HomeMy WebLinkAbout1013 IRIS CT; ; VARIOUS; PermitI.IUIII.WI.1,11, II4|1,J
Perm.11 No : CB981 3 1 2
Project No: A98017.36
Development No:
BUIL D I N G PERM I T
(,)5/04/98 12:48
Page 1 of 1
Job Address: 1013 IRIS CT Suite:
Permit Type: MISCELLANEOUS 6682 05/04/98 0001 01 02
Parcel No: 214-402-46-UO Lot#: C-PRMT 102«00
Valuation: 3,848 Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
Description: RE-ROOF,3700 SF COMPOSITION Applied: 05/04/98
: Apr/Issue: 05/04/98
Entered By: RMA
760 630-7850 Appl/Ownr : HACIENDA ROOFING
451 OLIVE AV
VISTA CA 9 2 083
•A k k Fees Required «• *.
Fees
Ad justments
Total Fees
Fee description
.00
.2.00
Miscellaneous Fee
* MISCELLANEOUS TOTAL t nH
Fecb 'oi i'""-red Credit:
Tot-ai Crijijita:
Total Pfi/ipeAta:
- Balance Du6:^i
Unitr Ff^e/'IniT
-----------r---
. 0 0
. 0 0
10 2.0 0
Ext fee Data
102.00 PERMIT FEE
10 2.0 0
FINAL APPROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carisbad CA 92009
(760) 438-1161
1013 Iris Court
Address (include BIdg/Suite #1 Business Name (at this address)
Legal Descriptipn Lot No. Subdlviiion Name/Number
214-402-46-00 Single Family Dwelling
Unit No. Phase No. Total H of units
Assessor's Parcai 0 Exiating Use Proposed Usa
Remove & haul away existing shake roofing. Install 7/16" OSB board over existing space
Description of Work SQ. FT. »ot Stories
sheathing. Apply fiberglass asphalt shingles. (3,700 sq
# of Bedrooms # of Bathrooms . ft.)
Name Addrass City
Hacienda Roofing, Inc., 451 Olive Ave., Vista, CA. 92083
State/Zip Telephone # Fax 0
(760) 630-7850
Name Addresa City
Mike & Lisa Hinkly, 10i3 Iris Court, Carlsbad, CA. 92009
State/Zip Teiephone #
(760) 431-1742
City State/Zip Teiephone 0 Name Addreaa
SJt3*ONTIWOTOB*0MP«IWl^^
(Sec. 7031.5 Buainaaa and Profeaaiona Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
isauance, alao requires the applicant for auch permit to file a aigned statament that he is licensed pursuant to the provisions of the Contractor's License Law
IChapter 9, commerMiing with Section 7000 of DIviajon 3 of the Buainaaa and Profeaaiona 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 parmit aubjecta the applicant to a civil penalty of not more than five hundred dollars l$500l).
Hacienda Roofing. Inc., 451 Olive Ave.. Vista, CA. 92083 (760) 630-7850
Name
State Ucense # 365314
Addreas
Ucense Class C-39
City State/Zip Teiephone #
City Business Ucense # 488400
09-15-98
Designsr Name Address City State/Zip Telephone
State Ucense #
«. WORKiPB?CC0ilit^
Workers' Compensation Declaration: I hereby affirm undar penalty of perjury one of the following declarations:
G I >"ve and will maintain a cartificata of conaant to aalf-inaure for workera' compensation as providad by Section 3700 of the Labor Code, for the performance
of the work for which tNa parmit ia iaauad.
Q I have and will maintain workers' compansation, aa required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy numbar are:
Insurance Company Legion Ins . Co . Policy No. WC10526090 Expiration Oate_
(THIS SECTION NEED NOT BE COMPLETEO IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify that in tha performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as
to become subject to tha Workers' Compemation Lawa of Califomia.
WARNING: Failura to aecura workera' compenaatian coverage ia unlawrful, and ahaH aui^aet an employer to criminal penaKies and civil fines up to one hundred
thouaand dollara {*^<XHOOO). In •ddMootellia.^Mt of o^^anaat|Mr^teiagea aa provided for in Section 3706 of the Labor code, interast and attomay'a faea.
