The URL can be used to link to this page

Home My WebLink About2110 Pointsettia Ln; TP; CBC2019-0252; Permit(City of Carlsbad Commercial Permit Print Date: 06/03/2019 Permit No: CBC2019-0252 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2110 Poinsettia Ln, Tp BLDG-Commercial $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 05/29/2019 05/29/2019 Plan Check#: Fina\ Inspection: 6/3/2019 12:50:26PM Project Title: Description: 1 TEMP POWER POLE, 1 SUB POLE Owner: Contractor: ORTIZ ENTERPRISES INC ACTION POWER INC 6 Cushing, Ste 200 Irvine, CA 92618-4228 949-753-1414 20532 Crescent Bay Dr, Ste 106 EL TORO, CA 92630-8846 949-709-8006 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $175.00 {City of Carlsbad Job Address 2110 Poinsettia Lane COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check --------- Est. Value PC Deposit --------- Date ~,5,,__-_-cl_C(_' _-___,_i_j.___ Suite: _____ APN: __________ _ Tenant Name: _________________ CT/Project#: __________ Lot#:. ___ _ Occupancy: _________ Construction Type: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DESCRIPTION OF WORK: ____________________________ _ D Addition/New: ___________ New SF and Use, ___________ N,ew SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork} D Tenant Improvement: ______ SF, _____ SF, Existing Use ______ Proposed Use ______ _ Existing Use Proposed Use ______ _ 0 Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No [;zJ Plumbing/Mechanical/Electrical Only: _1_t_e_m_,_p_p,_o_w_e_r ,_po_l_e-'-. _1_s_u_b~p_o_le ______________ _ D Other: --------------------------------------- PROPERTY OWNER APPLICANT (PRIMARY} Name: Stephanie Carlson Address: 20532 Crescent Bay Dr. Suite 106 Name: Ortiz Enterprises Inc Address: 6 Cushing. Suite 200 City: Lake Forest State: CA Zip: 92630 City: Irvine State: CA Zip: 92618 Phone: 949-709-8006 Phone: 949-753-1414 Email: stephanie@actionpowerinc.com Email: ____________________ _ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: __________________ Name: Action Power Inc Address: Address: 20532 Crescent Bay Dr. Suite 106 City: _______ State: ___ .Zip: ----City: Lake Forest State: CA Zip: ..:.9.::;2.:.63.:.0:...._ __ _ Phone: Phone: 949-709-8006 Email: Email: stephanie@actionpowerinc.com Architect State License: State License: 94 7176 Bus. License: BLOS 1231215 (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 the applicant for such permit to file a signed statement that he/she 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. 13 l have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: _s_ta_t_e_F_u_nd __________________ _ Policy No. 9049500 Expiration Date: _4_12_3_12_0 _______ _ □ 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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, :::::~::•:•G::TURE: ~ □AGENT DATE: s129119 ,~k--= -- ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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). □ 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. - 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I 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): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT DATE: _____ _ --------------------------- CONSTRUCTION LENDING AGENCY, IF ANY: 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: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 Act? □ Yes □ No ls 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 school 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. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the Oty 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA pennit is required for excavations over S'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 da~ ection 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: --,,1.~~~d.,,~~=---------DATE: _S_-_/._Jq _ _,_/...,/_q __ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 . PERMIT INSPECTION HISTORY RE,PORT (CBC2019-0252) Permit Type: Work Class: Status: Scheduled Date ' . BLDG-Commercial PIM/E Closed -Finaled Actual Start Date Inspection Type Application Date: 05/2912019 Issue Date: 05/29/2019 Expiration Date: 11/25/2019 IVR Number: 19335 Inspection No. Inspection Status 06/03/2019 06/0312019 BLDG-Final Inspection 093560-2019 Passed June 03, 2019 Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro ORTIZ ENTERPRISES INC 211 0 Poinsettia Ln, Tp Carlsbad, CA Reinspection Passed Yes Yes Yes Complete Complete Page 1 of1