HomeMy WebLinkAbout1228 AVIARA PY; TP; CB122180; Permit10-23-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 22180
Building Inspection Request Line (760) 602-2725
Job Address; 1228 AVIARA PY CBAD
Permit Type: PME Status
Parcel No: 0000000000 Lot #: 0 Applied
Entered By
Reference #: Plan Approved
PC #: Issued
Project Title: STU MILLER CHRISTMAS TREE LOT Inspect Area
200 AMP TEMPORARY POWER POLE FOR CHRISTMAS TREE
ISSUED
10/23/2012
RMA
10/23/2012
10/23/2012
Applicant:
M & I ELECTRIC
Owner:
9301 SHOSHONE AVE 91325
818-882-0474
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$154.00
$0.00
$0.00
TOTAL PERMIT FEES $154,00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: $0.00
Inspector:
FINAL
Date: Zi,
APPRO
Clearance:
NOTICE: Please take NCrTICE tf|lt approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
refeaed 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 Govemment 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenA/ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: • PLANNING • ENGINEERING • BUILDING DHRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
DESCRIPTION OF WORK: /nc/ude Square FeetorA/)lscted/«fea(s;
V I PROP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOD
FlRESPRINKLERS
YES • NO •
APPLICANT NAME (Primary Contact)
ADDRESS
f^lTY STATE ZIP
APPUCANT NAME (Secondary Contact)
ADDRESS
CITY
PHONE'
CITY STATE ZIP 9 Z^Z^
PHONE FAX
EMAIL •EMAIL
PROPERTYOWNER NAME
ry ~ ' AI
CONTRACTOR BUS. NAME
ADDRESS
CITY « STATE ^
ADDRESS
PHCIMP
STATE ZIP
FAX PHONE
EM MAIL
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # cfo
(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 issuai applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cnapter 9, commending with SectioijlTi 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 applioantfor a permit lub] civil penalty of not more than five hundred dollars ($500)).
also requires tl 30 of Division 3 of lects the applicant to^a
IPi,.|»$.|llTI..OM
Expiration Date oBj/^ f 3>
Workers' Compensation Declaration: / herefty affirm under penalty ofperjmy one ofthe following declarations:
O 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 perm it is issued,
CD I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensationjnsurance carrier and pohcy
number are: Insurance Co. T (1 X>CJL X/j.Tt^O M C f XC&ftK^t'-Policv No,
This section need not be completed it the pemiit is for one hundred dollars ($100) or less.
O Certifleate of Exemption: I certify that in the performance of the work for which this pemiit 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' 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 attomey's fees.
^CONTRACTORSIGNATURE S^^y^) jSAGENT DATE / ^ " Z-Z * / ^
lER-BUILDER DEC i A R A 11 O W
/ hereby affirm that I am exempt from Contractry's License Law for the fallowing reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the woik 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 did not build or improve for the purpose of sale).
• I, as owner of the property, am exclusively contracting with licensed contrxtors 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 Contractors License Law).
• I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, • Yes • No
2,1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following peison (firni) to provide the proposed construction (include name address / phone / contractors' license number):
4,1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (indude name / address / phone / contractors' license number):
5,1 will provide some of the vrari<, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
vfiTpROPERTY OWNER SIGNATURE AGENT DATE
£OMI>L)EYE THIS secTiON roit NON-BESfOENTiAi, BUILDINQ PERMITS OMLV
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? O Yes • No
Is the applicant or future building occupant requiied to obtain a pennit from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constmcted 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
AUCTION IBNOtHG A <S E li C ¥
I hereby aflirm that there is a constiuction lending agency for the perfbmiance of the work this permit Is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
A¥(PI.I C A H T'^^C E:R Tin C A TI O N
I certi^ that I have read the application and state thatthe alxwe Information Is coirect and thatthe Infoimation on the plans Is accurats. I agiee to comply with all City oidlnances and Slate laws relating to building construction.
I hereby authorize representative of the City of Cartsbad to enter upon the above mentbned property fbr inspectbn puiposes. 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 PERMff.
OSHA: An OSHA peimit is required for excavations over 5'0' deep and demolition or constiuctbn of stmctures over 3 stories in height,
EXPIRATION: Every pennit issued by the Building Oflicial under the provisbns of this Code shall expire by limitatbn and become null and void if the building orwxy. authorized by such pennit is not comnnenced within
180 days from the date of such pennit or if the buiding or WDrt< authorized by such pennit is suspended or abandoned at any time after Ihe vrori< is commenced for a period of 180 days (Sectbn 106.4.4 Unifonn Building Code).
VCTAPPLICANT'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.
Fax (760) 602-8560, Email www.buildinqi8icarlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
• PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL / FAX TO OTHER:
• ASSOCIATED CB#-
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCTION
>«S'APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB122180 Type: PME STU MILLER CHRISTMAS TREE LOT
200 AMP TEMPORARY POWER POLE FO
Date Inspection Item _ Inspector Act Comments
12/02/2012 32 Const. Service/Agricultural PY AP
12/02/2012 39 Final Electrical PY AP
11/20/2012 32 Const. Service/Agricultural PY NR
11/19/2012 34 Rough Electric PB NR
Tuesday, February 03, 2015 Page 1 of 1
ENTRANCE-
EXIT
SEASONAL ADVENTURES
1228 AVIARA PARKWA
CARLSBAD, CA 92008
CHRISTMAS TREE LOT
Contact Monica Johnson
Office 805-523-3222
Fax 805-523-2383
o
200A1«IMP
TEMP
POWER
SOURCE
DISTRUBU
TION
PANEL
NORTH
SCALE
1/4 = 10 FT
APROX
AVIARA
Hours-8-10 daily
Date»- Nov 25 -11 Thru Dec-
Setup Nov-1 -11
Tear down Dec 26-11
24-11 120 FT
City of CARLSBAD
BUILDING DEPT.
EMERGENCY
EXIT
120 FT
PALMOR AIRPORT ROAD