HomeMy WebLinkAbout2480 Impala Dr; ; CBR2019-1287; Permit(city of
Carlsbad
Residential Permit
Print Date: 06/06/2019 Permit No: CBR2019-1287
Job Address: 2480 Impala Dr
Permit Type: BLDG-Residential
Parcel No: 2090502600
Valuation: $0.00
Occupancy Group:
# Dwelling Units:
Bedrooms:
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Status:
Applied:
Issued:
Permit
Finaled:
Closed-Finaled
05/22/2019
05/22/2019
Inspector: MColl
Final
Plan Check#: Inspection: 6/6/2019 9:43:59AM
Project Title:
Description: INSTALL 100A TEMP POWER POLE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
Co-Applicant:
POWER PLUS
436 N Quince St
Escondido, CA 92025-2522
760-839-9430
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. lf 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 limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
.~ Building Permit Application Plan Check NoO(JR 2,0 ~ -\2'b 7
/," ,., 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ;1,. ·.+_ . :~, CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date ':'\-ZZ.-I Oi lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# rPN 2480 Impala Dr. TP ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME .1 CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of AffecteiiArea(s)
100 amp temp meter pole for the Recycled Water PH Ill in Carlsbad
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES0, N<O vesONoO vesONoO
APPLICANT NAME (Primary Contact) Power Plus APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS
436 N. Quince St. 9880 Maqnolia Ave #119 CITY-· STATE ZIP CITY STATE ZIP
Escondido Ca 92025 Santee CA 92071
PHONE PHONE
760-839-9430 IFAX 619-405-2648 IFAX 619-330-4796
EMAIL EMAIL
jennifer@permitrunner.net
PROPERTY OWNER NAME Ferreira Construction CONTRACTOR BUS. NAME Power Plus
ADDRESS ADDRESS
2480 Impala Dr. TP 436 N. Quince St.
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92010 Escondido Ca 92025
PHONE IFAX PHONE I FAX (909) 313-9126 760-839-9430
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I CLASS .1 CITY BUS. UC.# 980589 B. C10, B
(Sec. 7031.5 Business and Professions Gode. Any City or county which requires a permit to construct, alter, improve, demolish or repair any structure, pnorto its issuance, also requires the applicant for such permit to file a si~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the
B_usmess and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following dedaratiOns: 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 pertormar.ce of the work for which this permit is iSsued,
[Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance co OLD REPUBLIC GENERAL !NS CORP __ Policy No, A1CW37451700 Expiration Date 03131/20
~section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify ttiat in the pertormance of the work for which this permit is issued, I shall not empkly any person in any manner so as to become subject to the Won<.ers' Compensation Laws of
California. WARNING: Failure to secure wor11.ers' compensation co e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand d Ila rs (&100,000), in
addition to the cost of compensation, damages as rovided for I Ion 3706 of the Labor code, interest and attorney's fees. ,,. /
,.€! CONTRACTOR SIGNATURE Sid
'
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 tt,rough 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 contractng 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 tr.Elreon, 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. 0Yes Oo
2, I (have I have not) signed an application for a building permit for the proposed work,
1 3. I have contracted witt, the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number)
l 4 I plan to provlde portiOns of the work but I have hired the following person to coordinate, supervise and provide the maJQr 'Mlrk (Include name/ address/ phone/ contractors license number)
5 I will provide some of the work but I have contracted (hired) the following persons to proVlde the work indicated {include name I address I phone/ type of work)
PROPERTY OWNER SIGNATURE □AGENT DATE
Is the. applicant or Mure bulldlng,occupant required to submit a business plan, a::utely hazardous materials registration !Orm or risk ma,agernent aro prevenUon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes O No
Is the applicant or future building occupant required to obtain a pennit 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 boundwy 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 T~E AIR POLLUTION CONTROL DISTRICT,
I certify that I have read the application and state that the above infonnation is conectand that the lnfonnatlon on the plans is accurate. I agree to comply with all Clly ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the atxlve mentbne:l property for inspectb7 pul'!X)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'w'VHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: kl OSHA permit is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stones in height.
EXPIRATION: Every permit issued by the Building O'licial under the provisions ofthi shall expire by imitation and becoo1e null and \ci:J if the building or work authorized by such permit is not commenced v.ithin
180 days from the date of such pennitor l~e bui"ing orwo• orized bys .• it is suspended°' abandoned at any time after the woo is oommenoed for a period of 180 ,Zjion 106.4.4 Uniform 8"i"ing Code)
..s APPLICANT'S SIGNATURE ~~ DATE ..S-/2 B
-'
_ '-. •c _ PERMIT INSPECTION HISTORY REPORT {CBR2019·1287)
Permit fype:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 05/22/2019 Owner:
Issue Date: 05/22/2019 Subdivision:
Expiration Date: 12/03/2019 Address:
IVR Number: 19258
Inspection No. Inspection Status Primary Inspector
06/06/2019 06/06/2019 BLDG-32 Const.
Service/Agricultural(
Temp)
093965-2019 Passed Michael Collins
June 06, 2019
BLOG-Final
Inspection
Checklist ltem
BLDG-Building Deficiency
093966-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Electrical Final
COMMENTS
100 am TP with 3 span poles
Passed Michael Collins
COMMENTS
100 amp TP with 3 span poles
RANCHO AGUA HEDIONDA POR
OF
2480 Impala Dr
Carlsbad, CA 92010-7226
Reinspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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