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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 M J Q(,^ck 9e,o"h" ^ -. 5 17^ 9a(a SsM Ur 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