HomeMy WebLinkAbout169 SEQUOIA AVE; ; CB141182; Permit•
05-29-2014
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB141182
Building Inspection Request Line (760) 602-2725
169 SEQUOIA AV CBAD
PME
2060130700 Lot#:
CLOSSEY RES-REPLACE 200 AMP
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
PANEL W/ NEW 200 AMP PANEL-MOVE LOCATION PER SDG&E
REQUIREMEMENT
Owner:
ISSUED
05/29/2014
RMA
05/29/2014
05/29/2014
GARCILASO CONSTRUCTION CLOSSEY FAMILY TRUST 09-28-04
2577 JOANN DR
OCEANSIDE CA 92056
760-631-2012
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
169 SEQUOIA AVE
CARLSBAD CA 92008
$0.00
$158.00
$0.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector: Date: Clearance:
$0.00
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 permit 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
f e /ex i n f which ou have r vi sl b en iv n NOTICE similar to thi or which th ute of limi i n ha revi I herwi x ir
.. / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD
~ «'"" ~ CITY OF
CARLSBAD
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNITI
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
pt1¥'1J'll,,(, $~f . ~
~ dcJ0°7
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIDNAL
ADDRESS
CITY
PROPOSED USE
STATE
FAA
STATE
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
ZIP
PHONE 7-60 _
EMAIL
ZIP
Plan Check No.
Est. Value
SWPPP
ZIP q;z_o.r-,
PHONE FAA
EMAIL EMAIL
STATE UC.# STATE UC.#
(Sec~ 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its lss 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 Sec 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 per it civil penalty of not more than five hundred dollars {$500}).
WORKEIIS° COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
B 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 pertormance of the work for whic" this permit is issued.
I have and will maintain woril;ers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensatio11 insurance carrier and policy
number are: Insurance Co ______________________ Policy No, ______________ Expiration Date _________ _
-~1 ction need not be completed if the permit is for one hundred dollars ($100) or less.
ertlflcate of Exemption: I certify that in the pertormance of the work for which this pennlt is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compe11sa1ion Laws of
ifomia. WARNING: Failure to secure wOlkers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam a 0ded for In 06 of Labor code, Interest and attorney's fees.
,85 CONTRACTOR SIGNATURE
□
□
I, as owner of the property or my employees with wages as their sole compe11sation, 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 O'Ml employees, provided that svch improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completio11, the owner-builder will have the burden of proving 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 thereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for cor1structlon of the proposed property improvement. OYes 0No
2. I (have I "ave not) signed ar1 application for a b\Jilding pennit for the proposed work.
J. I have contracted with the folk:lwing persol'\ (!inn) to provide the proposed construction (include name address/ phone/ contractors' license number):
4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include r1ame /address/ phone I type of work):
Jl5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, i£ulely hazardous materials registration form or risk management and prevention program under Sectkms 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acft 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 constructed within 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,
I certify that I have l8ad the application and state that the abcr.'8 lnfonnadon Is comictand that the lnfonnatlon on the plans Is accurate. I agree to oomply'Mth all City ordinances and StBte laws relating to buMdlng amstruction.
I hereby authorize representative of the City of Carlsbad to enter UIX)n the above mentioned property br inspection purposes. I .ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AGIIINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA M OSHA pennlt is requred for excavations over 5'0' deep ar.d demolioon or constructbn of structures over 3 stories fl hei;Jht.
EXPIRATION: Every ~nnit issued by the Buik::ling Offi::;ial under the provisbns of is Codes II expire by lirnitaOOn and beoome null and \/00 tt the buik::ling or w:irk authorized by sudl ~nnit is notcornmenred 'Mlhin
180 days from the date of such ~nnlt or if the buik::li or WJ authorized s nnlt · us~nded or abandoned at any time after the 'Mlrk is oommenred for a ~riod of 180 days (Section 100.4.4 Unifonn Buik::ling Ccxle).
