HomeMy WebLinkAbout1825 FOREST AVE; ; CB141063; Permit'
05-13-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 141063
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1825 FOREST AV CBAD
PME Status: ISSUED
05/13/2014
JMA
05/13/2014
05/13/2014
Parcel No: 1561520300 Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: TIPTON: ELEC. PANEL UPGRADE
Applicant:
TIPTON LOREN B&ANN L
1825 FOREST AVE
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
TIPTON LOREN B&ANN L
1825 FOREST AVE
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: 12-'{-lt/ 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 "feesfexactions." 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 i n of whi h ve revio I n iv n N I E imilar to hi I whi h I lute of limi i n has vi I therwi x ired.
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THE FOLLOWING"..\PPROV;~LS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMATIAPCD
«~"' Building Permit Application Plan Check No. GB ( lf • I O (o '3
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. Deposit.
www.carlsbadca.gov Date ii I t 8 I 1 '-I \SWPPP
,,uB ADDRESS Av::, SUITEf/SPACEI/UNITI IAPN ---~r"""'-rj--/'><!!) c.:
CT;t'Ru;ECT # I LOT# PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR.TYPE I DCC.GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) e b.. +r-'-c..r.>.L-p Me. I vpe3rAde.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so No[] YES[]No[J YES[JNo[J
APPLICANT NAME . ~Z'.!o~~':.u 1'i n'ThJJ Primary Contact
ADDRESS / AD/~ESS ,--+ g',:i ' . A.t /€., •
CITY STATE ZIP Clri I\ -1 ~t-A ,_I CAE c/lP >fr o,.00
PHONE IFAX PT~ ~3 -;:>07q IFAX '
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
I STATE UC.# STATE UC.# I CLASS I CITY BUS. UC.#
{Sec. 7031.5 Business and Professions Code: Any Crty or County which requires a permit to.construct alter, improve, demolish or repair an~ structure, pnor 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 LawJChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation 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}).
WORl<ERS' COMPENSATION
Wori<ers' Compensation Declaration: I hareby affirm under penalty of perjury one of the following declarations:
8 I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormanc:e of the work for which this pemiit is issued.
I have and will maintain wori<ers' comi:iensatlon, as required bv Section 3700 of the Labor Code, for the performaoce of the work for which this permit is issued. My workers' compensation insuranc:e carrier and policy
number are: losurance Co. Policy No. Expiration Date----------
~sectioo oeed oot be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfomiance of the work for whicli this pemiit is issued, I shall not employ aoy person io any maoner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wori<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees .
.6$ CONTRACTOR SIGNATURE DATE
I hereby affirm that I am exempt from Contractor's license Law for the following reason:
"17', I, as owner of the property or my employees with wages as their sole compensatkln, 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 himselt" or through his own employees, provided that such improvements are riot intended or offered for
sale. If, however, the building or improvement is sold within Ol'\0 year of completion. the owoor-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D
D
I, as owner of the property, am exclllsively 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, ana contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business ar,d Professions Code for this reason:
1. I personally plan to provide the major labor and materials for constrlJC!ion of the proposed property improvemeot. 0Yes 0No
2. I (have I have not) signed an application for a bllildiog permit for the proposed work
3. I have contracted with the followif\Q person {fimi) to provide the proposed construction (include name address I phor.e 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 cont d (hired) the wing persons to provide the work indicated (include name t address I phone I type of wor'K):
0AGENT DATE -/3 -0 }L./
I
I
0
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant reqt1irecl 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 Ac(? 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 constructed wlt:hin 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 above infonnatlon Is correct.and that the infonnation on the plans Is accurate. I agree to complyYiith all Clly oldinances and State laws relating tD bull ding constructkm.
I hereby authorize representative of the City of Ca~sbad to enter upon the atove mentioned property for inspection pulJXlses. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: AA OSHA permit is requred for excavations over 5' ' p and demolltbn or constructbn of structures over 3 sk:lries fl he'Jhl.
EXPIRATION: Every J:ermit issued by the Buikling · nder the ·sons of this Cooe shall expire by !imitation a,d berome null and vod tt the buikling or'Mlrk authorized by sud\ permit is not commenced 'Mthin
100 days from the d8'3 of such permit or if the build. 'Mlrk autho · by sudl permit is suspended or abandoned at any time after the mrk is commenced for a period of 100 days (S3ctbn 106.4.4 Uniform Building C.ode).