SIGNATURE K j^!^^i^*L^^/^^^^ ^^^^^C^ DATE _0^liLlll___
I hareby affirm that I am exempt from the Contrector'a Ucense Ltw for the following reason:
Q 1, as owner of the propeny or my employees with wagea aa their aole compensation, will do the work and ths structure is not intended or offered for sale
(Sec. 7044, Buainaaa and Profeaaiona Coda: The Contrector'a Ucense Law does not spply to an owner of property who buiids or improves thereon, and who does
such work himself or through Ma own employeas, provided that auch improvements ara not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will heve the burden of proving that he did not build or improve for the purpose of sale).
Q I, aa ownar of the property, am exclusively contrecting with licenaed contrectors to construct the project ISec. 7044, Business and Professions Code: The
Contractor's Ucenae Law doaa not apply to an owner of property who buiids or improves thereon, and contracts for such projects with eontractorls) licensed
pursuant to tha Contrector'a Ucenae Law).
• 1 am exempt under Section Business and Profeasions Code for this reason:
1. I personally pian to provida the major labor and materials for construction of the proposed property Improvement. Q YES QNO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following peraon (firm) to provide the propoaed construction (include name / address / phone number / contractors license number):
4. I plan to provide portiona of the work, but I have hired the foilowing person to coordinate, supervise and provide the major work (include name / eddress / phone
number / contractora licenae number): ^
5. I will provide some of the work, but I have contrected (hired) the following persons to provide the work indicated linclude name / address / phone number / type
of work): |
PROPERTY OWNER SIGNATURE DATE
iBflilPllClfMSiiS^
Is the applicant or future buiiding occupant raquired to aubmit a buainaaa plan, acutaiy hazardous materiels registration form or risk management and prevention
program under Sections 2S60S, 25533 or 25534 of the Prealay-Tanner Hazardous Substance Account Act? O VES Q NO
Is the applicant or future building occupant required to obtain a permit from the air poilution control district or air quality management district? Q YES Q NO
Is the faciiity to be conatructed within 1,000 feat of tha outer boundary of a school site? • YES • NO
IF ANY OF THE ANSWERS ARE YES. A HNAL CERTlFtCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTiON CONTROL DISTRICT.
I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civii Code).
LENDER'S NAME LENDER'S ADDRESS^
I certify thet i hava raad the application and state that the above information ia correct and that the information on the pians is accurate. I agree to comply with ell
City ordinances end State lawa relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES.
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CriY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA parmit is raqulrad for axcavatiorw ovar 5'0' deep and demolition or eonatruetion of structures over 3 stories in height.
EXPiRATiON: Every parmit Iaauad by tha Building Official under the proviaiona ef thia Code shall expire by limitation and become null and void if the building or
work authorized by auch permit ia not commenced within 365 daya fixyn the data of auchoermit or if the building or work authorized by such permit is suspended
or abandoned at any time after the w^prCys commenced fo^a jjariod qf^yb djya j9^y)^6.4.4 Uniform Building Code).
APPUCANT'S SIGNATURE f ^,^eAf>^^^^fi^^(y^ y*iMS--<---<-^ 05-01-98
WHITE: File YELLOW: Applicerit PINK: Finence
DATE
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB981312 FOR 05/19/98
DESCRIPTION: RE-ROOF,3700 SF COMPOSITION
TYPE: MISC
JOB ADDRESS: 1013 IRIS CT
APPLICANT: HACIENDA ROOFING
CONTRACTOR:
OWNER:
REMARKS: C/HACIENDA ROOF/630-7850
SPECIAL INSTRUCT:
INSPECTOR AREA
PLANCK# CB981312
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 760 630-7850
PHONE:
PHONE:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CITY OF CARLSBAD
1. JOB ADDRESS
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1013 Iris Court
2. TYPE OF BUILDING: RESIDENTIAL x COMMERCIAL
3. ROOF SLOPE: RISE _± inches in 12 inches
4. TYPE OF EXISTING ROOF COVERING shake SHEATHING space
5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (T) 2 3
*6. NEW ROOF MATERIAL Fiberglass Shingles CLASS ^ WEIGHT PER SQUARE 240 lb.
