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Home My WebLink About2501 VIA SORBETE; ; CB141805; Permit_______ \ ___________________________________ _ , I, ♦ 07-28-2014 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: CB 141805 Building In spection Request Line (760) 602-2725 2501 VIA SORBETE CBAD St: MP PME 1674003300 Lot#: TIBURON CARLSBAD HOA-REPLACE 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: WOOD SUPPORT BACKING/BRACING FOR A 100 AMP METERED PEDISTAL-CONTROLS HOA IRRIGATION & COMMON AREA LIGHTING. ISSUED 07/28/2014 RMA 07/28/2014 07/28/2014 METER REMOVED BY SDG&E BECAUSE TH E SUPPORT WAS LEANING OVER & UNSAFE Owner: TIBURON CARLSBAD HOA STE 160 5050 AVENIDA ENCINAS CARLSBAD CA 92008 760 643-2200 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $158.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APPROVA~ Date: 7 ~ 2-f • I t/ 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 fees/exacti n f whi h ou have reviousl n iven a NOTICE similar to thi r a to which h stat t f limita i ns ha revi usl th rwi x ired. <t~ <, ~ C I TY 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 SUITEt/SPACEt/UNIT # BEDROOMS # BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit SWPPP CONSTR. TYPE CC. GROUP ~ w ~d {}?ltl,fq ,,,-, A-1 tJ!) /h,1,,-f' ()-<. :1-f r ~ rn LfrA,,l- APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL ~o~~l-lkm~tl L STATE ZIP FAX STATE ZIP FAX STATE LIC. # l, -c ~ /)~ ·ih/5 ~fr{;:z.. CONTRACTOR BUS. NAME ADDRESS CITY STATE PHONE FAX EMAIL STATE UC.# CLASS ZIP CITY BUS. UC.# FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is llcensed 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 c1v1I penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penally of perjury ooo of lhe following declaralions: 0 I have and will maintain a certificate of consent to self-insure lor workers' compensation as provided by Section 3700 ol the Labor Code, for the performance of the work for which this permit Is Issued. D 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 and pclicy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 ol Cal~omia. 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 attorney's fees. ~ CONTRACTOR SIGNATURE O AGENT DATE □ □ I, as owner of the propeny 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 dki 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 construction of the proposed property improvement. Q Yes 0No 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) to provide the proposed construction (include name address / phone I contractors' license number): 4. I plan to provkie portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone / 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 name I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE ENT Is the applicant or future bui1'\. :upant 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 SiJti,,a,ice 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 ts 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. of the worl< this permit is issued (Sec. 3097 (i) Civil Code). Lende~s Address I certify that I have read the application and state that the above infomnation is correct and that the lnfomnation on the plans ts accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cal1sbad to enter upon the above mentioned property for inspectioo 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 pemnn is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones n height. EXPIRATION: Every pemnit issued by the Buikling Ofti::ial under the provisions of this Code shall expire by limitation and become null and voo if the buikling or mf1< authorized by such permit is not commenoed wthin 180 days from the date of such permit o • • v.or1< authorized by such permit is suspended or abandoned at any time after the v.or1< is commenced for a period of 180 days (Section 100.4.4 Uniform Buikling Code). _25 APPLICANT'S SIGNATURE DATE 7 ,,_ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY fCommercial Projects 0 n ly I Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,,16 APPLICANT'S SIGNATURE DATE