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Home My WebLink About2584 WELLSPRING ST; TP; CB163722; Permit09-30-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: POWER PLUS City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB163722 Building Inspection Request Line (760) 602-2725 2584 WELLSPRING ST CBAD St: TP PME 2081902500 Lot #: TOLL BROTHERS: 200A TEMP POWER 0 Owner: TOLL BROTHERS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/30/2016 SLE 09/30/2016 09/30/2016 436 N QUINCE ST ESCONDIDO CA 92025-2522 760-839-9430 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: $0.00 $163.00 $0.00 $0.00 $163.00 $1 63.00 Balance Due: Cl earance: ------ $0.00 tOllCE: Rease ta<e tOllCE thct cW"OJa rt >0-.I" ptjed irdu:les tre ··1rrp:stion" d fees, dooc:iions, resavaicns, or cther exa::tions rereater ailedivay rderroo to as "fees/era::tions." You have 00 days frcrn Ire date ths p:mit v.as issued to pretest irrJ'.X)Sition rt these fees/9XGdions. If >UJ pretest tl-erT\ >UJ rrust fdlo.vthe pretest p-oorlres set forth in <?o.iernrert Cooe SEdion 6002J(a), a-d file Ire p-otest a-den; dher rffl-.ired infarraion wth Ire Oty ll/a1ager for pocessirg in~ wth Ca1sboo M.rici~ Cooe SEdion 3.32.CID. Faili..re to tirrely fdlo.vthal p-ocedre wll bcr en; SlbseqJert legal crtion to atta:k, relliew, set aside, vcid, or anJ thair irrJ'.X)Sition. You ere hffib/ FI.RTl-ER I\OTIRED trat >0-.I" rig"t to p-otest tre 5µ::Cified fees/era:::lia'S a:ES NOr AOPI... Y to v.ater a-d 'Sel6 oonnedion fees a-d ~ty ch:rglS, nor plcrrirg, zairg, gairg or cther sinilar Wieciion pocessirg or savice fees in oonnedion wth ths ptjed. t-rn a:ES IT l>ffl. Y to en; t ·ons v..hd7 have • atOllCEsinilartottis orast v..h thestatutedlinitetionshas ·ous1 c:.therv.ise ·rect. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE C_cicyof Carlsbad JOB ADDRESS CT/PROJECT # LOT# EXISTING USE APPLICANT NAME EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL 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/SPACEt/UNITI Plan Check No. Est. Value Plan Ck. Deposit Date9- APN PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER -;-o c_ L ADDRESS FAX 111(?/l. I 11~ EMAIL CONTRACTOR BUS. NAME ADDRESS /V , STATE ZIP CITY FAX EMAIL STATE UC.# CLASS /J C.10 □HEALTH 0 HAZMAT/APCD 2..2.. SWPPP OCC. GROUP FIRE SPRINKLERS YES O NoO ~ r ZIP <-JJ.-o;;..s-- s~ CITY BUS. UC.# (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 reouires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fCha'fter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perju,y one of the following declarations: D I have and will maintain a certificale of consent to self-insure for v.ori<ers' compensation as provided by Section 3700 of the Labor Code, for the performanoe of the wori< for which this permit is issued. D I have and will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, for the performanoe of the v.ork for which this permit is issued. My workers' compensation insuranoe carrier and policy number are: lnsuranoe Co. Policy No. _______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($1Cl0) or less. LJ Certificate of Exemption: I certify that in the pe rmanoe 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 Wori<ers' Compensation Laws of California. WARNING: Failure to secure worke 'c mpensation covera • 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 asp vided for in Sec • 3 6 of Lab c , interest and attorney's fees. J!5 CONTRACTOR SIGNATURE ~T DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 Contracto(s Uoense Law does not apply to an owner of property who builds or improves thereon, and who does such v.ork 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 Contracto(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. 0 Yes 0 No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foliowing person (firm) to provide the proposed construction (include name address I phone I 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 v.ork (include name / 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 name / address/ phone/ type of work): 2S PROPERTY OWNER SIGNATURE DATE Inspection List Permit#: CB163722 Type: PME Date Inspection Item ____ _ 10/06/2016 32 Const. Service/Agricultural 10/06/2016 32 Const. Service/Agricultural 10/06/2016 39 Final Electrical 10/06/2016 39 Final Electrical Friday, October 07, 2016 Inspector Act AEK AEK RI AP RI Fl TOLL BROTHERS: 200A TEMP POWER Comments TEMP POWER POLE TEMP POWER POLE Page 1 of 1