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HomeMy WebLinkAbout2730 GATEWAY RD; ; CB150575; Permit02-24-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI50575 Building Inspection Request Line (760) 602-2725 Job Address: 2730 GATEWAY RD CBAD Permit Type: PME Status: Parcel No: 2132632700 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC #: Issued: Inspect Area: Project Title: PIZZA PORT- INSTALL NEW GAS LINE AND BOILER.(UL APPROVAL # 795). SDG&E TO REPLACE GAS METER FOR THE NEEDS OF THE NEW BOILER ISSUED 02/24/2015 RMA 02/24/2015 02/24/2015 Applicant: PACIFIC RIM MECHANICAL CONTRACTORS INC Owner: MARSAGLIA PROPERTIES LLC 7655 CONVOY CT SAN DIEGO CA 92111 619-843-3815 POBOX 1697 CARLSBAD CA 92018 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $160.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 inspector: f^' ^->^^ FINAL APPROVAL Date: O^^'H^^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit 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 vou have previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMfT ISSUANCE: nPLANNING ^ENGINEERING •BUILDING • FIRE nHEALTH • HAZMAT/APCD Ccityof 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. Est. Value Plan Ck. peposljt SWPPP JOB ADDRESS 2730 Gateway Road 92009 SUITE#/SPACE#/UNI1li 213 263 24 CT/PROJECT # 10 # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME Pizza Port CONSTR. TYPE 111-B DESCRIPTION OF WORK: /nc'ude Square Feet ofAtfected Area(s) Install new 5 psi gas line for^futum boiler replacement. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES[~|# YES| |NO| 1 YESQ N0| 1 APPLICANT NAIVIE Primary Contact lUlike Alvarez PROPERTYOWNER NAME IVIarsaglia Properties LLC. ADDRESS 7655 Convoy Court ADDRESS PO Box 1697 CITY San Dieao STATE CA ZIP 92111 CITY Carlsbad STATE CA. ZIP 92018 PHONE 858-974-6500 EXT. 1103 FAX PHONE 858-481-7332 FAX EMAIL malvarez@prmech.com EMAIL DESIGN PROFESSIONAL Bo Sampson CONTRACTOR BUS. NAME Pacific Rim Mechanical ADDRESS 7655 Convov Court ADDRESS 7655 Convoy Court CITY San Dieao STATE ZIP CA. 92111 CITY STATE San Dieao CA. ZIP 92111 PHONE 858-974-6500 FAX 858-974-6501 PHONE 858-974-6500 FAX 858-974-6501 EMAIL bsampsonprmech.com EMAIL prmech.com STATE LIC. # M33785 STATE LIC.# 814462 CLASS , C7A CITY BUS. LIC.# ^ //9^ )3Gn (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 ofthe 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)). WORKEi?S' COMPENSATIOI Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of tlie following declarations: I have and will maintain a certificate of consent to self-insure for vmrkers'compensation as provided bySection 3700 of the Labor Code, for the performance of the worl( for which this permit is issued. ( [3 I have and wili maintain workers' compensation, as required bv Section 3700 of the Lalxjr Code, for the perfomiance of the work for which this permii is issued. My wfl[l(ers_c^)ensalion insurance carrier and policy number are: Insurance Co "^T A\J Ccf-^f^^ Policy No. \/y^-2. ^^h5P6^ US^ShUi 7 //' lof ^ \ This section need not be completed if the permit is for one hundred dollars ($100) or less. [/] Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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 (&1Q0,Q00), in /addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ygS* CONTRACTOR SIGNATURE /p ^ A M^bENT DATE / hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: I [ 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 I 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 coniracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. HU^^s j [No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with 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, supervise and provide the major wori( (include name / address / phone / contractors' license number): 5.1 will provide some of the wort(, but I have contracted (hired) the following persons to provide the worts indicated (include name / address / phone / type of work): >6$'PR0PERTY OWNER SIGNATURE •AGENT DATE 4 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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 pemiit from the air pollution control district or air quality management district? Yes No Is the facility to be constnjcted vwthin 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 affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address tPPLICANT CERTIFICATION I certify that I have read the applkxitton and state thatthe above infonnation is conect and thatthe infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constmctton. I hereby authorize nepresentative of the City of Carisbad to enter upon the above mentioned property for inspeclion 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 pennit is required for excavations over 50' deep and demolition or constmction of stnjctures over 3 stories in height, EXPIRATION: Every perinit issued by the Building Oflicial