HomeMy WebLinkAbout2617 LA GOLONDRINA ST; ; CB131927; Permit-City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-09-2013 Permit No: CB131927
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2617 LA GOLONDRINA ST CBAD
PME Status:
Parcel No: 2155621600 Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: REYNOLDS RES= UPGRADE
ELECT PANEL FROM 100 TO 200 AMP
Applicant: Owner:
VIKING ELECTRIC REYNOLDS KENNETH
2017 SEQUOIA CREST
VISTA, CA 92083
619-940-9400
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2617 LA GOLONDRINA ST
CARSLBAD CA 92009
760-707-3959
ISSUED
08/09/2013
LSM
08/09/2013
08/09/2013
$0.00
$154.00
$0.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspect~
FINAL 6,BPROVAL
Date oz{ •I' I Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent !egal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f "h hv rvi I imilr thi r "hh flimi I
rr1· HE F0LIDWING APPa0VALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING )2j'eUILDING □FIRE □HEALTH D HAZMAT/APCD
~ Building Permit Application Plan Check No$ f '3 \ 9 ';;>--I
«..t:'1> 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ¥ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit
www.QgrlsQgQQ~.gQv lsWPP Date
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN ?..617 L,4 (7(J(.C>N't>TI.lt-lA s, ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNsrn. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CleC TlJC~c. S4Vtce-C/ p 6-'il ;# b c.:
LOO-rret'I'\. '200 ~~
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NOD YES D NOD YES O NO □
APPLICANT. f E (Prlm•1 :ont•i V I< IN '(t£C7?..IC.
APPLICANT NAME {Secondary Contact)
ADDR7s6 II-A-.r -/y,..(;(.. 'Kar., '!)ll "'29, ADDRESS
CITY STATE ZIP CITY STATE ZIP v1&-r/1 C--' 92of-,
PHONE I FAX
PHONE IFAX 760 ? 'lo-91f0o 760 .l-<J~-( f/yc,
"'"Al"R ~ o'{ VI 1t;1H& Gc.t:"c-nuc..-G/2,,4-1c... t!{)t,.,
EMAIL
PROPE~ r,,NER NAi~ "{l. t:'f l'f vc j") 5 CONTRACTOR BUS. NAME
'" ~ t=--'-r11eT1.
ADDRE' 617 l-4 (; OlotJ l>ll! NA i 7" ADDRESS
CITY C .A-TI l.i ;l;-~ STATE (; ZIP
') ;J. oo</ CITY STATE ZIP
PHO' 60 707-7'?.J-7 I FAX
PHONE IFAX
t.MAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # -STATE~//" t.f I CLASS 1"'3/B';:4-,orL-i ~ 1791;
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a perm rt to_construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the apphcant 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 fhat he is exem_P.t 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 {$500)).
WORKER$' COMPENSATION
Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following declarations:
D 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 pertonnance of the work for which this permit is issued .
..,ef"1 have and wHI maintain worken;' Cj,Qffipen&ation.--as re(Jlli,red by Section 3700 of the Labor Code, for the perform. anceJlUie>'(lrk for wtiich this permit is issued. My workers' compensation inswance carrier alld policy
number are: Insurance Co. ..J ""T' .4 7c: f"" c.,, N 1) Policy No f '1 b '3 I 00 ~~ I J Expiration Date tf ff<. ;l. 0 I Y
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D 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 Wori<ers' Compensation Laws of
California, WARNING: Failure to secure worken' compensation coverage is unlawful, and shall subject an employer to criminal penaltlea and clvll fines upto one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da~es as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
,.t, coNTRAcTo• s1GNATURE I\. N ai----□AGENT
I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason:
□ I, as owr.er of the property or my employees with wages~ 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 woo himself or through his own employees, provided that such improvements are not intended or offered for
sale. lf, 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).
□ 1, as owner of the property, am exclusively contrac~ng 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 wtio 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 I have not) signed an ~plication 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 I address/ phone/ contractors' license number):
5. I will provide some of the >NOrk, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work):
,8$ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION fOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business pjan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of !he
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the 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 have read the application and state that the above info1TJ1ation is comict and that the lnfonnallon on the plans Is accurate. I agree ID comptywttt, all City ordinances and State laws relating tu bulldtng construction.
I hereby authorize representative of the City of Carlsbad lo enter upon the at:ove mentioned property Dr inspection !XJrposeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA An OSHA permn is required for excavations over 5'0' deep and demolitbn or construction of slructures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offbal under the pro,,.;sk)ns of this Code shall expire by ln11talion and become null and 'void if !he building or 'MJfk authorized by such permit is not commenced 'Mthin
180 days from the date of sldl permit or if the buiklr\Q orv,,ori< authorized by such permit is suspended or abandoned at any time after the v.orl< is commenced for a period of 180 days (Section 100.4.4 Uniform Building Cooe)
,If APPLICANT'S SIGNATURE f( [·J C-C --DATE
/-IA,-PfGv
• 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 www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 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. UC, No.
DELIVERY OPTIONS
□ PICK UP: □ CONTACT (Listed above) o OCCUPANT (listed above)
u CONTRACTOR (On Pg. :1.)
