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Home My WebLink About2575 Highland Dr; ; CB163720; Permit(city of Carlsbad Residential Permit Print Date: 11/07/2018 Permit No: CB163720 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2575 Highland Dr BLDG-Residential 1560524600 $0.00 Work Class: lot#: Reference It: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 09/30/2016 09/30/2016 TFraz Plan Check#: Final Inspection: 11/7/2018 U7:SSPM Project Title: Description: PALERMO: 125A PANEL RELOCATION FROM GARAGE TO OUTSIDE OVERHEAD// INTERIOR WIRING WORK. NEW 200A PANEL AND SUB PANEL IN PLACE OF 125A. Applicant: PELICAN ELECTRIC 3457 Starboard Cir OCEANSIDE, CA 92054 760-754-2921 MANUAL BUILDING PERMIT FEE Total Fees: $Bl.SO Owner: JOSEPH PALMERO 2575 Highland Dr Carlsbad, CA 92008-1026 510-323-2634 Total Payments To Date: $Bl.SO 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $Bl.SO \ (cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Job Address 2-s 7..5 I-I,'@� levi..J .(} Plan Check cQ}\6'3 720 Est. Value PC Deposit --------- Date --------- Suite: ____ APN: __________ _ CT/Project#: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DESCRIPTION OF WORK: fl ,1.v '.n e ( tc:f r .'c.., f ..{:;,;-Vl o i,,5 ;(I_, ,\, .f.c r: Qr □Addition/New: _____ New SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: SF of affected area ----Is the area a conversion or change of use ? Yes/ No □Pool/Spa: ____ SF Additional Gas or Electrical Features? _____________ □Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No,Battery Yes/ No D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: ___________________________________ _ APPLICANT (PRIMARY) PROPERTY OWNER Name: ________________ Name: ::s;,.S ep G JO., fer A-iljAddress: Address: ..... '2.S=-..... , ... s'-----'-l-(-'-,.3� .... Y .... , ..... "'""d ..... ...a./J..;..r ________ _ City: _______ State: ___ Zip: ----City: (.4,,_ Isl,�)State: Phone: Phone: S Jo 3 -Z.) 2-GJ Y Email: Email: j 0..s<R< (!?; ci '!.'31'"'/u· -o< c:,.o•s DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: _________________ _ Name: ___________________ _ Address: ________________ _ Address: __________________ _ City: ________ State: ___ .Zip: ___ _ City: ________ State: ___ .Zip: ______ _ Phone: ________________ _ Phone: __________________ _ Email: _________________ _ Email: ___________________ _ Architect State License: __________ _ State License: ______ Bus. License: ______ _ (Sec. 7031.S 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/she 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. • I have and will maintain worker's 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 Company Name: _____________________ _ Policy No. ______________ Expiration Date: _________ _ O 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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. •AGENT DATE: CONTRACTOR SIGNATURE: -------------------------------- ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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). q)(' 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). • 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. • Yes • 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): OWNER SIGNATURE: ~fe'?~c._:.---'A'----'._...==---------•AGENT DATE: CONSTRUCTION LENDING AGENCY, IF ANY: 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: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? • 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 • No Is the facility to be constructed 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. APPLICANT CERTIFICATION: 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 inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, 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 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 anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ----+-9~/v:.e:........:Jf!-_,....._______;;_ ________ DATE: _R._/2-_z.___,_/-z,,,___,/g'"- 635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 Permit Type. Wmk Class: BLDG-Residential P/M/E Application Date: 09/30/2016 09/30/2016 08/15/2017 717462 Owner: Issue Date: Subdivision: St.:itus: Closed -Finaled Expiration Date: Address: Scheduled Date Actual Start Date 02/16/2017 01/31/2017 01/31/2017 02/16/2017 02/16/2017 08123/2018 08/2312018 08/27/2018 08/27/2018 08129/2018 08/29/2018 11/07/2018 11/07/2018 November 07, 2018 IVR Number: Inspection Type Inspection No. BLDG-Final Inspection 013900-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLOG-33 Service Change!Upgrade 012049-2017 Checklist Item BLDG-Building Deficiency BLOG-34 Rough Electrical 013926-2017 BLOG-Final Inspection BLOG-Final Inspection BLOG-Final Inspection BLDG-Flnal Inspection Checklist Item BLDG-Building