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HomeMy WebLinkAbout1603 FAIRLEAD AVE; TP; CB121915; Permit09-25-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Peiimit Permit No: CB121915 Building Inspection Request Line (760) 602-2725! Job Address:1603 FAIRLEAD AV CBAD St: TP Permit Type: PME Statusj ISSUED Parcel No: -£100202801 Lot #: 0 Applied:09/25/2012 Entered By:SKS Reference #:Plan Approved'09/25/2012 PC#:Issued:09/25/2012 Project Title: SHEA HOMES TEMP POWER POLE Inspect Areai Applicant: Owner: POWER PLUS 436 N QUINCE ST ESOONDIDO OA 92025 . ; 760 839-9430 Plumbing Fees 1 $0.00 Electrical Fees $154.00 Mechanical Fees $0.00 Other PME Fees 1 n $0.00 TOTAL PERMIT FEES 1 f $154:00 Total Fees:$154,00 Total Payments To Date:$154.00 Balance Due:$0.00 I , Inspector FINAL APPROVAL Date: (Zr Clearance: NOTICE: Please take NOTICE ttiat approval of your project includes ttie "Imposition" fees, dedications, reservations, or ottier exactions fiereafter collectivefy referred to as "fees/exactions." You trave 90 days from ttie date ttils permit was Issued to protest imposition of ttiese fees/exactions. If you protest them, you must follow the protest procedures set forth In Government Code Section 66020(a), and flte the protest and any other requirBd Infonnitlon with the City Manager for processing In accordance with Cartstod Municipal Code Section 3.32.030. Failure to timely follow that procedure will liar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to profest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other sWlar application processing or sendee fees In connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have orevlouslv been given a NOTICE similar to this, or as to which the statute of Imttatkxis has DTBvlouslv otherwise expired. [itiiI™e FOLLOVflHe APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:r~b»l ammIHO rWwfllMPEBINO 08011011(0 CfrlRE CIhEALTH DiAZMAT/APCO <A> ^ CITY OF PoffimiBft ,^i]5)[p)Dk(5i&S©tni 1635 Faraday Ave., Carlsbad, OA 92008 760-602-2717 / 2718 / 2719 Fax; 760-602-8558 www.carlsbadca.gov Plan Check Mo.^^ Est. Value Plan Ck. Deposit Date Qlj I SWPP SUTTE#/SPACE#/IJNIT# APN CT/prDjECT# Lot* phase## OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE 0CO. GROUP DESCRIPTION OF WORK: fnchHte Square Feet of Affected Area(t) i EXISTTNQ use f PROPOSED USE \ cL ^ GARAGE (SF)PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDIIIUNINU FIKhSPKINKLhKb YES □ # NO □ YES □ NO □ YES □ NO □ APFltOANTNAME (S.cowU.O'Cuutuc.) ^ J ADDRESS , ' V /'^l V C 1C\J ' (bLvA.w6L (14-Si ■ PHONE ^ ^7L d FAX PHONE 7 b 0 rj 'Y FAX EMAIL EMAIL PROPERTY OWNER NAME . r 1 \ |Kua HoiavcA—CONTRACTOR BUS. NAME ^ )A 1 .PeuM-tT KVUAct >r/. CITY C V, STATE ^ ' 3^ PHONE ^ ^(Tr5). r-Lip-urov FAX PHONE7(t> 0 ^3^-^FAX EfAAIL EMAIL AfiCH/DESlGNER NAME & ADDRESS STATE Ua #STATE ua#CLA^ CfTYBUS.UC.# »CXO t 1.1 yrb 7 ^ (Seo. 7031.5 Business and ProfessKins Code: Any City or County which requires a permit to opnstn^altar, Imyow, demolish or f^lr ^applicant for such permit to file a slaried statement that he Is licensed pursuant to the provisions of the Contractor's UcenM Uw fl^a^r 9, dornme^lngwp^^on 7M^f DIvtetonBusiness and Professions Code) or mat he Is exempt therefrom, and the tiasis t^r the alleg^ exemption. Any vIoMon of Section 7031.5 tjy any applKant for a permit subjects the applicant to advil penalty of not more than five hundred dollars ($500)). — TO ®©CBSIB8° (g®(aP@CD8fa!r0®O Woitors' Componsatkm Dedinaon: I hanbyamrnmlerpensity ofpeijiry one of Vie foHoMng declarations: n Uuive and will maintain a certtftcato of consent to telf4n»ure for woritefs'compensation as provided by Section 3700 of the Labor Code, for the petformanca of the work for which this permit Is Issued. ETl have and will maintain workers' companaatlon,«required by Secbon 3700 of the Labor Code, for the perform^ of ttie work for which this permit is Issued. My workers' compensation Insraanoe carrier and policyrvimhflrarBiln.siaarrann. ([T 1 \if Pdcy No. }t C-''Y'J 7 t/J~ / T-O f Expiration Date—I? - j ' - (d This section need not be complsted If the permit Is for one hunrbed dollars (J100) or less.