NS APPLICANT'S SIGNA DATE -/ 3 -:2 o J '-I
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 Car1sbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CrTY 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: _______________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
•
Inspection List
Penni!#: CB141063 Type: PME
Date Inspection Item _______ _
12/03/2014 33 Service Change/Upgrade
12/03/2014 33 Service Change/Upgrade
12/03/2014 39 Final Electrical
11/04/2014 34 Rough Electric
08/06/2014 34 Rough Electric
Thursday, December 04, 2014
TIPTON: ELEC. PANEL UPGRADE
Inspector Act Comments
RI
PB AP
PB AP
PB NR
PB NR
Page 1 of 1
lfl![
• ~Sempra F.nerl)'--
Wantad Date: on Inspection
ELECTRIC OVERHEAD METER & SERVICE LOCATION
Customer Copy
Service Typo: OH Service Rewlre/RalOCl!lon
Pn,Ject No: 451885 I JobNo: 010
Pn,Ject Title: TIPTON RESIDENCE tson
Projoc:t Add1918! 1825 FOREST AV
Pn,Ject City: CARLSBAD CUIIDrner Phone #:
eontm: LOREN TIPTON Contact Phone#: 780-583-2079
D T-Conlrol Permit Roquhd
ExCMltot,,;nc,mdluent-Requflld By
Service Allaclmenl Point llldor-l.oclllon: L.oc:111 the -point ol llltlchment within 18
lnchn of the NIE conw on the Ent Will. lnltlll r1gld "'-minimum ol 2 feet above
roof 1ml meet minimum clea-11 noted below. LOClle new 200 amp meter panel
on the EAST Will at/nlll' the nit comer.
D SDG&E Appllclllon Roqond-Cal: 1-10M11-na
Mlnclpal lrmpection Requllld a, City ti C.1111111 , i
Motor heigh! -4'0' min. (3'0' mn 1ar ... -.......,1-1'3" 1111 'ifn,m -grade 1D centerllne of meter
-Metel9 1119 requhd 1D be lldJ 111 nit 211 -per.,. Ml -be localld ii a ..re .,.. ft8a of
Blff polllntlally-or ........ oandlan. ~ M XM Min lin door llld level WO!ldng """"" ii front of meter. Whole meterroomllpn,pooed, _ ........ ollce.
Moter-andmeter11MCOdllcul1--be-llor 1Dlllholt1erandbe
ldentifledwtth-and 1111llllffllll't-
-Souloe: 781-553 I S1n1:ti111 Nm Ir. P128200
PmvldeMlnlnUnGnxnla.....OI: ~ 10 FT From bottom ti dllp loop • IIIYlce 11119 point
12 FT Over dl1YIWIJ or pe!ldng-
2 FT Minimum rigid riser above n,of i ~ !.
Service Panel Rallng: 200 _., . -.): .
iofWlres: 3 -Single Vdllge: 120/240
\!tlftles Maxlnun ConlrllMlon To Flldl CUllllt 10000 Ampo
Metering: Self-contained I lor Clips: 4
Temp Service Chalge Due on F1nlt BIi $ i
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Cuetomor Typo: Rnldantlal
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Wilson
1846
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T.B. 1106-F3
Dale l'l9palod: 01/29/2014
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Addltionel lnlcrmatlon: D Right-of-way Required Asseaor's Pan:el Number.
Please call your Service Coordinator Andrew Castro at 780-476-5614 with
questions about appllcatlon, Inspection, construction Installation and to
schedule a crew.
ISDG&E ll'llllnlll hllnM•mt~wtll,erlll,qCllllllldan flyu~ SDGIE .. hll-*MMll*ly #Id lwl btJOII'
l'llllflOMllll,IIIJ1111Mlldorc:llmaptl...,.ortllllc"*lllprll:rt1SDGIE..._CDnlNIDn. 80GIEWI i.. ro llblllr'ordlllgllorl
........ 111 ..... -....... .,, ......... -...... ...., ...... cmll rlOCll'IR'UCllon ..... ltllttlOugh negllolra d 8DGIE. -------·-·"-""'""'-"~----..... IIIIIIDl'mllll''*'nllllllpomlp,lm'ID"'*• lrfomlllononflll dlll!llll lllkl N* ll) mcwe.tcwn.-. Keei,INI nolcewllh lddlng -........... ,..._. .......... ,... ..... SDGIE ....... 11111111-dlvlllorlllablln
-. LOIS A HIGGINS Tele!)hone: 7611-478-5813