HomeMy WebLinkAbout2757 GATEWAY RD; TP; CB120695; Permit04-17-2012
City of Carlsbad
1635 Faraday Av Carisbad, CA 92008
Plumbing/MeGhanical/Electrical (PME) Permit
Permit No: CB120695
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2757 GATEWAY RD CBAD St: TP
PME
OOOOOOOOOO Lot#: 0
200 AMP TEMP POWER FOR CONSTR.
status:
Applied:
Entered By:
Plan Approved:
ISSUED
04/17/2012
JMA
04/17/2012
Issued: 04/17/2012
Inspect Area:
Applicant:
POWER FABRICATING INC
Owner:
625 S FEE ANA ST
PLACENTIA CA 92870
714 223-3600
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$150.00
$0.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00
Inspector:
FINAL A,
Date:*^'
. APPR<
4id
OVAL
Clearance:
NOTICE: Please take NOTICE ttiat approval of your project Includes the "Imposition" of fees, dedications, resenrations, or other exactions hereafter collectively
refened to as lees/exactions." You have 90 days from the date this pennit was Issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for
processing In accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely foliow 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 pianning, zoning, grading or other similar application processing or senrice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been oiven a NOTICE similar to this, pr as to which the statute of iimitations has oreviouslv othenvise expired.
r
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Clieck No. ^Jp> ( 2-0(^^
Est. Vaiue
Pian Clt. Deposit
Date SWPP
JOB ADDRESS
|L0T# I PHASES / I # OF UNIT
SUnE#/SPACE#/UNn#
CT/PR0JECT# # OF UNITS # BEDROOMS # BATHROOMS TENAOT BUSIIMESS NAME CONSTR. TYPE OCC GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs)
AsJL
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES • NOD
FIRESPRINKLERS
YES • NOD
APPLICANT NAME (Primary Contactt^ yv 1 APPUCANTNAME (Secondary Contact)
ADDRESS ADDRESS
CITY
CA
STATE ZIP
oit%no
CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY
ADDRESS
O^N^NAME / / ,
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any Cily or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commenaing with Section 7000 of Division 3 of the Business and Professions CodeJ 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)).
WORKERS- COmPMHSAttOH
Wori(ers' Compensation Declaration: / hereby aflinn under penalty of peijury one ofthe following declarations:
• 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 pemiit is issued.
O I have and will maintain wortiers' aOrnaensatloii, as requiredpy Section 370|i of the Labor Code, for the perfomiance of the woric for which this permit is issued. My workers' compensation insurariscamer and policy
number are: Insurance Co. 0/£1 fvA/lbrC (iCnf^/^f Ixty fC/'P Policy No. >^/f »vJ 'jlK^pl Expiration Date fO-/~ / 2
This section need not be completed if the permit is for one hundred dollais ($1 (X)) or less.
[!1 Certificate of Exemption: I certify that in the perfomnance 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' Compensatkin Laws of
California. WARNING: Failure to secure woriters' compensatian 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, damajfcs as prcufflled for in Sution 3706 of the Labor code. Interest and attomey's fees.
DATE H~^-f^^
. addltl
CONTRACTOR SIGNATURE
1, damages as prcufflled for in SsGtion 3706 o
•AGENT
O W M e R ' 8 U 11, b e R O E C L A R A T t O N
/ hereby affimi f/iat / am exempf from Contractor's Ucense Law for the following reason:
• I, as owner of the pmperty 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 wori< 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 pmving 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 theroon, and contracts fbr such projects with contractor(s) licensed pursuant to the (Ontractors License Law).
• 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 ImprovemenL • Yes • No
2.1 (have / have not) signed an application for a building permit 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 planto provide portions of the work, bull have hired the following person to coonjinate, supenrise and provide the major work (include name/address/phone/contractors' license number):
5.1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the work indicated (Include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
COMPIETE THIS SECTION FOR NON-RESIDENTIAt BUILOiNG PERMITS ONLY
Is the applicant or future buikling occupant required to submit a business plan, acutely hazardous materials rogistration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Prosiey-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future buikiing occupant requined to obtain a pennit from the air poiiution control district or air quality management district? O Yes O No
Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? OYes • No
IF ANY OF THE ANSVffiRS ARE YES, A HNAL 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.