7. NUMBER OF SQUARES 37
8. TRADE NAME Fiberglass Shingles MANUFACTURER Tamko
9. ROOF SYSTEM APPROVAL UL No. Other ASTM D-3161
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES _± NO
If the answer is no, a roof plan must be provided with this application,
n. Fire rating of roof: Class A ^ Class B
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
05-01-98
SIGN DATE
X Contractor Owner Contractor Name
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
10/25/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No:CB003909
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1013 IRIS CT CBAD
MISC
2144024600
$12,000.00
Subtype: OTHER
Lot #: 0
Applicant:
JENNINGS CONSTRUCTION, DAVID
Status: ISSUED
Applied: 10/25/2000
Entered By: MDP
Plan Approved: 10/25/2000
Issued: 10/25/2000
HINLLEY RESIDENCE Inspect Area:
RELOCATE FIREPLACE/DOOR & WINDOWS @ LIVING ROOM2532 lo/^S/OO -OOO-? 1
Owner:
HINKLEY MICHAEL E&LISA E '-^^F-
02
19-
3256 GARFIELD ST
CARLSBAD, CA 92008
619-434-9549
1013 IRIS CT
CARLSBAD CA 92009
Total Fees: $127.00 Total Payments To Date: $0.00 Balance Due: $127.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
GAS/ELEC
PERMIT
$47.00
$80.00
$127.00
Inspector:
FINAL APPROVAL
Date: ^Z^-^X/ Clearance:
NOTICE: Piease take NOTICE that approval of your project Includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen^ 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Cailsljad 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/exacttons DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar applicatton processing or sen/ice fees in connection with this projecl NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othew/ise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUlLDiNG DEPARTMENT
1635 Fara(dayAve., Carlsbad, CA 92008
1. PROJECT INFORMATION
Address (include Bidg/Suite #1
FOR OFFICE USE ONLY
PLAN CHECK NO. (^<D'S^^
EST. VAL. \C. KC-
Plan Ck. Deposit
Validated By
Date
Business Name (at this address)
Legai Description Lot No. Subdivision Name/Number Unit No. Phase No. Totai # of units
Assessor's Parcpl * y f~f Existing Use Proposed Use
Description of Work SQ. FT. #of Stories 0 of Bedrooms 0 of Bathrooms
2. CONTACT PERSON (if different from appUcant) . ^ . , /> ^ ^ j-^
Name
3. APPLICANT ra<oniract.
Address
ontractor Q Agent for Contractor
City State/Zip
)ntractor Q Owner Q Agent for Owner /
P.e>. BOY JL3S/ C^rhh^J ^-i
Telephone # Fax #
Name
4. PROPERTY OWNER ,
7/1//Tf. //r^^k
Address City State/Zip Telephone #
Name ^ Address City State/Zip Telephone 0
6. CONTRACTOR - COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demoiish or repair any structure, prior to its
Issuance, also requires the applicant for such permit to fiie 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 for the alleged
exemption, /yiy violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civii penalty of not more than five hundred dollars [$5001).
Name iMdiim „^
Stalfi^ Licensa # o ^ 0 7
Address
License Ciass
City State/Zip
City Business License # ^t/l
lephone #
3esigner Name Address City State/Zip Teiephone
State License 0
6. WORKERS' COMPENSATION
Woricers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following deciarations:
D I have and wiil 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 woric for which this permit is issued.
[Zl^^TTwe and will maintain woricers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation Insurance carrier and policy number are:
Insurance Company Poiicy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESSI
Q CERTIFICATE OF EXEMPTION: 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of Caiifornia.
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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees.
SIGNATURE DATE
7. OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason:
Q i, as owner of the property or my empioyees 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 buiids 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 compietion, the owner-buiider wili have the burden of proving that he did not buiid or improve for the purpose of sale).
Q 1, 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 eontractorls) licensed
pursuant to the Contractor's License Law).
Q I am exempt under Section Business and Professions Code for this reason:
1. I personaiiy plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO
2. 1 (have / have not) signed an appiication for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (inciude name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the foilowing person to coordinate, supervise and provide the major work (inciude name / address / phone
number / contractors license number):
5. I wiil provide some of the work, but I have contracted (hired) the foliowing persons to provide the work indicated (inciude name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NONSESIDENTTAL BUILDINQ PERMITS ONLY
is the applicant or future buiiding occupanT required to submit a business pian, acutely hazardous materiais registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presiey-Tanner Hazardous Substance Account Act? • VES • NO
1$ the applicant or future building occupant required to obtain a permit from the air poilution 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? d 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.
8. CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATION
I certify that I have read the appiication and state that the above information is correct and that the information on the plans is accurate. I agree to compiy with ali
City ordinances and State laws relating to building oonstruction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES,
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building 0fficial underjljfi4uovisions ot this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenpetTwtyilSO dayaJrCiiTthe dsffi of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commeni
APPUCANT'S SIGNATURE
106.4.4 Uniform Building Code).
DATE
WHITE: Fiie YELLOW: Applicant PINK: Finance
City of Carlsbad BWg Inspection Request
For: 03/19/2001
Permit# CB003909
Title: HINLLEY RESIDENCE
Inspector Assignment: PY
Phone:
Description: RELOCATE FIREPLACE/DOOR & WINDOWS @ LIVING
ROOM
Type: MISC Sub Type: OTHER
Job Address: 1013 IRISCT
Suite: Lot 0
Location: Inspector:
APPLICANT JENNINGS CONSTRUCTION, DAVID
Owner: HINKLEY MICHAEL E&LISA E
Remarks:
Total Time: Requested By: N/A
Entered By: ROBIN
CD Description
19 Final Structural
Act Comments
Associated PCRs
Inspection History
Date Description Act Insp Comments
02/07/2001 19 Final Structural CO PY SMOKE ALARMS - SEE NOTICE ATTACHED
12/05/2000 17 Interior Lath/Drywall AP PY
12/04/2000 17 Interior Lath/Drywall AP PY ALREADY DONE 12/1
12/01/2000 14 Frame/Steel/Bolting/Welding AP PY
12/01/2000 16 Insulation AP PY
12/01/2000 18 Exterior Lath/Drywall AP PY
11/30/2000 14 Frame/Steel/Bolting/Welding NR RB NO ACCESS & NO ADULT ON SITE
11/29/2000 18 Exterior Lath/Drywall wc PY
11/29/2000 84 Rough Combo CO PY SEE LIST ATTACHED
11/28/2000 18 Exterior Lath/Drywall CA JL
11/22/2000 18 Exterior Lath/Drywall NR JJ
11/22/2000 24 Rough/Topout NR JJ
11/22/2000 34 Rough Electric NR JJ
11/20/2000 13 Shear Panels/HD's CO JJ
11/20/2000 13 Shear Panels/HD's CO JJ SEE NOTICE ATTACHED
11/01/2000 11 Ftg/Foundation/Piers AP JJ SEE ATTACHED NOTICE
10/27/2000 11 Ftg/Foundation/Piers NR JJ
10/26/2000 11 Ftg/Foundation/Piers CA cw
09-07-2006
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB054010
Building Inspection Request Line (760) 602-2725
1013 IRIS CT CBAD
RESDNTL
2144024600
$193,082.00
Sub Type: RAD
Lot #: 0
Construction Type: VN
Reference #:
0 Structure Type:
0 Bathrooms: 0
HINKLEY RES 1561 SF 1ST & 2ND
FLR ADD-300 SF REMODEL-176 SF DECK
Status
Applied:
EnteresI By:
Plan Approvi
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
Applicant:
JAMESCHINN
STE 117
2120 JIMMY DURANTE DR
DELMAR CA 92014
858-755-5863
Owner:
HINKLEY TRUST 05-05-04
1013 IRISCT
CARLSBAD CA 92011
Building Permit $836.08 Meter Size
Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00
Plan Check $543.45 Meter Fee $0.00
Add'l Plan Check Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $19.31 PFF (3105540) $0.00
Park in Lieu Fee $0.00 PFF (4305540) $0.00
Park Fee $0.00 License Tax (3104193) $0.00
LFM Fee $0.00 License Tax (4304193) $0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00
Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $0.00
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $111.00
Renewal Fee $0.00 ELECTRICAL TOTAL $45.00
Add'l Renewal Fee $0.00 MECHANICAL TOTAL $67.50
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee ?? Housing InLieu Fee $0.00
Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00
Meter Size Master Drainage Fee $0.00
Add'l Pot. Water Con. Fee $0.00 Sewer Fee $0.00
Reel. Water Con. Fee $0.00 Additional Fees $0.00
TOTAL PERMIT FEES $1,622.34
Total Fees: $1,622.34 Total Payments To Date: $543.45 Balance Due: $1,078.89
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/attons, or other exacttons hereafter collectively
refen'ed to as lees/exactions." You have 90 days from the date this permit was issued to protest impositton 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 informatton 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 impositton.
