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2283 CAMEO RD; ; CB091942; Permit
11-18-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB091942 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2283 CAMEO RD CBAD ELEC 1670801900 Lot# WALSH INCREASE FROM 100 T0125 AMPS Status Applied Entered By Plan Approved Issued Inspect Area Applicant QUALIFIED ELECTRIC PO BOX 713 92079 760-579-8241 Owner WALSH ROBERT J JR 2283 CAMEO RD CARLSBAD CA 92008 ISSUED 11/18/2009 JMA 11/18/2009 11/18/2009 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees 25 0 0 0 $1000 $625 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2625 Total Fees $26 25 Total Payments To Date $26 25 Balance Due $000 /L J_ Inspector^ FINAL APPR // "7Date / f ^_L 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 given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired ^5? CITY OF CARLSBAD Building Permit A| 1635 Faraday Ave , Carlsba 760-602-2717/2718 Fax 760-602-85 www carlsbadca t JOB ADDRESS /, , __ j\ .. ^ 2-Z83 £fl~i&0 #/>. cnfr(£tofo CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS Qolination P'anCheckNo. O&O^ K^Z.ppiicacion d, CA 92008 Est. Value / 2/iy58 Plan Ck Deposit ** Date i\l i el 01 O^wr SUITE»/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WOBK /nc/ude Square Feet of Affected Area(s) 7 I/ / (">&-A( u £ £ tf-V1^ \*00 n^i &l—&£--T/£-'J^£-rfL. WfeTE^/-? ^rfi(Jt2L TO A 9 \1£ fl*f tLttTft-pctfL MBTV/£ tf?A/£L EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE PHONE FAX EMAIL ZIP PROPERTY OWNER NAME ADDRESS CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES O NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS NAME £\ ., -'A - — .x? ADDRESS A SI /\P- °- fox >/ J CITY i STATE ZIP PHO?)t<5)r7^-f27t/ FAX EMAIL / i . 1 ft l& <3 0(/<3-&(&y\a'J~ plenty /'> ^-O1^! STATE LIC # ^ J ^if CLASS | CITY BUS LIC It , (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 pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicacivil penalty of not more than five hundred dollars ($500))5 by any applicant for a permit subjects the applicant to a Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations G I 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 the work for which this permit is issued L"D 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 earner and policy number are Insurance Co _ Policy No _ Expiration Date _ The section need not be completed if the permit is for one hundred dollars ($100) or less 0[ Certificate of Exemption I certify that in the performance of the 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 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), m addition to the cost of compensation, damages.as4rovided for in Section 3706 of the Labor code, interest and attorney's fees gAGENT DATE / /-CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor s License Law for the following reason a 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) G 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 contractors) licensed pursuant to the Contractor's License Law) D 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 a Yes O No 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 proposed construction (include name address / phone / 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 / address / phone / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) PROPERTY OWNER SIGNATURE OAGENT DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the1 Presley-Tanner Hazardous Substance Account Act' d Yes d No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' d Yes d No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 d Yes d No IF ANY OF THE ANSWERS ARE YES, t 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 that the above information is correct and that the information on the 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 Carlsbad to enter upon the above mentioned property for inspecton 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 permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones m height. EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit G not commenced within ) APPLICANTS SIGNATURE DATE I (-If CITY OF CARLSBAD STORM WATER COMPLIANCE EXEMPTION B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www carlsbadca gov I am applying to the City of Carlsbad for the following type(s) of construction permit ^1 Building Permit B Right-of-Way Permit Q My project is categoribally EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria U My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tierl - Low Threat Assessment Criteria U My project does not meet any of the Significant or Moderate Threat cntena, is not an exempt permit type (See list above) and the project meets one or more of the following cntena • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 - Moderate Threat Assessment Cntena Q My project does not meet any of the Significant Threat assessment Cntena descnbed below and meets one or more of the following cntena • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 1516 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following cntena • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 honzontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through Apnl 30) TierS • Significant Threat Assessment Criteria Q My project includes cleanng, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to Citv Standards 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Cntena