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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 Page1 of1