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 applicatton processing or seivice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othew/ise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. p PROJECT INEpRMATIOFL
0532201-3 0008 11/18/2005 001 i:
PLAN CHECK HO.QSsOSMlD
EST. VAL. /^^P?:^
Plan Ck. Deposit '
Validated By
Date //"/^-O:^
Address (Include BIdg/Suite #) Business Name (at this address)
Legal Description,
Assessor's ParcfiL#
Description of Work
Lot No. Subdivision Name/Number Unit No. Phase No. Total 0 of units
Tif^Tj stfco^ Ts;^ M>i.Ti^ s. ^-^Trc ^deJc
CONTACT PERSON lifdl
#of Stories # of Bedrooms # of Bathrooms
Name
3
Address City State/Zip Telephone # Fax 0
APPLICANT Q Contractor Q Agent for Contractor O Owner QTAgent for Owner i y\ A
Name Address City State/Zip Telephone 0
4 PROP! PROPERTYOWNER ' .
\l^\f^L£^ TlM/STf lOlZ 10-15' CT- rJ/t.LS^ CA^ tZ(^/4- l/eO.j^l.n^
Name Address City State/Zip Telephone 0
6. CONTRACTOR. COMPANY NAME
(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 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 for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civii penalty of not more than five hundred dollars [$500]).
Name
State License 0
Address
License Class
City State/Zip
City Business License 0
Telephone 0
Designer Name Address City State/Zip Telephone
State License #
e. WORKERS^-COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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 permit is issued.
Q 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 worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q 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' Compensation Laws of California.
WARNING: Failura to aecura workera' compensation coverage ia unlawful, and shall subject an employer to criminal penalties and civil finas up to one hundred
thousand doiiars ($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.
SIGNATURE DATE
7. «H.BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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 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).
Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business snd 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 eontractorls) licensed
pursuant to the Contractor's License Law).
O I am exempt under Section Business and Professions Code for this reason:
1. I personaiiy pian to provide the major labor and materials for construction of the proposed property improvement. H] YES QNO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / address / phone
number / contractors license number):
5. I will provide some of the work, but I have contracted (hired) the foliowing persons to provide the work indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
HIS SECTION FOR NON-RESIDBNTIAL BUILDINQ PERMITS ONLY
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 IHazardous Substance Account Act? Q YES Q 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? Q YES H] NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IFICATION
I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with aii
City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 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 permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit issuedijv the building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work
authorized by such permit is not corinwicedjjuthin 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned
at any time after the work is commd(ice^/<5ra pfriod (/()^0 days (Section 106.4.4 Uniform Building Code).
APPUCANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
lf///t/'rr
09/87/2806 06:34 8587558185 DESIGN BUILD PARTNER PAGE 01/01
City of Carlsbad
B Ll i I d i n CJ n c p a r t ITI o n t
September 5,2006
JAMES CHINN
2120 JIMMY DURANTE DR STE 117
DEL MARCA 92014
RE:
APPUCATION DATB: U/l 8/2005
PLANCHECK* CB05401O
ADDRESS: 1013 IRIS CT
EXPIRATION DATE: 11/18/2006
PERMIT TYPE: RESDNTL
DESCRIPTION: HINKLEY RES 1561SF F AND 2"^ FLR ADD, 300SF REMODEL, 176 SF DECK
You ^lied to have your plans checked on the date noted above. To date, the related building
perniit has not been obtained. The original plan review application will expiie as no building
permit has been issued.
Plans submitted and not iretrieved from the building department prior to the plan check
expiration date noted above will be destroved.
The provisions of sections 304 (d) of the Unifomn Building Code state:
"Section 304 9d) Expiration of Flan Review
Applications for which no pennit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be retumed to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the f^plicant shall resubmit
plans and pay a new plan review fee."
