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HomeMy WebLinkAbout1781 SKIMMER CT; ; CB142660; Permit05-11-2015 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/IVIechanical/Electrical (PME) Permit Permit No:CB142660 Building-lnsRection Request Line (760) 602-2725 Lot#: SASKA: 200 A TEMP POWER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/14/2014 JMA 10/14/2014 10/14/2014 WF Applicant: WALKERS ELECTRIC SRE314 249 S. HIGHWAY 101 SOLANA BEACH CA 92075 760-479-1426 Owner: SASKA ISABEL R TRUST 04-01-98 1781 SKIMMER CT CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechianical 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 APR^ROVAL Date: JHWJ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/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 infomnation 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenAiise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING nBUILDING OFIRE QHEALTH nHAZMAT/APCD \^ City of 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. (26>i^'^ 2JOCPO Est. Value Plan Ck. Deposit Date [0I{H\\^ SWPPP JOBADDRESS . SUITE#/SPACE#/UNIT# APN - CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: (ncfude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~|# N0| I AIR CONDITIONING YES|~]NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS 3 STA^J ADDRESS CITY Sol CITY STATE ZIP PHONE PHONE EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY^ CITY STATE ZIP STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL (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 applicant for such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commenalngwith Section 7000 of Division 3 oftne 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)). HB MW^^^MMa - — asm.... Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations: I l^have and will maintain a cettificate 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 pennit is issued. Iiave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfoimance of the work for which this.permit is issued. My workers' compensation insurance earner and policy numberare: Insurance Co. '"^0 (../p jj-f ^ jX^..-^ PolicyNo. Expiration Date. This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the wori( for 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 employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatlon^jlafflages as provided fo^in Section 3706 of the Labor code, interest and attomey's fees. ^eS" CONTRACTOR SIGNATURE' CJ^C\^ /JL.^^..-.^ '"^OAGENT DATE I'^/ZH/ /<-/ I / hereby affinn that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will dc 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 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(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, [^Yes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the foilowing person (fim) to provide the proposed constniction (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, supen/ise and provide the major work (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 work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE 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 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 boundary of a school site? Yes No IF ANY OP 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. 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 I certify that I have read the application and state thatthe above infbnnat'on is conectand thatthe inlbnnation on the plans is accurate. I agree fo complywith all Cify oidinances and Stale laws relating to building constmcfion. I hereby authorize representative ofthe City of Carlsbad to enter upon the above mentbned property ibr inspection purposes. I ALSO AGREE TO SAVE, INDEI\/INII=Y AND KEEP HAIRIUILESS 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 pemiit is required for excavations over S'O' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Oflicial under the provisions of this Cede shall expire by limitatbn and become null and void if the bulding or work authorized by such pemiit is not commenced within 180 days from the date of such pemiit or if the building cr work authorized by such pennit