under the pnovisons of this Code shall expire by limitation and become null and void if the building or wori< authorized by such pennit is not commenced within 180 days from the date of such pemiit or if the building or wrk authorized by such pennit is suspended or abandoned at any time after the is commenced for a period ot 180 days (Section 106.4.4 Unifonn Building Code). >€S'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 fmal inspection. Fax (760) 602-8560, Email buildina(5)carisbadca.gov or Mail the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: 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 ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB150575 Date Inspection Item 06/02/2015 29 Final Plumbing Type: PIVIE 06/02/2015 29 03/10/2015 23 03/06/2015 23 03/05/2015 23 Final Plumbing Gas/Test/Repairs Gas/Test/Repairs Gas/Test/Repairs Inspector Act Rl MC Fl MC AP MC AP MC PA PIZZA PORT- INSTALL NEW GAS LINE AND BOILER.{UL APPROVAL # 795). Comments GMR E-MAILED TO SDGE END 24 HR TEST, RECEIVED GRAPH START 24 HOUR CLOCK Tuesday, June 02, 2015 Page 1 of 1 CAVIGNAC^ASSOCIATES INSURANCE BROKERS License No. 0A99520 450 B Street, Suite 1800 San Diego, CA 92101-8005 Tel. 619.234.6848 • Fax 619.234.1239 • Webwww.cavignac.com City of San Diego Engineering and Capital Projects Department 600 B. Street Suite 800 San Diego, CA, 92101 Oct 30, 2014 Re: Pacific Rim Mechanical Contractors, Inc. To Whom It May Concern: Enclosed is a certificate of insurance, as requested. If you have questions or require changes, please contact our office via email (certificates@cavlgnac.com) or fax (619-234-1239). Please Include a copy ofthe certificate with your request or reference ID number 288673. Sincerely, Cavignac & Associates Certificate Department certlficates@cavlgnac.com 619-234-1239 (fax) cc: Pacific Rim Mechanical Contractors, Inc. - Certificate of Insurance Page 1 of 2 -S^l^p—A (^Sempra Energy utility"— ^ GASIV^ R LOCATION & SERVICE ORDER M^BK PT^tV ^ •moCATION- -9CC«#ra "FS NEW ITTl-LARGE METER- I2SJ SET/REMOVE lOORDINATEWITH 0B# • UG SERVICE CENTER ISSUE DATE £>H iKiStPBOTIolO COMPLETE BY PROJECT NO ,55-0 BOOK PAGE SSUED TO PLANNER C.fi». Ji-O us C.OW/ U-SY COST CENTER JAME V\-z2j\ Tan.r Grfirs Mgrag- i^foig^g VDDRESS H<n£-' COST wia*4eBPTWBR Tujeite 4 HBrte ser AO- ON THe SAHC P»V- MW5T A MOiOOflV THOMAS BROS. MAP STOCK CODE REASON NOT INSTALLED.. MODEL* BY- .EFV ASSEMBLY INSTALLED" YES • NO • .EFVMFR-. .LOT*. . EFV TESTED- TRIP • RESET • .DATE: CHARGE TO: • NEW SERVICE 100611. (ACCT 380) • RFS (TOTALS STAND ALONE) 100619_ (ACCT 1084) • RELOCATION (TOTAL) 100614_ (ACCT 380) • RaOCATION (PARTIAL) 100614. (ACCT 892 2) • RFS (PARTIAL) 100614. (ACCT 892 2) K INSTALL LRG MTR 100631. (ACCT 382) K RFS LRG MTR 100639. (ACCT 108.4) RAW REQUIRED • METER ACCESS ESMT. REQ'D • PERMIT REQUIRED- • EXC. • ENC • TCP PERMIT BY SDG&E • CUSTOMER • CITY/COUNTY I METER NO rER SIZE —• ~ LOAD STUDY DATE SERVING PRESSURE CUSTOMER CONTACT CUSTOMER CONTACT PHONE NO. FOOTAGE ESTIMATE SIZE & T/PE CURB VALVE BOX RISER BY PASS INSTAa RFS YESD NO • YES • NO • RISER SIZE DIVERSIFIED LOAD CFH GAS ENGINEERING USE ONLY YEAR RFS FGE SIZE HP/LP TRENCH BY Q SDG&E I [CUSTOMER FOREMAN'S REPORT-ACTUAL JOINT TRENCH WITH I [TELCO I I CATV QELEC | |GTO GS TRENCHING CONDITIONS I [AVERAGE [ [DIFFICULT 380 FACILITIES CONFLICT SVC LENGTH SIZE/ TYPE GS RFS STEEL PIPE INSPECTION GOOD POOR FOLLOW-UP • • • WRAPPING GOOD POOR • • FOLLOW-UP • TESTED-100 PSI-BY COMPLETED DATE VIETER(s) TO BE LOCATED ASSUME STREETS RUN • N. • E-W TALL FIRST HOUSELINE ^ HEADER REQUIRED TIER HEADER REQUIRED DATE WANTED • BARRICADE REQUIRED BY • CUSTOMER • SDG&E (ACCT 382) < 5 ! • • RIGHT-HAND HEADER FOR Meters are required to be readily accessible 24 hours per day Meters must be located In a safe area free of any potentially hazardous or dangerous condition Provide 3 ft x 3 ft. clear and level working space In front of meter Meter must be located on premises to be served PLANNER TELEPHONE DATE 2-4- 15 Customer-owned facilities to receive gas service are subject to all applicable local and state of California Inspection authonty requirements Building address and/or houseline must be permanently identified prior to meter set Information on this sheet Is void after sb( months Keep this notice with building permit If SDG&E encounters hazardous or toxic material while performing construction of your proiect SDG&E will halt work immediately and it will be your responsibility to remove and/or clean-up all hazardous or toxic matenal prior to SDG&E continuing construction SDG&E shall have no liability or obligation whatsoever to clean-up, remove or remediate any hazardous or toxic matenals discovered during the course of consb'uction, unless it Is through negligence of SDG&E. II.STRIHIITinN nRIRINAI-rnUST llFPT/RfcS MFTFB SHOP YFII flW^lllSTOMFR PINK-PI ANNFR Rfll D-nnitST HFRT /HFAnFR ORnFm 108-1 spn (pmm