HomeMy WebLinkAbout2618 COLIBRI LN; ; CB132147; Permit09-06-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB132147
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2618 COLIBRI LN CBAD
PME
2155341300 Lot#
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/06/2013
SKS
09/06/2013
09/06/2013
PD
DAWSON - NEW 125A ELECT PANEL
Applicant
ANYTIME PLUMBING
Owner
DAWSON NICHOLAS B
1064 LA MIRADA CT
VISTA CA 92081
800-656-3569
2618 COLIBRI LN
CARLSBAD CA 92009
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$158 00
$0 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Payments To Date $158 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 "fees/exactions" You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions It 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 nght 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 tees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE nPLANNlNG nENGINEERING nBUILDING nPlRE IZJHEALTH •HAZMAT/APCD
^ r ITY Oh
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www carlsbadca gov
Plan Check No.C^ (^Z^/H^?^
Est. Value
Plan Ck. Deposit
Date m5. SWPPP
JOB ADDRESS
CT/PROJECT # T-OT# ^ PHASE U I»OF UNITS
SUITE#/SPACE*/UNIT#
BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK /nc/ude Square Feet of Affected Area(s) ic/ude Square Feet of Affected Aiea(s) i
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES I |# NOj I
AIR CONDITIONING
YES I I NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANTNAIVIE (Primary Contact) APPLICANTNAIVIE (Secondary Contact;
ADDRESS ADDRESS
CITY STATE CITY STATE
PHONE PHONE
EMAIL
PROPERTY OWNER NAIVIE CONTRACTOR BUS NAME
ytA-Z-
ADDRESS 16\f> f^\U\,/i/.-6m^ ADDRESS
CITY STATE
FAX"
ZIP.
PHONE
EMAIL^ EMAIL
ARCH/DESIGNER NAME & ADDRESS
., alter improve demi
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 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 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Wears' Compensation Declaration / hereby affirm under penalty of perjury one ofthe following declarations
}L I have and will maintain a certificate of consent to self insure for woricers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued
11 have and will maintain workers' compensation as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance earner and policy
number are Insurance Co _ ^•£tAJlf^ y /{/cA\fdA//)i U I^/y^ y/(0. Policy No '^[Jj/C^jOl^'^i I Expiration Date 3~/V-l^
This section need not be completed if the permit is 4r one hundred dollars ($100) or less
I I 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damrnes as provided^or in Section 3706 ofthe Labor code, interest and attorney's fees
JS^ CONTRACTOR SIGNATURE
1, dammes as provided for in Section 3706 of th
•AGENT DATE
/ hereby affirm that I am exempt from Contractors License Law for the followmg reason
I I 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 lo 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)
I I I, as owner of the property, am exclusively contracting with licensed contractors lo constnjcl the projecl (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 Contractors License Law)
I I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement QYes I iNo
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 wori(, but I have hired the following person to coordinate, supervise and provide the major wori< (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 Ihe work indicated (include name / address / phone / type of work)
/gS"PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley Tanner Hazardous Substance Account AcP 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 constmcted 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
I hereby affirm that there is a construction lending agency for the performance ot the work this permit is issued (Sec 3097 (i) Civil Code)
Lenders Name Lender's Address
I certify that 1 have read the application and state that the above infomialon is conectand that the infonnation on the plans is accurate 1 agree to comply with all City ordinances and State laws relating to building constru .
