HomeMy WebLinkAbout1950 CALLE BARCELONA; TP; CB140182; Permit01-23-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB140182
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1950 CALLE BARCELONA CBAD St TP
PME
2550121500 Lot#
LA COSTA GLEN-TEMP POWER POLE
100 AMP- FOR FUTURE CONSTRUCTION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
01/23/2014
RMA
01/23/2014
01/23/2014
Applicant
UNITED SITE SERVICES
Owner
CONTINUING LIFE COMMUNITIES CMC LLC
200 FRIBERG PKWY
WESTBOROUGH MA 01581
508 594-2562
1940 LEVANTE ST
CARLSBAD CA 92009
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$158 00
$0 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00
Inspecto
FINAL APPROVAL
Date A;?g?-// Clearance
NOTICE Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed 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 vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE nPLANNING •ENGINEERING lUILDING •FIRE • HAZMAT/APCD
CARLSBAD
CITY OF
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
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS /\ , , /TN
\q<oO CWlk I3cr
SUITE#/SPACE#/UNIT# APN
CT/PROJECT # L0T# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
a
EXISTING USE PROPOSED U GARAGE (SF)
ry Contact; A ^ ^ , fj^
PATIOS (SF) DECKS (SF) FIREPLACE
YES I |# NOj I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANTNAME (Prima APPLICANT NAIVIE (Secafidary Contact)
ADDRESS
^.1
R5>0 U rCHUJi) ATOL
7^ t RTATF t^ qrarp CITY / /ry STATE ZIP
[FAX
^'^vO f) SlKiE ZIP
PHONE PHONE
EMAIL
An ^ fc. PROPERTY OWNER NAME CONTRACTOR BUS NAM ti n:-ted
ADDRESS ADDRESS
CITY, ( STATE J
PHONE ^ I FAX
CITY STATE ZIP
PHONE FAX rnA
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS CLASS
C TO
CITY BUS LIC#
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construcL alter, improve, demolish or repair any structure, pnor to its issuance, also requires the
applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe
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 a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affinn under penalty of perjury one ofthe following declarations
[Zllhj>
L^l have and will maintain workers' compensation as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued My workers' compensation insurance camer and policy
• number are Insurance Co _ SOL ^4-^ i-f c -Ut^&L ( Policy No /_ P SWO ^ 7" O Expiration Date \ ) ^/>
• iha vrand will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued
I have and will maintain workers' compensation as required by Section 3700 of I
• number are Insurance Co _
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate of Exemption I certify that in the pejJofttlSnce oflthe work for which this pemiit^sjssued, I shall not employ any person in any manner so as to become sub|ect to the Workers' Compensation Laws of
California WARNING Failure to secure wQi:k£rs' compensnion coverage is unlawfujMind shaltvsubject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dapr^es as pro^|)^for in Section 3706 of {hejubor co^ interest and attomey's fees
JSS CONTRACTOR SIGNATURE GENT DATE
I hereby affinn that I am exempt from Contractor's License Law for the foilowing reason
I I 1, 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 or improves thereon, and who does such worit 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-builder will have the burden of proving that he did not build or improve for the purpose of sale)
I I I, as owner of the property, am exclusively contractng 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)
I I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Qves I iNo
2 I (have / have not) signed an application for a building perniit for the proposed work
3 I have contracted with the foilowing person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number)
4 1 plan to provide portions of the work but I have hired the following person to coordinate, supen/ise and provide the major woA (include name / address / phone / contractors' license number)
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the wort indicated (include name / address / phone / type of worts)
yfiTpROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a busing plan, acutely hazaidous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP .'i No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP . 'Ves '- 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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 , ' Lender's Address
I certify that I have read the application and state thatthe above infonnation is conect and ttiat the infonnaton on ttie plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carisbad to enter upon the above mentioned praperty for inspecton purposes 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 PERMFT
OSHA An OSHA pemnit is required for excavatons over 5'0' deep and demolition orconstmction of stnjctures over 3 stones in height
EXPIRATION Every pemiit issued by the Building5)flicial under the provisions of tjiis'Code stiall expire by limitation and become null and void if the building or vicrk authonzed by such pemnit is not commenced within
180 days from the date of such pemnit or^if the buimg or work authonzed by sudimemnit is suspended or abandoned at any tme after the vrork is commenced Ibr a penod of 180 days (Section 106 4 4 Unifonn Building Code)