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department
Project Abandoned -1 will pick up the plans within 10 days
Project Abandoned - Plans may be destroyed
If you have any questions, please contact the Building Department at (760) 602-2719.
Building Department
1635 Faraday Avenus - Carlsbad, CA 92008.7314 • (760) 602-2700 ^
Building Counter • (760) 602-2719 • FAX (760) 602-8558 ^
02-28-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/IVIechanical/Electrical (PIVIE) Permit
Permit No: CB140481
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1013 IRIS CTCBAD
PME
2144024600 Lot#:
MOTTET RES-REPLACE ELECT
PANEL UPGRADE FROM 100 TO 200 AMP
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/28/2014
LSM
02/28/2014
02/28/2014
Applicant:
WALKERS ELECTRIC
SRE 314
249 S. HIGHWAY 101
SOLANABEACH CA 92075
760-479-1426
Owner:
MOTTET REAL PROPERTY TRUST 03-09-12
1013 IRISCT
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$158.00
$0.00
$0.00
TOTAL PERMIT FEES $158.00
Total Fees: $158.00 Total Paynnents To Date: $158.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: ^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, resen/ations, 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 information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timeiy follow that procedure will bar any sut)sequent legal action to attacit,
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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: •PLANNING nENGINEERING DBUILDING DFIRE DHEALTH DHAZMAT/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. (}^ ji^jQ
Est. Value
Plan Ck. Deposit
SWPPP
JOBADDRESS SUITEt/SPACE*/UNIT« |APN
-
CT/PROJECrr L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS | TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DK^RIPTION OF WORK: /nc/ude Square Feet ofAHactad Ana(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESfT* N0| 1 YESQ]NO[^ YESj | N0| |
APPLICANTNAME (Pilmary Contact) APPLICANT NAME (Secondary Contact;
ADDRESS ' 'l.i ADDRESS
CITY - M STATE] ZIP " CITY STATE ZIP
PHOME-FAX PHONE FAX
EMAIL . EMAIL
PROPERTVOWNERNAME , ,
ADDRESS,
CITY ^ I / STATE i ZIP
Sofei/^CL ^ec!oU CA 97/)^<~ PHQNE
^i(oM3fir I9it£>
FAX PHONE , . , , FAX - — . -
EIVIAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# -t\y I ,^VT y» 1 CLASS . . CITYBUS. UC.#
9^131^ \C'ld /p-3a-i<^e> (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 sieied statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 of th&i Business and Professions Code) or that he is exempt therefi'om, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit suMec^he apolicant to al civil penalty of not more than five hundred dollars ($500)). /"*^&y\(H*<_A.^
WORKERS' COMPENSATION
Workere' Compensation Declaration: / hetBby afSim umler penalty ofpeijuy one ofthe follomng declarations:
HI have and will maintain a certificate of consent to self-Insure for worlters' compensalion as provided by Sedion 3700 of the Labor Code, for the perfonnance of the work for which this permit Is Issued.
I have and wlli maintain workers' compensation, as required by Sectnn 3700 of the Labor Code, for the peifonnance of the work for which this pemiit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Polfcy No. Expiratkjn Date
Thissection need not be completed if the perniit is for one hundred dollais ($100) or less.
<^^CertHicate of Exemption: 1 certify that in the pertonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkin Laws of
Califomia. WARNING: Failure to secure workers' compensatiaju^rtSdls unlawful, and shall subject in employer to criminal penalties and civil flnra up to one hundred thousand doiiars (&100,000), in
addition to the cost of compensation, damages as providejtA^3a^ctlpin7q^theJ.i^eode, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE
OWNER-BUI L D ER DECLARATION
•*gENT DATE ^-^^•^//T'
I hereby affirm that I am exempt from Contraotor's Ucense Law for the follcmng reason:
I I 1, as owner of the property or my employees with wages as their sole compensatton, will do the work and the stnjcture is not Inlended or ofleied for sale (Sec. 7044, Business and Professtons Code: The (^ntractor's
Lfcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own emptoyees, provkled that such improvements aie not intended or offered for
sale. If, however, the building or improvement is sold within one year of completton, the owner-buiider will have the burden of proving that he dkl nol bulki or improve for the puipose of sale).