in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted B-24 Page 1 of 1 Rev 03/09 City of Carlsbad Bldg Inspection Request For 11/23/2009 Permit# CB091942 Title WALSH INCREASE FROM 100 TO125 Description AMPS 2283 CAMEO RD Lot Type ELEC Sub Type Job Address Suite Location OWNER WALSH ROBERT J JR Owner WALSH ROBERT J JR Remarks Inspector Assignment Phone 7605798241 Inspect Total Time CD Description 33 Service Change/Upgrade Act Comments Comments/Notices/Holds Requested By ROBERT Entered By JANEAN Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ELECTRIC UNDERGROUND METER & SERVICE LOCATION Customer Copy A Sempra Energy utility' Wanted Date ON CITY INSPECTION T.B. 1106-H5 Service Type UGRewIre (no trenching) PI Traffic Control Permit Required Excavation/Encroachment Permits Required By Project No 956999 Job No 010 Project Title NJEGOVEC, ROBERT (SOT-NP) Project Address 2283 CAMEO RD Project City CARLSBAD Contact ROBERT NJEGOVEC Customer Phone # Contact Phone # 760-579-8241 Service Attachment Point and/or Meter Location Install H6W 125 amp meter panel at existing location over existing conduit and service conductors. Uolnt meet required prior to start up construction. Cit BUILD D SDG&E Application Required - Call Municipal Inspection Required By City Of Carlsbad Meter height - 4'0* mln - 6'3" max From finish grade to centerllne 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. Minimum 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. PROCEDURE FOR INSTALLATION 1 PHONE DIG ALERT 1-800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES 2 Phone SDG&E at 760-476-5611 for the following • 3 working days prior to trenching to arrange 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 written approval to backfill • When trench is backfilled and compacted, CALL FOR INSPECTION • If service entrance equipment Is Installed after backfill, CALL FOR INSPECTION OF THE EQUIPMENT 3 Meter cannot be set until inspector has approved installation, Including service equipment and receipt of city/county/state inspection clearance Power Source 303-464 Structure Number D3539967295 Joint Trench with Handhote Installed by Standards Page #Handhote Lid Shall Read Ladder Arms Stop Trench frompote Riser Quad Bend Installed by Type Conduit Installed by Conduit Size Servise Panel Rating 125 Number/Size of Main Switch 1 @ 125 AMP Voltage 120/240 # of Wires 3 Phase Single Utilities Maximum Contribution to Fault Current 10000 Amps Meterjna Self-Contained Temp Service Charge Due on First Bill $ Meter Clips 4 Customer Type Residential Date Prepared 11/12/2009 NEW 125 A METER PAN CONNECT/RECONNECT Additional Information D Right-of-way Required Assessor's Parcel Number Please call your Service Coordinator Wendy Jensen at 760-476-5611 wtth questions about application, Inspection, construction Installation and to schedule a crew To minimize the electrical outage, you are advised to schedule a morning disconnect wrm an afternoon reconnect There Is no charge for this service Before you change out your meter consider (1) SDG&E needs 5 working days advance notice to schedule a crew and (2) SDG&E will not reconnect the service without municipal approval on the new panel. Please contact the City/County regarding permits and Inspections If SDG&E encounter hazardous or toxic material white performing construction of your project, SDG4E win hatt wort Immetfatery and It win be your responsibility to remove andtor dean up aB hazardous or toxic material prior to SDG4E continuing construction SDG&E thai have no DaMity or oMgaflon•hatsoevertoclesnup remove or remediate any hazardous or toxic materials discovered during the course of construction uitestt Is through negBgera* of CustOTW-o«t^fa3B^treato«te!rtcalttrramw BuMtoo addre^andtorneter base must be posted prior to meter set Information on this theet is void after six (6) months from date Keep this notice wWi Dutttngpcfmrt. Planner KIM MAGEO Telephone 760-476-5612 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs Contractors State License Board^ii/ Contractor's License Detail - License # 842555 ' ' ' DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be aware of the following limitations '-' CSLB complaint disclosure is restricted by law (B&P..7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information ?> Per BSP._7071 17, only construction related civil judgments reported to the CSLB are disclosed - Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration >^ Due to workload, there may be relevant information that has not yet been entered onto the Board's license database License Number 842555 Extract Date 11/18/2009 Business Information Entity Issue Date Expire Date QUALIFIED ELECTRIC PO BOX 713 SAN MARCOS, CA 92079 Business Phone Number (760^579-8241 Sole Ownership 07/13/2004_ 07/31/2010 License Status Classifications Bonding This license is current and active All information below should be reviewed CLASS DESCRIPTION C10 ELECTRICAL CONTRACTOR'S BOND This license filed Contractor's Bond number SC1042841 in the amount of $12,500 with the bonding company AMERICAN.CONTRACTORSINDEMNIJY.CQIVIPANY Effective Date 03/02/2009 Contractor's.Bonding History Workers' Compensation This license is exempt from having workers compensation insurance, they certified that they have no employees at this time Effective Date 06/21/2004 Expire Date None Personnel List Conditions...pfJJse | Privacy Policy Copyright © 2009 State of California https //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 11/18/2009