Deficiency 067946-2018 Checklist Item BLDG-Building Deficiency 068166-2018 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 068451-2018 Checklist Item BLOG-Building Deficiency BLDG-Building Deficiency BLDG-Electrical Final 076476-2018 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Electrical Final BLDG-Electrical Final Inspection Status Primary Inspector Withdrawn Tim Frazee COMMENTS Passed Jonathan West COMMENTS Passed Jonathan West COMMENTS Cancelled Mlchael Collins COMMENTS Cancelled per contractor Failed Michael Colllns COMMENTS Cancelled per contractor 08/27/2018, no access, left door hanger Failed Michael Collins COMMENTS 08/27/2018, no access, left door hanger Cancelled per contractor See card for receptacle & T-24 notes Passed Michael Collins COMMENTS 11/07/18, AFCI, GFCI, CO & smoke detectors ok Cancelled per contractor 08/27/2018, no access, left door hanger See card for receptacle & T-24 notes JOSEPH PALMERO 2575 Highland Dr Carlsbad, CA 92008 Reinspection Reinspection Passed No No No No No Passed Yes Passed Yes Reinspection Passed No Re-inspection Passed No No Reinspection Passed No No No Passed Yes No No No Yes Complete Complete Complete Complete Complete Complete Complete Complete Page 1 of2 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-30-2016 Permit No: CB163720 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2575 HIGHLAND DR CBAD PME 1560524600 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: PALERMO: 125A PANEL RELOCATION FROM GARAGE TO OUTSIDE Applicant: Owner: PELICAN ELECTRIC JOSEPH PALERMO 3547 STARBOARD CIR OCEANSIDE CA 92054-4643 760-754-2921 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2575 HIGHLAND DR CARLSBAD CA 92008 510-323-2634 ISSUED 09/30/2016 SLE 09/30/2016 09/30/2016 PB $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163. 00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 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 pennit 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 app!fcation processirg or seivice fees in connection with this project. NOR DOES lT APPLY to any f x n f w i h v r i \ iv n N T\ E ·mil r hi o whi f lim· i n h r vi l THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING Osu1LDING 0FIRE 0HEALTH QHAZMAT/APCD . Ccityof Building Permit Application Plan Check No. 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 SW PPP JOB ADDRESS 2575 Highland Drive, Carlsbad CA SUITE#/SPACE#/UNIT# IAPN --- 1 1.;T/PROJECT jj !LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) RECE\Vtu Install new 200Amp overhead panel, new interior wiring J.r:,..~ 1 s 1nu --· !"IF CJ:>.RLSBJI.~ EXISTING USE I PROPOSED USE I GARAGE (SF) PAT\OS (SF) I DECKS (SF) FIREPlACE ~ t6~'fflNo0 Inc SPRINKLERS YESO YESONoo APPLICANT NAME Far West Electric PROPERTY OWNER Joseph Day Palermo Primary Contact ADDRESS ADDRESS 934 Hillhaven Road 2575 Hi!lhland Drive CITY STATE ZIP CITY STATE ZIP Escondido CA 92027 Carlsbad CA 92008 PHONE I FAX PHONE IFAX 7605336307 510·323-2634 EMAIL EMA\L farwestelectric@hotmail.com joseph@daypalermo.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Far West Electric ADDRESS----------------------------------------------ADDRESS 934 Hillhaven Road CITY ---STATE ZIP CITY-------------STATE ______ ZIP --------- Escondido CA 92027 PHONE============1AX=-·=====--~===~ PHONE--__________ L__________________ - 7605336307 -----------------------------------EMAIL EMAIL farwestelectric@hotmail.com !------------'------------lSTATELIC.11 _______ STATE LICH 905127 !CLASS C lCITYBUS Uc. 1235962 - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_m1t to file a s1~ned statement that he 1s licensed pursuant to the provisions of the Contractor's license Law !Chapter 9, commending with Section 7000 of D1v1sion 3 of the Business and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant for a permit subjects the applicant to a c1v1\ penalty of not more than five hundred dollars {$500}). WORKl!RS' COMPl!NSATION Woril.ers' Compensation OeclaraUon: I hereby affirm under penalty of perjury one of the fol/owing declarations 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 re<iuired 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. ______________ Markel ______________ Policy No. MWC0057093 Expiration Date 1012212017 ~section need not be corrpleted if the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: \ 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' compenu.tion 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. 85 CONTRACTOR SIGNATURE 0M,4;U2. [2)AGENT DATE OWNER•BUII.Dl!R DECLARATION I hereby affirm that I am exempt from Contractor's Ltrense Law for the following reason· D D D I, as owner oft he 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 himsert or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the buildfng or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not Wild or improve for the purpose of sale). 