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HomeMy WebLinkAbout2510 GATEWAY RD; ; PC110003; Permit01-21-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Permit No: PC110003 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2510 GATEWAY RD CBAD PLANCK 2132611500 Lot#: $0.00 Construction Type: OCEAN COLLECTION @ BRESSI RANG ADD HOUSE ELECTRICAL METERS TO EACH BUILDING i Status: ISSUED Applied: 01/21/2011 MDP 01/21/2011 01/21/2011 Entered By: Plan Approved: Issued: Inspect Area: Applicant: WHITE CONSTRUCTION 2540 GATEWAY RD CARLSBAD, CA 92009 760-931-1130 Owner: DEILLC 1800THIBODORD#320 VISTA CA 92081 Plan Check Fee Additional Fees $0.00 $0.00 Total Fees:$0.00 Total Payments To Date:$0.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 lees/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. pc \v \/ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov \ Plan Check No. Est. Value Ck Deposit Date SWPPP *eT/PROJECT#5E# I # OF UNITS I/BEDROOMS # BATHROOMS (]\ TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING PROPOSED US GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES|~"k N0| I AIR CONDITIONING FIRE SPRINKLERS YES| | N CONTACT (If Different Fom Applicant)"™"""AME -wKeU. Cow*. ADDRESS H CITY STATE ZIP PHONE FAX EMAIL EMAIL ADDRES ADDRESS CITY STATE CITY STATECA PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME& ADDR STATE LIC.#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 theapplicant 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 fliat 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 acivil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: LJ 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. NJI have and will maintain workers' compensation, a| required by Section 3700 of the Labor Code, for the performance of thrya/nrk tm- whidi this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co . Policy No Expiration Date \Q~\-AV. Tfc section need not be completed if the perm's is for one hundred dollars ($100) or less. II Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, ifamtyes elf provided for in Section3706 of the Labor code, interest and attorney's fees. £$ CONTRACTOR SIGNATURE (hereby affirm that I am exempt from Contractor's License Law for the following reason: | j I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 contractors) licensed pursuant ID the Contractor's License Law). I am exempt under Section __Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement I lYes l~~lNo 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 proposed construction (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, supervise and provide the major work (include name / address / phone / contractors* license number): 5.1 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 []AGENT DATE 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-Tamer Hazardous Substance Account Act? I |Yes I |No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or apuality management district? LjYes I I Mo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes I |No 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. 309? (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above information is corretiaml that the iriformation on the plans is araratala I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD OSHA An OSH A permit is required for excavations over OT deep and demolition or construction of structures over 3 stories in 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 is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE \ \ lAHrt A I UIM \l • VO DATE \-l*KI WrJ White Construction, Inc. • General Contractors 2540 Gateway Rd Carlsbad, CA 92009 Phone.760-931-1130 Fax.760-931-1171 -Lie. #452513 January 20,2011 City of Carlsbad Attn: Building Department 1635 Faraday Avenue Carlsbad, CA 92008 RE: Permit To Whom It May Concern, Debbe Damron has my permission to act as agent for White Construction Incorporated and has the authority to pull permits and sign on behalf of White Construction, Inc., license #6452513. For your reference our worker's compensation carrier is Snapp & Assoc., policy # NWC000600600. Sincerely, Steve White CEO OPID:FE ACORD- CERTIFICATE OF LIABILITY INSURANCE | DATE(MM/DD/YYYY) 12/29/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 619-908-3100 Snapp & Associates 619-908-3110 I nsurance Services, 1 nc. 438 Camino del Rio So. #112 San Diego, CA 92108 Kayifj ("!