HomeMy WebLinkAbout1624 NEW CREST CT; ; CB143139; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11•13-2014 Permit No: CB143139
Building Inspection Request Line (760) 602-2725
Job Address: 1624 NEW CREST CT CBAD
Permit Type: PME . Status: ISSUED
Parcel No: 2159504500 Lot # 0 Applied: 11/13/2014
Entered By: RMA
Reference #: Plan Approved: 11/13/2014
PC #: Issued: 11/13/2014
Inspect Area:
Project Title: NEW CREST CT-100 AMP POWER
POLE FOR CONSTRUCTION OF NEW HOMES
Applicant: 0 Owner:
POWER PLUS DAVIDSON HOMES
436 N QUINCE ST
ESCONDIDO CA 92025-2522 00000
760-839-9430
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$160.00
$0.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
FINAL APPROVAL
lnqnprtnr 4~ è~_L_-t1' Date: /i2c1'f' Clearance:
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 feeslexactions. 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. Failureto timely follow that procedure wiD bar any subsequent legal action to attack,
review, set aside, void, or annul (heir imposition.
You are hereby FURTHER NOTIFIED that your fight 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
16LLOING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. DPLANNING DERGINEERING DBUILWNG OHRE [HEALTH DHAZMAT/APCD I
i ipr Paii Chck No Cj3 193 f3 4
1635 Faraday Aye, Carlsbad CA 92008 Est Value
CITY OF 760-6022717/2718/2719
CARLSBAD 100-6
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JOB ADDR i C s - C 1- J.
SUITE#/SPACE# N
CT/P LOT LOT # PHASE #
I
# OF UNITS # BEDROOMS
I,
ft BAThROOMS TENANT BUSINESS NAME
I
CONSTR TYPE
I
0CC. GROUP
DESCRIPTION OF WORK Include Square Feet ofAffectedArea(s) I
: )V .
00
AM& &4
XIST!NG USE PROPOSED USE GARAGE (SF) ?A1105 (SF) DECKS (SF). FiREPLACE AIR CONDITIONING.FIRE SPRINKLERS
YES 0 # NO 0 YES LI N613 YES NO I]
APPLICANT NAM rimary onté I 1 tNt-i APPLICANT NAME (Secondary Costa .
ADDRESS . ADDRESS
YV-
CITY STATE P CITY r, STATE ZIP
PHONE 76O FAX . PHONE( FAX
EMAIL .. ... ., L. .'. ...
ADDR3
ADDRESS'N (1
CITY ST 'T
CITY STATE 71
Y1fld
. —VIOL_________________
PHONE .
Iss fSO
FAX
.
PHONE 7'o O(3°i— 9y
JO
FAX
EMAIL
RcH/DESIGNERNAME&ADDRESS . . . . 'I '
..
STATE #
. I-i.o IT
BUS. UCL#
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(ieC.:(u1;b uusiness aria rroiessions Uoae: Any ulcy.or U0UflW WfliCfl requires a permrtw CUStEUU1, 011W, IlnpWv0, uolllulloll vi ill allY vrn.'v', plivi. w ,, *
applicantlorsuch permlttofile a signed statementthat he Is licensed pursuant' to the provisions Of theContractor's Ucense Law{ChapterO,ommendingwlth Section 7000 ofDivlsion 3 of the
Business and Professions Code) or that he Is exemot 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 h,lI fni,,n,thn fh, h.v,dd ,4&I* (tflflii . . . .
Workers' Compensation Decliration: lherebyeiflrrn rnder penalty of pe4wy0ne of the following declarations:
.iJ I have and will maintain a certificate of consent to self Insure fOr workers' compensation as provided by Seebon 3700 of the Labor Code, for the performance of the work for which this permit Is issued
0 I have and will maintain worke?' compensation, as required by Section 3700 of the Labor Code, forthe parfonnance of the work for witch this paijnit is issued. My workers' compensation Insurance carrier, and policy
number are: InsuranCe Co LA Id uk.. Policy No.0 & 'j Q_7 ' _0 (o Expiration Date 33)
This section need not be completed if the permit is for one hundred dollars ($100) or less. . .
O •Certiticate of Exemption: Icertity that in the performance of the work for which this permit Is Issued, I shall not employ any person-in, any manner so as to become subjectththe 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 uptoone hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as providedfo In ectio , 706 of bor code, Interest and attorney's fees.
a1z im 511 AM
Iherebyaft that lam exempt from 0on sucenseLawfortheMovñngreason: o I, as owner of the properly or my employees with wages aO their sole compensation, will do the work and the structure is not intended oroffered tar sale (Sec. 7044, Business andProfesslons Code: The ContractOr's'
Ucense Law does not apply to an owner of propeity who builds o(improves thereon, and who does such work himself or through his Owhemployees, provided that such improvements are not Intended or offered for
sale. if1 however the building or improvement Is sold within One yearof completion, the owner.bi,rilderwifl have the burden of proving thathe Old not build or improve for the purpose of sate).
