HomeMy WebLinkAbout2110 BASSWOOD AVE; ; CB142796; Permit10-20-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electricai (PME) Permit
Permit No: CB142796
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2110 BASSWOOD AV CBAD
PME
1671303700 Lot #:
BERTRAND RES - INSTALL NEW 200
AMP METER PANEL AT EXISTING LOCATION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/20/2014
SKS
10/20/2014
10/20/2014
Applicant:
BERTRAND MICHAEL A&JOYCE
Owner:
BERTRAND MICHAEL A&JOYCE
2110 BASSWOOD AVE
CARLSBAD CA 92008
760-889-1450
2110 BASSWOOD AVE
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$160.00
$0.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: /^r^V/ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 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 Govemment 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 thaf procedure wilt 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; DPLANNING •ENGINEERING Q BUILDING [ jFIRE JHEALTH IUHAZMAT/APCD
1 City Of
Carlsbad
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov ^
www.carlsbadca.gov ^U-y
Plan Check No^^^ / ^V^^ff
Est. Value
Plan Ck. Deposit
Date iDrZ^/^ SWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~1# N0| I
AIR CONDITIONING
YES I^NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAIVIE
Primary Contact
PROPERTY OWNER
ADDRESS ADDRESS
CITY STATE ZIP CITY/) \ STATr ZIP
PHONE FAX PHONE
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAIVIE
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE
EMAIL
CLASS CITY BUS. LIC.#
(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 pursuantto 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 affirm under penalty of peijury one ofthe following declarations:
BI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tlie work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Ceitificate of Exemption; I certify that in the performance of the work for which (his pemiit is issued, I shall nol employ any person in any manner so as (o become subjeci (o the Workers' Compensalion Laws of
Califomia. WARNING: Failure to secure 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 compensaUon, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE
/ hereby affinn that I am exempf from Confractor's License Law for the following reason.
I I 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 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. 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).
'Ss^owner of the property, am exclusively contracting with licensed contractors to constmct 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).
am exempt under Section _ .Business and Piofessions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, ^^^s I INO
2.1 (have / have not) signed an application for a building permit for the proposed work
3.1 have contracted with the following person (firm) to provide the pnjposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have Wfe3lbe following person to coffrati^te, supervise and provide the major wori< (include name / address / phone / contractors' license number):
5.1 will provide some of the work, buti have cpBtracted (h jed) tl^^follpwing pereons to pqovide the w^ indicated (include name / address / phone / type of work):
ygfpROPERTY OWNER SIGNATURE^ •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazanjous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 ( _.
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 constaicted 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 pennit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I ceit'lythati have lead ttie application and state thatttie above infomiation is conectand thatthe infbmnation on ttie plans is accuiate. I agiee to comply wi^
I hereby authorize representative ofthe City ot Carlsbad to enter upon the above mentioned property tor inspection purposes. 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemi is required for excavations over 5'0' deep and demolitton or constnjction of stmctures over 3 stories in heght.
EXPIRATION: Every permit issued by the Building Officlatynder the provistons of this Code shall expire by limitatton and become null and void if the buikjing or work authorized by such pemiit is not commenced within
180 days from the date of such pem^iorif the building rfr vwk authorized by such (Anit is suspende^^I^andoned at any time after the work is commenced for a period of 180 days (Sectton 106,4.4 Unifomn Building Code).
^APPLICANT'S SIGNATURE
i J
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 buildina(5)carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: 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
>e'APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB142796 Type: PME BERTRAND RES • INSTALL NEW 200
AMP METER PANEL AT EXISTING LOCAT
Date Inspection Item Inspector Act Comments
12/10/2014 33 Service Change/Upgrade PB AP
12/10/2014 39 Final Electrical PB AP
Friday, May 01, 2015 Page 1 of 1
New 200 Amp
meter panel at
existing location
p-12-ioe
III (760) 476-5614
to scliecJule a
Disconnect/Reconnect
RECEfVED
OCT 20 2014
T81-693
Job Notification # Date: 10/16/2014
300000018564
Planner Name: Planner Phone:
Andre Arellano 760-476-5612
Construction Contact: Construction Phone:
Andrew Castro 760-476-5614
Customer Name: Customer Phone:
Michael Bertrand 760-889-1450
Ca/I 811: Tm WbrkMg Days Before
SDGf
t0tomiecM SDGf
A J^Sempra Energy utjuty"
HEAD METER & SERVICE LOCATION
Customer Copy
Wotification #. 300000018564
Wanted Date:
Customer Type: Resident)al(1-2 Units)
Job#: TB; 1106-G4
Date Prepared: 10/16/2014
r Service Type: OH SERVICE REWIRE/RELOCATION
project Title: BERTRAND RESIDENCE (SOT)
Project Address: 2110 BASSWOOD AVE Project City: CARLSBAD
Additional Address Info:
Customer POC: Mictiad Bertrand
SDGE Contact Service Coordinator
Q Traffic Control Pernilt Required
Customer Phone #: 760-889-1450
Contact Info:,
• 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 $ 0.00
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
Customer to Install new 200-amp meter panel at the existing location. Customer Must Install New Rigid Riser within 18-inches of the
northeast comer of house and a minimum of 2-feet above roof Meet minimum clearances as noted below. Call Andrew at 760-476-5614 to
schedule a moming disconnect with afternoon reconnect provided that the City releases inspection to SDG&E by 2:00 PM on the sanne
day the crew is scheduled. To avoid delays with reconnection, your permit should read (Customer Outage Involved).
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
_2_ Ft Minimum rigid riser above roof
18_ Ft OVER CENTER OF ROAD
Service Panel Rating: 200
# of Wires: 3 Phase: 1
Number/Size of Main Switch: 1@200 Voltage: 120/240
Utilities Maximum Contribution to Fault Cun'ent 10000
Metering: Self-Contained Meter Clips: 4
Meter height - 4'0" min. (3'0" min. for multiple installation) - 6'3" max. From finish grade to centeriine 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 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 identified with address
and unit number it serves.
Additional Information: D R'9ht of Way Required Assessor's Parcel Number.
Please call your Service Coordinator at with questions about application, Inspection, construction installation and to schedule a crew.
Please call your Service Coordinator Andrew Castro at 760-476-5614 with questions about inspection, construction installation and to
schedule a crew. To minimize the electrical outage, you are advised to schedule a moming disconnect with an afternoon reconnect.
There is no charge for this service. Before you change out your meter consider SDG&E wiil not reconnect the service without
nrunicipal approval on the new panel. Please contact the City regarding pemnits and inspections. City 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 worit 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 Califomia 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 buiiding permit
All installations performed under this order must meet SDG&E standards unless a written deviation has been approved.
Planned By: Andre Arellano Phone* 7604765612