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 OOes not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors 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. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed work 3. \ 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): 85 PROPERTY OWNER SIGNATURE 0AGENT · DATE I I I I I I I COMPLETE THI$ SECTION FOR NON·RESIDENTIAI. BUILDING PERMITS ONLY Is the applic,ent or future building oo:;upant 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 Ac'(I O Yes O No Is the applicant or future building occupant required Kl obtain a permit from the air pollution control district or air quality management district? 0 Yes Cl No Is 1he facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 certify that I haw read the application and state that the above Information is ooll'ecl:and that the infonnation on the plans is acnnate. I agree to comply with all City oniinanoos and State law.; relatilg to bulldtng oonstruction. I hereby aulho!ize represe111ll""' of lhe City of Cansbad to enter upon lhe abcNe menlioned prope,ty for inspedion pwposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH tAAY IN Af,fYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pennit is required for excavations (Ne( 5'0' deep and demolition or construction of strucrures (1,/(!{ 3 stories in height EXPIRATION: Every permit issued by the Building Offbal under the provisions of this Code sha" expire by limitation and become null and void W the buildi~ or WOik authorized by such permit is not commenced Mthin 180 days fn>n lhe date of such pem,i or ~lhe buldi,g """"' aulhorized by such permit is suspended or abandoned at any bme Ft f:'C EJVl:1fj pel\od of 180 days (Seciion 1116.4.4 Lkliform Bui~ing Code). A!APPLICANT'SSIGNATURE s~ ~ ------------DAT~--~---~------------ JAN 19 2017 CITY OF CARLSBAD BUILDING DIVISION 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cansbad, CalWomia 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY Ol'IIONS [] PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) Cl CONTRACTOR (On Pg. 1) C""I MAIL TO: o CONTACT {Listed above) n OCCUPANT (Listed abOve) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: _______________ _ ,es' APPLICANT'S SIGNATURE o ASSOCIATED CB#•------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING OBllllDING OFIRE 0HEALTH D HAZMAT/APCD ' , (·cityof Building Permit Application Plan Check No. (\ fl) I( n~ 12.0 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 '-\ -9'f'J-II n )SWPPP JOB ADDRESS '2 .. S 7 S H,Jhl'l~d Dr /Ulfflf IAPN --- CT/Pr")JE\.,, # ILOT# IPHA.5£# I# ur UNITS I# BEDR,.,., .. .., #BATHR..,..,..,S ,·-· E ICONSlR. lYPt f """'-GROUP DESCRIPTION OF WORK: Include &ill.,. FNt of Atr9cted Area(s) Repl«e.. f~b /J'l"e/. llc.lV':rt, t/p5r,,Jc. e. /ecf-r.'," f Scrv: < c_ tD 12.S •~f'S. ft."t "\"' "15 ~,eded 'fo e ,'ls) "'-re "// o,,,+-/eb 'lrC. ,.-o.,J,J. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESQ N<O YEsQNoO YESONoO -NrNAME TosePI_ f Pi I e.r"' o PROPERtY OWNER NAME J QS <.'. ,o4 f~lu ... o ADDRESS "l.515 1-1 :,1, '·~ j Dr ADDRESS "2. S' 7, /-(,',.t,.f.-. ,,! 0/" CllYC I c'';i ZIP CllY C «-tr Is!:,, ,1 STATE !+ Zlq,z 4:18' . "-r sb,. J 'll (/0 f! C . PHONE ) S 10 j 'l.. L r.Jl( IFAX PHONE >(o ;,Z...) 7..{,)y IFAX EMAIL, l d I JO>ep @ ~7 /''1 er,,..o,l /J~ EMAIL DESIGII PROFESSIONAL ~NTRACTOR BUS. NAME ?tL/l A,I n .. c~· rit.1(. ADDRESS ADDR<~ ..... ,!J,f 0 !> YID2Sf $T. "' .5°! CllY STATE ZIP STATE ZIP CITY ............... 0{6,1,-.1~1/)(; CA c;iv,;-4 PHONE ieAX PHONE ~ 71,o-fS,-?r,r- EMAIL EMAIL ~ PtL,,tU(&-i.:.:> ,'-.&SJ ,. ,<. ,1.Jt-1 !STATE UC.# SlA.TE UC.# ,~ j c1TY /J.us. uc.! ~ C/ll't lO'I I " (Sec: 7031.5 Business find Profes~ions Code: Any City or Cqun_ty which requires a permit to. c~nstruct, alter, impr011e, (!emolish or re air an structure, p_rior t9 its issuance, alS~',,lires the applicant for such permit to file a signed statement that he ,s hceosed pursuant to the prov1s1ons of the Contractor's License Law {~apter;, commending with Section 7000 of D1vis1on 3 of the Business and Professions C,ode} or that he is excm_Qt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any app1icanffor a permit subJects the applicant to a civil penalty of not more than five hundred dollars {:ii500}). WORKERS' COMPENSATION WOl'kerl' ~ Declaration: I heroby af1im, under penaNy of perjury one of the lollowfng declarations: B I tlavt and will maintain a cdcllfl of conaent to self.Insure fol M'.lfkers' compensation as provided by Section 3700 of the Labor Code, for the pefformMC:e of !he WOOi. for which !his permit is issued. I haw and wlll mallbln