LI I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pmfesdons.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 contractoi(s) licensed Pursuant to the Contractor's License Law).
Ci lam exempt under Section , Business and Piofessiohs Code for this reason:
1.1 personally plan to provide the major labor and materials for construction Of the proposed property Improvement. LIVes 0 N
2.1(havOl have not) signed an application fora building pOimit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address 1phone /contractoiY license number):
4.1 plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the mnor work Qndude name l address l phone /contractors' license number):
5. IwlIl provide some of the work, but I have contracted (hired) the foilowing parsons to provide the work indicated (include name l address / phone ltype of work):
,.PROPERTY OWNER SIGNATURE
'
OAGENT DATE -
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2, !'1 liggliggli
Is the alicantorMure building occupant required to submit a business plan acutely hazardous materials registition form or risk management and prenhron program under Secbons 25505 25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act? Cl Yes Cl No"
is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes *.'O ,No
Is thefacilrtytobeconstnrctedrdthln l000feetoftheouterboundaryofaschoosate? 0Yes 0 No
IFANYOFTHEANSWERSAREYES,AFINALCER11FICATEOFOCCUPANCYMAYNOTBEISSUED UNLESS THE APPLICANT HASMETORIS MEETING THE REQUIREMENTS OFThE OFFICE.OF,. ,. 'EMERGENCY sERvicEs ANDThE AIR poLLuTIONpONTRoL DISTRICT...........'.. '. ' ''' .•. . . .... . ..: . • ..
. . ed . .. . . . I hereby t th affirm tha ere isa consfruchon lending agency for the performance of the work this per•.mit. is issu (Sec. 3097 ) Civil Code)
Lender's Name Lender's Address
1 oerfil~thatl hWiead the application andslatethatthe above inlointation 6 watitia4d Vitihe Iniiinawitnon the plans Is itc
.
curata I agriew od~p~ytlo all Ciblordinances and
.
Stale iaw relatingto buildi ng
,
cit
.
nitru 6dan.
iherebyauthoriza representative of the City of Carlsbad to enterupon the above mentioned properly forinspeckon puiposes I ALSO AGREE TOSAVE. INDEMNIFY,AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINSTALLUAES,'JUDGMENTS, CSTS AND B(PB'ISES.VMiCH MAY IN MYWAvACCIJE AGAINST SAID CITY INCONSEQUENCE OF THE GRANIING OF THiS PERMrn'
.OSHA- M OSHA permit is n3quked fbr ekaidansover5'(YdeepanddemoiltionorcosiiuctbnofShvctureover-3storfesin height ,
EXPIRATION: Every permit issued by the BuidinjOffdatundertheprosofthis by limitation and bcome null andvoWffthebuilgorortauthodzadby such permitisnotcomrnencedwthin
'180 Oays libm the date ol'such permit orffft building ormik authorized by such p~umlt Is suspended orabandoned at anytime after the vm*ls commenced ibra period of 180 days (Seft 106A4Unlbrin Buikuing Code).
M"APPLJCANT S SIGNATURE /4/t//1/ ,q64,7 DATE
. iv 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.building0cedsbdca.ovor Mail the compliW form to City of Carlsbad, Building Division 1635 FamdaAvènu. Carlsbad, California 92008.
(Office Use Only)
- CONTACT NAME .
ADDRESS :
OCCUPANT NAME . .
'• .
. .. . . BUILDING ADDRESS .
CITY . .. . STATE , . • .. ZIP .' CITY . STATE . , . '''ZIP
. . Carlsbad CA . •,.• .
PHONE ' ''
. ...
.., ,
FAX.,
' . .. ' . EMAIL
,
OCCUPANVS BUS. LiC. No.
DELI VERY OPTiONS
CI PICK up: a CONTACT (Listed above) a OCCUPANT (Listed above)
a CONTRACTOR (On P. 1.)
a ASSOCIATED CB# CI MAIL TO: a CONTACT (Listed above) . o OCCUPANT (Listed above) . . . ..- .. . . a CONTRACTOR (On pg. i) '
'• a NO CHANGE IN USE/ NO CONSTRUCTION
MAIL! FAX-TO OThER:_________________________________
a CHANGE OF USE/ NOCONSTRUCTION
APPLICANT'S SIGNATURE '. . . DATE
Inspection List
Permit#: CB143139 Type: PME NEW CREST CT-1 00 AMP POWER
POLE FOR CONSTRUCTION OF NEW HO
Date Inspection Item
11/24/2014 32 Const. Service/Agricultural
11/24/2014 32 Const. Service/Agricultural
11/24/2014 39 Final Electrical
11/20/2014 32 Const. Service/Agricultural
11/20/2014 32 Const. Service/Agricultural
Inspector Act Comments
- RI
PB AP
PB AP
- RI
PB CA
PI
Tuesday, November 25, 2014 Page 1 of 1