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Home My WebLink About1525 WHITE SAGE WAY; ; CB141661; Permit07-11-2014 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: CB1 41661 Building Inspection Request Li ne (760) 602-2725 1525 WHITE SAGE WY CBAD PME 2150403806 Lot #: 0 PARKS RES-RUN ELECTRIC LINE FROM SUB PANEL FOR 2 OUTLETS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/11/201 4 LSM 07/11/2014 07/11/2014 CALI GENERAL CONSTRUCTION PARKS M SETH&ERIN N 41 63 MARVIN ST OCEANSIDE CA 92056 760-670-5751 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1525 WHITE SAGE WAY CARLSBAD CA 92011 $0.00 $158.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Clearance: $0.00 NOTICE: Please take N hat approval of your project Includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exac ons.' 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 / x i n f whi • iv n N I i ii r hi whi h f limi i n h r vi I h i x ir . THE FOLLOWING .t.PPROlt1,1.S REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING «~~ ~ C ITY 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 SUITEI/SPACEI/UNIU □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit Date -, 1 , APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME oF □HEALTH O HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[]# AIR CONDITIONING FIRE SPRINKLERS YES□No□ No[] YES ONO□ APPLICANT NAME PROPERTY OWNER t!f:t t?Trf ADDRESS ,5~5 CITY ADDRESS CITY ZIP PHONE EMAIL (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair ant 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 !hat 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 civil penalty of not more than five hundred dollars ($500)}. Workers' Compensation Declaration: I hereby affirm under penalty of pe,ju,y one of the following declarations: &have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. TI I have and will maintain workers' compensation, as reQuired by Section 3700 of Jie Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation ,s:r carrier and policy number are: Insurance Co. N o'?--6u>M"L.O h;>S..11\.!","lc..c'. Co • Policy No. ~N \>J C. '5) (.,Lf b 3:: Expiration Date 5: 11 IS ~ section need not be completed tt the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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: Failure to secure workers' com nsation 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, dama s r id for in Section 3706 of the Labor code, interest and attorney's fees. J!S CONTRACTOR SIGNATURE • I hereby affirm that I am exempt from Contractor's Ucense 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 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. O Yes O 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 construction (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/ 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/ address / phone / type of work): J!S PROPERTY OWNER SIGNATURE DATE 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 Hazardous Substance 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 Is 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify thatl have read the application and state that the above information is oonect and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating 1D bull ding construction. I hereby au1horize representative of the City of Car1sbad to enter upon the above menooned property br 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 permtt is requred i:Jr excavations over 5'0' deep and demolitill1 or construcoon of struc11Jres over 3 sillies il height. EXPIRATION: Every permit issued by the ikling Offrial under the provisoos of this Code shall expie by linitaoon and become nul and voo W the buiklilg or v.ork authorized by such pemit is not commenred ~lhil 100days from the dail of sldl permtt or if • authorized by sldl permtt is suspended or abandooed at any tine after the v.ork is commenced i:Jr a peood of 100 days (Sediln 100.4.4 Unibm Buidilg Code). ,£) APPLICANT'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. CEf?TIFICATE OF OCCUPANCY (Commcrc,,11 Proiccts 0 11 I y I Fax (760) 602-8560, Email building@car1sbadca.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. UC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION .L!S APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB141661 Date Inspection Item 10/23/2014 39 Final Electrical 10/22/2014 39 Final Electrical 10/21/2014 39 Final Electrical Type: PME 07/16/2014 31 Underground/Conduit-Wirin Wednesday, November05,2014 Inspector Act RI PY AP PY CO PY AP PARKS RES-RUN ELECTRIC LINE FROM SUB PANEL FOR 2 OUTLETS Comments Page 1 of 1