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HomeMy WebLinkAbout2712 TIBURON AVE; ; CB092108; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-11-2009 Electrical Permit Permit No: CB092108 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2712 TIBURON AV CBAD ELEC 1675122300 Lot#: Status: 0 Applied: Entered By: Reference #·. PC#: Plan Approved: Project Title: KOCH RES-INSTALL NEW ELECT METER IN NEW LOCATION SAME AMPS Applicant: KOCH STEVEN 2712 TIBURON AVE CARLSBAD CA 92010 760 420 9200 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Owner: KOCH STEVEN 2712 TIBURON AVE CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 12/11/2009 LSM 12/11/2009 12/11/2009 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: FINAL APPROVAL Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project ·includes the "lmposit'lon" cl 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 r:rocessing or service fees ·in connecflon with this project. NOR DOES IT APPLY to any f • ... (V\1 I Ke Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. C,Soq c!)... l O 9'° Fax: 760-602-8558 www.carlsbadca.gov SUITE# /SPACE#/UNIT# Est. Value Plan Ck. Deposit Date LOT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP '2.--3 DESCRIPTION OF WORK: Include Square Feet of Affe • , I lJ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF} FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □ # --NO □ YES O NOD YES D NO □ CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADORES~ 7 ") ,_, I,.__. ADDRESS CITY ('/\ « ;S g t "\ ZIP '2C/(; CITY STATE ZIP PHON',(; l/2h-C)z._(,(; L-297 PHONE FAX i EMAIS"/:i 1. ~ ();7T G-L .L IVC Cc'Vh.... EMAIL t•C, STATE UC.# STATE LIC.# CLASS CITY BUS. UC.# (Sec: 7031.5 usiness 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 apphcant for such permit to file a signed statement that he IS licensed pursuant to the provisions of the Contractor'_s License Law /Cha'/'ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued □ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier ar,d policy number are: 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 performance 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' Compensab0!1 Laws of California. WARNING: Failure lo 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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _85 CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 'r I, as owner of the property 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 bLJilds 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Coo tractor'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 Seclion _____ Business and Professions Code for this reasw 1. I personally plan to provide the major labor and materials for construction of 111e proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I ph011e / contractors' license number): 4. l 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 / contractors' license number): 5. I will provide some of the work, but I have ntracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): ,K5 PROPERTY OWNER SIGNATURE 0AGENT DATE Is ll1e ap~icant 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 tile Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant requ"rred lo obtain a permit from the air pollution control dis1rict or air quality management district? D Yes D No Is tile facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information is correct and that the lnfonnation Oil the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representalNe of the City of Carlsbad lo enter up::m the above menti::lned property for insperu)(l purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COS ND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SA!D CITY IN CONSEQUENCE OF THE GRANT!NG OF THIS PERMIT. OSHA: An OSHA permrt is required for excavation 5'0' deep and demolition or construction of slructures over 3 stories i1 height. EXPIRATION·. Every permit tssued by tile Buikling und rthe p visions of this Code shall expire by limitation ard become null and void if the buildilg or'M:llk authorized by such permit is rot oomnenced within 180 days from the dale of such permit or if the bui uth by sudl permit is suspended or abandoned at any time after the 'M:llk is commenced fof a peood of 180 days (Sech::>n 100 .4 .4 Lkliform Buildng Code). ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 08/12/2010 Permit# CB092108 Inspector Assignment: RB Title: KOCH RES-INSTALL NEW ELECT Description: METER IN NEW LOCATION SAME AMPS FOR 2DU. ADDRESS IS 2714 TIBURON// NEW GAS METER FOR 2DU Type: ELEC Sub Type: Job Address: Suite: 2714 TIBURON AV Lot: Phone: 0 Location: Inspector: OWNER KOCH STEVEN Owner: Remarks: CAN YOU FINAL THE PERMIT ? Total Time: Requested By: Entered By: CD Description Act Comments .p.,-,,,,/ 39 Final Electrical /J-t_ of< f" Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns()ection Histo[Y Date Description Act lnsp Comments 04/21/2010 39 Final Electrical AP RB 04/16/2010 39 Final Electrical co TP SEE CARD 03/04/2010 34 Rough Electric PA RB --- ----- CHRISTINE CHRISTINE 03/04/2010 39 Final Electrical PA RB OK FOR METER REL ONLY FOR 2712 & 2714 03/03/2010 23 GasfTest/Repairs AP RB UNDRG GAS LINE 03/03/2010 31 Underground/Conduit-Wiring AP RB CONDUIT ONLY 03/02/2010 23 Gas/Test/Repairs NR RB 1106-JS 03/02/2010 31 Underground/Conduit-Wiring NR RB City of Carlsbad Bldg Inspection Request For 03/04/2010 Permit# CB092108 Inspector Assignment: RB --- Title: KOCH RES-INSTALL NEW ELECT Description: METER IN NEW LOCATION SAME AMPS FOR 2DU. ADDRESS IS 2714 TIBURON II NEW GAS METER FOR 2DU Type: ELEC Sub Type: Job Address: Suite: 2714 TIBURON AV Lot: Location: APPLICANT KOCH STEVEN Owner: Remarks: Total Time: CD 34 3'( Description Rough Electric 0 Phone: 7604209200 Inspector: ----- Requested By: JERRY Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# lns(:lection Histor:y Date Description Act lnsp Comments 03/03/2010 23 GasfTesURepairs AP RB UNDRG GAS LINE 03/03/2010 31 Underground/Conduit-Wiring AP RB CONDUIT ONLY 03/02/2010 23 GasfTesURepairs NR RB 1106-J5 03/02/2010 31 Underground/Conduit-Wiring NR RB sos.• _,)E A~ Sempra Energy uukt~· GAS METER & SERVICE LOCATION Customer Copy Wanted Date: ON TRENCH INSPECTION Pr~ect No: 961129 Job No: 020 Service Type: Gas Service Relocation (Partial) ProjectTille: KOCH, STEVEN (SOT-NP) ProlectAddress: 2712 TIBURON AV Project City: CARLSBAD l Customer Phone#: 760-420-9200 Contact: STEVEN KOCH I Conlact Phone#: 760-420-9200 D Traffic Conlrol Plan Required Excavation/Encroachment Permits Required By Servk:e lnslallation and/or Meter Location: Meler to be located on new retaining wall. Install houseline 19 inches from new SDG&E gas riser and 18 inches above final grade. Customer to provide all trench, excavation, 3' x 3' weldhole, backfill, compaction and surface repair from point of interception to new riser location. Customer to provided new traffic barriers as needed and directed by SDG&E Trench Inspector. Please contact your Service Coordinator to schedule a construction pre-meet after the fees have been paid. 0 SDG&E Application Required-C:all: I Municipal Inspection Required By City of Carlsbad I \3Y Meters are required to be readily accessible 24 hours per day. Matera must be located in a safe area free of any potentially hazardous or dangerous condition. Provide 3-ft. X 3-ft. dear and level working space in front of meter. Meter must be localed on premises to be served. PHONE DIG ALERT 1-1100-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITTES. Barricade Required By: NIA Trench By: Customer Joint Trench With: C: 0 ts 2 1ii .Cl 0 Customer Houseli~y -Min. 18" ~ 19" 1+----+~ 4 •I ~ Final Grade 6" 1811 u ·c: t; .,_ -.. w C: Oaf & "Cl w If SDG&E encounters hazardous or toxic material while pertorming oonstrucoon of your project, SDG&E wiH haH work inmediately arv:I it wil be your responsibilty to remove and/or clean up al hazardous or toxic material poor lo SOO&E conlinuing construcoon. SOG&E shall have no liabiUty or obligatk>n whatsoever to clean up, remove or remediate any hazardous or toxic materials discovered during the course of constrUCOOn unless ii is through negligence of SDG&E. Customer-owned fac~ities lo receive gas service are Sl.lbjecl to all applcable kx:al and state of California inspection authority requirements. Building address aod/or houseline must be permanently dentified prior to meter set. lnformaoon on this sheet is void after six (6) months. Keep this ootice with buik:ling permit. Customer Type: Residential t I N I I I I I I I I I f:5 I u I ~! ,_ I f1 I p.._pPRPV 2712 T.B. 1106-HS Date Prepared: 12/03/2009 r NEW RETA IN ING Hf+--WALL C1lY of CAR BUILDING --✓~•.!_ ---~\B\ftlO'l ST 'l: --~-~ 2"H_FI __ L _____ ._. I D Right-of-way Required Meter Separation from Electric Panel: ---r---------, Assessor's Parcel Number: I , , Additional Information: . : • : Please call your Service Coordinator Wendy Jensen ! : : at 760-476-5611 with questions about application, 1"'--0" j ! 1 1 inspection, construction installation and to schedule I -~ ; :--1:- a crew. ; i 1 . . ' Planner. KIMBERLY A MAGEO • I I & ~ . • • Teleph_one: 760-476-5612 """ -[] D D ~ , ....... -'- ~ aeot-,og