Loading...
HomeMy WebLinkAbout2554 MUIRFIELDS DR; TP; CB131143; Permitr(ownieLA/)N / MAGNOLIA PARTNERS L L C 1094 CUDAHY PL \ SAN DIEGO CAOQ \\ Plumbing Fees / Electrical Fees / Mechanical Fees Other. PME Fees ! TOTAL PERMIT FEES Applicant: POWER PLUS 436 QUINCE ST. ESCONDIDO CA 92025 760-839-9430 ' r $000 \$154.00 so.00 E $0.00 $154.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-07-2013 . Permit No: CB131143 Building Inspection Request Line (760) 602-2725 Job Address: 2554 MUIRFIELDS DR CBAD Permit Type: PME . Status: ISSUED Parcel No: 2132501100 Lot #: 0 Applied: 05/07/2013 Entered By: JMA Reference #: - Plan Approved: 05/07/2013 PC #: - Issued: 05/07/2013 Inspect Area: Project Title: 100 AMP TEMP POWER POLE Total Fees: $154.00 Total Payments ToL -.' •,JI (.$i54.o0 Balance Due: $0.00 INCORPORATED 1952 0 1 FINAL APPROVL Inspector: Date: S I.?' J 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 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 - a ' .- : . •..V_.VV.;__. S THE FOLLO WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING Duu.rnG Ei1n DHEALTH DHAZMAT/APCD., I ' ..- ..'". PI .'.'aflCheckNO.'Cb(3t'4,'3 - iuOdrng Peri. Apphctu©n V 1635 FaradayAve., Carlsbad, CA 92008 . ' Est. Value V CITY ' 0 F - 760-602-2717/2718 /2719,. af. - tADI CDAF Fax 7606028558 Plan Ck., Deposit t Date 5f- ( 3 SWPP F'tIL.JUt'dJ www carlsbadca OV H ZS'(S. JOB ADDRESS • i/f(Jit-Jfl- 1/PROJECT # • LOT # V !E A U OF UNITS U BEDROOMS U BATHROOMS V TENANT BUSINESS NAME CONSTR. lYRE 0CC. GROUP I I I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) i-A.1-cc/!i4 1OOo147(1P 0144t f 0 EXISTING USE •. ' II I PROPOSED USEV. GARAGE (SF) PATIOS (SF) ; I DECKS (SF) FIREPLACE V AIR CONDITIONING FIRE SPRINKLERS 5 ' ) [ V.. i. YES 0 #_ NOD D YES D NO YES a NOD APPLICANT NAME ~(Prlmary Con etic s7.yT APPUCANTNAME(SecondarYCOfltaCfl T T ADDRESSa \) •(c1A VVV ADDRESS •, 'V V V., CITY V V STATE ZIP V. V CITY V V STATE V ZIP V• V V : V PHONE V 7Q °)9 YJO FA)( V V V PHONE V. • V FAX .- EMAIL a- 'a PROPERTY OWNER NAME V . V ) . CONTRACTOR BUS. NAME -- --. • •17 )• :V V V ADDRESS V Lk-v - V •.•V" V VV ADDRESS V V . VV:V V CITY. P (/ç ,f TE V ZIP .9 0 /0' CITY . - S AT . ZIP - V(2; .e V P ONE V V; FAX . . .1. V PHONE - 'a VV o y--q FAX ' EMAIL V V •V V : . V •, EMAIL V V V VV V ARCH/DESIGNER NAME & ADDRESS V • • .IV STATE UC. U VV STATE U C.# 'OKel • CLASS V IV C/al C U? BUS. UC.# /32 (Sec. 7031.5 Business and Professions Code: Any City or County whIch requires a permit to construct, alter, Improve, uernuiisn or repaar daly UUl.LUIW. JllUl w l ddadll 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 5;f 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)). • •V V •. - VVV V V V V L At Workers' Compensation Declaration: I hereby affi6 underpenaltyofpedu,y one o!fhe following declarafoflS: V 'V V •VV VV V V V•V'V V V V . and will maintain a certificate of consent to self insure for 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 maintain workers c m cation d b as quirey Section 3700 of the Labor Code for the perform ce f the work for which this permit is issued My workers compensatio insurance ca r nd policy V V numberare: Insurance Coo J LpA.f( ,, piraOonCat- This section need not be competed lithe permit isfor one hundred d011ars($100)orless. V V V - V V V 'a V • ' V 'a 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 V California. WARNING: Failure (a secure workers' compensation co erage is unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (8,100,000), in addition to the cost of compensation, damages as provid fOFJn e ion 377 04 e Labqr d, interest and attorney's fees. • - I .a V ,•a. V CONTRACTOR SIGNATURE ,j DAGENT DATE "f ___VV V - Ihereby affirm that lam exempt from Contractor's License Law for the fallowing reason.,. a - 0 las owner of the property or my employees with wages as their sie compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business andProfessions 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 or offered for . ,. . sale. If, however, the building or improvement is sold within one yearof completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). -. -V I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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). 0 ..1 am exempt under Section '_-Business and Professions Code for this reason: - 1.1 personally plan to pivide the major labor and materials for construction of the proposed property improvement DYes '. 0 No - V • V 2.1 (have I have not) signed an application for abuilding 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):' ' V V 4.1 plan to provide portions of the work, but have hired the following person to coordinate, supervise and provide the major work (include name !addràss! phone lcontractots' license number): 5.1 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): - AGNT DATE ,PROPERTY OWNER SIGNATURE ®oQci& &WOO &1YO O®1D ®1?D&DtO(L®OO@ WD1?3 l2)d Is the applicant or future building occupant required to submit a business plan, 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?, I] Yes C) No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C) Yes C) No - Is the facility to be constructed within 1,000 feet of the outer boundary ofaschool site? C) Yes C) 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. QiiUO Q@1DOO@ Q@OCj3 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). Lenders Name Lende?s Address 421PI I oertifythatl have.read the application and state thatthe above information is oonectand thatthe information an the plans Is accurate. I agree to complywith all Cityoldinances and State lay ielatlngtobuildingconstniction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspeclior purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSRAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHkM OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3stories in height EXPIRATION: Every permit issued by the Building Offcial under the provisions of this Code shat expire by limitation and become nut and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit issus nded or abandoned at anytime after the work is commenced tara period of 180 days (Section 106.4.4 Unibm Building Code). LAPPLICANT'S SIGNATURE /11,vt4)J1 ' : DATE 1/— 2- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. L._C E.n T IiIF Ir'(Com m erc ial .Proje cts .E.ITre TJ - Fax (760) 602-8560, Email www.buildinqtrpcarlsbadca.pov or Mail the compIetd form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME . OCCUPANT NAME - ADDRESS . .' . BUILDING ADDRESS CITY . STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL . OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS C) PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) O CONTRACTOR (On Pg. 1) o ASSOCIATED CB# C) MAIL TO: o CONTACT (Listed above) D OCCUPANT (Listed above) O CONTRACTOR (On P. 1) a NO CHANGE IN USE / NO CONSTRUCTION C) MAIL/ FAX TO OTHER: a CHANGE OF USE/NO CONSTRUCTION LAPPLICANT'S SIGNATURE . DATE