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Home My WebLink About2250 MASTERS RD; MP; CB122429; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-16-2012 Permit No: CB122429 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2250 MASTERS RD CBAD St: MP PME 0000000000 Lot #: EVANS POINT HOA -REPLACE ELEC METER PEDESTAL 0 Applicant: Owner: THREE PHASE ELECTRIC 737 S. VINEWOOD ST ESCONDIDO CA 92029 760-781-1100 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $154.00 Total Payments To Date: Inspector: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/16/2012 SKS 11/16/2012 11/16/2012 $0.00 $154.00 $0.00 $0.00 $154,00 $154.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE t I 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 r~ht 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 1T APPLY to any f Tl imil h" i h h i I THE FOLLOWING APPROVALS·REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD <__{ .. ~ Building Permit Application PlanCheckNo.(h / ZlL/ZCf 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C \TY Of Ph: 76CHl02-2719 Fax:760-802-8558 Plan Ck. D11postt CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov C,tJ-''-Date I ( / /((; /11...,. jSWPPP JOBADORESS tnP SU ITEt/SPACEf/UNfTt IAPN 2250 Masters Road na --- I 1;1/PROJECT # IL01 # I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS 111:NANT -1NESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(t) Replace existing rusted electric meter pedestal EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING i I FIRE SPRINKLERS Power for irrigation Same na na na YES0, NcCJ vESO•o□ v,so•o□ APPLICANT NAME (P,Jma,y Contact) J ff L h Th Ph El t . e oc er -ree ase ec na ApPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 737 So. Vinewood Street CITY STATE ZIP CITY STATE ZIP Escondido CA 92029 PHONE I FAX PHONE I FAX 760-781-1100 760-781-1188 EMAIL EMAIL jeff@.hoalighting.com PROPERtY OWNER NAME Evans Point HOA CONTRACl'OR BUS. NAME Three Phase Electric. Inc. ADDRESS ADDRESS 6126 Innovation Way 737 So. Vinewood Street CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Escondido CA 92029 PHONE PHONE 760-436-1144 \FAX 760-436-2566 760-781-1100 IFAX 760-781-1188 EMAIL EMAIL jeff@.hoalighting.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# !°'ASS !cri';~olv.. 599757 C-10 (Sec. 7031.5 Business and Profe~ions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re~air an~ structure, prior to its issuance, also requJr:f the applicant for such pe~mit to file a s1 ed s~tement that he is licensed pursu?lnt to the provisions of the Contra~r•s license t,aw C a er , comme_ndingwith Secti~n 7000 of Divis _ 3 of the Business and Professions Code} or ~the IS exemP.t therefrom, and the basis for the alleged e11.emptlon. Any VIOiation of Section to3rs by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hetaby affirm under penalty of perjury one of the to/towing deClarallons: D I have and will maintain a certificate of consent to self-insure for v.Qrkers' compensati:m as provkled by SectiOn 3700 of the Labor Code, for the performance of the Y«lrk. forwhle:h this pennlt is iSsUed. [ZJ I have and will fflllntaffl workers' COf1¥1911Ution, as required by Sectloo 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My 'Mlfkers' compensatton lnsuraoce carrier and policy number are: Insurance Co. Granite State Insurance Co. Polk::y No. WC009954517 Expiration Date 3/10/2013 lb!§, section need not be completed if the pem1lt is for one h nd LJ Certificate of Exemption: I certify that In the do rs ($100) or less. for which this permit Is issued, I shall not employ any person in any manner so as to become subf9ci to the Workers' Compensatkm Laws Of COV8f119e II unlawful, and •hall subject an employer to criminal penalties and civil flnas upto one hundAKI thousand dollars (&100,000), In I Section 3706 of the Labor code, intemt and attorney's fees. California. WARNING: Fallureto secure Wor11 addttlon to the cost of compensation, mages ,6$ CONTRACTOR SIG,NA&<.,..