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Home My WebLink About2000 HUMMINGBIRD RD; TP; CB131442; Permit06-12-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ANDY GUMP INC STEA 533 W COLLINS AV ORANGE CA 92867 714 516-8503 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit Permit No: CB 131442 Building Inspection Request Line (760) 602-2725 2000 HUMMINGBIRD RD CBAD St: TP PME Status: 2156002600 Lot#: 0 Applied: 200 AMP TEMP POWER FOR NEW CONSTRUCTION Entered By: Plan Approved: Issued: Inspect Area: Owner: J D ROCK DOVE LL C 3185 AIRWAY AVE #F2 COSTA MESA CA 92626 ISSUED 06112/2013 LSM 0611212013 0611212013 $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: Inspector: f\1.. ~ FINAL APPR VAL Date: 0 '--Z-8 1 Clearance: $0.00 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 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 imposition. 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 service fees in connection with this project. NOR DOES IT APPLY to any f hih hv rvi t N Tl E imilr hi r h flimi in h I hrwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCO «~ ~ CITY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.cartsbadca.gov SIJITE#/SPACE#/UNIT# Plan Check No. {!_8 Est. Value Plan Ck. Deposit Date SWPP CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX EMAIL AIR CONDITIONING YES □ NOD ZIP FIRE SPRINKLERS YES □ NO □ (35 MAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (Sec. 7031.5 Business and Professions Code: Ally City or Cqun_ty which requires a permit to_c~nstruct, alter, improv;e, ~emolish or repair any structure, ~rlor to its iSS!Jance, also re_q1,1ifes the applicant for such permit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractors license law (Chapter 9, commending with Section 7000 of □IvIsIon 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 ($5001). WOlll(il!ll$' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: ~ have and will maintain a certificate of consent to self-Insure for worilers' compensation as provided by Section 3700 of the Labor Code, for the per1ormance of the woril for which this permit is issued. f"1 have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the woril for which this pennit is issued. My worilers' compensation insu nee carrier and policy number are: Insurance Co. OLA Pep, t Al 1 L Policy No, P,. 1c, 9 > q ~ :::>a 1 '.t.o SExpiration Date __ 7_!_µ/L...;;>.--~,/ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: f certify that in the performance of the woril for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wofkers' Compensation Laws of California. WARNING· ure to secure workers' com nsatlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in ompensation, damages as pro r S 706 of the labor code, Interest and attorney's fees. ~ENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the woril and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply lo an owner of property who builds or improves thereon, and who does such woril himself or through his own employees, provided that such improvements are not intended or offered for sale. !I, 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). □ I, as owner of the property, am exclusively contracting with licensed contractors 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). □ I am exempt under Section, _____ Business and Professions Code for this reason: 1. l personally plan lo provide the major labor and materials for construction of the proposed property improvement □ Yes □ No 2. ! (have I have not) signed an application for a building permit for the proposed woril. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4, I plan lo provide portions of the woril, but l have hired the following person lo coordinate, supervise and provide the major woril (include name I address I phone I contractors' license number): 5. I will provide some of the woril, but I have contracted (hired) the following persons lo provide the woril indicated (include name I address I phone/ type of woril): ~ PROPERTY OWNER SIGNATURE □AGENT DATE ,· COMPLl!Tli THIS Sl!CTION l'OR NON•RI.SIDENTIAL SUHDING PIERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acn □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a sctlool site? □ Yes □ No 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, <:ONSTRUC:TJOIII LENDING AGIEI\ICV I hereby affirm that there 1s a construction lendmg agency for the perfonnance of the work this permit Is issued (Sec 3097 (1) Ctvil Code) lender's Name Lender's Address APPLICANT CliRTIFICATIOIII I certify that I have read the appllcatlon and state that the above Information Is conactand that the Information on the plans is accuratB.. I agiee to compt,'Mlh all City ordinances and State lav.s relating 1D buDdlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the 800Ve mentioned r:roperty for inspection JX.JrJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE CF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA~ is ured for excavations over 5' ' and demolltkJn or oonslrucoon of structures over 3 sbres in height. EXPIRATION: Eve penntt ued by the Building Official nder the pro-· ions of this Code shall expire by hmitation and become null and ~id ~ the building or m authorized by such permit is not oommenced Ymhrl 180 d~ from the ate of su ,:ermtt or lfthe buiklilg or autho · such pennlt is sus~nded or abandoned at any time after the Ya(J(k is commenced b" a ~rm of 180 days {Section 105.4.4 UnOOnn BuildflQ Code). AS APPLICAN DATE &-l ~ 13> • 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, Ema II www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. .1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE □ ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB131442 Type: PME Date lnspe_c:ti<>r1_ Item 06/27/2013 32 Const. Service/Agricultural 06/27/2013 32 Const. Service/Agricultural 06/27/2013 39 Final Electrical 06/13/2013 32 Const. Service/Agricultural Thursday, June 27, 2013 Inspector Act RI MC AP MC Fl MC co 200 AMP TEMP POWER FOR NEW CONSTRUCTION Comments CALLED IN TO KIM SEE CARD .Page 1 of 1