CO Ks TRUCTION LENDiNa AGENCY
I hereby affinn that there is a construction lending agency for the perfonnance of the woric this pennit is Issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
A PP il CANT CERTii^lCATiON
I certif tliat I have read tlie applicatkin and state tliat the above infoimatkin Is conect and thattlie infbmiation on
I hereby authorize representative of the City of Cailsbad to enter upon Ihe above mentoned property fbr Inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cfl^ IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA An OSHA permit Is required fbr excavatfons over 5'0' deep and demolitbn or construction of stmctures over 3 stories In heighL
EXPIRATION: Every pennit Issued by Ihe Building Official under the pfraons ofjbls Code shaH expire by llmMon and become null and void If the building or vwrk aulhorized by such pemilt Is not commenced within
180 days from the date of such pennit or If the buiding /r)«i1< aulhoijred qy sujl^pemilt is susg^jiftl or abandoned at any time after the wortc Is oommenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
vfifAPPLICANrS SIGNATURE DATE y-/7-/^
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.buildlnoOcarisbadca.oov or Mail tfie completed fbnn to City of Carisbad, 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 OPnONS
• PICK UP: • CONTACT (Usted above) • OCCUPANT (Usted above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
• MAIL/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
^efAPPUCANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 04/18/2012
Permit# CBl20695
Title: 200 AMP TEIWIP POWER FOR CONSTR.
Description:
Inspector Assignment:
2757 GATEWAY RD
TP Lot:
Type: PME SubType:
Job Address:
Suite:
Location:
APPLICANT POWER FABRICATING INC
Owner:
Remarks:
Phone: 7147198869
Inspector: }/t^
Total Time:
CD Description
32 Const. Service/Agricultural
39 Final Eiectricai
Requested By: NA
Entered By: CHRISTINE
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Date
Inspection Historv
Description Act Insp Comments
SDGf
\ Sempra Energy"company 04/11/12
Confirmation of meter and service request
Customer: TFW CONSTRUCTION Phone 858 748 4701
Service Address: 2757 GATEWAY RD CARLSBAD
DPSS#2540(>7-010
Contact: MICHAEL TUNNELL Phone 714 223 5688
We have investigated your request for temporary service and determined that the facilities you have
identified as D169220 are mechanically available for your use in providing temporary power for your
project. If temporary service is to be provided imderground, please place your facilities no closer than 7 ft
or no fiirther 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 further information call San Diego Gas & Electric at:
Bruce Sisson 760 931 7301
General Customer Information.
Meter hdffat = 4'0" min -6'3" max fiom finish grade to centeriine of meter
base. Meters are required to be readily accesstble 24 Hrs. /day Meters must be
located in a safe area fi«e of any potential hazards or dangerous conditions.
Provide 3' x3' clear ap^f lev^l wnricing space in fiont of meter. Where meter
room is proposed, contact the nearest SDG&E ofiice.
Meter bases and service disconnects must be located at or immediately
adjacent to each other and be identified with address and unit nimiber it
For dead front transfonners, trench to
Facility in the shaded area
3' X 3'
Clear &
Level in
Front of mtr.
Dead front
Transfonners
Overhead gervlccs: must maintain a minimum of:
12 fl (@ point of connection. 18 ft (@ center of street or 12 from
ciHb whichever is less. 16 fl over conmiercial driveways, 12 fl over
residential driveways. Maintain all required G.0.9S clearances.
Underground service»; phone Dig Alert 1-800-422-4133 at least
48 hrs prior to installing to verify the location of undraground
utilities in the vicinity.
Main Switch 200 amps
Single Phase 3 Wire 4 meter clips 120/240 Volts
Utilities maximum contribution to fault current lOK AIC amps
Customer owned fecilities 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 fiom date of issue.
If SDG&E encounters hazardous or toxic material while peribrming constniction of your project, work will halt immediately and it will be your responsibiUty
to remove and/or clean aU hazardous or toxic material prior to SDG&E continuing construction. SDG&E shall have no liabiUty or obUgation to clean, remove
or remediate any hazardous or toxic material discovered during the couise of constructioa Unless it is through negligence of SDG&E.
IQ6UJ9A0056C3SDGE Service Confirmation revised 12/29/00