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Home My WebLink About2519 PALOMAR AIRPORT RD; HP5; CB131705; Permit07-18-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB131705 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2519 PALOMAR AIRPORT RD CBAD St HP 5 PME Status ISSUED 2130201800 Lot# 0 Applied 07/18/2013 Entered By RMA Plan Approved 07/18/2013 Issued 07/18/2013 Inspect Area PALOMAR COMMONS- ELECTRIC TO NEW FOUNTAIN - UNDER 6 FT HIGH- IN COURTYARD AREA BETWEEN BUILDINGS @ 2519 & 2521 PAR Applicant AQUATIC TECHNOLOGIES STEA 32244 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 949 493-9548 Owner COUNTY OF SAN DIEGO PUBLIC AGENCY OOOOO Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0 00 $154 00 $0 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due-$0.00 inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes tfie "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 nght 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 ot which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE •PLANNING nENGlNEERING IZlBUILDING OFIRE OHEALTH • HAZIVIAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www carlsbadca gov Plan Check No. Est. Value ^ . Plan Ck. Deposit ffi ' LOT # I PHASE # I # OF UNITS | # BEDROOMS SUITE#/SPACE#/UNITI # BATHROOMS J TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK tnclude Square Feet of Affected Area(s> _ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESflff Noj I AIR CONDITIONING YES I I NO I I FIRE SPRINKLERS YES I |N0| I APPL CANT^A^>tf^^^g^^a^^ APPLICANT NAME (Secondary Contact; ADDRESS CITY STATE PHONE FAX I FAX PHONE STATE lie # ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# DUO uiv./ rr . (Sec 70315 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 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 IChapter 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 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 I hereby affirm under penally of perjuiy one of f/ie following dec/aradons I have and will maintain a certificate of consent to self insure fcr workers' compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued I have and will maintam workers' compensation, as reauired bv Section 3700 ofjhe Lalor Code Jor the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are InsuranceCo "]7^>(.>f (CJQ \^T^0X\JC UPOIICV NO \AjC.4^t:^^^ty-CC> Expiration Date _LOdrl5 This section need not be completed ifthe permit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in the perfonnance 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensaticut, mirages as provided for in Section 3706 of^e Labor code, interest and attorney's fees ^ CONTRACTOR SIGNATURE VjflO^ > ri/ (X j( ^ ll^GENT DATE ("^'^ ^ '^17^ CD / hereby affirm that I am exempt from Contractor's License Law for the followmg reason I I 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 through his own employees, provided that such improvements are not intended cr 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 I I, as owner of the property, ara exclusively contrxting 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 [ I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals tor construction of the proposed property improvement QYes I iNo 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 construction (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, supen/ise 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 / address / phone / type of work) ^e^PROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business nlan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' Yes r^No . Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf Yes "y(jJo Is the facility to be 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 IMET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF 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 I ceitfy that I have lead Iheappiication and state thattheaboveinlbrniation is conectand thatthe infomiation on the plans IS accurate I agree to comply with ail Cityoidinancesand State laws relatingto building construction I hereby authonze representative of the City of Carisbad to enter upon the above mentioned property fbr inspection purposes I 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 k\ OSHA pemnit is required for excavations over 5'0' deep and demolition or construction of stnjctures over 3 stones in heighl EXPIRATION Every pemnit issued by th&Building Official under the provisions of this Code shall expire by limitation and became null and void if the building or vnoik authorized by such pennit is not commenced within 180 days from the date of such peimitor f the building or work authorized by such peirn t is suspended or abandoned at any time after the vrork is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. F OCCUPANCY (Commercial Projects Only Fax (760) 602-8560, Email buildinqiScarlsbadca qov or Mail the completed form to Citv of Carlsbad, Buildinq Division 1635 Faradav Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX ElVIAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS PICKUP CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAILTO CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL / FAX TO OTHER ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE inspection List Permits CB131705 Type PME PALOMAR COMMONS-ELECTRIC TO NEW FOUNTAIN - UNDER 6 FT HIGH- IN C Date Inspection Item Inspector Act Comments 09/18/2013 39 Final Electrical - Rl 09/18/2013 39 Final Electrical PD AP 07/26/2013 11 Ftg/Foundation/Piers PB AP 07/26/2013 31 Underground/Conduit-WInn PB AP Friday, September 20, 2013 Page 1 of 1