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Home My WebLink About2525 EL CAMINO REAL; ; CB132003; Permit08-19-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI32003 Building Inspection Request Line (760) 602-2725 Job Address: 2525 EL CAMINO REAL CBAD Permit Type: PME Status Parcel No: 1563020900 Lot#: 0 Applied Entered By Reference #: Plan Approved PC #: Issued Inspect Area Project Title: WESTFIELD CONSTRUCTION- TRAILER - PLUMBING TO CONNECT TO SEWER/WATER LINE FOR ROBINSONS- MAY CO DEMOLITION ISSUED 08/19/2013 SKS 08/19/2013 08/19/2013 Applicant: Owner: UNIVERSITY MECHANICAL AND ENGINEERING CONTRACTOR PLAZA CAMINO REAL C/0 WESTFIELD PROPERTY TAX DEPT 1168 KESLER ST PO BOX 130940, DEPT WFLD EL CAJON CA 92020 CARLSBAD, CA 92013 619-956-2500 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $154.00 $0.00 $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: ^ V3 Clearance: 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 Cartsbad 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 vou have previousiv been given a NOTiCE similar to this, or as to which the statute of iimitations has previously othenwise expired. y [THE F THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING DFIRE DHEALTH •HAZMATJAPCD [ ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Pti: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Oft (3 Est. Value Plan Ck. Deposit Date SWPPP \T'm<s EL G^iZ^ SUITE*/SPACEt/UNIT« CT/PROJECT # # OF UNITS # BATHROOMS TENANT BUSINESS NAME t 7 CONSTR. TYPE OCC. GROUP DESCRIPTiON OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ* N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YEsQ N0| I APPUCANT NAME (Primary Contact) APPLICANT NAME rSecontfary Contact; ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL ^^T^ACTORBUSNAME^^^^^^^ ^^^^^ J ADDRESS I i TT I PROPERTY OWNER NAME ADDRESS CITY" . ^ -CITY STATE ZIP £t (jx)of\ STATE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS. LIC.# r (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to ccfistruct, 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 pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commenoingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempttherefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). wonuens' COMPENSATION Workers' Compensation Declaration: / hereby affinn under penalty of peijury one ofthe following declarations: • 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 peifoimance of the work for which this permit is issued. Expiration Date isation insurance earner andpolic I have and will maintain vykers' compensatijp. as required Sectjon 3700 of the LaborCode, forthe performance of the work jor which thjs permit is issued. My workers' compensation insura{|ice carrier andjxilicy number are: Insurance Co.rjl This section need not be completed il I I Certificate of Exemption: I certify that in the perfonmance 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 Califomia. WARNING: Failure to secure workers' compe^atjpn 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 praylae^Dr i/sectiom 3706 ofthe Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE if the permit is for one hundred dollare ($100) or less / ' he work for pncoverag fx • AGENT OWNER-aUILOER DBCLAHATtON I hereby affirm that I am exempt from Contractor's Ucense Law for the following 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, provkJed 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 bunlen of proving that he did not build or improve for the purpose of sale). I I I, as owner of the propetty, am exclusively contracting with licensed conlractors to constract 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 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 QYes I |No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3. i have contracted with the following peison (finn) to provide the proposed constnjction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to cooniinate, supen/ise and provide the major wori< (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 wori< indicated (include name / address / phone / type of worit): >eirPROPERTY OWNER SIGNATURE •AGENT DATE COMiPLETE T H IS SECTiON fOU NON-RESIOENTIAL BUItDING PEi?MiTS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazaidous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcT? Yes 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 constracted 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT C ONSTRUCTION LENDING AGENCY I hereby afUmi that there is a constmction lending agency for the performance of the work this permit Is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read the application and state ttiatttie above infonnation is conectand ttiatttie infbnnation on ttie plans is accurate. I agree to comply with all 01^ oidinanoes and State laws relating to building constnictkin. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property Ibr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAFtMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pemiit is required for excavatrons over 5'0' deep and demolitbn or constmction of stmctures over 3 stories in height. EXPIRATION; Every permit issued by the Building Officialunder the pravisbns of Itiis Code shall expire by limitatton and become null and vob if the buibing or writ aulhorized by such pennit is not commenced within 180 days from the date of such pemiit or if the XsMs^i^fgt. ai^oij^ by such pemnit is suspended or abandoned at any time after the vrortt is commenced for a period of 180 days (Sectbn 106.4.4 Unifomn Buibing Code). vfiTAPPLICANT'S SIGNATURE DATE 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 buildina(5)carlsbadca.aov or Mail the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califbmia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad OA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB#- IVIAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB132003 Type: PME WESTFIELD CONSTRUCTION- TRAILER - PLUMBING TO CONNECT TO S Date Inspection Itetn Inspector Act Comments 08/27/2013 29 Final Plumbing PB AP Friday, April 03, 2015 Page 1 of 1