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Home My WebLink About1929 PALOMAR OAKS WAY; TP; CB131647; Permit07-11-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB131647 Buiiding Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1929 PALOMAR OAKS WY CBAD St: TP PI\^E 2130910600 Lot#: 200 AMP TEMP POWER FOR CONSTR. Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/11/2013 JMA 07/11/2013 07/11/2013 Applicant: POWER PLUS Owner: SURYA L P 436 QUINCE ST. ESCONDIDO CA 92025 760-839-9430 10660 SCRIPPS RANCH BLVD #100 SAN DIEGO CA 92131 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: L APPROVAL 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 pemiit 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 thaf your right to protest the specified fees/exactions DOES NOT APPLY fo water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this praject. 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 othenwise exoired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QpiANNING QENGINEERING nBUILDING DFIRE DHEALTH nHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraciay Ave., Carlsbaci, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 vwvy.carlsbadca.gov Plan Check No.c:^ (3 • 10*^7 Est. Value Plan Ck. Deposit Date 7//f/l3 SWPP JOB ADDRESS « yi t • III surrr DRO_pWS rrE#/SPACE#/UNIT# CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOIVIS TENANT BUSINESS NAME CONSTR. TYPE I OCC GROUP DESCRIPTION OF WORK: /nc/ude Sguare Feet of Affected Areafs; ^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) RREPLACE YES • #_ NOD AIR CONDITIONING YES • NO • FIRESPRINKLERS YES • NO n APPLICANT NAME "IE fPr/maiyContaffca' P. ^/A APPUCANTNAME (Secondaty Contact) ss /'I ADDREJ ADDRESS CITY [FAX CITY STATE ZIP PHONE EMAIL PHONE EIVIAIL FAX PROPERTYOWNER NAME CONTRACTOR BUS. NAME ADDRESS ^ AI I CITY .yi J \ A SWE ^7 ZIP fin l/V^t^ /^)<^sS^ , STATE A. ZIP ^ ADDRESS CITY ^ . J STATE ZIP _ PHONE TFWC ^HONE . FAX PHONE EMAIL EMAIL ARCH/DESIGNER IWIVIE & ADDRESS ^'S^TE^C,# CITY BUS. LIC# (Sec. 7031.5 Business and Professions Code: Any City or Coun^ whicli requires a permit to construct, alter. Improve, demolish or repair any struoture, prior to its issuance, also requires the applicant for such parmit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Lav* (Chapter 9, commendingwith Section TOOOof Division Sof the Business and Professions Code) ortnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 byanyapplicantfor a permitsubjects the appHoantto a civil penalty of not more than five hundred doiiars ($500)). W OUKERS • C OMPENSATION Workers' Compensation Declaration: / hereby affinn under penalty of pefjury one of the fbllowing declarations: O I h^ve and will maintain a certificate of consent to self-insure for workeis' compensation as provided by Section 3700 of the Latior Code, for the performance of the work for which this permit is issued. CB^have and will maintain workers' compensation, as required by Section 3700 °* *^ f°r the performance of Sie work for which this permit isjssued. My viorkers' compensation insuranoe carrier and policy number are: Insurance Co. 0 ) (/( /Lfyfu\^b lYc ^^yl/^Xv^/xA- Policy No. '^./f 'i<C. H J 7 H i f3 Od Expiration Date 3'3 I' < H This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the performance of the woA for which this permit 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, daipages as providej for In pection 3706 of th^^or code, interest and attorney's fees. JS^ CONTRACTORSIGNATURE I, damages as provided for In Section 3706 of th^aboi m .AAAML,hj ft •AGENT DATE 7- il'\3 OWNER-eufLDER DECLA R A Tl <3i N / hereby affi/m tfiat I am exempt from Coritractor's Ucense Law for the follomng reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stracture is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself br 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). O I, as ovmer of the property, am exclusively contracting with licensed confractors 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 Contractor's License Law). O I am exempt uncier 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 person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 plan to provide portions of the work, but 1 have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' Iicense number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to pnjvide the work indicated (Include name / address / phone / type of work); ^eTpROPERTY OWNER SIGNATURE •AGENT DATE COMPtETE THIS SECTIOW FOR N O N - R E S I 0 E N TI A t B U I i D I N G P E R M I T S O N L V Is the applicant orfuture building occupant required to submit a business plan^utely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes BtVo y Is the applicant or future bulldlng occupant required to obtain a pemit from the air pollution control district or air qiMty management district? • Yes SJTO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes oNo 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. CONSTRUCTION tENOING AGENCY I hereby aflirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lendel^s Address A PPLICANT CERTIFICA T I O H I cert'^that I have lead the application and state that the above Infbimation Is correct and that the Infbmiation on I heneby auihorize representative ofthe Q'ty of Cartsbad to enter upon Itie above mentioned property for inspectian purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cm IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA penriit is tequited for excavations over deep and demoloii or constiudion EXPIRATION: Every pemiit issued by the Building Official under the provistons of this Code shali expire by limitatton and become null and void if the buikling or vwiri< authorized by such pemiit is not commenced within 180 days from the date of such pennit or Ifthe building or viDri< authorized by such pennit is suspended or abandoned at any time after the work is commenced ibr a period of 180 days (Section 106.4.4 Unifbmi Suiklfig Code). ygS"APPUCANT'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 vww.buildinq(5>cat1sbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 FaradayAvenue, Carlsbad, California 92008. C0#: (Office Use Only) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS a PICK UP: • CONTACT (Listed above) o OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) a MAILTO: o CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL / FAX TO OTHER: D ASSOCIATED CB#- Q NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB131647 Type: PME 200 AMP TEMP POWER FOR CONSTR. Date Inspection Itetn Inspector Act Comments 07/22/2013 32 Const. Service/Agricultural PB AP Monday, November 25, 2013 Page 1 of 1 VJ^^-T- CP>O Gins'^r OV-CH on CAA '^TTi s 9o\ 3vo Hs^o 563 City of Carlsbad Building Division JUL 11 2013 APPROVED BY: ISSUED BY <jhnPc