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