is suspended or abandoned at any time after the work Is commenced for a period of 180 days (Sectbn 106.4.4 Uniform Building Code). ) 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 final inspection. Fax (760) 602-8560, Email buildinatScarlsbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS 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 jgS"APPLICANT'S SIGNATURE DATE Inspection List Permit* CB142660 Type: PME SASKA: 200 A TEMP POWER Date Inspection Item Inspector Act Comments 10/20/2014 39 Final Electrical WF AP Tuesday, May 12, 2015 Page 1 of 1 A jJ^Semp-s Energy utwiy" v\*«TisdDae: Ql InspecJioD ELECTRIC UNDERGROUND METER & SERVICE LOCATION Customer Copy SefyoeType: UG Service Tynporary Piicjectl^:'^aS275 Job No: 010 RrjectTiHe. RREaOI-^-SASKA FESfDPCE (SOT) PrcjectAddraE: 1781 SKiVMERCTTP Comaa: AdanWHke' Cus^aTsrnme#: Oxsaet Rxne#: 7SC>-214-3R]0 C]TrefficCa»dl%n1t Squired. &m>B<IOfVBtrgriTTisnl Rgp-lts flaqt^ Savloe K.-'drrert Ro-nt anctor \1eter Locff on: LOCS e 20D-arrO tempo-ary mf?;er Dola'tecestal with n 10 feet of existing 3312 hersdhole, f&ce towari:; driven v^'. Qistom&r to provide a!i trench, excavation, 24rch condu.t, backfill compac:. on axi GM" pulling sn6 measuring tepe from ©KiStlng 3S''2 htendhoie to meser panel. Pre-Meet required -with SDCa&E Trench Inspector prior .0 trenching. CustonnR' to trench to corner of handhole as instructed by SCG&E Treich Inspector, SDG&E to insta'; custonor-proviced swefo into handhda !f selected. Customer assumss responsibility for condt on of ex.sting stubs. Temporal fee of S78S.00 wili appear on first month's bill. isciGg£/»pplkallonH9?Jtsd-Cai, 1-800411-7343 ^Ai^iclpBllnsp(xikrRBCM^Byatyc?fC^^ Waterhagrt-'^r?'nia(3(rm-ifcrnilllpteneterInsUHion;--macFttmSriahgradatoosnlsiln*ofnrvtgrban Msirsare reqUred to bp rt«jly atsesB-bie » hous cay. MBters -ojst be tatec in a aefc arar. free of ary pc srtaiy haiarcbLS a dargBTOusoorritian. F^IWBM. X3* MnirajTideBrarti iai«lvvcrMngapBM Ww me,« room Is proFosed, oortad tt» pfcr^vsr * the rwssf SXiSE ofS<K. IV'Eiar bases £.-13 ureter servicT: csarreds rrv'^ Oe andiriltniiTt:f.- serves. PqOCEDUF.: .SOR INSTA-UMTON 1. PHC^r:DlGAI^ 1-80O•227-^90OATl£AST^W^DA^'BFT*» 2. Phone 3X38£at 7CXM7&5611 fbrthefc«ov\<ng: • S vwddng Osft, prior to limiing to ansngE) piwreA wtf, inspedor ano' irliiBte1ren*'Tg ptocess. • .''ftfsr ewawalicri of trendi, InstsiaHon of ocrcJjl and servce ertranoe ©sjoniBrt et mSsr joccdon, CWi, ^INSPECION. DoixiiccwccnlJIwii'Toutlnspecf.T'svwinBnapp^ • W^gn tren* ti; beickfllled arr. COTToacted, CAU. FCR INF,;?BCmON. • t servloeertist-ae ecMpmsnt is instelled after beddW, OU. PGR INSP5CTON OF T-€ BQUPUCNT. 3. Kilter ':>»TOl be set. stA inspectcr nas apftweti iri^ldion, inaudng sen^ aquipment, anS reoeipl of dty/bcunty^staie inspj^idion ctearai^. BaverSixrte: 111&613 SlmcfurE: .NtTiter 01^166 Joint Trench vvitn: BectrcOtly HTidhctelnsfeiadby: SfendardsPif^#: ;-*n*DteUd9TallFtead: Bend lnstallf<j by CUsto.nsr Type: Handhole 2" 90 IDeg 24"R DBSO OaxUt Instaiied by: Customer CaxWtSae: 1-DB2' S9vioeBanslftelin9:20O Nmter/S2e of Main Swtch: 1/200 Vattge: 120240 #ofWres:3 RTaBB:Sngle lJilities^tednrunQ3^^ribulio^^1oF^CunBr1t 10000 Arrps Metering: Self-Cbrttaingd Meier Oips: 4 TenpSeafoeCJiarge Dug on First BII $766 TB. 1127-E5 Customer Type: Residential T N DatePrepared: 05/27/2014 XST.POlNSEniALN EXiSTING 3312 HANDHOLE 0-° 1781 CUSTOMER TO PROVIDE TRENCH &r CONDUIT 200.AWP TEWPORARY POWER 1781 8KIMWERCTTP Aiitional infafiration: • Hght-of-wey FteqiinBd Assessor's Parcel Nurtier: Rease cal I your Service Qjordinstor V^fendy Jensen at 7e047&6611 with questions about application, inspection, construction installation and to schedule a CX&N. lfSDG8Eenooj«aishazadoii8(ytortcnBleritlyihlepafaniligo(^^ (wponetiHytoiBmaBaTdlgcleanipdlhazadousJtndciTEte^ SOGSE shall hme no MMiyadUgalian whiteDe>CTlodeanit>imi»eorrOTBdteteaiyheeaKtxisglD»fcHtteii^ SDGSE CuslaTBKwnedtidHHestoisoBiwelecMcdsG^ BuMng addweBuiVui »i3u UiuumjabepostedpitatorTBtBrsel. Irtoiriilionanlhisshaellsvaid^sixtQtmrthsfi^ K9epVi>siTili(BwHibul#g panil Allinsl8llaior»pBfamBdii«te»teoidarnnuslmBeiaxgE Planer AMTPMCBRXM Telephone: 76O47&5610