,65 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Llste<:I above) OCCUPANT (LiSted above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (LISted above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ ~
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB141182 Type: PME
Date lnspe_c_tio_11Jtem
06/09/2014 39 Final Electrical
06/09/2014 39 Final Electrical
06/02/2014 33 Service Change/Upgrade
06/02/2014 33 Service Change/Upgrade
33 Service Change/Upgrade
Wednesday, November 26, 2014
Inspector Act
PD AP
PD
PD
PD
AP
AP
AP
CLOSSEY RES-REPLACE 200 AMP
PANEL W/ NEW 200 AMP PANEL-MOVE L
Comments
Page 1 of 1
soa.~ -'E
A~ Sempra Energy utilrty-
ELECTRIC OVERHEAD METER & SERVICE LOCATION
Customer Copy
T.B. 1106-E7
Wanted Date: On City Inspection Ser.ice Type: OH Service Rewire/Relocation Customer Type: Residential Date Prepared: 05/15/2014
Project No: 455904 I Job No: 010
Project Title: CLOSSEY RESIDENCE (Son OH R/W
Project Address: 169 SEQUOIA AV
Project City: CARLSBAD Customer Phone#: 858-688-2446
Contact TAD KALCSO Contact Phone#: 858-688-2446
D Traffic Control Permit Required
Excavation/Encroachment Permits Required By
Service Attachment Point and/or Meter Location: Locate new 200-amp meter panel on the
east wall at the northeast corner. Locate the new point of attachment
within 18-inches of the northeast corner on the east wall. Install rigid
riser a minimum of 2-feet above roof and meet minimum clearances as
noted below. Once the new panel is wired and inspected by the City, call
Andrew at 760-476-5614 to confirm inspection and schedule a joint meet
with the SDG&E crew.
D SDG&E Application Required -Cati:
Municipal lnspecton Required By City of Carlsbad ' Meter height -4'0" min. (3'0" min. for multiple meter installation) -6'3" max. From finish grade to centerline~~}
base. Meters are required to be readily accessible 24 hours per day. Meters must be located in a safe are of
any potentially hazardous or dangerous condition. Provide 3-ft. X 3-ft. Minimum clear and level working space i~~
of meter. Where meter room is proposed, contact the planner at the nearest SDG&E office.
Meter bases and meter service disconnects must be located at or immediately adjacent to each other and be
identified with address and unit number ii serves.
Power Soorce: 781-419 I Structure Nurnbe, Guy Span ~
Provide Minimum Ground Clearance Of: ~ 10 FT From bottom of drip loop at service wire point of attachment
12 FT Over driveway or parking area
16 FT At outer limit of vehicular traffic
2 FT Minimum rigid riser above roof
Service Panel Rating: 200 Number/Size of Main Switch(es): 1@200 Amp
#ofWires: 3 Phase: Single V~tage: 120/240
Utilities Maximum Contribution To Fault Current 10000 Amps
Metenng: Self-Contained Meter Clips: 4
Temp Service Charge Due on First Bill$
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1-60HE / \
P122860 / \ ,, \
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7111-419
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Call (760) 476-5614
to schedule a
Disconnect/Reconnect
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lditional Information: D Right-of-way Required Assessors Parcel Number:
guy
span
P120003
Please call your Service Coordinator Andrew Castro at 760-476-5614 with questions
about inspection, construction installation and to schedule a crew. Before you change
out your meter consider SDG&E will not reconnect the service without municipal
approval on the new panel. Please contact the City regarding permits and
inspections.
H SDG&E encounters h8lall01as or toxic material while performing constuction of your pr0jeet, SDG&E wil haR work immediately and it wiH be your
responsibiily to remove and/or cleoo up al llazinJous or toxic material prior ID SDG&E continuing consnic:tion. SDG&E shall have no lability or obigatioo
whatsoever to clean up, remove or remadiate 81rf hazirdous or loxi(: materials discovered during the 00!l'Sfl of construc11on unless it Is through nagigenee of
SDG&E.
Customer-owned facilities to receive electical service ;n subject to aN applcable local and stala of Caifomia Flsp&Ction authority requirements.. Building
address and/or m..-base must be posted prior to meter set Information on this sheet is ~oid after six {6) months tom date. Keep this notice with building -Al installations perftlrmed under this order must meet SDG&E stand.rds unless a 'Mitten deviation has been approved.
Planner: ANDRE J ARELLANO Telephone: 760-476-5612
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