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2414 COPPER WAY; ; CB102268; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-24-2010 Electrical Permit Permit No: CB102268 Building Inspection Request Line (760) 602-2725 Job Address: 2414 COPPER WY CBAD Permit Type: ELEC Status: ISSUED Parcel No: 2133100200 Lot#: 0 Applied: 11/24/2010 Entered By: RMA Reference*: Plan Approved: 11/24/2010 PC#: Issued: 11/24/2010 Project Title: JANG RES-4 OUTLETS, 2 AT BBQ Inspect Area: 1 FOR PORTABLE FOUNTAIN & 1 REAR YARD CONVENIENCE Applicant: Owner: ULTIMATE OUTDOOR ENVIRONMENTS L C GREENS 1.3 L L C C/0 DANNY GABRIEL 3459 CORTE FRESA 4747 MORENA BLVD #100 CARLSBAD 92009 SAN DIEGO CA 92117 942 4090 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $10.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: $0.00 FINAL APPROVAL Inspector: Y f> Ife^- Date: ^S/_/0/ i*lf Clearance: NOTICE: Please take NOTICE that Ipproval 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 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 limitations has previously otherwise expired. •» •» CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 /~ www.carlsbadca.gov f\J * Plan Check No. Est. Value Plan Ck. Deposit Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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 O lhaveand 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 numoer are: Insurance Co. Pniim KU ,- . . ... _ .—_ roiicy oio. , Expiration Date _____ Tfesecfion need not be completed if the permit is for one hundred dollars ($100) or less. H Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation taws of Cahforma. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarwoOOOO in addition to the cost of compensation, damagesas provided for in Section3706 of the LJjhpr code, interest and attorney's fees. <&™,000), in JS$ CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's License Law for the following reason-a -£^£^ sale. If, however, the buHdmg or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or impVo^e fa- the pur^e of sale) 0 I, as owner of foe 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® licensed pursuant to the Contractor's License Law). V a I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, d Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number)- 4.1 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)- 5.1 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): vfifpROPERTY OWNER SIGNATURE CjAGENT DATE IS the applicant or future building occupant requited 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? O Yes a No 1$ the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes G No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes a No IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 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 permit 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 permit 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 lime after the work is commenced for a period of 180, days (Section 106.4.4 Uniform Building Code). J&> APPLICANT'S SIGNATURE DATE ///zy//'a City of Carlsbad Bldg Inspection Request For: 03/1 0/201 T Permit* CB102268 Title: JANG RES-4 OUTLETS, 2 AT BBQ Description: 1 FOR PORTABLE FOUNTAIN & 1 REAR YARD CONVENIENCE OUTLET Type: ELEC Sub Type: Job Address: 2414 COPPER WY Suite: Lot: 0 Location: APPLICANT ULTIMATE OUTDOOR ENVIRONMENTS Owner: Remarks: Inspector Assignment: PY Phone: 7602744090 Inspector: Total Time: CD Description 39 Final Electrical mments Requested By: MARK Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 12/03/2010 11 Ftg/Foundation/Piers PA RB SEE NOTICE 12/03/2010 31 Underground/Conduit-Wiring AP RB 11/29/2010 31 Underground/Conduit-Wiring CA PY City of Carlsbad Bldg Inspection Request For: 12/03/2010 Permit* CB102268 Title. JANG RES-4 OUTLETS, 2 AT BBQ Description: 1 FOR PORTABLE FOUNTAIN & 1 REAR YARD CONVENIENCE OUTLET Type: ELEC Sub Type: Job Address: 2414 COPPER WY Suite: Lot: 0 Location: APPLICANT ULTIMATE OUTDOOR ENVIRONMENTS Owner: Remarks: Inspector Assignment: PY Phone: 7602744090 Inspector: Total Time: CD Description Act „ Comments 31 Underground/Conduit-Wiring Requested By: MARK Entered By: CHRISTINE u~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 11/29/2010 31 Underground/Conduit-Wiring CA PY CORRECTION CARLSBAD NOTICE COMMUNITY & ECONOMIC DEVELOPMENT DEPARTMENT (760) 602-2700 BUILDING DIVISION 1635 FARADAY AVENUE DATE /g*- 3> /ex TIME. JOB LOCATION PERMIT NO. CB : SW. l' ***?'- /'l^.>*£- -&» FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE?YES FOR FURTHER INFORMATION,.CONTACTTHE BUILDING DIVISION AT (760) 602-2700 BUILDIN3INSPECTOJ3 NPDES / BMP - FOLLOW-UP INSPECTION DATE VV CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www. ca rlsba dca .go v I am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit Q Right-of-Way Permit Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge E§f My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: FirevAddifenal Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* A/o Threat Assessment Criteria Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl • Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 • U Moderate Threat Assessment Criteria My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or ^ project is part Of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge^). / certify to the best of my knowledge that the above checked statements are true and correct, I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address:Assessor Parcel No. Owner/Owner's Authorized Agent Name: Owner/Owner's Authorized Agent Signature: City Concu[«Tice: ElYES QNO Title: ProjectID: B-24 Page 1 of 1 Rev.03/09 Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs Contractors State Li e Board Contractor's License Detail - License # 704022 £B> DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••» CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. -» Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. •* Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ••» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information J&itityj, Issue Date JxplreJDate License Status Classifications: Bonding: _704022 ULflMATE~OUTDOOR ENVIRONMENTS 7668 EL CAMINO REAL SUITE 104329 CARLSBAD, CA 92009 _Bus]ness_ Phone_N umben(760)_298-3K8_ _Spje_Ownershig 03/16/1995 Extract Date: 11/24/2010 155 active- A" CLASS DESCRIPTION B GENERAL BUILDING CONTRACTOR __ ___ _ CONTRACTOR'S BOND This license filed Contractor's Bond number 110029 in the amount of $12,500 with the bonding company AMER[CAN..CQNTRAQTOESJMDEMNiIY,TOMPANY. Effective Date: 01/01/2007 Workers' Compensation: This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 02/14/1995 Expire Date: None £Qndj.tions,of,U.s.e | Prjvac.y...PQi.icy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 11/24/2010