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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