HomeMy WebLinkAbout2869 ELMWOOD ST; ; CB152204; Permit07-15-2015
City of Carlsbaci
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 152204
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2869 ELMWOOD ST CBAD
PME
1561641600 Lot#:
LARSON RES - RELOCATE 200 AMP
PANEL TO NORTH WALL AT NORTHWEST CORNER
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/15/2015
SLE
07/15/2015
07/15/2015
Applicant:
MACGRAY ELECTRIC
Owner:
LARSON FAMILY 1998 TRUST
2718 WATERBURY WAY
CARLSBAD CA 92010
760 802-0140
2869 ELMWOOD ST
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$160.00
$0.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: 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 pemnit 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 Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othen«ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMff ISSUANCE: IZlPLANNING nENGINEERING BUILDING •FIRE • HEALTH • HAZMAT/APCD
Ccityof
Carlsbad
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plaii Check No. |t»^ - ZZJQ^
Est. Value
Plan Ck. Deposit
Date"l'l^- l':^ SWPPP
SUITEf/SPACEf/UNIT* APN
-
CT/PROJECT # L0T# PHASE# # OP UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP
DESCRIPTION OF WORK: fncfude Square Feet of Affected Areafs)
wocaie iMuj 200- amp V(\ju\cv pairx^i on tvu norm waw oit mn naYrr^um-^
e.e\ocanf\fj^ ZQQ - mp ^OJ\JL\
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES (3* N0| I
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YES I |NO| I
APPLICANT NAIME
Primary Contact
PROPERTY OWNER
VA\yce Larson ADDRESS ADDRESS
CITY STATE ZIP CITY
CtAY\soac!i
STATE ZIP
PHONE PHONE
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAiVIE
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE)
C' 20^0
PHONE PHONE
1G)U- boz- omo
FAX
EMAIL
CITY BUS. LIC#
(Sec 7031.5 Business and Professions Code: Any City or County whicn requires a permitto construct alter, improve, demolish or repair any structure, priorto 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WOI?KERS' COMPENSATION
Workers' Compensation Declaration: / hereby affinn underpenelly ofpeijuiy one ofthe following declaratbns:
• 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37(X) of the Labor Code, for the perfomiance of the work for which this pennit is issued.
• I have and wiil maintain worliers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My woricere' compensation insurance carrier and policy
numberare: Insurance Co,_ Policy No.. Expiration Date _
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 toi 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
Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred tiiousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE ^^^toC "f^^^-O^^^-^
JO WNSR-BUILOeR OiCiAltATION
AGENT OATE
/ hemby affimi that I am exempt fmm Confractor's License Lai* for the following mason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 wortt 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 compietion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I I 1, as owner of the property, am exclusively contracting with licensed contractors to constmct 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(E) licensed pursuant to the Contractor's License Law).
I I I am exempt under Section Business and Prafessions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Qves I iNo
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 constmction (include name address / phone / contractors' license number):
4.1 plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worti (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the mrk indicated (include name / address / phone / type of vrorti):
^efpROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THiS SECTION F O It N O N - R E $ I D E N T I A L BUItOiNC PERMITS ONIY
Is the applicant or future building occupant required to submit a business plan, acutely hazaidous 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 permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundaty 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
C O N S TR U C Tl O 14 LENDING AGENCY
I hereby aflirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I ceili^ that I have read the applkiatkin and state that the above infonnation Is conect and thatthe InlbnTiation on the plans is accurate. I agree to complywith all Cily ordinances and Stale laws relating tarbuilding constructkin.
I hereby authorize representative of Ihe City of Cartsbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required lor excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height
EXPIRATION: Every pemiit issued by the Building Official under the provisbns ofthis Code shall expire by limitation and become null and void if the building or viortt aulhorized by such permit is riot commenced wilhin
180 days fiom the date of such permit or if the buikJing or wortt authorized by such permit is suspended or abandoned at any (me after the viortt is commenced for a period of 180 days (Sectfon 106.4.4 Unifomi BuiWing Code).
