CRLSBAD www.carlsbadca.gov
Fax:760-602-8558 Plan Ck. Deposit
•Date v„1.3 SWPP
JOB ADDRESS
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CT/PROJECT#LOT #PHASE##OF UNITS 4 BEDROOMS 0 BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)
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EXISTIkG USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
tat ..YES 0 #NO 0 YES 0 NO 0 YES 0 NO 0
APPLICANT NAME.(Prininty Contact)
e9AA.et APPLICANT NAME (Secondary Contact)f .__.•
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ADDRESS.3 6
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PHONE FAX PHONE FAX'---/10 0 S3 q _civ.so.EMAIL -EMAIL
PROPERTY OWNER NAME f \CONTRACTOR BUS. NAME
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(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 theapplicant for such permit to filea signed statement that he is licensed pursuant to the provisions of the Contractor's LicenseLaw (Chapter 9, commending with Section 7000 of 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 acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration:Ihereby affinn under penaltyof peduty one ofthe following declarations:
13,141 av e and will maintaina 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 permit is Issued.
III I have and will maintain workers' compensation, as required Or Section 3700 of the Labor Code, for the performance oftip work forwhic.hthis permit is issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co.Co r•(-( vt titsril Polley No.C Gs S 7 Y0 /3 0 V Expiration Date 3-3 1 —i .T.--
This section need not be completedifthe permit is for one hundred dollars ($100) or less.
Cl Certificate of Exemption:I certify thatin the performance ofthe 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: Failuretosecure workers' compensation 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 rovided •r Section 3 I •of the abor code, interest and attorney's fees.
,irs•CONTRACTOR SIGNATURE .
1 A_...'riiL.i --EDIAGENT DATE 2-—2..0 I 1
OWNER -BUILDER DECLARATION
Ihereby affirm thatlam exempt from Contractor's License Law for the following mason:
0 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 orimproves 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 yearof completion, the owner-builder will have the burden of proving thathe did not build or improve for the purpose of sale).
O 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 with contractor(s) licensed pursuant to the Contractor's 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 CI Yes 0 No
2.I (have!have not) signed an applicationfora building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (include name address/phone Icontractors' license number):
4.1 plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name Iaddress/phone/contractors' license number):
5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name/address/phone !type of work):
••
.r PROPERTY OWNER SIGNATURE ®AGENT DATE
COMPLETE THIS SECTION for?NON -RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant orfuse 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 0 No
is the applicant or future bulldog occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No
is the facility to be constructed within 1,000 feet of the outer boundaryof a school site?0Yes 0 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 MR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097(I)Civil Code).
Lender's Name Lenders Address
APPLICANT CERTIFICATION
Icrefflythatl haveread the application and state thatthe above inhumation Is correct and thattheIntimationon the plans Isacetate.I agree tocomplyeith all Cityoidinances and State lava relatingto buildingconsbuction.
Ihereby authorize representativeof the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
051-1k An OSHA permits requied for excavations over 5'0' deep and demotion or construction of structures over 3 stories in height
EXPIRATION: Even/pallidIssued by the Building Oficial under the provisionsofthisCM"shall expire by limitation and become nut and voidtile bulding or work authorized by such penitisnot commenced within
160 days from the dateofsuch permit orIf the buidingortorkauthorized by suchfermit is suspended or abandoned at any time after the worlds commenced fora period of 180 days (Section 106.4.4 Uniform Bulking Code).
AKAPPLICANT'S SIGNATURE L DATE 7 0
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•
',STOP
STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.•
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Fax (760) 602-8560, Email www.buildincflthcarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 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
El PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (on Pg. 1)
o ASSOCIATED CB#0 MAILTO: CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.i) NO CHANGE IN USE/NO CONSTRUCTION
0 MAIL/FAX TO OTHER:o CHANGE OF USE/NO CONSTRUCTION
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AKAPPUCANPS SIGNATURE DATE
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111111111111111011.11111111...
Inspection List
Permit#:CB150579 Type:PME CARLSBAD 17: 200A TEMP POWER
Date Inspection Item Inspector Act Comments
03/10/2015 32 Const. Service/Agricultural -RI CARLSBAD 17
03/10/2015 32 Const. Service/Agricultural PD AP
03/10/2015 39 Final Electrical RI CARLSBAD 17
03/10/2015 39 Final Electrical PD AP
Thursday, March 12, 2015 Page 1 of 1
1•11•140.111101.11.0
PCenneeted
EJEELECTRIC OVERHEAD METER & SERVICE LOCATION
A alSernpra Energy utilty-Customer Copy
Notification #: 300000033462 Job #: 530000017098 TB: 1106-F5
Wanted Date: ON INSPECTION Date Prepared: 02/20/2015
Customer Type: Commercial Service Type: OH SERVICE TEMPORARY
Project Title: CITY VENTURES (SOT)
Project Address: 1643 FRAZIER AVE Project City: CARLSBAD
Additional Address Info:
Customer POC: Michelle Scott Customer Phone #: 760 839 9430
SDGE Contact: Service Coordinator Contact Info: WENDY JENSEN, 760-476-5611
Traffic Control Permit Required SDG&E Application Required-Call:1-800-411-7343
Excavation/Encroachment Permits Required By:
Municipal Inspection Required By: CITY OF CARLSBAD Temp Service Charge due on First Bill $1,005.00
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
Install 200 amp temporary meter pole within 100 feet of pole P221829. Meter pole must be within 20 feet of driveable surface for
truck access. Face meter toward driven way and permanently label with address. Temporary fee of $1005.00 will appear on first
month's bill.
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
Ft. Minimum rigid riser above roof
Ft.
Service Panel Rating: 200 Number/Size of Main Switch: 1/200 Voltage:120/240
# of Wires: 3 Phase:1 Utilities Maximum Contribution to Fault Current: 42000
Metering: Self Contained. Test Bypass Facilities Reqd 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 identified 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