HomeMy WebLinkAbout254 Date Ave; ; CBC2017-0485; PermitPrint Date: 09/22/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
254 Date Ave
BLDG-Commercial
2060802506
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial Permit
www.carlsbadca.gov
Work Class: P/M/E Status:
Lot#: Applied:
Reference #: Issued:
Construction Type: Fina led:
Bathrooms: Inspector:
Orig. Plan Check #:
Plan Check#:
Description: SARRO-PORRITI: INSTALL 20AMP CIRCUIT FOR SDG&E SMART METER AT STAIRWELL TO PARKING GARAGE
Owner: Contractor:
Permit No: CBC2017-0485
Closed -Finaled
09/12/2017
09/12/2017
TRUST SARRO-PORRITI FAMILY TRUST
05-30-01
ROD FULLER ELECTRIC CORPORATION
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
242 Date Ave
CARLSBAD, CA 92008
Total Payments To Date:
619-276-5411
$170.00 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.
$170.00
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD
C_cicyof Building Permit Application Plan Check No('_l2.(l ?Dl ,-M&~
1635 Faraday Ave .. Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date q-\Z-t 1 lswPPP
JOB ADDRESS 2154 SUITEt/SPACEf/UNITt IAPN 252:.DateAve ---
CT/PROJECT# ILOT# I PHASE# I # OF UNITS I # BEDROOMS #BATHROOMS I TEHANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
lO ;0A~f Circuit.I for Smart Meter
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESQ NcCJ YES 0 No0 YESONoD
APPLICANT NAME PROPERTY OWNER NAME "r\ !"rn .... ~rr,l°t rn m,·k ~ Prtna"' r.nntad
ADDRESS Tr-t Je,,+-__J ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Rod Fuller Electric Corp
ADDRESS ADDRESS 1018 Cudahy Place Suite B
CITY STATE ZIP CITY STATE ZIP
San Dieao Ca 92110
PHONE IFAX PHONE IFAX 619-276-5411
EMAIL EMAIL
admin@fullerelectric.com I STATE UC.# STATE UC.# I CLASS I ~~si~i 22. <Jo 494752 C-10
(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 ,ts 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 the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following d6di¥11/ions:
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.
I have and wlll maintain workers' compensation, as roouired 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. Cypress Insurance Company Policy No. ROWC603452 Expiration Date 10/1/2ll17
This section need not be completed if the pemift is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wooers' Compensation Laws of
Galifomia. WARNING: Failure to secure workers' com sati cov is u ful, 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, dam ded f n o 7 the Labor code, int,and attorney's fees.
_NS CONTRACTOR SIGNATURE ) 0AGENT
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
[Z) I, as owner of the property or my employees with wa,JeS as their sole compensation, will do the wOlk 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 oc 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
D
I, as owner of the property, am exdusively 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 oc improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
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 O ves 0 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 wOlk indicated (include name I address I phone I type of work):
_NS PROPERTY OWNER SIGNATURE DATE
I
Is the applicant or future building occupant required kl submit a business plan, acutely hazardous materials registration form or risk management and pievention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? a Yes a No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes a No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a 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 haYe read the application and slate that the abcMl infoonation isconect and that the information on the plans isacauate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Ca1sbad kl ener UJXJO the aboYe mentioned property i:>r ilspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPEN HICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA i:amlt is requred b< excavations o'lef' 5'0' · · or ronstrudiln of structures over 3 stories in height
EXPIRATION: Eve,y i:amit issued by the Buik:ling arcial u the p visons of · shal expie by lim~oon and become nul and Yoid if the buik:ling or v.ork au1horized by such permit is not commenced v.;thin
1B0days from the dae of such i:amlt or if the buik:ling or It is suspended or abandoned at any line after the v.ork is romrrenced b< a perbd of 1B0days (Secoon 100.4.4 Unibrm Buik:lilg Code) .
...@S'APPLICANT'SSIGNATURE 7~ DATE 1-I;;.,... /?
f: . ?!. , PERMIT INSPECTION HISTORY REPORT (CBC2017-0485)
Permit Typo: BLDG-Commercial Application Dato: 09/12/2017 Owner: TRUST SARRO-PORRITT FAMILY
TRUST 05-30-01
Work Class: P/M/E Issue Dato: 09/12/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 03/21/2018 Address: 254 Date Ave
Carlsbad, CA 92008-7429
IVR Number: 6294
Scheduled Actual Re inspection Complete
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
09/22/2017 09/22/2017 BLDG-34 Rough 035622-2017 Passed Andy Krogh Complete
Electrical
BLDG-Final 035623-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
September 22, 2017 Page 1 of 1
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A ~ Sempra Energy utility®
REQUEST#: 769036534-A
August 08, 2017
NOTICE TO PROCEED
ISSUED TO: Henkels & McCoy, Inc. -3760 Convoy Street, Suite 230, San Diego, CA 92111
In accordance with the provisions of the Network Device Installation PO #5900034964 and
Design PO# 5900034943, release date August 1, 2014, for Smart Meter Network Device Design &
Installation, you are hereby notified to commence work at the following location(s):
Crescent Del Sol Estate Inc -252 Date Avenue, Carlsbad CA 92008
Contact for Install: John McCoy@ 760-730-2520 Ct( l(
Network device(s) to be installed:
One (1) RFR-WLMT & 1 Power Supply --One (1) mounting location, as indicated in the email.
**RFR & Power Supply ready t o be picked up at Miramar**
A copy of the signed easement or license agreement and premise survey(s) for installation detail is
attached to the NTP email.
Henkels & McCoy, Inc. is to fully complete the work within 14-days calendar days of this notice
Network Device(s) to be installed per approved electrical permit drawings.
Sincerely,
Tracie Millan
Smart Meter Network & Systems Operations
San Diego Gas & Electric -AMO
soG" ••• /f
A ~ Sempra Energy ut1111y•
MITIGATION SITE INFORMATION:
ADQ~l:~SI 252 DATE AVE HM, CARLSBAD CA, 92008
CRESCENT DEL SOL ESTATE INC
CUSTOMER CONTACT 800.428.5588
NETWORK DEVICE INSTALL ADDRESS (IF DIFFERENT THAN ABOVE):
ADDRESS
NETWORK DEVICE SURVEY FORM
PREMISE ID 769036534
CELL ID 14592
ADDITIONAL CONTACT INFO
ELECMTR#
GAS MTR#
6510331 METER
LOCATION
MODULE ID
ND LOC MAP LINK
NETWORK DEVICE RECOMMENDATION(S): **IF MORE THAN S INSTALL LOCATIONS RECOMMENDED -LIST ADDITIONAL IN NOTES**
INSTALL #1 I nr-n I IJLVI\..L I \All II.AT I ,...-n, I " I nn1 t'.'/vr-1.An u I NA I .._,,....1..u;. J -81
GARAGE
SUBTERANEAN
GAS, ELEC
or BOTH
METER
LOCATION
ELEC SURVEY
DATE
FSA
7/3/17
Louie Munoz