^gTAPPLICANT'S SIGNATURE ^Cd^jL -ff[OUj^(Xy' DATE
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 buildinQ(S)carlsbadca.aov or Mall the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008,
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE 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)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANTS SIGNATURE DATE
Inspection List
Permit*: CB152204 Type: PME LARSON RES - RELOCATE 200 AMP
PANEL TO NORTH WALL AT NORTHWES
Date Inspection Item Inspector Act Comments
08/13/2015 33 Service Change/Upgrade - Rl
08/13/2015 33 Service Change/Upgrade PB AP
08/13/2015 39 Final Electrical - Rl
08/13/2015 39 Final Electrical PB AP
Friday, August 14, 2015 Page 1 of 1
ELECTRIC OVERHEAD METER & SERVICE LOCATION
Customar Copy
Sempra Energy mwy'
i/anted Oate: On City Inspection Service T/pe: OH Service Rewlre/Reiocation Customer Type; Residential
T.B. 1106-F4
roject No: 455794 Job No: 010
'reject Title: LARSON RESIDENCE (SOT) OH R/W
'reject Address: 2869 ELMWOOD ST
reject City: CARLSBAD
:ontact: GLEN MACGRAY
Customer Phone #: 760-802-0140
Contact Phone #: 760-802-0140
I] Traffic Control Pemiit Required
xcavation/Encroachment Permits Required By
ervice Attactiment Point and/or Meter Location: Locate new 200-amp meter panel on the
lorth wall at the northwest corner. Locate the new point of attachment
vithin 18-inches of the northwest corner on the north wall. Install rigid
Iser a minimum of 2-feet at)ove roof and meet minimum clearances as
loted t)elow. Once the new panet is wired and inspected by the City, call
Andrew at 760-476-5614 to confirm inspection and schedule a joint meet
vith the SDG&E crew.
I] SDG&E Application Required - Call:
luniclpai Inspection Required By City of Cartsbad
leter height - 4'0' min. (S'C min. for multiple meter installation) - 6'3" max. From finish grade to centeriine of meter
ase. Meters are required to be readily accessible 24 hours per day. Meters must be located In a safej^ppte^
ny potentially hazardous or dangerous condition. Provide 3-ft. X 3-fL Minimum dear and level working space in front
f meter. Where meter room is proposed, contact the planner at ttw nearest SDG&E office.
leter bases and meter senrice disconnects must be located at or immediately adjacent to each other anci8£U ED S $Y
lentified with address and unit number it sen/es.
ED B^':
ower Source: OSI-63 Stmcture Number P26850
rovide Minimum Ground Clearance Of:
0 FT From bottom of drip loop at service wire point of attachment
2 FT Over driveway or paridng area
6 FT At outer limit of vehicular traffic
: FT Minimum rigid riser above roof
t
N
KNOWLES
City of Carlsbad
ijuilding Division
JUL 152015
cuttoiMr to clear
buthfrom
rvodhwnt comer O O
O
Ul
ieraice Panel Rating: 200 Number/Size of Main Switch(es): 1@200Amp
of Wires: 3 Phase: Single Voltage: 120/240
itilities Maximum Contribution To Fault Current 10000 Amps
Mg, Selt-Contained Meter Clips: 4
emp Senrice Charge Due on First BUI $
Caii (760) 476-5614
to scheduie a crew
Additional Infonnation: • Right-of-way Required Assessor's Parcel Number:
PIMM call your Service Cooixllnator Andrew Cattro «t 76(M76-5614 witii queetlont about Inspection, conetructlon
Installation and to schedule a crew. To minimize tiw electrical outage, you are advised to schedule « morning
disconnect with an afternoon reconnect There Is no charge forthis seivice. Befora you change out your meter
consider SOG&E will not reconnect the senice without municlpil approval on the new panel. Please contact the Cit
regarding pennits and inspections. City inspection should be received prior to 2:IX) p.m. on the ume day as the
disconnection of service to allow tha SOG&E crew enough time for reconnection of the service on ths same
day.
If SOGtE snoiuntHS hazanlous or tone maienal wtie iwtxniing
reapontiliity to reinove and/or dean up all Iwzardoui or toidcmalKW SD<3&E shall have noliaMity or obtgalxin
whatsoavar to daan up, ramcM or rsnadialg any hazardous or toxic maHriak di^
SOGtE
Custonar-ownedfadlites to receive electiical 8 guMing
aildressaiHll()rn«lBibaMiraislba|X)8leitprl()rloiiieterM li*nn4io(ioniliiiilwetisvodallBftix(S)inoi«(hini^^ Keep Wt notee wntitiuidini
permit
AlinsOIMonspatfcniiedumler IWs order must meet SDGtEslantods unlaw
Planner ANDRE J ARELLANO Telephone: 760-476-5612