HomeMy WebLinkAbout2520 WELLSPRING ST; TP; CB162706; Permit07-14-201 6
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: CB 162706
Building Inspection Request Li ne (760) 602-2725
2520 WELLSPRING ST CBAD St: TP
PME
2081913400 Lot#: 177
ROBERTSON RANCH: TEMP POWER
Owner:
TOLL BROTHERS
STE 200
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/13/2016
SLE
07/13/2016
07/13/2016
436 N QUINCE ST
ESCONDIDO CA 92025-2522
760-839-9430
725 W TOWN AND COUNTRY RD
ORANGE CA 92868-4723
714-347-1300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
FINAL APPROVAL
Date: ?~25-dz Clearance: ------
$0.00
NOTlCE Please ta<e t\OTlCE that~ d ~ ptject irdudes tre "lrrpcsition" d fees, dooc:ciions, reservcticrs, or ctha' exactions reraedter rolectivay
referred to as "fees/exactions." Yoo rave 00 days frcrn tre date ths pamt w.is issued to prdest irrpcsition d trese fees'exa::iions. If yoo prdest then\ yoo nu;t
fciloo tre prdest ~ sa foih in C?o.lem1'e"t Coda &dion 60020(a), crd file tre prctest crd ITT/ ctta rEQ..iroo inforrretion wth tre Oty f\la"ager for
µ-ocessirg in ocwda-ce wth Calsboo M.rici~ Coda &dion 3.32.cro. PcilLr0 to tirrely fciloo thct µ-rorlre wll m-ITT/~ legal a:iion to attock,
review, sa aside, -.od, or .nu tt-eir irrpcsition.
Yooa-e rmbJ R...R11-ER t\OTlFlEDlhal ~rigi to prdest tre~fierlfees'exa::iions IXESNOT .APF\..Ytov.Etercrd SS\,\Ef'cx:rrection feescrd~
d'a1ges. nor paTirg, :zrrirg, ga:irg or ctha' sirrilar ~ic:ooon ~rg or savire fees in cx:rrection wth Iris ptject. t-rn lXES IT APF\. Y to ITT/
f • v.h • • sirrilar to th or as to v.h e d lirri i l"as ·oos1 ctherw •
THE FOLL~WINO APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
«~~ Building Permit Application Plan Check No.(l MI lO ;),7()( 0
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CI TY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 7 -\ ?)-IU> lswPPP
JOB ADDRESS SUITEt/SPACEt/UNITt IAPN 2520 Wellspring St. TP ---
Gl/PROJEGT # I LOT# I PHASE# I# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
1 temp power pole
This is a 200a temp meter at lot 177
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES(]# NcQ YES □No □ YES□ NO□
APPLICANT NAME (Primary Contact) Power Plus APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS
436 N. Quince St. 9880 Maqnolia Ave #119
CITY STATE ZIP CITY STATE ZIP
Escondido CA 92025 Santee CA 92071
PHONE PHONE I FAX 760-839-9430 619-405-2648 tAX 619-330-4796
EMAIL EMAIL jennifer@permitrunner.net
PROPERTY OWNER NAME Toll Brothers CONTRACTOR BUS. NAME Power Plus
ADDRESS ADDRESS
725 W Town and Country Rd.,200 436 N. Quince St.
CITY STATE ZIP CITY STATE ZIP
Oranae CA 92868 Escondido, CA 92025
PHONE IFAX PHONE I FAX (714) 347-1300 (760) 839-9430
EMAIL EMAIL
STATE UC.# ARCH/DESIGNER NAME & ADDRESS I STATE UC.# 980589 !CLASS 1CITY BUS. UC.#
B, C10, D31 1229567
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair an~ 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 fCha'f.ter 9. commending with Section 7000 of Division 3 of the Business and Professions Code} or (hat he 1s 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 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 woikers' compensation insurance caITier and policy
number are: Insurance Co. XL SPECIALTY INSURANCE COMPANY Policy No. CWG7409307 Expiration Date 03/3112017
~ 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 of
Cal~omia. WARNING: Failure to secure workers' compensation cove e 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 rovided for i i~n 3706 of the Labor code, interest and attorney's fees.
,15 CONTRACTOR SIGNATURE
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 Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 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. 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 following person (firm) to provide the proposed constructlon (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 name I address I phone I type of work}:
.1$ PROPERTY OWNER SIGNATURE □AGENT DATE
.
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY •
Is lhe applicant or future bulding 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 Hazardous Substance Account Aci? 0 Yes O No
Is lhe applicant or future bulding occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No
Is lhe facility to be constructed within 1,000 feet of lhe outer boundary of a school stte? O 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state thattheaboYe information is correct and that the information on the plans isaa:urate. I agree to comply\\1th all Ci1y ordinances and State~ relating ID building construction.
I hereby authorize representative of lhe City of Gar1sbad to enter upon lhe above mentioned~ br ilspicbl puiµises. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD
AGAINST Al.l l!ABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CF THE GRANTING CF THIS PERMIT.
OOHA AA OSHA perrntt is requied i:lr excavations CNe< 5'0' deep and defooliool1 or coostrucoon of sbuctures fJVfJf 3 silres i1 height.
EXPIRATION: Everyperrntt issued t)'f lhe 9.Jikling Offrial underlhe provisoos of th' shallexpie t)'f fmitfun and beCXlme nul and 'JOid ff lhe txJiklingorYoOrl< authorized t)'f such perrnij is nolcxmnenced'Mthil
100 days from lhe date of such perrntt CJ( if lhe buikling or YoOr1< uthorized t)'f , ft is suspeooed or abandoned at any trne after lhe YoOr1< is commeooid i:lr a period of 100 days (Secoon 100.4 .4 Uniilrm 9.Jikling Code).
,6$ APPLICANT'S SIGNATURE DATE 7/13/16
Inspection List
Permit#: CB162706 Type: PME
Date Inspection Item ____ _
07/25/2016 32 Const. Service/Agricultural
07/25/2016 32 Const. Service/Agricultural
07/25/2016 39 Final Electrical
07/25/2016 39 Final Electrical
Inspector
PB
PB
ROBERTSON RANCH: TEMP POWER
Act Comments
RI TEMP POWER POLE
AP
RI TEMP POWER POLE
AP
Monday, July 25, 2016 Page 1 of 1