I I 1, as owner of the property, am exclusively contracting with licensed contiactors to constmct the project (Sec. 7044, Business and Professtons Code: The Contraclor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) Ifcensed puisuant to the Contractor's Lfcense Law).
I I 1 am exempt under Section Business and Professtons Code for this reason:
1.1 personally plan to provkle the major labor and materials for constructton of the proposed property improvement I lYes I iNo
2.1 (have / have not) signed an appltoatlon fbr a bullding pemiit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed constmctton (include name address / phone / contractors' lfcense number):
4.1 plan to provide portions of the work, but 1 have hired the foltowing peison to cooidinate, supeivise and provkle the majoi woik (Include name / address / phone / contractors' license number):
5.1 will provide some of the wortt, but 1 have contracted (hired) the following persons to provide the work indfcated (include name / address / phone / type of woik):
>ef PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETF THIS SECTION FOR N O N - R E S 1 D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future buikting occupant required to submit a business plan, acutely hazardous materials regislration torm or risk management and prevention program under Secttons 25505,25533 or 25534 of Ihe
Piesley-Tannei Hazardous Substance Account Ad? Yes No
Is the applicant or future buikling occupant required to obtain a pennit from the air poiiution control distrid or air quality management distrid? Yes No
Is the facility to be constmded within 1,000 teet 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.
CONSTRUCTION LENDING AGENCY
I hereby affiim that there is a construction lending agency for the perfomiance ofthe work this pennit is issued (Sec. 3097 (1) Civil Code).
Lender'sName Lendei's Address
APPLICANT CERTIFICATION
Icefti^ that! have read the applkatk>n and state that t)ieab(Ne Infbimation Is conect and that the in^
I hereby authorize representative of the City of Carisbad to enter upon Ihe above menfioned propeity tor Inspeclion puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr.
OSHA: An OSHA pemiit Is required fbr excavafions over 70' deep and demolition or construcfion of stnictures over 3 stories in height.
EXPIRATiOl: Eveiy pemnit Issued by the BulkllngQEfiaal under Ihe provisions of this Code shall expire by limitafion and become null and void if the building or viorit authorized by such permit is not commenced within
180 days fiom the date of such pemiit or if thebdra^efwyef^nithorizgcHty such pennit is suspended or abandoned at any fime after Ihe wnk Is commenced fbr a period of 180 days (Secfion 106.4.4 Unitxm Buikling Code).
VSTAPPLICANT'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 buildinq(5)caf1sbadca.Q0V or Mail the completed form to City of Carisbad, Building Division 1635 Faiaday Avenue, Carisbad, Califomia 92008.
Cd#: (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 OPTIONS
PICKUP: 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
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
vCfAPPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB140481 Type: PME MOTTET RES-REPLACE ELECT
PANEL UPGRADE FROM 100 TO 200 AM
Date Inspection Item Inspector Act Comments
03/04/2014 33 Service Change/Upgrade - Rl
03/04/2014 33 Service Change/Upgrade PB AP
03/04/2014 39 Final Electrical PB AP
Wednesday, Marcti 05, 2014 Page 1 of 1
SDGl
A I^Sempra Energy utiity'
\AfeHitedDate: ON INSPECTION
ELECTRIC UNDERGROUND METER & SERVICE LOCATION
Customer Copy
Service Type: UG Service Rewire (NO TRENCHING)
Project No: 451319 Job No: 010
ProjectTitle: MOHET RESIDENCE (SOT)
ProjectAddress: 1013 IRISCT
Projed City: CARLSBAD
Contact ADAM WALKER
Customer Phone #:
Contact Rhone*: 760-214-3500
[~1 Traffic Contrpl Pennit Required. Excavation/Encroachment Permils Required By Customer
Seivice Attachment Point and/or Meter Location: Install new 200-amp meter panel at existing
location over existing conduit and service conductors. Customer assumes
responsibility for existing conduit condition. If conductors cannot be pulled or
reconnected due to substandard or damaged conduit, customer is advised they
cannot be reconnected until they can trench and replace the conduit from the
panel to the source. Call SDG&E Wendy at 760-476-5611 to scheduie a morning
disconnect with an aftemoon reconnect provided that the City/County releases
inspection to SDG&E by 2:00 PM on the same day the crew is scheduled. To
avoid delays with reconnection, your permit should read (Customer Outage
Involved).