1 hereby authonze iBpresentative of the Cily of Cailsbad to enter upon the above mentioned property Ibr inspection purposes I 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 PERMIT
OSHA An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height
EXPIRATION Every pennit issued by the BujIding Official under the pioviscns of this Code shall expire by limitation and become null and void if the buikjing or vwrk authonzed by such pemiit is not commenced within
180 days from the date of such perniit or i^(ne\uilding or vwrk authorized by such perniit is suspended or abandoned at any time after the vroik is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code)
APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTSFICATE OCCUPANCY fCommcrcicil Projects Only}
Fax (760) 602-8560, Email buildinq(S)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008
C0# (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
ADDRESS
"ClfY
BUILDING ADDRESS
STATE STATE ZIP
Carlsbad CA
PHONE
OCCUPANTS BUS LIC No
DEUVERY OPTIONS
PICKUP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO CONTACT {Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL / FAX TO OTHER
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit* CB132147 Type PME DAWSON - NEW 125A ELECT PANEL
Date Inspection Item Inspector Act Comments
09/10/2013 33 Service Change/Upgrade - Rl
09/10/2013 33 Service Change/Upgrade PD AP
09/10/2013 39 Final Electrical PD AP
Wednesday, September 11, 2013 Page 1 of 1
SDGl
A Sempra Energ) uiiin>
Wanted Date On Inspection
ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Customer Copy
Service Type UG Rewire (no trenching)
ProjectNo 359379 Jobt^o 010
ProjectTiUe DAWSON RESIDENCE (SOT)
Project Address 2618 COLIBRI LN
Project City CARLSBAD Customer Phone ff
Contact CELLY REYES Contact Phone ff 760-806-1556
1 1 Traffic Control Permit Required Excavation/Encroachment Permits Required By Customer
Service Attachment Point and/or (vieter Location Install new 125-amp meter panel at existing
location over existing conduit and service conductors Joint meet required
prior to start of construction. Customer assumes responsibility for existing
SIDA condition If SIDA conductors cannot be reconnected for any reason,
customer is advised they will not be reconnected until they can trench and
replace the SIDA conductors with 3-inch conduit from the panel to the source
Call SDG&E Service Coordinator Wendy at 760-476-5611 to schedule a morning
disconnect with an afternoon reconnect provided that the City/County releases
inspection to SDG&E by 2 00 PM on the same day the crew is scheduled To
avoid delays with reconnection, your permit should read (Customer Outage
Involved)
• SDG&E Application Required - Call 1-800-411-7343
Municipal Inspection Required By City of Carlsbad
Meier neight 4 0 mm (30 mm for multiple meter installation) 63 max From finish grade lO cenlerline of meter base Meters are
required lo be readily accessible 24 hours per day Meters must be located in a safe area tree of any potenlially hazardous or
oangiirous condition Provide 3 it X 3 It Minimum clear ana level working space in Iron! of meter Where meter room is proposed
conlacl the planner ai Ihe nearest SDGSE office
Meter bases and meter service aisconnecls must be locatea at or immediately aajacent to each other and be identitied with address
=iria unit numoer it spr/es
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 SDG&E at 760-476-5611 for the foilowing
• 3 working days prior io 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 inspectors written approval to backfill
. 'When trench is backfilled and compacted CALL FOR INSPECTION
• It service entrance equipment is installed after backfill CALL FOR INSPECTION OF THE EQUIPMENT
3 fvleler cannot be set until inspector has approved installation, including service equipment and receipt of
city/county/bfale inspection clearance
Power Source 757-151 Structure Number Existing 3312 Handhole
Bend Installed by Type
Conduit Installed by Conduit Size
Service Panel Rating 125 Number/Size of Mam Switch 1/125 Voltage 120/240
ffoiWiies 3 Phase Single Utilities Maximum Conlnbution to Fault Current 10000 Amps
Metering Self-Contained Meter Clips 4
Temp Service Charge Due on First Bill S
Customei Type Residential
N
TB 1127-G5
DalePrepdred 09)04)2013
RECEIVED
SEP 0 6 2013
CITY OF CARLSBAD
BUILDING DIVISION
DISCONNECT/RECONNECT
PROJECT* 359379
'^l \ ll
5-APM
Cr)LlBRI
-±2"
XST FLA.MEHCO
Additional Information • Right-of-way Required Assessor s Parcel Number
Please call your Service Coordinator Wendy Jensen at 760-476-5611 with questions
about application, inspection, construction installation and to schedule a crew
City/County inspection will have to be received prior to 2 00 p m on the same day as
the disconnect to allow SDG&E crew enough time for reconnection of service on the
same day
if SDG&E enccuntef s hazaidous or loxic maierinl Ahife periorming consouclion of /our pfoieci SDGivE wil has vnor *. immeiiiiiicly aril \\ wli ije A:.UI
responability to remote andjor cleanup ail hazardous or toxic mate lal pfiorio SDGSt concnumcjconsDijCtion SDGAE shal! have no iabdlr/or obi^aiH-n
wiiat&oever to clean up remove or remediita any hazffldousor toxic matenals aisco^ered 'Jiinrig l^e coiit^e ot constnjcaor unlossit isihfjugfi necjigsni-e A
SDG&E
Customer owned faciliiios to receive eledncai ser/ice are suojeci lo all applicaoie ocal and staie ur Caiforma inspeaton aulhoniy fequiremtrni^, Bujicmc,
address andJOr metar base must be poaed pnor to metet set Infofmation on tms sneai is vom attar sin (6) momtis Iram date Keep this nonce nvo, buikwi j
permit
All msiallaiions perfcfined iinoer this ordyr must meet SDGiE sianaaid^^|jess a wntten dK^iatiod his been approved
Planner AMY P MCBROOM
^nrirnft^^yp-:'; n wriricii da-ZiatlOll hisbgt