HomeMy WebLinkAbout1840 OUTRIGGER LN; MP; CB161906; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-16-2016 Permit No: CB161906
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1840 OUTRIGGER LN CBAD St: MP
PME
0000000000 Lot#:
REPLACE EXIST PEDESTAL W/NEW
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
100 AMP STAINLESS STEEL METERED PEDESTAL-SAME LOCATION-FOR
IRRIGATION/LIGHTING
Applicant:
THREE PHASE ELECTRIC
737 S VINEWOOD ST
ESCONDIDO CA 92029
760-781-1100
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
ISSUED
05/16/2016
RMA
05/16/2016
05/16/2016
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date ~ -Z7-th Clearance:
$0.00
NJTICE: Aeaseta<e NJTICE that~ cl you-J>tject irdudes tre "lrrposilioo' cl fees, declcaioos reseMlions, or dte" exactions hereafter rolecovely
relem!d to as "fees/exactions." You have 00 days from the dale ttis penrit ""5 issced to praest irrposilioo cl these fees/exactioos If you praest trern you rrust
follo.vtre praest procm.res set forth in Q>/enrerl Code Sectioo ooml(a), ard lie tre praest ard acy ether recµred irtometioo wth the aty Mr,ager for
process;rg in a:mrdalre\Mth Ca1sba::l MJndpal Code Section 3.32.030. Faliretotirreyfollo.vtha proa,durewll bar acy SLllsecµllt legal action to att~
review, set aside, void, rx aru their irrposition.
You are rereu,, FI..RT1-ER NJTIFIEDtrat you-rigtl to praest the speciied fees/exactioos oces 00T !'PPL Yto ,.;ter ard sew,r oorrectioo -ard ~
daiges, nor plmrg, zmrg, ga:lrg or ether ~rrila" appic:atioo processirg or seNice -in oorrectioo 1Mth ttis J>tject. t-.cR oces IT !'PPL Y to acy
THE FOLLOWING APPROVAl.S REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE 0HEA1.TH 0 HAZMAT/APCD
( City of Building Permit Application Plan Check No.~) 1,/ f't?' ,b
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value .
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov !JlJ-
www.carlsbadca.gov f-t>ate ,, / //, // L ISWPPP
JOB ADDRESS 1840 Outrigger Lane-e& ~I SUITEt/SPACH/UN■v rPN .
---
CT/PROJEt:T # 'LOT# I PHA.'iE # I# OF UNITS I BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing rusted 100 amp electric meter pedestal with a new stainless steel pedestal -like for like
/11 t1":..1J/C,i,-t
EXISTING USE I PROPOSED USE GARAGE (SF) PA TlOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
irrigation and lighting same YES0, NcCJ YES □No □ YES □No□
APPLICANT NAME Brendon Lombardi PROPERTY OWNER NAME Laguna Del Mar HOA Prine · ,.. _ _. _ _..
ADDRESS ADDRESS
737 South Vinewood Street 5050 Avenida Encinas, Suite 160
CITY STATE ZIP CITY STATE ZIP
Escondido CA 92029 Carlsbad CA 92008
PHONE IFAX PHONE IFAX 760-781-1100 760-781-1188 877-587-9844
EMAIL EMAIL
Brendontiilhoalighting.com
DESIGN PROFESSIONAL N/A CONTRACTOR BUS. NAME Three Phase Electric. Inc.
ADDRESS ADDRESS 737 South Vinewood Street
CITY STATE ZIP CITY STATE ZIP
Escondido CA 92029
PHONE I FAX PHONE IFAX 760-781-1100 760-781-1188
EMAIL EMAIL
Brendontiilhoalightign.com l STATE UC.# STATE UC.# ICLASSC-10 lc'7J't/ /L' -7 r, 599757 -(Sec~ 7031.5 Busmess and Professions Code: Any Ctty or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the apphcant for such permit to file a signed statement that he is hcensed 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 exems;,t 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 penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ci the following declarations: D I have and will maintain a certificate of content to telf-inture for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IZJ I have and will maintain workert' compen1atlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuranoo carrier and policy
number are: Insurance Co. State Compentation Insurance Fund Policy No. 9138254 Expiration Date 712412016
~section need not be completed if the permit is for one ndred dollars $1 ) or less. LJ Certificate of Exemption: I certify that in the perfo th for hich 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: Failure to teeure workert' ra 11 unlawful, and shall subject an employer to criminal penalUet and clvtl fine, up to one hundred thousand d(Hlart (&100,000), in
addition to the colt of compensation, damages 11 p 3708 of the Labor code, ln,terelt and attorney's fees.
~ CONTRACTOR SIGNATURE ~
/ hereby affirm that I am exempt from Contractor's Ucent Law for the following 1'88son: D I, as owner of the property or my employees with ages 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 or Improves thereon, and who does such work himself or through his own employees, provkled that such Improvements are not intended or offered for
sale. If, however, the building or improvement Is sold within one year of complebon, 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 properly, 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 buikls or improves thereon, and contracts for soch 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 pro~sed 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 (firm) to provide the pro~sed construcUon (include name address I phone/ contractors' license number):
4. I plan to provide fnrtlons 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 l have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE DATE
COMP LE T,E TH IS S EC TIO N FOR NON• RES I DENT I AL 8 U IL DING P ERM IT$ 0 N LY
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 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 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 JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there IS a construction lending agency for the performance of the work this penmt 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above lnfonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all Ctty ordinances and State lmw relating to building construction.
I he<eby au~Olize represenlalive of lhe City of Carlsbad ID enler upon "'1 •""'1/ ""Fed property for inspection purposes. I ALSO AGREE TO SAVE, INDEf.tllFY AND KEEP HARl,USS THE CITY OF CARLSBAD
AGAINST ALL LU\BILITIES, JUDGMEt-lTS, COSTS AN XPEN ES IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRAt-lTING OF THIS PERMIT.
OSHA: An OSHA permit is requi'ed for excavations ' d nd .,. :·-,r··: R construction of structures over 3 stories in hE!ghl
EXPIRATION: Eve1y pennit issued by ~e Bui~n,g I undO' p o Code shall expire by imnation and become nul 111d void llhe bui~ng or work aulhorized by such pennit o nol coomenced within
180 days from lhe dale of such permit or I lhe bui<f work ,Jt,oii,jl.d \I j,u~81milt • suspended or abandooed at 111y time aller ~• work • conwr,nced for a peood of 180 days (Sedion 106.4.4 Unloon Bui~ng Code).
,6$ APPLICANT'S SIGNATURE ~· DATE ~ -1 ~ -10
Inspection List
Permit#: CB161906 Type: PME
Date Inspection lteJTl
05/27/2016 32 Const. Service/Agricultural
05/27/2016 32 Const. Service/Agricultural
05/27/2016 39 Final Electrical
05/27/2016 39 Final Electrical
Inspector
PB
PB
Act
RI
AP
RI
AP
REPLACE EXIST PEDESTAL W/NEW
100 AMP STAINLESS STEEL METERED P
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