vfiTAPPLICANT'S SIGNATURE/^ ifjj^^^- ^ J ' • 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 buildlnaiScarlsbadca.QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
' PICKUP: CONTACT (Listed above) ' OCCUPANT (Listed above)
, CONTRACTOR (On Pg 1)
IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
, CONTRACTOR (On Pg 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permlt#: CB140182 Type: PME LA COSTA GLEN-TEMP POWER POLE
100 AMP- FOR FUTURE CONSTRUCTION
Date Inspection Item Inspector Act Comments
01/29/2014 32 Const Service/Agricultural - Rl JOB CARD WILL BE THERE THIS TIME
01/29/2014 32 Const Service/Agncultural PB AP
01/28/2014 32 Const Service/Agncultural - Rl
01/28/2014 32 Const Service/Agncultural PB NR
01/27/2014 32 Const Service/Agncultural - Rl
01/27/2014 32 Const Service/Agncultural PB NR
Tfiursday, January 30, 2014 Page 1 of 1
SDGl
* j^]?Sempra Energy utinty"
ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Customer Copy
Wanted Date ON INSPECTION Service Type UG Service Temporary
Project No: 450863 Job No- 010
ProjectTite: R D OLSON CONSTRUCTION (SOT)
Project Address- 1950 CALLE BARCELONA TP
Project City: CARLSBAD
Contact PAULSENELT
Customer Phone #•
Contact Phone*. 949-678-5559
D Traffic Control Permit Required. Excavafon/Encroactiment Permits Required By Customer
Service Attachment Point and/or fileter Location: Locate 100-amp temporary meter
pole/pedestal within 10 feet of transformer D144814. PRE-IVIEET REQUIRED
WITH SDG&E TRENCH iNSPECTOR PRIOR TO TRENCHING. Customer to
provide all trencli, excavation, 2-incli conduit, backfill, compaction and 3/4"
pulling and measuring tape from transformer to meter panel. Customer to
trench to right corner of transformer pad, SDG&E to install customer-provided
sv/eep into transformer. If selected, Customer assumes responsibility for
condition of existing stubs. NOTE: If on private property, acquire permission.
Temporary fee of $971.00 will appear on first month's bill.
I SDG&E Application Required - Call- 1 -800-411 -7343
iviunicipal Inspection Required By City of Carlsbad
Meter height - 4'0" mm P'O" mm for multiple meter installation) - 6'3' max From finish grade to centeriine of meter base Meters are
required to tie readily accessible 24 houis per day. Meters must be located in a safe area free of any potentially hazardous or
dangerous condition Provide 3-fl X 3-fl Minimum clear and level woridng 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 identrfied with address
and unit number it serves.
PROCEDURE FOR INSTALLATION
1 PHONE DIG ALERT 1 -800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION
OF UNDERGROUND UTILmES.
2 Phone SDG&E at 760-476-5611 for the following:
• 3 wori<ing days pnor to trenching to anange pre-meet with inspector and initiate trenching process
• After excavation of trench, installation of conduit and service entrance equipment at meter location, CALL
FOR INSPECTION. Do not cover conduit without inspector's wntten approval to twckfill
• When trench is backfilled and compacted, CALL FOR If^SPECTlON.
• If sewice entrance equipment is installed after backfili, CALL FOR INSPECTION OF THE EQUIPfi^ENT.
3. Ivleler cannot be set unti inspector has approved installaton, including service equipment, and receipt of
city/county/state inspection clearance.
Power Source: 752-681 Stnjcture Number Dl 44814
Joint Trench with: Electric Only Handhole Installed by
Bend Installed by: Customer Type Transformer 3" 90 Deg 36"R DB60
Conduit Installed by Customer Conduit Size- 1 - DBS"
Service Panel Rating 100 Number/Sizeof Mam Switch. 1/100 Voltage 120/208
# of Wires 4 Phase- Three Utilites Maximum Contnbution to Fault Cunent 42000 Amps
Metenng Self-Contained, Test Bypass Facilities Rqrd Meter Clips- 7
Temp Service Charge Due on First Bill $ 971
CustomerType Commercial
T.B. C
1147-Ri
t
N
"^te^^pared. 01/22/2014
TEMPORARY POWER
1950 CALLE BARCELONA TP
CUSTOMER TOi ,13 ^^4>V /
PRCMDE TReiCH & '\ K'^ '
CONDUIT ^ I ^ !
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Additonal Infomiafion: • Riglnt-of-way Required Assessor's Parcel Number
Please call your Service Coordinator Wendy Jensen at 760-476-5611 with
questions about application, inspection, construction instaiiation and to
schedule a crew.
CQ
If SDGiE encounters hazardous or toxic matenal vdiile peifomiing construdion of your project SDG&E will halt woiii immediately and it will tie your
responsibility to remove and/or dean up all hazardous or tOMC matenal prior to SDGiE continuing conslnjction SDGiE shall have no liability or obligation
whatsoever to dean up, remove or remediate any hazanJous or toxic matenals discovered dunng ttie courae of constiucton unless it is through negligence of
SDG4E.
Customerowned faciTilies to receive electncal service are subject to all applicable local and state of CaTifomia inspection authority reiiijirements Building
address and/Or meter base must be posted pnor to meter set Information on this sheet B void after six (6) monttis from date Keep this notce vnth building
pennit
All installations perfiatried under this order must meet SDG4E standards unless a wntlen deviaton has been approved
Planner AMY P MCBROOM Telephone 760-476-5610