HomeMy WebLinkAbout2397 Appian Rd; ; CBR2018-0531; Permit(City of
Carlsbad
Residential Permit
Print Date: 03/21/2018 Permit No: CBR2018-0531
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2397 Appian Rd
BLDG-Residential
1673820100
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: LINDBERG: 125A PANEL UPGRADE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
ELAINE N LINDBERG
2397 Appian Rd
CARLSBAO, CA 92010
Total Payments To Date:
P/M/E
$170.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
lnspection:
Contractor:
WHEYLAND ELECTRIC
325 Chinquapin Ave
Carlsbad, CA 92008-7416
858-663-5564
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition'' of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired.
Closed -Finaled
03/05/2018
03/05/2018
AKrog
3/21/2018 10:46:31AM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
,·(,city of Building Permit Application Plan Check No. Q.btl:2.D\8" -· D 5 D I
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 78CMION719 Fax: 760-602-8558
email: building@carlsbadca.gov Plan Ck. Deposit Carlsbad ------www.carlsbadca.gov Date 3 -~)-1Q,
JOB ADDRESS {2.00. d
SUITE#/SPACE#/UNIT# IAPN ---2"?:,q1 A ff;Cf.,n
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT-BUS1NfSS-NAME ltoNSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 10\V\Q,\ 0 f '3' vi:lck.-'25 A
EXISTING USE IPROi-i~E I GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS Io 6 YES D # __ NOD YES D NOD YES D NOD
APPLICANT NAME (Primary Contact) 'II M 1N\.ctlcJ l;'itt!-W h<Mi,,/lcJ&ic PROPERTY OWNER NAME -S lcti ft€, L', VI <~¥'QY<1 ' --ADDR·§5··--• ' AobREss ~
~ ?_<, tw wrvc.p/n lh!eVW-L -Z...2:, qt /i-f'f\' C:t Vt ¥'.ta~
CITY Cu, v l ,sk:i,4 d STATE Cl+ ZIP q-i,~ c1TY Ca r-gba.J STATE CA ZIP
-IFAX
-·· -PHONE to5 l/J 2SL/ -B, 7::> '1-I FAX PHONE 0S'o -:z,3 7 '87 ii .. --~-
EMAIL \~~j) vV V' tv/ I c, vi Je / ,ec_ fvi (I_ , co Wt EMAIL
DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME \J'llt,~ l(lv1 d fAecf-v,C --~ ADDRESS ADDRESS 31, S CMi vii/cv(J/11 ~
I----·-C/W08
---
CITY STATE ZIP CITY CrJvl l,s \Xtd ATE Cit ZIP
~.
I FAX BS1:i "l~C( ~:]-IFAX PHONE PHONE
--------EMAIL EMAIL Iv'\ (o @_ vl ~ lt;iy1JeJe(',ty){ , C OY1'1
I STATE UC.* STATE LIC.# (;,-\0 qt.lv2/i( l'~-\0 ICITYBUSLl'i-z.110,31-j
(Sec: 7031.5 Business ~nd P_rofes~1ons Code: Any City or Cqun_ty which requires a permit to.construct, alter, improve, qemolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 70_00 of Division 3 of the B_usmess and Professions Code} or that he 1s exem_P.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/ararions:
0 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.
0 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-----------
is section need not be completed if the permit is for one hundred dollars ($100) or less
ertificate 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
alifornia. WARNING: Failure lo secure workers' mpensation 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, d as provided for{' Section 3706 of the Labor code, interest and attorney's fees.
,@S' CONTRACTOR SIGNATURE Ce" ~ OAGENT DATE 3 / 5 I L () I 8
-=~ ""~
OWNER-BUILDER DECLARATION ,,
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D 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).
D 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 contractor(s) 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 conslrucLion of the proposed property improvement. D Yes D No
2. I (have I 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 I phone 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 contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
,A$ PROPERTY OWNER SIGNATURE DA GENT DATE
' ' '
l~ 0 M P L E T E T H I S S E C T I O N F O R N O N • R E $ I D E N T I A L B U I L D I N G P E R M I T S O N L Y
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? O Yes O 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 lo be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 rorrect and that the infonnatlon on the plans Is accurate. I agree to oomplywith all City ordinances and State laws relating to bulldlng ronstruction.
thereby authorize representative of the City of Cartsbad to enter upon the above mentioned properly for inspection purposes. t 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 PERMrr.
OSHA: All OSHA permit is required for excavations over5'0' deep and demolition or construction of strucb.Jres over 3 stories in heght.
