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Home My WebLink About1281 CARLSBAD VILLAGE DR; ; CB112563; Permit12-07-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12563 Building inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1281 CARLSBAD VILLAGE DR CBAD PME 1561907010 Lot#: INSTALL HOUSE METER FOR FUTURE Tl - OK PER PETE D. Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/07/2011 RMA 12/07/2011 12/07/2011 Applicant: BYCOR CORP-GENERAL CONTRACTORS, INC. SUITE A 6490 MARINDUSTRY PL SAN DIEGO, CA 92121 858-587-1901 Owner: CARLSBAD MEDICAL VILLAGE L P C/O RUSS RIES PO BOX 1422 LA JOLLA CA 92038 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $30.00 $0.00 $65.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: / ^ '(7 ' f( Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refen-ed to as lees/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 infomiation 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 lmpositk)n. 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 proiect. NOR DOES IT APPLY to any tees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othenvise exoired. CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit vmS APN SWPP VtlOBADDRESS , . . , CA«*.S»^ CT/PROJECT# |LOT# I PHASE* J I # OF UNITS I # BEDROOMS SUITE#/SPACE#/UNn'# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP D^CRIPTION OF WORK: fnclude Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # Ndo AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOO 'UCANT NAME (PclBiary Contact) . i / I • . -> UMNT NAME (Secondaiy Contact) _ ADDRESS' . . ,-7, ADDRESS ^^>v/i^ X)/-e<i^f STATE CA ZIP CITY STATE PHONE FAX 8S% -SarWt>3 PHONE FA)C., EMAIL, EMAIL PjlOPEBTY OWNER NAME i ^ 1 1 co«^ (yeinerc^l Co otnvc r o rS PEBTYOW PCQQ / ADDRESS ADI INTRACrOR BUS. NAME ,DDRESS ^2>A-A/l-^ CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL 3 iS CITY BUS7EIC ARCH/DESIGNER NAME & ADDRESS STATE LIC.# , (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 applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WOl^KEBS" COMPENSATION Workers' Compensation Declaration: / tiereby afiinn under penalty of peijury one ofthe following declarations: ^ I have and will maintain a certlficateof consent to self-ln sure for workers' compensation as provided by Seclion 3700 of the Labor Code, forthe performance of the work for which this pemiit Is issued. I have and will maintain wgdjers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of ttie work for which ttiis permit is Issued. My workers' compensatton insurance carrier and policy number are: Insurance Co.C.urich Arng^T) cCAir) Policy No. Sf/C lg5M2.mg 0O2- Expiratton Date yi^»j2C»2- This sectton need not be completed if the permit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify lhat in the perfonnance of ttie work for which ttiis pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatton Laws of Caliiornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto ciimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation^jjj^^^s^sp^pvided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE •AGENT DATE |"Z * ^ • | / / hereby afiinn tliat I am exempt from Contractor's License Law for the following reason: ^ I, as owner of ttie property or my employees with wages as their sole compensatton, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractor's License Law does not apply to an owner of pmperty who builds or Improves thereon, and who does such wort( himself or ttirough his own employees, provkled ttiat such impmvements are not intended or offeied for sale. If, however, the building or improvement is sokl wittiin one year of completton, ttie owner-builder will have the burden of proving ttiat he dkl not build or improve for the purpose of sale). • I, as owner of Ihe property, am exclusively conb'acttng with licensed conttactors to construct the pmject (Sec. 7044, Business and Professkins Code: The Contractor's License Law does not apply to an owner of property who buikls or improves thereon, and contt'acts Ibr such pmjects with conlractor(s) licensed puisuant to the Contractor's License Law). a lam exempt under Section .Business and Professions Code for this reason: 1.1 personally plan to provide ttie major labor and materials for constructton of ttie proposed property improvement. • Yes Q No 2.1 (have / have not) signed an application for a building pennit for ttie proposed worit. 3.1 have contt'acted with ttie following person (ttmi) In provide ttie proposed constructton (include name address / phone / contt'actors' license number): 4.1 plan to provide portions of Ihe worit, but I Iwve hired ttie foltowing person to coordinate, supen/ise and provkle ttie major work (include name / address / phone / conlractors' license number): 5.1 will provide some of ttie worit, but I have qmYacted (hired) the following persons to provide ttie work indk;ated (Include name / address / phone / type of worit): yffpROPERTY OWNER SIGNATURE DAGENT DATE 12^- IP- } ) COKSPtiTE THIS SECTION FOB NON-BESIDENTIAt BUILOING PERMITS ONLY Is ttie applicant or future building occupant required to submit a business plan, acutely hazardous materials regisbation fomi or risk management and preventton program under Secttons 25505,25533 or 25534 of ttie Presley-Tanner Hazardous Substance Account Act? OYes ONo Is ttie applicant or future building occupant required to obtain a pemiit from ttie air pollutton control disttict or air quality management dist-ict? • Yes D No Is ttie facility to be constructed wittiin 1,000 feet of ttie 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constmction lending agency for the perfbrmance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPL I*; ANT CERTIFICATION I ceiti^thatl have lead the appikatfon and state that the above infbimatfon is conectand thatthe infoimatfon on the pia Ihereby aulhorize representative of the City of Carlsbad toenter upon Ihe above mention^ AGAINST ALL LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pemiit is required for excavattons over 50 deep and demditon or constructbn of sttuctures over 3 stories in heighL EXPIRATION: Every pemiit issued by the Building Oflicial under the proviskins of ttiis Code shall expire by limitation and become nul and voki If the building or wortt auttiorized by such pemiit is not commenced within 180 days from ttie date of such pemnit or if ttie bui|dina or writ auttiorized by such pemiit is suspended or abandoned at any time after ttie vwrit is commenced for a period of 180 days (Sectkin 106.4.4 Unifomi Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad BIdg Inspection Request For: 12/09/2011 Permit# CBl 12563 Inspector Assignment: Title: INSTALL HOUSE METER FOR FUTURE Description: Tl • OK PER PETE D. Type: PME Sub Type: Phone: 6193411014 Job Address: 1281 CARLSBAD VILLAGE DR Suite: Lot: 0 Location: inspecton APPLICANT BYCOR CORP-GENERAL CONTRACTORS, INC. Owner: CARLSBAD MEDICAL VILLAGE L P Remarks: Total Time: Requested By: DAN Entered By: JANEAN CD Description Act Comments 34 Rough Electric 39 Finai Electrical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments