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Home My WebLink About2301 MICA RD; ; CB120765; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-25-2012 Permit No: CB120765 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2301 MICA RD CBAD PME 2132820100 Lot#: 0 HENDREN RES-GAS LINE TO BBQ, FIREFALL, ELECT TO FIREFALL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/25/2012 LSM 04/25/2012 04/25/2012 HARLOW LANDSCAPE 1922 CASABLANCA CT VISTA TAYLOR MORRISON OF CALIFORNIA LL C CA 92081 760-271-7240 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 15 CUSHING IRVINE CA 92618 $150.00 $30.00 $0.00 $0.00 $180.00 Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due: /7 ~ /FINAL APPROVAL Inspector: ~ Date: f-I l / "2---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, vold, 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 I in f hi h Tl E i hi f1i I / «~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2119 Plan Check No. ffi 120 7 ros ~ CITY OF Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date 4 / z;;;'/ , ~ SWPP CT/PROJECT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME (Primary Contact) 0 .. oJ.._.:._.,..._ CITY STATE ZIP ZC<ol PHONE FAX 7 AIL f ADDRESS 2 ~CJ I CITY STATE ZIP c.A-2 oog-" PHONE FAX STATE UC.# SUITE#/SPACE!l/UNIT# APN # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS {SF) I FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX AIL STATE UC.# CLASS CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES D NOD ZIP CITY BUS. UC.# FIRE SPRINKLERS YES □ NO □ L-).._7 123 33 0 (Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty 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 s1~ned statement that he is licensed pursuant to the provisions of the Contractor'_s License Law JChapter 9, commending with Section 7000 of D1v1s1on 3 of the B_us1ness and Professions Code} or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)) . • Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D I have and will maintain workers' 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 Co._____________________ Policy No. _______________ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. Q(Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of ~lifornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pena1tles and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dam a es as vided for in Section 3706 of the Labor code, Interest and attorney's fees. ,,€$ CONTRACTOR SIGNATURE 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 completron, 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 lo 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 I 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 I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT 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? □ 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 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. I certify that I have read the application and state that the above information is correct and that the lnfonnation on the plans is accurate. I agree to comply with an City ordinances and State la~ relating to building construction. 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every pennlt issued by the Buikling Official under the provisions of this Code shall expire by imitation and become nul and void W the building or work authorized by such permit is not commenced within 180 days from the date of such perm1l or if the bulciing or work authorized by sud! permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Buff ding Code). AS APPucANrs s1GNATURE k Q 4----□ATE '-/ / ~ Jr2- ,,,. I 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 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. LlC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) o OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER:--------~--------- ,@S°APPLICANT'S SIGNATURE o ASSOCIATED CB# o NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB120765 Date lnspecti<>_n_!tem 09/12/2012 29 Final Plumbing 09/12/2012 29 Final Plumbing 09/12/2012 39 Final Electrical Type: PME Inspector Act RI PB AP RI 09/12/2012 39 Final Electrical PB AP 04/30/2012 23 Gas/T esVRepairs PB AP 04/30/2012 31 Underground/Conduit-Wirin PB AP Thursday, September 13, 2012 HENDREN RES-GAS LINE TO BBQ, FIREFALL, ELECT TO FIREFALL Comments Page 1 of 1