__ I hetaby afflrm that I am exempt from ConlTBdot's uamse Law for the following reason: 0 I, as OWll81' of the property or my employees with wages as their sole compensation, WIii do the work and the structure is not intended or offered for sale (Sec. 7044, Business ood Professions Code: The Cootra.;tors License Law dOeS not apply to an O'Ml8r of property whO builds or Improves ther80n, aoo who does such work hlmself or through his own employees, pro\lkled that soch Improvements are not Intended or offered for sale. If, however, the building or lll1)IOV8fTlent is sold within one year of corr,;,letlon, the owner-builderwHI have the bl.Jden of proving that he did not bulld or Improve for the purpose of Scie} □ □ I, as O'Mler of the property, am e:c.cluslvety contracting with licensed contractors to constn.ci the project (Sec. 7044, Business and Professions Code: The Contra:tor's LlcenSe L!r# does not apply to an owner of property v.flO builds or Improves thereorl, ancl contracts for such projectS wtth contractor(s) licensed pursuant to the Controctor's License Law). I am exerrpt under Sectloo ____ Buslness and Professions Code tor this reason: 1. I personally plan to provide the mapr labor and materials for construction of the proposed property improvement 0Yes Do 2. I (have/ have not) signed an ~pllcation for a building permit !Of the proposed work. 3. I have contracted with the fotlo'Mng person (11nn) to provide the proposed construction (ioclude name 00dl8SS I phOne / contractors' llcenSe number): 4. I pl!ll to provide portions of the -.ork, but I have hired the followlng pefSOn to coordinate, supervise anti provide the~ 'Mn (lrolude name/ OOdress I phOne I contractors' license number): 5. I will provide some of the 'M)rk, out I have contracted (hired) the folk>wlng persons to provide the work indicated (Include rm,e / address I phOne I type of work): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE --------~- C:OM1"LETI! THIS SICTION FOR NON•R•HOIINTIAL BUILOllfcG PIRJIIIITS ONLY Is the applk:ant orfutln building occupant required to submit a business plan, a:utety hazardous materials registration fonn or riSk mmagement and prevention program under Sections 25505, 25533 or 25534 ol the Presley-Tamer Hazanlous Substance Account Id? □ Yes □ No Is the applicant er future buikllng cx:cupant required to obtain a pennlt from the air pollutiOn control disbictor air quality ~ntdlstrlct? □ Yes □ No ls the facility to be constructed within 1,000 feet of the outer boundary of a scrool 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. I certtfytllat I NMI readttie appllcation and state tturtthe atxwe infoonallon Is conectandthatthe lnfonnation on the plans Is accuiate. I 8:gt88to complywlttl all City ordinances and Stale laws IVlatlngto building construction. I hereby aultlaize-lM> ra1he CityraCa!llbad k>-rupoo lhe ·---!Jr inspecliJn ~=-I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, S D SES Vl«ICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemil is required for exc"'!"'5."1' aoo demc:ttln er-CCl1Stn.dion of structures o~ 3 stories r, height EXPIRATION: Ewry pem1il Issued by the provisbos of tis Qxle shaR ~ by lmitatb'l a,d become ool a,d \00 if the Wilding or work aut,orized by Sld1 pem1t is ro corrmenced wilhrl 180 days from lhe dal> ra such ~ or w /,!xi, ,(i,tKiiZ!ldby such ~ • suspended or aba'ldooed a1 any 1m1 aner lhe -is """""""1 !Jr a perild of 180 days (Section 1064.4 Un-0.JH<fuQ Code). AS APPLICANT'S SIGNATURE DATE ll-1 r.. -I,,, ------·---------t,.,,__ Inspection List Permit#: CB122429 Type: PME Date lnspection_ltem 11/28/2012 32 Const. Service/Agricultural 11/21/2012 32 Const. Service/Agricultural 11/20/2012 32 Const. Service/Agricultural Thursday, November 29, 2012 Inspector Act PY RI RI AP EVANS POINT HOA -REPLACE ELEC METER PEDESTAL Comments PLS REL ASAP Page 1 of 1