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Home My WebLink About2353 MICA RD; ; CB120389; Permit03-05-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120389 Building Inspection Request Line (760) 602-2725 2353 MICA RD CBAD PME 2132821400 Lot#: 0 FOSTER: GAS TO BBQ, ELEC TO FOUNTAIN & SPA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/05/2012 JMA 03/05/2012 03/05/2012 HARLOW LANDSCAPE 1922 CASABLANCA CT VISTA TAYLOR MORRISON OF CALIFORNIA LL C 15 CUSHING CA 92081 760-271-7240 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES IRVINE CA 92618 $30.00 $150.00 $0.00 $0.00 $180.00 Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due: Inspector: FINAL APPROVAL Date: f--J 0-f 2 Clearance: $0.00 NOTICE· Please take NOTICE that approval of your project includes the ulmposition" 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 se!Vice fees in connection with this project. NOR DOES IT APPLY to any f i n f T h rwi «1~ Building Permit Application PlanCheckNo. CB{ZO ~ ~ CITY OF CARLSBAD JOB ADDRESS 2 1635 Faraday Ave .• Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www .ca rlsbadca .gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date 8 s 1 -1,/ SWPP LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Atfected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) 2-c.. ----f . CITY ZIP ' '72-C y/ PHONE FAX --, (,,0 -2-7 / -7 ;i_ '-I 0 A cc~- CITY STATE ZIP A FAX AR DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Second•ry Cont•ct) ADDRESS CITY STATE PHONE FAX EMAIL PHONE FAX EMAIL STATE UC.# CLASS +c AIR CONDITIONING YES □ NOD ZIP CITY BUS. LIC.# FIRE SPRINKLERS YES O NO □ 1(;). '1C,Z 7'7~ -2 7 12... 3 3 30 7 (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 re(\uires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor'_s License Law JCha'fter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 03 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the pertormance of the worll for which this permit is issued. D I have and will maintain workm' compensation, as required by Section 3700 of the Labor Code, for the per1ormance of the work for which this permit is issued. My workers' compensation 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 subjecl to the Worllers' Compensation Laws of in· section need not be completed if the permit is for one hundred dollars ($100) or less, fomia, WARNING: Failure to secure workm' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama s provided in Section 3706 e Labor code, Interest and attorney's fees. /4 A$ CONTRACTOR SIGNATURE _ □AGENT DATE .1 G, / -z.___ I hereby affirm that I am exempt from Contractor's Ucense 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 Ucef\Se Law does not apply to an owner of property wtm builds or improves thereon, and who does such work himself or through his own employees, provkled ttiat such improvements are not intended or offered for sale. If, however, ttie 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 construcUon (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): 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/ phone I type of work): _6! PROPERTY OWNER SIGNATURE □AGENT DATE ~::;-~ -~ °' -----~~ , ~ " ~ , " ~-~r ~~ .~<tl!IU•LJITE 'htlS SECTION U>R l\!!l!li•IUl!IIIO\"N'l'IAE IUHLIUI\IG PJIIU/lt'l'S Olllla' • 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 ti! 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 ab<Ne infonnatton is oonectand that the lnfonnation on the plans is accurate. I agree to comply\Wth all Clfy oltlinances and State laws relating to building construction. I hereby authorize representatrve of the City of Carlsbad to enter upoo the above mentioned property for inspection purposes. 1 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: 1¥1 OSHA pennrt is required fof excavations over 5'0' deep and demolition or ronstructi:ln of structures over 3 stories r1 height. EXPIRATION: Every pennit issued by the Buik:ling Offici I under the provisbns of this Ccxle shall expire by lrnilalbn and become null and void Wthe buikling or Y.()rk. authorized by such permit is not commenced Wlhin 180 days from the date of such permit or rt the buikl. Y.()r'K orized by such perm rt is s or abandoned at any time after the WJr'K is rommenced for a period of 180days (Secoon 106.4.4 Uniform Buik:ling Code) . ..85APPLICANT'SSIGNATURE J_,.,.....11:.:'.:_ ___ ---;~~------DATE 4_ /' 'L--- 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@car1sbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CO#: (Office Use Dnty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. OELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# ...... □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAX TO OTHER: _______________ _ o CHANGE OF USE/ NO CONSTRUCTION ,I! APPLICANT'S SIGNATURE DATE m City of Carlsbad Bldg Inspection Request . - . For 04/30/2012 Permit# CB120389 Title: FOSTER: GAS TO BBQ, ELEC TO., Description: FOUNTAIN & SPA Type:PME Sub Type: Job Address: 2353 MICA RD Suite: Lot: 0 Location: APPLICANT HARLOW LANDSCAPE Owner: TAYLOR MORRISON OF CALIFORNIA LL C Remarks: Total Time: CD Description Act Comments 29 Final Plumbing L1L 39 Final Electrical AL \,: Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# SW100470 FINAL VIRIDIAN: PHS. 8; lns11ection Histo[Y Date Description Act lnsp Comments 03/06/2012 21 Underground/Under Floor WC PY 03/06/2012 23 Gas/TesURepairs AP PY 03/06/2012 31 Underground/Conduit-Wiring PA PY CONDUIT Inspector Assignment: PY --- Phone: 7602717240 Inspector: lj Requested By: BURL JORDAN Entered By: CHRISTINE . "' --v a.. "' I i I 0 ~ \ N > o; 0 ., -QZZ, -5~~ 1, o' C;