HomeMy WebLinkAbout2623 GATEWAY RD; TP; CB140821; Permit04-10-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB140821
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2623 GATEWAY RD CBAD St: TP
PME
2131910900 Lot#:
100 AMP TEMP POWER
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/10/2014
JMA
04/10/2014
04/10/2014
Applicant:
POWER PLUS
436 N QUINCE ST
ESCONDIDO CA 92025-2522
760-839-9430
Owner:
REGENCY BRESSI LLC
C/O CORNERSTONE REAL ESTATE ADVIS
100 WILSHIRE BLVD #700
SANTA MONICA CA 90401
Plumbing Fees
Electrical 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:
PROVAL
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 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
fee.s/exactions of which vou have oreviouslv 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: DPLANNING •ENGINEERING nBUlLDING DFIRE DHEALTH •HAZMAT/APCD
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No. f ^
Est. Value
Plan Ok. Deposit
Date SWPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # lp UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OFWORK: Include Square Feet of Affected Area(s)
EXISTING USE,') . PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPU\CE
YES • # NOD
AIR CONDITIONING
YES O NO •
FIRE SPRINKLERS
YES • NOO
APPUCl UCANI NAIVIE (PrInfatK ContacfT Jl
,ococ ^
APPUCANTNAME (Secondary Contact)
ADDRESS ADDRESS
CITY
il [?»(
CITY STATE ZIP
PHONE
7t. 0 {^.?^- ^H^o
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME ux. I
ADDRESS ADDRESS
CITY S STATE r\ ZIP CITY
PHONE
EMAIL
FAX PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS C/O 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 applicantfor such permitto file a signed statement that he is licensed pursuant to the provisions oftlie Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) ortnat hels exempt therefrom, andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)),
Workers' Compensation Declaration: / hereby affirm under penalty ofpeijury one ofthe following declarations:
n IJjave 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.
fW\ have and will maintain workers'compensation, as required by Section 3700 of the Labor Code, forthe performajpe ofthe vmrk for which this pemiit is issued. My workers' compensation insurance canier and policy
number are: Insurance Co.^inL-<-H Ul » efg jvt ^vi r^t-yvfvc CQ - Policy No. ^ 7^ 0 ^3 O V Expiration Date •? ^ ? I- I <r--
This sectton need not be completed if Ihe permit is for one hundred dollars ($100) or less.
O Certificate of Exemption; I certify that in the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' campensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as proyided fa/ in Section 3706 of the Labor code, interest and attorney's fees.
ygS* CONTRACTOR SIGNATURE X-Tjl if" OAGENT DATE V'" 9—/^
O WNER BUILDEH DECLARATION
thereby affirm that 1 am exempt from Contractor's Ucense 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
Ucense 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).
O I, as owner of the pnjperfy, 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).
O I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construclion of the proposed property improvement. D Yes DNo
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted vKith 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, supen/ise and provide the major work (indude name / address / phone / contt-actors' license number):
5.1 will provitie some of the work, but I have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
) PROPERTY OWNER SIGNATURE •AGENT DATE
to MP LETE THIS SECTION r ^-llO'N -1»!| S^|;0« N'T I A L B U I I O I HG :P §k t/ii TS^ O.HL't^''"
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 Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a pemiit from the air pollutton control district or air quality management disirict? • 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.
CONSTRUCTiON LENDING AGENCY
I hereby aflirm 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
APPLICANT CERTtFiCA
I certiiy that I have read the application and state that the above infoimation is conect and thatthe infoimaton on the plans is accurate. I agree to comply with all Clfyotdlnances and State iaws relatingto building constniction.
I hereby authorize representative of the City of Cailsbad 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: /Vl OSHA pemiit is required for excavafions over SO' deep and demolition or consttuction of stnictures over 3 stories in height.
