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Home My WebLink About1518 WHITE SAGE WAY; TP; CB121392; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-24-2012 Permit No: CB121392 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1518 WHITE SAGE WY CBAD St: TP PME Status: Parcel No: 2150402916 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: ACTION POWER 17 VIA BARBERA MUROYA-TEMP POWER POLE FOR CONSTRUCTION RANCHO SANTA MARGARITA CA 92688 949 709-8006 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: TAYLOR MORRISON HOMES 949 709-8006 ISSUED 07/24/2012 RMA 07/24/2012 07/24/2012 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: yVt • ~~ 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 f / x i n f whi h h v r vi I I E imil r hi r whi h h f limi i n h I h rwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING «1~ ~ CITY O F CARLSBAD JOB AOORESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov po t--er ft? /-e_ EXISTING USE PROPOSEO USE GARAGE (Sf) PATIOS (Sf) O eu1LDING □FIRE DECKS (Sf) Plan Check No. Est. Value FIREPLACE YES □#_ NO D APPLICANT NAME (Secondary Conlacl) ONSTR. lYPE OC GR UP AIR CONDITIONING YES O NO D FIRE SPRINKLERS YES D NO D STATE I'. A ZIP t....A?r ADDRESS CITY ~ 'r I' Ill ll -e STATE C J4-ZIP CITY STATE ZIP PHONE FAX PHONE FAX AIL IL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE 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 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 ICha'f_ter 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 perjury one of/he 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 lhis permit is issued. 'l:8--t have and will maintain workers' com ensation, as ired by lion 3700 of the labor Code, for the performance of the !),>rl11~1his permit is '.ij_• My workers' compensation insurance carrier and policy number are: Insurance Co. '-V~ PoicyNo. C'<:>Q {~ '1.-~ -:Z.0 __ Expiration Date l(-Zl-f") This section need not be compleled if the permi( is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation laws of California. 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 amages as provided for in Section 3706 of the Labor code, interest and attorney's fees . .JES CONTRACTOR SIGNATURE AGENT DATE 7-2'-/-/ G I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of lhe property or my employees with wages as their sole compensation, will do the work and lhe 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 himsett 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 lhe burden of proving that he did not build or improve for the purpose of sale). o I, as owner of the property, am exclusively contracting wilh 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 !hereon, and contracts for such projects with contractor{s) licensed pursuant to the Contracto(s License Law). D I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for conslruction of the proposed property improvement. □ Yes □ No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted wilh the following person (firm] to provide the proposed construction (include name address f phone f 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 I contractors' license number]: 5. I will provide some of the work, but I have contracted (hired) lhe following persons to provide the work indicated (include name / address / phone / type of work): _/i:S PROPERTY OWNER SIGNATURE □AGENT 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 penmit 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above infonmation iscorrectand that the infonmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property i:Jr 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 penmrt is required for excavations over 5'0' deep and demolition or construction of slructures over 3 stories in heght. EXPIRATION: Every pemnit issued by the &Jilding Official under the provisions of this Code shall expire by limrtation and beccme null and voKl if the building or oorl< authorized by such pemnit is not oommenoed v.ithn 180 days from the date of such pemnit or if the buiding oroorl< authorized by such pemnrt is suspended or abandoned at any time after the oorl< is oommenoed for a period of 180days (Section 106.4.4 Unifomn &Jilding 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. CERTIFICATE OF OCCUPANCY (Commercial Projects On I y I Fax (760) 602-8560, Email www.building@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 OCCUPANTS BUS. UC. No. DELIVERY OPTIONS □PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION ,IS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121392 Type: PME Date Inspection Item 07/27/2012 32 Const. Service/Agricultural 07/27/2012 32 Const. Service/Agricultural 07/27/2012 39 Final Electrical Monday, July 30, 2012 Inspector Act MC MC RI AP Fl MUROYA-TEMP POWER POLE FOR CONSTRUCTION Comments AM PLS - MUROYA CALLED IN TO CAROLYN Page 1 of 1