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Home My WebLink About2100 COSTA DEL MAR RD; ; CB111974; Permit09-13-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB111974 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2100 COSTA DEL MAR RD CBAD PME 2165900100 Lot#: LA COSTA RESORT EXTEND ELECTRICAL CIRCUIT FOR NEW SIGN Applicant: KINSLEY DENNIS 2100 COSTA DEL MAR RD 92010 760 930-7075 Status: ISSUED Applied: 09/13/2011 MDP 09/13/2011 09/13/2011 Entered By: Plan Approved: Issued: Inspect Area: PD Owner: L C INVESTMENT 2010 INC 1601 ELM ST DALLAS TX 75201 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $150.00 $0,00 $0;00 $150.00 Total Fees:$I150;OQ Total Payments To Date:$150.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: _^L 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. %? CITY OF CARLSBAD JOB ADDRESS x> / jQ / /)/ CT/PROJECT* ILOTff Building Permit Appli< 1635 Faraday Ave., Carlsbad, CA 760-602-2717/2718/27 Fax: 760-602-8558 www.carjsbadca.gov V" fC&X-i(f (W/5 S^OC; OrT PHASE # ^ # OF UNITS # BEDROOMS Plan Check No. 1- 19 1^/ccicion ' i 92008 Est. ValuelaPlan Ck. Deposit Date SWPP SUITE#/SPACE#/UNIT# APN ((BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Ana(s) . r^- J A I \ if * "~ 1 ) 7 * rv)f /^^O/ ^.j^f^yifo. 1 4-0</^ nio.,"S rf;^*-! i//iti>m^*"rrrt~r~^ EXISTING USE PR APPLICANT llAME (Primary Contact) I \ej6.t^ nt-1 Kl *T. 5 '<_\Y ADDRESS ^ 1 /) ; ,«/l/ <5-/<yO 6-o^s fx X<4./ r I** CITY >/1 1 I A PHONE OPOSEDUSE GARAGE (SF) , /{I STATE - ZIP FAX tMA'LO^AJ5Ms/ ^> M6>-5-U , 6?/*N PROPERp^NERNA(«e ^ . ^ ADDR^oo ^4 ^/ /CITY X^ 1 ) /I PHONE EMAIL ARCH/DESIGNER NAMES ADDRESS -* ^ r it r•3 frf^T 1 n A^L-C ^ <?A STATE ZIP *. FAX ' STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, (or the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. &piration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. CJ Certificate of Exemption: I certify 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 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ^"CONTRACTOR SIGNATURE OAGENT DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (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 who does such work himself or 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). TT~T; 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). O I am exempt under 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. D Yes D 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 / co ntractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I haw contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE OAGENT DATE 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 Act? OYes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? n Yes D No Isthefacilitytobeconstrucfedwithin1,000feetoftheouterboundaryofaschoolsite? OYes CJNo IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance 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 theabove information is correct and that the information on the plans is accurate, lagreeto comply with all City ordinances and State laws relatingto building constniction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, J OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: E 1 80 days from the date of such permit or itlht buildinaor work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 1 80 days (Section 1 06.4.4 Uniform Building Code). .^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 11/15/2011 Permit* CB111974 Title: LA COSTA RESORT Description: EXTEND ELECTRICAL CIRCUIT FOR NEW SIGN Inspector Assignment: PD 2100 COSTA DEL MAR RD Lot: 0 Type: PME Sub Type: Job Address: Suite: Location: OWNER L C INVESTMENT 2010 INC Owner: Remarks: call upon arrival for inspection Total Time: CD Description 29 Final Plumbing Act Comments Phone: 7608012890 Inspector Requested By: KEN Entered By: CHRISTINE Comments/Notices/Molds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 09/28/2011 31 Underground/Conduit-Wiring AP PD FOR LIGHTS