□ Certificate of Exemption; I cartlfy that In the performance of the work for which thb permit Is Issued, I sheU not employ any person In any manner so as to become sutject to the Workers'Compensation Law ofCaltfomla. WARffRIG: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penaitiea and dvil fines up to one hundred thousand dollara (&10tl,000). Inaddition to the cost of compensation, damages as^rovidedftf In Section 3706^ the Labor code. Interest and attorney's fees.CONTRACTOR SIGNATURE f/jxl a AiAAsI^ /fkjf'm DAGENT DATE ^ Q ~ } ~L. ®C!?GDSE = a(BUll,®Cl(B ®Be(L£iBfa'iFD®CO I hefebyaf^thad an) exempt ^romConlrBcior'sUconse Law for &)efo5c¥^ng reason □ I, as owner of ff>e property or my employees wtth wages as ttieir sole compensaflon, wfll do ttre work and the structure Is not Intended or offered for sate (Sec. 7044, Business and Protessfens Code. The Contractor'sLicense Law does net apply to an owner of property wtw txilds or jmproves ttiereon, and wtra does sucti work himself or Uirough his own employees, provided ttiat such Improvements are not Intended or offered forsate. If, however, the buildlnfl orknprovement Is sokJ wifhin one year of comptetton, ttre owner-buBderwill have the burden of provlnfl ttial he cfld not build or Improve for the purpose of sale). □ I, as owner of ttie property, am exdustveiy contracting wfth licensed contractors to construct the project (Sec. 7044, Business and Professions Cods: The Contractor's License Law does not apply to an owner ofproperty wtw builds or Improves thereon, and contracts for such prt^ects with contractor(B) llcen^ pusuant to the Contractor's License La^N^. n 1 am exempt under Secton Bustoess and Professions Code fra-this reason: 1.1 personally plan to provide ttie major labor ar)d materials for construction of the proposed property ImprovemenL □ Yes □ No Z I (have I have noQ signed an appflcaflon for a buWng permit for foe proposed work. a I have contracted wtfo foe fotowtng person (firm) to provide the poposad constructon (Include name adrkess I phone /contractors' Hcerrse number):4.1 plan to provWe portions of the work, but I have hired foe folowing person to coordinate, supervfee and povkte foe major work (Indude name / address / phone / contractors' Dcense number):5.1 wffl provide some of the work, but I have contracted (hired) the followmg persons to provWe the work Indicated (Indude name I address / phone I type of work): >£5"PROPERTY OWNER SIGNATURE □agent DATE (S®izffiO-[^rrs ffcncii? mie'iro®(a (Zi®c]=u?[iSQ®wc5Tro,!aQ. sooDisotja© pssrotjtfs ©csfff Is 9ie applcant or future building occupant requlnBd to submit a bustoess plan, acutely tiazaidous materials registration form or risk management and prevenSon program under SecSons 25505,2K33 or 25534 of lie PiBstey-Tamer Hazardous Sutistance Account Act? OYes O No Is 8ie applicant Of future buScPng occupant reqilred to oljtato a permit trom the air pollution control (Sstrtct or air quality managamert district? DYes O No Is the facllty to be constructed vdtiiln 1,000 faet of ttia outer boundary of a sctiool site? OYes □ NoIF ANY OfTHE ANSWERS ARE YES, A HNAL tOERTintVkTE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TtC APPUCANT HAS MET OR IS MEETING THE REI3UIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. e®izis'ir®®S'i?o®ra asraeoun® ioissoje?? I hereby affirm that there Is a txinstrutiion lendhg agercy for the performancs of the worft this permit Is Issued (Sea 3097 (1) (OtvS CtxIe). Lender's Name Lender's Address ziipp[L'je?ai2i'u' (gi3ii!'if'0(?oeratro®Gfi I hereby authorlzB representattre of Jie City of Cartsbad to enter file abcwe rnentiDried property Ibr inspeclon purposes. I ALSO AGRa TO SAVE, INLiaiNIFY AND KEff HARMLESS Tl-E CfTY OF CARLSIADAGAINST ALL UABUTIES, JUDt^lBflS, COSTS AND EXPENDS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PffiMIT. OSHA: An OS HA permtlls [Bqubed fcr excavations owr 5C deep and demoBfion or conslrucSon of strutdures over 3 slories h haighLEXPIRATXTN: Br^ perrrfil IsWj by te BuSdhg CXScfal under fi» ptoMslons of Ihk Cocte shafl expliB by Smtefion and becorne nuj and void fi file buldtog Of Mirk aufiiorizBd by such pertnft fe not comrneticed vvfflVn180 days fiomfitod^ of suctipermtt or fifiietxjbjSigorwofkat^iorizBd by such pernii Is suspended or abandoned at any tliTie after tie vMkb commencedfore period of 180 days (Secfion 106.4.4 Unifonn ftnldng Code). yfSS"APPUCANTS SIGNATURE DATE 7. 0 -/-L STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. {fi§0C3GBQC7SO®O Fax (760) 602-8560, EmaH www.buBdifTg@caflsbadca.qov or Mall the cofupleted form to City of Carlsbad, Building Division 1635 Faraday Avkiub, Carlsbad, California 92008. CO#: (Offlcd Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDINQ ADDRESS cmr STATE ZIP CITY STATE ZIP Carlsbad OA PHONE FAX EMAIL OCCUPANTS BUS. UC. No. DEUVERYOFnONS O PICK UP: □ CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □ IVIAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ IWAIL/ FAX TO OTHER: □ ASSOCIATED CB# . □ NOCHANQEINUSE/NOCONSTRUCHON □ CHANGE OF USE/NO CONSTRUCTION APPUCANTS SIGNATURE DATE Inspection List Permit#: CB121915 Type: PME SHEA HOMES TEMP POWER POLE Date Inspection Item , Inspector Act Comments h 09/28/2012 32 Const. Service/Agricyltura! PB AP I Tuesday, October 02,2012 I Page 1 of 1 I