HomeMy WebLinkAbout2712 Madison St; 100; CBR2018-1367; Permit(city of
Carlsbad
Residential Permit
Print Date: 06/12/2018 Permit No: CBR2018-1367
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2712 Madison St, 100
BLDG-Residential
2031100500
$0.00
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: FRANKLIN: UPGRADE SERVICE PANEL
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
COOWNER FRANKLIN MICHAEL AND SANDRA
2712 Madison St
CARLSBAD, CA 92008
Total Payments To Date: $170.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
LEUCADIA ELECTRIC INC
5115 Avenida Encinas, D
Carlsbad, CA 92008-4332
760-431-6708
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.
Closed -Fina led
06/07/2018
06/07/2018
6/12/2018 12'59:29PM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
('City of
Carlstiad
Building Permit Application
1635 Faraday Ave" carlsbad, CA 92008
Ph: 78CMJ02-a71.9 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carl5badca.gov
Plan Check No~ J 57 ~ l'Vo :+
JOB ADDRESS
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ
6 ( ~ + (\0 L ,.J :;,e_ < II i ' .,_, V O .. r .,._,J e..
0 V
EXISTING USE I PROPOSED USE I GARAGE (SF)
""C.LICANT ~"I"• jf,lma,y Contact) 'I / .
~1G-t' Co IQ(JA.;,.. l 1 ~vC...~1(.A..
ADDRESS ..,
5/IS Av~",.;&. &,;._...s S-te 1>
CITY ZIP ("'"..,,.fslt,J STATE c..._ "i i,oog
PHONE
(7~0) 1¥t/-(7og
EMAIL
of,.,_,e.<---~ f~v,._,.._,./,..__e,. fu_/.,t", . <-o .....,____
DESIGN PROFESSIONAL NAME
ADDRESS
CITY STATE -----~Z'IP ___ _
PHONE IFAX
EMAIL
I STATE LIC. #
Est. Value
Plan Ck. Deposit
Date (r; f 1-{ /){
SU ITE#/SPACE #/UNIT#
# BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP
PATIOS (SF) I DECKS (SF)
I
FIREPLACE /AIR CONDITIONING IFIRE SPRINKLERS
YES □#_ NOD YES □ NOD YES □ NOD
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE IFAX
EMAIL
"'11!.TRACTOR ,, •. NAME /. • /, L . I, ~ \ -·-(4A, °beG. '•(... U,(_..,
-eue,-.... .... , 5-le. l>
STATE ---"zTF, ---·--·
c-'tZO<Jf?
PHONE c--11.,> 1'1<1-,1os IFAX
EMAIL
o1,v..,<L-@_ I~ ,.,<.e,...,fcw-t-t~i:.,I, ;c. . ~""'
STATE LIC.#
t:6t'Ht; !CLASS
c.--10 !
CITY BUS. LIC.#
6'-J.,R.0000,0 ·II ·U>/6
(Sec, 7031.5 Business ~nd P_rofess1ons Code: Any City or Coun_ty which requires a permit to_ construct, alter, improve, ~emolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code} or that he 1s 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 dol0rs {$500)).
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.
D I have and will maintain workers' compensation/ as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensat'on insurance carrier and policy
number are: Insurance Co. JI" v ~ b v I I "f.,.., rA...A-<-e.. G....,~ Policy No. ~ Expiration Date ~3~•~/~0~•Ll~'l _____ _
This section need not be completed if the permit is for one hundred dollars ($100) or less "'7'Z. W£c::.-A, AOV ty
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 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 one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as ided for in Section 3706 of the Labor code, interest and attorney's fees.
/15 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contracwr·s License Law for the following reason"
□ 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).
□ 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 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 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/ address/ 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 / address I phone I type of work):
/15 PROPERTY OWNER SIGNATURE □AGENT DATE
..
' ' =,; 5 c':\-"" -~-' = ? ~,
C O M P L E T E T II IS S EC T I O N F O R N O N · ff,Ji/~I D E N T I A L ,B U I t DI N Ci j! E R M I TS O N LY ~ < = A ~ ;,,,; L ~
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenUon program under Sections 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 permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O 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.
1 certify that I have read the application and state that the above information Is correct and that the information on the plans is accurall!. I agree to comply with all City ordinances and Stite laws relating to building construction.
I hereby authorize representative of the City of Car1sbad to enter up:,n the aOOve mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND Ex,;PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and booJme null and void if the building or'Mlrk authorized by such permit is not commenced 'Mthin
180 days from the date of such permit or if the building orv.ork authorized by such permit is suspended or abandoned at anytime after the v.ork is commenced for a period of 180days (Section 106.4.4 Uniform Building Code).
_85 APPLICANT'S SIGNATURE DATE 06 • 07 • ( g
Permit Type: BLDG-Residential Application Date: 0610712018 Owner: COOWNER FRANKLIN MICHAEL
AND SANDRA
Work Glass: P/MIE Issue Date: 0610712018 Subdivision: SEASIDE LANDS
Status: Closed -Finaled Expiration Date: 1211012018 Address: 2712 Madison St, 100
Carlsbad, CA 92008-1727
IVR Number: 11825
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
06/12/2018 06/12/2018 BLDG-33 Service 060709-2018 Passed Andy Krogh Complete
Change/Upgrade
BLDG-Final 060866-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
June 12, 2018 Page 1 of 1
(
Address:
Owner:
Contractor:
PANEL:
1,:1 I 1,,
County of San Diego, Planning & Development Services
SAN DIEGO (COUNTY) AREA CJRCUIT
CARD AND LOAD SUMMARY
BUILDING DIVISION
(1999 NEC) PLANNING & DEVELOPMENT SERVICES -BUILDING DIVISION
THIS CARD MUST BE FILLED OUT AND AVAILABLBE AT THE SERVICE EQUIPMENT FOR THE ROUGH INSPECTION
~ IY) ,1, ,I,. , -Permit Number: · CB ll 2C>I & · l'H '7
r.r.,.,k-t.'~ Phone: Census Tract Number:
Lr,,,,,,/·~ f:' f ec 1;, :, Phone: Area in Sq. Ft.
Z,.c>OA /lJ,ooo A.LC. tz.o/z40 VOLTS I 0 5 WIRE
LOCATION CKT BKR WIRE MISC LTG REC REC LTG MISC WIRE BKR CKT LOCATION SIZE SIZE TYPE SIZE TYPE SIZE
alA14; J,,, 1 1., I'} t z C r, I 2
Al, 3 '2 rJ I 'i I, I, 4
AL. 5 Q h I 2_ /' [A 6
r;-) 7 2. (7 f? C..IA 8
·) 9 ?<:> I ? (,, C,. 10
vtl J ;,/. .. 11 ,:; I (. ii 12
L ,;,,. A}~:., 13 6 / l (,./J 14 r-,1 r'A -15 ,~ I ,1-(' IA J 16
p/ C,.• 17 ,~ I , r 1,, . 18 I
) Pie.~ 19 ~ f • ' C. I.A 20
-/{; 1 21 ?/1 i? '1 I 22
k, t 23 '2.D I "2--IA 24
P.-1 , " 25 {~ 11-, lA 26
f>t -, 27 CZ.b / '2, (. IA ; 28 ,,~ Pl,/,..,_ 29 2/tJ /'7 ,.IA Jr 30
11 h . JI 31 lfD I ft '\ I 32
iu 6 33 !){j \ fl ,\ I 34
35 36
37 38
39 40
41 42
MAIN:8, ZODA AMP ~FUSE O MLO Computed Load AMPS
BUS: Z.,,oA AMP See Calculation Worksheet on back
Service entrance or fern conductors: Branch circuits required:
A) Size: No. $ 0 B) Type: '18( CU O AL A) Lighting Circuits 220 -3(b), 4(d)
C) Insulation: 7HHAJ D) Conduit Size: :2,. B) Two Small Appliance Circuits 210-11(e)
Service ground/bond: C) Laundry Circuit 220 -16(b)
A) Size: No. ti 'I B) Typejia' CU □AL D) Central Heating Equipment 422 -12
C) Clamp location(s): E) Bathroom 210 -52(d)
DUFER 250 -50(c) Remarks:
~ Water Pipe 250 -104
-gGround Rod J 250 -52
jsl 6½ ~O"'-I certify that all terminations have been torqued in accordance with GFCI locations 210 -8, 680 -70:
-;:&] Bathroom(s) @Kitchen manufacturer's instructions and that the work shown on this circuit card
0 Garage(s) Hydromassage Tub represents the full extent of the work performed under this permit.
~ Outdoors 0 0 Owner
~ Contractor ' ~;._ ~t,<-1-, It. /,,_,, AFCI Protected Circ. 210-12
0 Bedroom(s) Signed ~ ' Date t-tZ•l1
5510 OVERLAND AVE, SUITE 110, SAN DIEGO, CA 92123 • (858) 565-5920 • (888) 3367553
HTTP://WWW.SDCPDS.ORG
PDS 184 REV.: 09/24/2012 PAGE 1 of 2