• SDG&E Application Required-Cal: 1-800411-7343
Municipal Inspeclion Required By City of Carbbad
Meter height-•4tr min. (3'0^ min. for imMple meter lnalitatian)--6'3''max From finish gia^ Meters am
required to be readly accesiifate 24 houn per day. Malen mutt be tocated in a safe area free of any potentially hazardous or
dangeraut condilkxi. Provide M X 3-fl MMmum dear and level working apace in front of melsr. \Mwre metar room is proposed,
conlact the planner at lhe nairaat SOG&E oOka.
Meter bases and metar service disconnecis must be kxated at or immediataly adjacem to each other and be identllM
and unit number it saives.
PROCEDURE FOR INSTALUTION
1. mONE DIG ALERT 1-800-227-2600 AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION
OF UNOERGROUND UTLmES.
2. Phone SDG&E at 760-476-5611 for the foliowing:
• 3 woridng days prior to trenching to anange pre-meet with inspector and initiate trenching process.
• After excavation of trench, instaHation of conduit and service entrance equipment at meter location, CALL
FOR INSPECTION. Do not cover conduit without Inspector's written approvai to badtfiH.
• When trench is backfiled and compacted, CALL FOR INSPECTION.
• If service entrance equipment is installed after backfill. CAU FOR INSPECTION OF THE EQUIPMENT
3. Meter cannot be set until inspector has approved instalation, including service equipment, and receipt of
dty/county/state inspeclion ctearance.
Povner Source: 304-189 Structure Number D3410367802
.Joint Trench with: Handhole Installed by:
Standards Page #: Handhole Lid Shall Read:
Conduit Instaled by: Conduit Size:
Service Panel Rating: 200 Number/SizeofMain Switch: 1/200 Voltage: 120/240
» of Wires: 3 Phase: Single Uttlittes Maximum Contribution to Fault Current 10OOO Amps
Metering: Self-Contalned Meter Clips: 4
Temp Service Charge Due on Firsl BiH $
T.B. 1127-B6
I
Customer Type: Residential DatePrepared: 01/31/2014
tn
s DISCONNECT/RECONNECT
PROJECTi 451319
City of Carlsbad
BuUding Division
; PIROVED BY-.
sdjEDBY:
f •
NEW
200^P
5'-
•Additional Information: • Right-of-way Required Assessor's Parcel Number
Please call your Service Coordinator Wendy Jensen at 760476-5611 with questions
about application, inspection, construction installation and to schedule a crew.
City/County Inspection will have to be received prior to 2:00 p.m. on the same day as
the disconnect to ailow SDG&E crew enough time fbr reconnection of service on the
same day.
If SOGtE ancountm hazanlous or tone nvIM vMt paifornaig coniln^^ raiiMaatily to tamo** andtar clean up alhaivilouB or loilcmaMal prior to SOG^ SDGtEiM have no labily or obligation
viitialMavartoclaanup,r«<nov«orraniailatoa«|ihaM*uaortnii>'inalwlaliaaco»»raddBtog
SOGtE
Cuatoin>-o««»dfaciliaatorac<»aalacMcaliiivtcaara«<iiicltoala(ifif^ BuiMhg
addraaaantformatorlMaamuatlMpoaMpilortoinstorail Intomallon on INs *sa( Is voMstK ail (6) montii torn data. KaopWanollcawiliOuidng paraiL
Alinatallalion«paifcnnadun<larlhiaordirmualmaetSOGtt»tan<lan)aunlaiaavml^
Planner. ANIYPMCBROOM I Tetephone: 760476-5610
BUILDINa
DM9 DATA ENTRY FORI»
Street Address: Suite: #
Permit Number: Plan Check Number:
Project ID:
Building Pemriit Doc Type:
PERMIT
APN:
File Number:
0570-33 ^
Hard Copy Location:
DMS
Keep Until Date:
01/01/9999
PERM
YES
Permit Type:
Approved for Scanning By:
Scanned By:
Quality Control By: