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Home My WebLink About2571 MUIRFIELDS DR; TP; CB131499; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-19-2013 Permit No: CB131499 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2571 MUIRFIELDS DR CBAD St: TP PME Status: Parcel No: 2132500600 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: POWER PLUS MAGNOLIA PARTNERS-INSTALL 100 AMP TEMP POWER POLE 436 QUINCE ST. ESCONDIDO CA 92025 760-839-9430 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: MAGNOLIA PARTNERS LL C 1094 CUDAHY PL #212 SAN DIEGO CA 92110 ISSUED 06/19/2013 LSM 06/19/2013 06/19/2013 $0.00 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINALtPPROVAJ_ Date • ,L/, I ~ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "\mposition" 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 ptanning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any f hi h h v r vi I iv n N Tl im· r h' r w i h h f limi i n I h THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: □PLANNING UNGINEERING OeulLDING □FIRE □HEALTH UAZMAT/APCD «~"» Building Permit Application Plan Check No. c..6 ( 31 4 ~ CITY OF Est. Value CARLSBAD 1635 Faraday Ave .• Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit www carlsbadca.gov SWPP SUITE#/SPACE#/UNIT # CT/PROJE # LOT# # OF UN\TS # BATHROOMS TENANT 8USINES NAME CONSTR. 1YPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR COND\TIONING FIRE SPRINKLERS YES □ tt_ NOD YES □ NO □ YES O NO □ APPLICANT NAME {Secondary Contact) ADDRESS STATE ZIP FN< J CONTRACTOR BUS. NAME p E ADDRESS y j crr,e ZIP. /32.,U "l., PHONE FN< ~!of<\,___ 7 r-fo c jf MAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CtTY BUS. UC.# ~ C' l O 'i 'L-·t k""" t (Sec. 7031.5 Business and Professions Code.: Any City or County which requires a permit to construct, alter, !mp rove, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is lfcensed pursuant to the provisions of the Contractor's license Law {Chapter 9, commending with Section 7000 of Division 3 of the B_U?iness and Professions Code} or That he fs exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a cIv1I penalty of not more than five hundred dollars [$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: 0 1 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 performance of the worn for which this permit is issued. ~ave and will maintain workers' com nsa_~, as require by ,Section 3700 of the Labor Code, for the pertormanxe of the.l:{Ork fRr Which this ~mil is issued. My workers' com pens tion insurance carrier and policy numberare:lnsuranceCo. CJ fC-(.. :Jv\. I I'{ ~ -Policy No, ~:-:t C(.!V~7 V r (.3 11(;, Expirab"onDate ~-31-IV This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the pertormance of the worn for which this permit is issued, ! 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 crlmlnal p1:malt1es and civil fines upto one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damages as provid~r~n_fection 3706 of the ab r code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE r-,, J hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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 worn 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 year of completion, the owner-builder will have the burden of proving that he did not build or lmprove for the purpose of sale), 0 l, as owner of the property, am exclusively contractlng 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 contrac\or(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 Improvement D Yes O No 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 constructlon (include name address/ phone I contractors' license number): 4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the mf:1or work (include name I address/ phorie / contractors' license number): 5. \ will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inch.ire name I address/ phone /type of work): _.iS PROPERTY OWNER SIGNATURE □AGENT DATE R= ' -,""' '"'"" ~~--,, "--=-~ -,,,--~~~-,,,_ ~-s '¥-,.~--"'-·~~-~-=,c,yr•-,~---,, \,._ , y -~,-~,, ~· ½c ,~~ ' ""~~---,.,~ ~ ---, 1, co MPH; r E r fl_ n ~ e5 r, o N -Fon N"tHi -It\!' SI o I! 1\1 n ,r~-1011'1HH 111 ~ :Ji 1,,ft,Mi ts '.~,N-t; _, : -_: -, , "'; 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? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Js the faclllty to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET DR JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnation rs correct and that the Jnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State lav.s relating to building construction, I hereby authorize representative of !he City of Carlsbad to enter up:m !he above mentioned J)Dperty for inspeclion pur')Xlses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LWJIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pennlt is reqiira:l for excavations over S'(J deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building orv.ork authorized by such pennil is not commenced wit~in 180 days from !lie date of such pennil or if the building orfrk a,rized by such permit is suspended or abandoned at any Orne after the mrk is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ,@S' APPLICANT'S SIGNATURE rV/ .A,,d tA-{; (_ . DATE e,; -J / 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,bullding@carlsbadca.gov or Mail the completed 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LJC. No. DELIVERY OPTIONS O PICK UP: □ CONTACT (listed above) □ OCCUPANT (Listed above) o CONTRACTOR {On pg. 1) 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S S!GNATURE o ASSOCIATED CB#------- □ NO CHANGE IN USE/ NO CONSTRUCT/ON o CHANGE OF USE/ NO CONSffiUCT/ON DATE ZIP Inspection List Permit#: CB131499 Type: PME Date lnspec!ior,_ Item _____ _ 06/21/2013 11 Fig/Foundation/Piers 06/21/2013 32 Const. Service/Agricultural Monday, June 24, 2013 Inspector Act PD AP RI MAGNOLIA PARTNERS-INSTALL 100 AMP TEMP POWER POLE Comments ---------- Page 1 of 1