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (listed above)
□ CONTRACTOR (On Pg. 1)
□MAIL/FAX TO OTHER: ___ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATED CB#•~------------
o NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
SDG,. ...,,,JE
A~ Sempra Energy ulllitya
ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Clllltomer Copy
Wanted Date: ON INSPECTION Sen/ice Type: UG Rewire (no trenching) Customer Type: Residential
No:358646 Job No: 010
Titie: WYNDHAM RESIDENCE (SOT
Addl8SS: 2617 LA GOLNDRNA ST
Proiect City: RANCHO LA COSTA I Customer Phone#: 760-822-1222
Contact: ROY HANSEN I ConlactPhone#: 760-822-1222
•
~ 4'
T.B. 1127-H-5_
Date Prepared: 08/07/2013
• /I ~
D Traffic Control Permit R uired. Excavalion/Enaoachment Permits R uired B '-
t 4'
Sen/ice Attachment Point and/or Meter Location: Install new 200-amp mater panel ~~-------'-~
location over existing conduit and service conductors. Customer assumes EXIST 2"CONDUIT ~ ,. ~ , J responsibility for existing conduit condition. If conductors cannot be Pll!liUtiD BY: --+--IH-=--->s:----,_,, ,( ~ '-,
reconnected due to substandard or damaged conduit, customer has been advised they " ,.'-· _.-<. ~ '-,
will not be reconnected until they can trench and replace the conduit from the panel to 4' ', ' · '\ •• '-, . ,
the source. Call SDG&E Andrew at 760-476-561410 schedule a morning disconnect with ,f . 'Ir, ',, '-1/'~7
an afternoon reconnect provided that the City releases Inspection to SDG&E by 2:00 " ', '-, ';.-:<l'
PM on the same day the crew Is scheduled. To avoid delays with reconnection, your t\ '--. '· •
permit should read (Customer Outage Involved). l '-,.~<S?~
t Municipal lnspectioo Required
Meter heighf-4'0" min. (3'0" min. for fflultiple met« installation) -6'3" max. Fnin finish grade to centenine of meter base. Meters n
required to be ramify a:cessible 24 hours per day. Meters must be located in a safe aea frae of any potentially haurdous or
dangerous condition. Provide 3-ft X 3-ft. Miniroom clea" lrld level working spa::e, in front of meter. Where meter room is proposed,
conta:t the planner at the nea-est SDG&E office.
Me'9r bases n meter se,vice disconnects must be located at or immediately adja::ent kl ea:h other and be identified with address
Md !Jfl_it number it S8fV9S;.
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 SOG&E at 760-476-5614 for lhe following:
• 3 working days prior ID trenching ID arrange pre-meetwlth inspector and ilitiate trenching process.
• Alter excavation of trench, installation of conduit and service entrance equipment at meter OOl!ion, CALL
FOR INSPECTKlN. Do not cover conduit without inspector's wlilten approval ID backfill.
• When trench is baokfllled and oompacted, CALL FOR INSPECTION.
• If service entrance equipment is installed alter backfiU, CALL FOR INSPECTION OF THE EQUIPMENT.
3. Meter cannot be set until inspector has approved installation, including service equl)men~ and receipt of
"•/county/state inspection clearance.
P""erSouroe: STA 757-124 I SbucturaNumber. HAND HOLE
Joint Tranch with: Handhole Installed
Standards Page #: Handhole Lid Shall Read:
~Arms: Stop Trench: from pole I Riser Quad:
Bend Installed by: Type:
, Conduit Installed by: Conduit Size:
Service Panel Rating: 200 Number/Size of Mail SWilch: 1@200-AMP Voltage: 120/240
. # of Wiras: 3 Phase: Single Utilffies Maximum Contribution ID Fault Cunent 10000 Amps
i Meterilg: Self-Contained MeterClips: 4
~ 4' 2618
NEW200-AMP
MTR PANEL XST-FLEMECO ~
¥
Additional lntonnalion: D Right-of-way Required Assessors Parcel Number:
Please call your SeNlce Coordinator And raw Cutro at 76!M7&-5614 with qUllllonl about application,
Inspection, construc:tion ln11a-n and to schedule a CIIW. To minimize the -.1 outage. you ara
advised to tchedule I morning disconnect with an afternoon ,-,noct. Ton II no charge for this S81Ylce.
Befora you change out your mmr consider (1) SDG&E ,_ 7 -ng days advance -to schedule a
CIIW and (2) SDG&E will not ,-,noct the 111Ylce without munlclpal approval on the -panel Please
contact the City ragardlng ponnlls and Inspections. City Inspection lbould be .....,od prto< to 2:GO p.m. on
the 11me day as the disconnection of S81Ylce to allow the SDG&E craw enough time for ,-,nectlon of tho
S81Ylce on the same day.
If SDG&E encounin hazil'dou8 orklxlc: maBial while perfDrrring consru::lion of )'!Ill" projact, SDG&E wl hall wtn irmledialely aid ii w1 be J0II'
responsibllybl8llllMI IWDQ"clul ~ al huriu rxklxk: maaia pnam SDG&E ~ COftlN:lion. SOG&E shal have no lallity or obligafliofJ
whasoMrbdelll 141, l8llllMI ornmedlall Bl'f huadous ormic nmilll dilcovMd dlmgtlemne otCOIIIN:bl lrilll ltil bough negligira of
SOO&E
Cusbner-<IM'lld l'aclli8& i> racaiYe eleclrical &erw:e are &ubilel b al ~ local aid stat ot Cilibnia lnspeclion d'oitr requi'tn'Ms. Buildng
adckllll a"lditN'ITIIWbaenul:be pollllcl prier kl mellfset. lnbmalion anlhislhlet.11 VCld ... six (6) IIIDlllhltomdaa. Keep lhil ncioa wilh bulcling -N.instalalions performed 111dertti& order IIIIStmeetSDG&E ~ LIIMSS awrilln de'llalion haa been _________ _
Planner. LOIS A HIGGINS Telephone: 760-476-5613
~ 1~\°t~'?