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HomeMy WebLinkAbout2481 PALOMAR AIRPORT RD; TP2; CB130814; Permit03-27-2013 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: CB130814 Building Inspection Request Line (760) 602-2725 2481 PALOMAR AIRPORT RD CBAD St: TP2 PME 2130201800 Lot #: 0 Status: Applied: Entered By: Plan Approved: PALOMAR COMMONS -TEMP POWER POLE#2, 200AMP, 5 SUB POLES, 12 BARE POLES, 2 75 KVA TRANSFORMERS Owner: Issued: Inspect Area: ISSUED 03/27/201 3 SKS 03/27/2013 03/27/2013 DIAMOND POWER SERVICES INC COUNTY OF SAN DIEGO 807 E MISSION RD SAN MARCOS CA 92069 760-744-7191 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES PUBLIC AGENCY 00000 $0.00 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL ~PPROVAL Date: 0 · d--· 3 Clearance: $0.00 NOTICE: Please take NOTICE that approval 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 f x i n f whi h h v r v· I N Tl E imil r hi r whi h h f Ii i i n h I h rwi l tt'-t '-""f"'-"11111W "'' I I\V 'I""~ 1\'-',CVIU'-" I IUV,\ IV I '-1'\11111 tolol"'""'•v ... L-J 1..1•u1,, ...... 1u1•u L...,I MVl~IIIW t.-..1 '"" .. L-J 11'-"'1..111 '--' ··~""'' "·' ""' -~ / «··~> ~ CITY OF CARLSBAD JOB ADDRESS , "?~\om°"'("' A, Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value SWPP LOT# PHASE # # OF UNllS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I Te.1'1-1~~'->.)e.<"" ~\e... -Z. 00 A.~Y 1 .=:> Sub tb\~, \'2.. ~o.:("C.. "-?o\e;. ~ ~o..ns ~tne.('"5 EXISTING USE CITY PROPER'Q'. OWNER NAME CSD'I. LLC PHONE '7<:,;,0-~ '3&-756b MAIL ARCH/DESIGNER NAME & ADDRESS CA A PROPOSED USE GARAGE (SF) STATE ZIP q2553 FAX ZIP STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES O #_ NO D AIR CONDITIONING YES D NO D APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX A ADDRESS '80·1 E t"·'h' ~ ~-: o CITY STATE ZIP ~"'-0...'<"LOS CA 9-Z..O<o'? PHONE 7<..0-144-71 Ci I MAIL STATE LIC.# '1063"-tl FAX CLASS CITY BUS. LIC.# c.,o FIRE SPRINKLERS YES D NOD (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ot the Labor Code, for the performance of the work for which this permit is issued. ~have and will maintain workers::.~sation, as r~.uired Gection 3700 of the Labor Code, for the performAe of the work for which this permit is issued. My workers' compensation insu ance carrier and policy number are: Insurance Co. O\c"i. ec.f>..J\::\\ c r,oe'Cc..... \ Policy No. \ CL0 C)SSQI 3ct:> Expiration Date => \ 14 This section need nol be completed tt the permit is for one hundred dollars ($100) or less. D 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 California. 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 dollars (&100 ,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees . .flS CONTRACTOR SIGNATURE ~ ~ GENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: O 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 tor 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 himsett 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 wilt have the burden of proving that he did not build or improve for the purpose of sale). O 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). D 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 improvemenl O Yes O No 2. I (have I have noQ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide !he major work (include name I 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 / type of work): ./IS PROPERTY OWNER SIGNATURE 0AGENT DATE C r.> M P·l. E T E T H I S S E C T I O N F O R N O N -R E S I D E N T I A L B U I L D I N G P E R M I TS O N L Y ~- Is the applicant or future building occupant required to submit a business y~ .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? Cl Yes ~ · • ../.. Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or ai! C!Jlillity management district? Cl Yes ~ Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes ~o 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 above Information ls correct and that the information on the plans is aca1rate. I agree to comply with all Cltyordinanoes and State laws relating to building construction. I hereby au1horize represenlatille ct the City ct Ca1sbad to enter upai the above mentioned property for i1spection purposes. I ALSO AGREE TO SAVE, IND~IFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AmWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requred for excavations CNer 5'0' deep and demolition or construdion ct slructures CNer 3 stories in height EXPIRATION: Every permit issued by the Buikling Official under the provisions of 1his Code shall expie by imitation and become nul ~d void if the buildng or work authorized by such pemit is not conmenced withi1 180 days from the date of such pemitorif the buidng or work authorized by such permit is suspended oraba'ldoned at~tine after the work is conmenced for a period ct 180 days (Section 106.4.4 Uniform Buildilg Code) . .Ji5 APPLICANT'S SIGNATURE ·s:~ ~ DATE 3 ) "'2.. 7 \ \ ~ 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 Divlsion 1635 Faraday Avenue, Car1sbad, California 92008. CO#: iOfflce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS Cl PICK UP: o CONTACT (Usted above) o OCCUPANT (Usted above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#------------D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION Cl MAIL/ FAX TO OTHER: ________________ _ o CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB130814 Type: PME Date Inspection Item 05/17/2013 84 Rough Combo 04/04/2013 32 Const. Service/Agricultural 04/04/2013 39 Final Electrical 04/01/2013 32 Const. Service/Agricultural 03/28/2013 32 Const. Service/Agricultural Tuesday,August27,2013 Inspector PB PD PD PD PD Act CA AP AP co co PALOMAR COMMONS -TEMP POWER POLE#2, 200AMP, 5 SUB POLES, 12 BAR Comments Page 1 of 1