wortun' comoensatk,n, as re<>ulfed bV Seciion 3700 of the labor Code, for the performance of the worit for whth this oermit is issued. My workers' compensatkm insurance carrier and policy number are: ll\$Urance Co. Policy No. Expiratbn Date _______ _ ]Jlm. S8COOll need not be completed if the pem,tt is fO" one hunelred dQUalS {$100) or less. U9 C.uticall8 of Exempeion: I t.:ettify that in the performance of the v.ortc rorwhlch this permit Is issued, I shall not employ any petSDn in any manner so as to becCnle subject to the Workets' Compensation Laws of Cmlfoolla WARNING: Failure to cecure wotkefl' ~lltlon CCNerage Is unlawful, and shall subject an employer to criminal penaltlet and civil fines upto one hundredthouS«nd dolla,s (&100,000), in addition to the cost of compensation, damages • provided for In Section 3706 of the Labor code, lntarelt and attom9'f's fees. ~ CONTRACTORSIGNATURE /J' J hereby affirm that I am exempt from Contractor's Uo8nse Law for the foli>wing reason: D I, as aMler of \he property or my emf)lo)ees with wages as their sole compensatiOn, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Profe:ssi(:f)s Code: The Contractor's License Law does rl(j apply to c11 owner of properly who bullds or improves thereOn, and who does SllCh W()!1( hir'rlself or through his own employees, provided that SUCh improvements are oot intended or offered for __.µie. If, oowever, the building or improvement is soij WJ!hin one year ct completion, tne owner-buildef v.ill have the burden al proving that he dO not bufki or improve fot the purpose of sale). L:'.f I, as owner of \he property, am e11.clusivefy contracting with licensed contractcn to oonstruct the project (Sec. 7044, Business and Professions C.ode: The Contractor's Li::ense Law does not apply to an a.vner of property who builds or improves thefe.ln, aJld 00/llracis for such projects with oontractor(s) lk::ensed pwsuant to !tie Contractor's lk:ense Law). D I am exempt under Sectk>rl Business and ProfessK>ns Code R>r1his reason: 1. 1 pe<SOnally plan to provide the major labor and materials for construction of the proposed property improvement Oves Do 2. l (ha"ve I have not) signed an application for a building permit for lhe fJ(OpOSed WOffl. 3. I have conll'acted with the following person (firm) to provide the proposed oonstructK>n (inciude name address I phone I contractcrs' license number}: 4. 1 plan to pnM:fe: potliOnS of the wcrk. but I have hired the following person to coon1inate, supervise and provide the maJ)I" \IIOl'k (include name I address I phone I oontractots' llcenSe numbef): 5. I win pfOYide some of the WOik, but I have oontracted (hired) 1he following perrons to provide lhe work indicated (lllClueie name I address I phOne I type of ll'Ol1(): ~PROPERlYOWNERSIGNATURE /7 '\ L. QAGENT DATE { /'ii/& ELECTRIC OVERHEAD METER & SERVICE LOCATION A 0:' Sempra [ncrgy uhlllr Customer Copy Notification #: 300000125682 Job#: j TB: 1106-F3 Wanted Date: ON INSPECTION Date Prepared: 12/20/2016 Customer Type: Residential(1-2 Units) Service Type: OH SERVICE REWIRE/RELOCATION Project Title: PALERMO, JOSEPH (SOT) Project Address: 2575 HIGHLAND DR I Project City: CARLSBAD Additional Address Info: Customer POC: JOSEPH PALERMO Customer Phone #: 510-323-2634 SDGE Contact: Service Coordinator Contact Info: TIM SHERLOCK. 760-476-5619 I IT raffic Control Permit Required I ISDG&E Application 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: Locate new 200-amp meter panel on the WEST wall near the SOUTH corner. Locate the new point of attachment within 18-inches of the S/W corner. Install rigid riser a minimum of 2-feet above roof and meet minimum clearances as noted below. Once the new panel is wired and inspected by the City, call TIM at 760-476-5619 to confirm inspection and schedule a joint meet with the SDG&E crew. Provide Minimum Ground Clearance Of: _ 1 O_ 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. CENTER LINE OF ST Service Panel Rating: 200 Number/Size of Main Switch: j Voltage: 120/240 # of Wires: 3 I Phase: 1 Utilities Maximum Contribution to Fa ult Current: 10000 Metering: Self-Contained I Meter Clips: 4 Meter height --4'0" min. (3'0'' min. for multiple insta1\ation) --6'3" max. From finish grade to centerline 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 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. Additional Information: LJRight of Way Required Assessor's Parcel Number: 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 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 California 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 building permit. All installations ner1ormed under this order must meet SDG&E standards unless a written deviation has been annroved, Planned By: Steven Ossey Phone#:7604765612