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Home My WebLink About2321 MICA RD; ; CB112388; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-09-2011 Permit No: CB 112388 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2321 MICA RD CBAD PME 2132820600 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: ISSUED 11/09/2011 RMA 11/09/2011 11/09/2011 Project Title: TAM RES-GAS & E;ECTRIC TO BBQ Inspect Area: Applicant: HARLOW LANDSCAPE 1922 CASABLANCA CT VISTA CA 92081 760-271-7240 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: TAYLOR MORRISON OF CALIFORNIA LL C 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: Inspector: FINAL APP /b Date: 1/ l..,,, Clearance: $0.00 NOTICE: Please take NOTICE th approval of your project includes the "Imposition" of fees, dedications, rese,vations, or other exactions hereafter collectively referred to as "fees/exactions." Y 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 seivice fees in connection with this project. NOA DOES IT APPLY to any I i n f whl h f !'mi i n r vi I ~ '<,(• .. ~ ~ CITY OF CARLSBAD JOB ADDRESS 321 ' /'-<-,LC.... CT/PROJECT # LOT# Building Permit Application 1635 Faraday Ave,, Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 PHASE# Fax: 760-602-8558 www.carlsbadca.gov # OF UNITS # BEDROOMS # BATHROOMS Plan Check No. Est. Value DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) ZIP C, <;( c.._,..,.,.__ ZIP "l<t-CJO~ PHONE '1 ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX AIL C- ADDR CITY PHONE EMAIL STATE UC.# CLASS 2 7'13 L-'21 ( SWPP ONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZIP Je_ (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 is licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Godel or fuat 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 civil penalty of not more than five hundred dollars {$500)). W'ORkEIU:· COMl'ENSA'l"ION Workers' Compensation Declaration: I hereby affirm under penalty of pe{jury one of the following declarations: 0 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 ttils permit is issued. 0 I have and will maintain workers' compensation, as required by Sectkm 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatkm insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ 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 lc!. section need not be comp~ted if the permit is for one hundred dollars {$100) or less fomia. WARNING: Failure to secure workers' compensation cOYerage 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, dama as pro · for in Section 06 of the Labor code, interest and attorney's fees. _AS CONTRACTOR SIGNATURE I hereby affirm t/Jat 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 himseH 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 !tensed 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 tabor and materials for construction of the proposed property improvement □ Yes □ No 2, I (have I have not) signed an applicab"on for a building pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construcUon (inciude name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the foliowing person to coordinate, supervise and provide the major work (incllide name/ address I 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 I type of work): _AS PROPERTY OWNER SIGNATURE □AGENT DATE -~ ~-~-~~-~~ * - COM P',IHI UL Ttl U Ui C 'l!l OH FOR l'Hil'.111 • R 1111 D" I! N 'I' I;\ 1.1 IUltU lU II O I' II IHI IT I C:!l!H V Is the applicant or future building occupant required lo 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 lo 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 1F 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 s1ate that the above information is co11'8Ctand that the Information on the plans Is accurate. I agree ID comply'hith all Clly ordinances and State laws relating ID building construction. I hereby authorize representative of the City of Cartsbad to enter upon the above menooned property for ins,ooc:tion purposes, I ,ALSO AGREE TO &\VE, INDEMNIFY .AND KEEP HARMLESS THE CllY OF CAALSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA AA OSHA pem1IT is required br excavations over 5'0' deep and demolition Of construction of structures over 3 stores in height. EXPIRATION: Every permit issued by the Buik:ling Offcial under the provisions of this Code shall expire by imitatkm and become null and void if the buik:ling orv.ork authorized by such permit is not commenced 'Mthin 180days from the date of such permIT or if the bu ·ng orv.ork authorized by such ~rmit is suspended or abandoned at any time after the v.ork is commenced for a peood of 180 days (Sectkln 100.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE II -./11 . Inspection List Permit#: CB112388 Type: PME TAM RES-GAS & E;ECTRIC TO BBQ Date Inspection Item Inspector Act Comments 10/03/2012 29 Final Plumbing RI 10/03/2012 29 Final Plumbing PY AP 10/03/2012 39 Final Electrical PY AP 10/03/2012 39 Final Electrical RI 09/28/2012 29 Final Plumbing RI 09/28/2012 29 Final Plumbing PY co 09/28/2012 39 Final Electrical PY co 09/28/2012 39 Final Electrical RI 09/26/2012 29 Final Plumbing PY NR NO HISTORY ON CARD 09/26/2012 29 Final Plumbing RI pb going to mica for same contractor 09/26/2012 39 Final Electrical PY NR NO HISTORY ON CARD 09/26/2012 39 Final Electrical RI 01/18/2012 29 Final Plumbing PY co BBQ SINK 01/18/2012 39 Final Electrical PY co 11/17/2011 23 GasfTesVRepairs PY AP 11/17/2011 31 Underground/Conduit-Wirin PY AP Friday, October 05, 2012 Page 1 of 1 ~ ' r, ~ ' \~ ~ \ 'ti~~ j l ~g.,. ~~ <9 \ ~~ ~ N ~) <Zn 'l t\ c:...[\ (' \,.) ~ ~(9 p -~z, \ -r N ~ (\ V\ ) -7'-I' ,,.. - \1 v\ 7 1 + r J 1..-4 -. 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