^5^y INSURED s.P. White Construction, Inc. dba White Construction 2540 Gateway Rd Carlsbad, CA 92009 CONTACTNAME: PHONE(A/C Na Ext)- E-MAILADDRESS: FAX(A/C. No): c5S™ii*in*WHITE-4 INSURER(S) AFFORDING COVERAGE NAIC* INSURER A: Scottsdaie Ins. Co. INSURER B: Hartford Fire Insurance Co.19682 INSURER c: Companion Property & Casualty INSURER D: INSURERS: INSURER f ' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR A B A C TYPE OF INSURANCE GENERAL LIABILITY j^COMMERCIAL GENERAL LIABILITY | CLAIMS-MADE | X | OCCUR GEN-L AGGREGATE LIMIT APPLIES PER: Y| POLICY |~~| S8£ FlLOC AU1 X X X X X OMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS UMBRELLA UAB EXCESS UAB DEDUCTIBLE RETENTION $ WORKERS COMPENSATE AND EMPLOYERS' LIAHU ANY PROPRIETOR/PARTNE (Mandatory In NH) If yes, describe underDESCRIPTION OF OPERAT X IN TY R/EXIED? IONS OCCUR CLAIMS-MADE Y/NEcunvE r"n below ADDLJJUSB. NfA SUBR ^JQ POLICY NUMBER BCS0023172 72UECKR7873 XLS0069796 NWC000600600 fuu&i&f(MM/nCVYYYYl 10/01/10 10/01/10 10/01/10 01/01/11 POLICY EXPruumrvYYYYi 10/01/11 10/01/11 10/01/11 01/01/12 LIMITS EACH OCCURRENCE DAMAGE TO REN IftUPREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL ft ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) EACH OCCURRENCE AGGREGATE X I WCSTATU-I TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMtT $ 1,000,001 s 100,00( $ Exclude* $ 1,000,00( $ 2,000,00( $ 2,000,00( $ $ 1,000,000 *$ $ $ $ $ 10,000,00« $ 10,000,001 $ $ $ 1,000,00( $ 1,000,001 $ 1,000,00( DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space Is required)Re: Operations of the named Insured subject to the terms and conditions of the policy. 30* days notice of cancellation, 10* days notice of cancellationIn the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION CITYOFC City of Carlsbad Attn: Building Dept 1635 Faraday Ave Carlsbad, CA 92008-7314 i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OD JI 00 00 E CDT. «« </> Q 2OQ U_ Oo oo zzz moo inro sl s QOQ o00 I s ooo CN ooo COO o I"5O•^rcsin 12 in CD CM 3 10 oCD CN O CITY OF CARLSBAD PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Project Address: Permit No.: Information provided below refers to work being done on the above mentioned permit only. This form must be completed and returned to the Building Department before the permit can be issued. Building Dept. Fax: (76O) 602-8558 Number of new or relocated fixtures, traps, or floor drains... New building sewer line? ..... ....... ..................... ..... ....... ............ Ves No Number of new roof drains?............................................................................................................... _^__ Install/alter water line?......................................................................................................................... Number of new water heaters?......................................................................................................... Number of new, relocated or replaced gas outlets? .... ..... . ...... Number of new hose bibs?.......................................................................................... Upgrade existing panel? ......................................................................................... Ves No From Amps to Amps Number of new panels/or subpanels?.............................................................................................. —2 Single Phase ............................................................................................ Number of new amperes Three Phase.............................................................................................. Number of new amperes |QP A O Three Phase 48O..................................................................................... Number of new amperes Remodel (relocate existing outlets/switches or add outlets/switches)? Ves No Number of new furnaces, A/C, or heat pumps?..—. .....—.—.—..............—.............. New or relocated duct work?.......................................................................... Ves No Number of new fireplaces?................................................................................................................. Number of new exhaust fans?............................................................................................................ Relocate/install vent?........ .. . ...... . . ... ......._......... ..... Number of new/ extioust noods? •••••••••••••••••••••••*•••••••••••••*•••••••••••••*•••••••••••*•*•••*•••»•«••••••••••*•*••••••••••••• Number of new boilers or compressors? ......... .... .. ........ . .. Number of HP B-18 Page 1 of 1 Rev. 03/09 CARLSBAD CITY OF STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to ttie City of Carlsbad for the following type(s) of construction permit: XJ Building Permit Q Right-of-Way Permit My project is categorically 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: /''Electfjcal (Fire^ddifional 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 V Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 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 criteria: • 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 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain 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 April 30). Tier 3 - Significant Threat Assessment Criteria Q My project includes clearing, 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 HI 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 City Standards. The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address:Assessor Parcel No. r/Owner's Authorized Agent Name: jL W. . C&mron V V Authorized Agent Signature: Title: Date: B-24 Page 1 of 1 Rev.03/09