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Home My WebLink About1793 DOVE LN; TP; CB120331; Permit02-23-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120331 Building Inspection Request Line (760) 602-2725 Job Address: Pemiit Type: Parcel No: Reference #: PC #: Project Title: 1793 DOVE LN CBAD St: TP PME Lot#: 100 AMP TEMP POWER POLE FOR CONSTRUCTION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/23/2012 JMA 02/23/2012 02/23/2012 Applicant: POWER PLUS Owner: 436 N QUINCE ST 92025 760 839-9430 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $150.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00 Inspector: L APPR FINAL APPF Date: OVAL (2. Clearance: NOTICE: Please take NOTICE that approval of your project Includes the 'Imposition' of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as "fees/exactions." You have 90 days from the date this pemiit 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 Impositiori. 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 setvice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise exoired. CITY OF CARLSBAD Buiiding 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 Date JOBADDRESS ^ » , —T'lTl L ii-^-r"u I rvT tl i nuAcr j, u r\c i ihiiTr u SUIT£«/SPACE«/UNIT« CT/PROJECr* DESCRIPTION OF WORK: Incluile Square Faet otAtleeti # BATHROOMS TENAtfl' BUSINESS NAI»IE CONSTR. TYPE 'Xx/vi V^// a J^^^ Ol Kwp f-^L^w^^ ^oviM.r }^o^-e EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD * NOD AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES D NOD CONTACT NAME {II Dlffersnr APPLICANT NAME ADDRESS ^3L rl. PM.VC. .Cf. ADDRESS PHONE I TFAX ' IJ NE T _ I FAX ••ONE X \r ; [FAX „ . ZTlJ PHONE 7^0 EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME Tiro l^dkjl ^oi.StfZoQ CITY _ T~ 'STME af ADDRESS FAX ;II)U. STAM ZIP PHONE o K:f^ ^I^JV EMAIL ARCH/OESIGNER NAME & ADDRESS CLASao . - CITl-BUS. UC* 9;7J>.?p 17:/^ 1/7.2^ 7 (Sec. 7031.5 Business and Professions Code; Any City or County wrilch requires a permit to construct, alter, improve, demolisli 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 (Chapter 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: fhsre/iy affirm under penalty of peijury one ofthe foliowing dedarations: O Ufave and wiil maintain a certificate of conaent to self-insure for workers' compensalion as pravided by Seclion 3700 of Ihe Labor Code, for Ihe performance of Ihe work lor which this pemiit Is Issued. Erl have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, lor the perionnance of the wotk for which Ihis pennil is issued. My workers' compensalion insurance carrier and policy I nave and will maintain workers' compensation, as required by section j nuraber arc: Insurance Co. D \ /l( jfLt, jp m. D /1 d- fa></i^ PolievNo Z'? 1 fV f-7 V.r' / <? (? y ExDiralionDate ) 1^ This section need nol be compleled if Ihe pemiil Is for one hundred dollars ($100) or less. D Certificate of Exemption: I certily lhal in Ihe perfomiance of Ihe wori< for which this permil Is issued, i shall not employ any person in any manner so as to become subject lo Ihe Woikers' Compensation Laws ol Calilornia. 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 (&1OO,OO0), in addition to the cost of compensation, daiijages as provided fo^h^ection ZJH&fil the^a^or code, Interest and attorney's fees. CONTRACTOR SIGNATURE I, damages as provided foyiv^ectlon ^ik.of the^abor code, li •AGENT DATE - 7— / 1 hereby affinn that I am exempt Irom Contrector's Ucense Law lor the lolbwing reason: • I, as owner of the property or my employees with wages as their sole compensalion, will do Ihe work and Ihe slruclure is nol Inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner ol property who builds or Improves Ihereon, and who does such woiit himsell or Ihrough his own employees, provided lhal such improvements are nol inlended or offered for sale. II, however, Ihe building or impiovemenl is sold wilhin one year of complelion, Ihe owner-builder will have Ihe burden of proving thai he did nol build or imprave for the purpose of sale). • I, as owner of the properly, am exclusively contracting wllh licensed conlractors to construct Ihe projeci (Sec. 7044, Business and Professions Code: The Conlractor's License Law does nol apply to an owner of property who builds or improves Ihereon, and contracts tor such projects with conlraclor(s) licensed pursuant lo the Contractor's Ucense Law). D I am exempt under Seclion Business and Professions Code lor this reason: 1.1 personally plan 10 provide Ihe major labor and malenals for construction ol the proposed property improvemenL • Yes • No 2.1 (have / have nol) signed an applicalion for a building permit for the proposed woii.. 3.1 have ccniracled with Ihe loliowing person (linn) lo provide the pmposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of Ihe work, bul I have hired the following person to coordinate, supenrise and provide Ihe major work (Inciude name / address / phone / contractors' license number): 5.1 will provide some of Ihe work, bul I have contracted (hired) Ihe following persons to provide Ihe work indicaled (include name / address / phone / type of work): VETPROPERTY OWNER SIGNATURE •AGENT DATE Is Ihe appiicant or future building occupant requirsd to submit a business plan, acutely hazardous malerials registrailon fomi or risk management and prevention program under Seclions 25505,2S533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • Yes O No Is Ihe appiicani or future building occupanl required lo obtain a perniit Irom the air pollution control district or air quallly managemeni dislrict? D Yes • No Is the tacillly lo be constructed wllhin 1,000 feel of the outer boundary of a school site? • Yes D No IF ANY OF THE ANSVI/ERS 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. I hereby affirm lhat there Is a construction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above Infoimation Is conect and thatthe mfonnation on the plans is accurate. I agree to comply with all Ctty oidinaices and State laws relating to building constnictian. I hereby aulhonze represenlaliVB of the Cily of Carlsbad to enter upon the above mentkmed property for InspeciDn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEtfTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemill Is required for excavations over 5'0' deep and demolilion or constmction of slnjctuies over 3 stDries In heighL EXPIRATION: Every parniil issued by the Building Official under the proviscns of this Code shall expire by limitafion and become null and voW if ttie building or vnorit aulhorized by such permit is not commenced wittiin 160 days fiom fiie date of such pennil or If ttie buiding or work auttiorized by such peimit is suspended or abandoned at any lime after ttie vMk is commenced for a period of 160 days (Section 106.4.4 liMiform Buikling Code). APPLICANT'S SIONATURE DATE City of Carlsbad BIdg Inspection Request For: 03/07/2012 Permit# CB120331 Titie: 100 AMP TEMP POWER POLE FOR Description: CONSTRUCTION Inspector Assignment: MC Type: PME Sub Type: 1793 DOVE LN Job Adtjress: Suite: TP Location: APPLICANT POWER PLUS Owner: Remarks: Lot: Phone: 7608399430 Inspector: Total Time: CD Description 32 Const. Service/Agricultural 39 Final Electrical Requested By: MICHELLE Entered By: JANEAN Act Comments ft Comments/Notices/Hoids Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments 03/06/2012 32 Const. Service/Agricultural CA MC PER CONTRACTOR 03/06/2012 39 Final Electrical CA MC 03/01/2012 32 Const. Service/Agricultural CO MC NOTICE, SEE CB120330 1 '3 0 3 lb- r OS 6^ ^ SOO 'J (If -il ^ 4 J: • ^ 4 J: ^ 4 J: 20 "d 85S8 209 091 'ON m Wd 55:01 ML/im/zmu ayaisyyo JO AUO wd iz^zi mi 2102-20-03^ r