EXPIRATION: Every pemiit issued by Ihe Buikiing Oflicial under the provisions of this Code shall expire by limitation and become null and void it the building or woik authorized by such pemiit is not commenced within
180 days from the date ofsuch pemiit or if the buikiing orviotk authorized by such pemiit is suspended or abandoned at any time after the vwrk is oommenced for a period of 180 days (Sectfon 106.4.4 Unifomi Buikiing Code).
^APPLICANT'SSIGNATURE^ ^/ jf 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.
Fax (760) 602-8560, Email www.buildinq(3lcarlsbadca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008.
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT S BUS. LIC. No.
DELIVERY OPTIONS
a PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
D MAIL TO: o CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL/FAXTOOTHER:
o ASSOCIATED CB# — - -
• NO CHANGE IN USE/NO CONSTRUCTION
D CHANGE OF USE/NO CONSTRUCTION
o ASSOCIATED CB# — - -
• NO CHANGE IN USE/NO CONSTRUCTION
D CHANGE OF USE/NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB140821 Type: PME 100 AMP TEMP POWER
Date Inspection Item Inspector Act Comments
04/17/2014 32 Const. Service/Agricultural - Rl
04/17/2014 32 Const. Service/Agricultural PD AP
04/17/2014 39 Final Electrical PD AP
Friday, Aprill 8,2014 Page 1 of 1
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PROJECT NO. awaoe
DRAWt' CHECT
SITE PLAN SCALE: 1' •• *iy-cr
KP R s -
SDGf
k ^^.SeTnpra Energy "company 04/09/14
Confirmation of meter and service request
Customer: KPRS Construction Services, INC Phone 714 672 0800
Service Address: 2623 Gateway Rd TP, Carlsbad, CA
DPSS# 454618-010
Contact: Michelle Scott Phone 760 839 9430
We have investigated your request for temporary service and determined that the facilities you have
identified as D204401 are mechanically available for your use in providing temporary power for your
project. If temporary service is to be provided underground, please place your facilities no closer than 7 ft
or no further than 20 ft from the Utility source described above (see generic sketch below.) We can
schedule the installation of your facilities upon receipt of both billing application, municipal inspection.
For questions concerning this form or fiirther information call San Diego Gas & Electric at:
Teresa Saldana 760 476 5615
General Customer Information.
Meter height = 4'0" min -6'3" max from fmish grade to centerline of meter
base. Meters are required to be readily accessible 24 Hrs. /day Meters must be
located in a safe area free of any potential hazards or dangerous conditions.
Provide 3' x3' clear and level working space in front of meter. Where meter
room is proposed, contact the nearest SDG&E office.
Meter bases and service disconnects must be located at or immediately
adjacent to each other and be identified with address and unit number it
serves.
For dead front transformers, trench to
Facility in the shaded area
3'x3'
Clear &
Level in
Front of mtr.
Dead front
Transformers
I
Overhead services: must maintain a minimum of:
12 ft (@ point of connection. 18 ft (g center of street or 12 from
curb whichever is less. 16 ft over commercial driveways, 12 ft over
residential driveways. Maintain all required G.0.95 clearances.
Under£round services: phone Dig Alert 1-800-422-4133 at least
48 hrs prior to installing to verify the location of underground
utilities in the vicinity.
Main Switch 100 amps
Single Phase 3 Wire 4 meter clips 120/208 Volts
Utilities maximum contribution to fauft current 1 OK AIC amps
Customer owned facilities to receive electric service are subject to all applicable local and state of Califomia inspection authority requirements. Building
address and/or meter base must be posted prior to meter set. Information on this sheet is void after 6 months from date of issue.
If SDG&E encounters hazardous or toxic material while performing construction of your project, work will hah immediately and it will be your responsibility
to remove and/or clean all hazardous or toxic material prior to SDG&E continuing construction. SDG&E shall have no liability or obligation to clean, remove
or remediate any hazardous or toxic material discovered during the course of construction. Unless it is through negligence of SDG&E.
deadfront (2) revised 12/29/00