EXPIRATION: Every pelTTlit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void W the building or work authorized by such permit is not commenced within
180 days from the date of such permit or f the bui~z by such permit is sus ded or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
~APPLICANT'SSIGNATURE V c:::.-r DATE ~ / 5' / ·2 o I <c3
'
PERMIT INSPECTION HISTORY REPORT (CBR2018:.0531)
Permit Type: BLDG-Residential Application Date: 03/05/2018 Owner:
Work Class: P/M/E Issue Date: 03/05/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 09/04/2018 Address:
IVR Number: 9869
Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector
03/08/2018 03/08/2018 BLDG-33 Service 061068-2018 Passed Andy Krogh
Change/Upgrade
Checklist Item
BLDG-Building Deficiency
BLDG-Flnal 051069-2018
Inspection
Checklist Item
BLDG-Electrical Final
03/21/2018 03/21/2018 BLDG-Final 052372-2018
Inspection
Checklist Item
BLDG-Electrical Final
March 21, 2018
COMMENTS
Failed Andy Krogh
COMMENTS
Requires stucco finished and panel
labeled .... rough wiring ok
Passed Andy Krogh
COMMENTS
ELAINE LINDBERG
CARLSBAD TCT#76-02
2397 Appian Rd
Carlsbad, CA 92010-2151
Reinspectlon
Passed
Yes
Re inspection
Passed
No
Passed
Yes
Complete
Complete
Complete
Complete
Page 1 of1
soa--.... /E ELECTRIC UNDERGROUND METER & SERVICE LOCATION
A a> Sempra Energy.....,.· Customer Copy
Notification #: 300000188054 Job#: I TB: 11 D6-H4
Wanted Date: ON INSPECTION Date Prepared: 01/17/2018
Customer Type: Residential(1-2 Units) Service Type: UG REWIRE (NO TRENCHING)
Project TiUe: LINDBERG, ELAINE (SOT)
--· ---, . -Project Address: 2397 APPIAN RD Project Ci1y: CARLSBAD
Additional Address Info:
Customer POC: ELAINE LINDBERG Customer Phone#: 85S..337-8711
SDGE Contact: Service Coordinator Contact Info: AGGIE SlMAN,760-476-5611
I Traffic Control Permit Required r lSDG&EApplication Required-Call: 1-800-411-7343
Excavation/Encroachment Permits Required By:
Municipal Inspection required By: CITY OF CARLSBAD I Temp Service Charge due on First Bill$ 0.00
SERVICE ATTACHMENT POINT AND/OR METER LOCATION:
Install new 125 amp meter panel at existing location over existing conduit and service conductors. Joint meet required prior to
start up construction. NOTE: New landing lugs must be at the same height and same position as existing to allow cable to be
reattached. If not trenching and conduit may be required from the source to the new panel by the customer. Call 760-476-5611 to
schedule the disconnect/reconnect.
Station ID#: 303-707 Structure#: 3312 HH I Joint Trench With:
Handhole Installed By: Handhole Lid Shall Read: Standards Page:
Ladder Arms: I Stop Trench: from Pole Riser Quad; -----·----···
IBendT~: Bend Installed By: Bend Info:
Conduit Installed By: Conduit Size:
Service Panel Rating: 125 Number/Size of Main Switch: I Voltage: 1201240
#of Wires: 3 Phase: 1 Utilities Maximum Contribution to Fault Current: 10000
Metering: Self-Contained Meter Clips: 4
Meter height -4'0" min. (3'0n min. for multiple installation) -5•3w max. From finish grade to centerline of meter base. Meters are required to
be readlly 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 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.
PROCEDURE FOR INSTALLATION
1. PHONE DIG ALERT "811" AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES.
2. Phone Service Coordinator 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 back.fill, CALL FOR INSPECTION OF THE EQUIPMENT.
3. Meter cannot be set until inspector has approved installation, induding service equipment, and receipt of city/county/state inspection
Addltional Information: l_p.ight of Way Required Assessor's Parcel Number:
To minimize the electrical outage, you are advised to schedule a morning disconnect with an afternoon reconnect. There is no charge
for this service. Before you change out your meter consider (1) SDG&E needs 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.
City/County 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 work immediately and it will
be your responsibility to remove and or clean up all hazardous or toxic material prior to SOG&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 California inspection authority requirements.
Building address and/or houseline must be permanenlly identified prior to meter set. Information on this sheet is void after six (6) months.
Keep this notice with building permit.
Planned By: Lois Higgins Phone#:7604765613