HomeMy WebLinkAbout2637 GARFIELD ST; TP; CB153498; Permit10-16-2015
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: CB153498
Building Inspection Request Line (760) 602-2725
2637 GARFIELD ST CBAD St: TP
PME
2031411800 Lot#: 0
MILLS: TEMP POWER FOR PC 13-67
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/15/2015
SLE
10/16/2015
10/16/2015
DIAMOND POWER SERVICES INC MILLS B&CO L L C
807 EMISSION RD
SAN MARCOS CA 92069
760-744-7191
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
7317 E GREENWAY RD
SCOTTSDALE AZ. 85260
$0.00
$163.00
$0.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAZPPPR.OVAL
Date: ·'Zr(, f .J Clearance:
$0.00
I\IJllCE: Flease la<e I\IJllCc Iha~ c:J )OJI" prqed irdt.des Ire "IITJl(llitiori' c:J fees, dlrlcaticrs, ,.,..,.;oaicrs, or cthar exa:;t;c:re -roledively
referred to as 'feesiexa:;t;crs" Yoo rave 00 m,,; fraTI tt-e-tns pemit v.as iss..ed to pn:test irrµ,sitic,i c:J trese fees/exa:;ticrs. If yoo pn:test It-en\ yoo rrust
fciloo the pn:test l)"OCS(U0S set forth in Gl:Nerrmant Code Sedic,i OOJ:!O(a), ard file Ire pn:test ard arr; cth9r "'!Jred infonraic,i wth Ire aty M>-ager for
;:roc:,,ssrg in acxxroa-a,wth Ga1stm Mridpe, Code Sedic,i 3.32.03J. Failu-etotirrayfciloothal ;:rorearewll t..-arr;Sl.bseqm leg,j idic,i to atta:k.
reio.eN, set aside, vtid, er a-Y'U treir irrpcsitioo.
Yoo ere hereby R.RTI-ER I\IJllFIED thlt yo,: rigt to pn:test Ire specified feesiexa:;tic,is DCES NOf APPLY to\Mller ard se,,er oc,inedic,i fees ard c,,pa::ity
cra,gss, nor plannrg, mrg gmrg or cth9r ,;nnlar wicaic,i ;:roc:,,ssrg or SEl\lioe fees in oc,inedic,i wth ths prqed. I'm DCES IT APPLY to arr;
t ·cn.sctwi a sinil oWl linitai dherw
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH D HAZMATIAPCO
«~ Building Permit Application Plan Check No. C,0115 '3"495'<
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date \0-1'5-~ ISWPPP
JOB ADDRESS SUlTE#/SPACEI/UNIT# IAPN 2637 GARFIELD ST ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Install temporary power pole for PROJECT PERMIT# PC13.67
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESQ Nc0 YES•No• YES•No•
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS
9880 Magnolia Ave #119
CITY STATE ZIP CITY STATE ZIP
Santee CA 92071
PHONE [FAX PHONE IFAX 619-405-2648 619-330-4796
EMAIL EMAIL
jennifer@permitrunner.net
PROPERTY OWNER NAME MILLS SINCLAIR CONTRACTOR BUS. NAME Diamond Environmental
ADDRESS ADDRESS
2637 GARFIELD ST 807 EMISSION ROAD
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92008 SAN MARCOS CA 92069
PHONE I FAX PHONE IFAX
(602) 228-6175 (760) 744-7191
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS IT-z"ici Le Cc; 908341 C10
(Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct. alter, improve, demolish or repair any_ structure, prior to its issuance, also reciu1res the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
c1v1I penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following declarations: 0 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 pertormance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the partormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. SECURITY NATIONAL INSURANCE CO Policy No, SWC1068516 Expiration Date 3/0112016
J,ll,i§,section need not 00 completed if the permit is for one hul'\dred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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 cove e 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 rovlded for i ion 3706 of the Labor code, interest and attorney's fees.
HS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: •
• •
I, as owner of the property or my employees with wages as their sole compensation, wHI 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 or offered for
sale. If, however, \he 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, as owner of the property, am exclusively contracUng 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 am exempt under Section ____ ,Business ar,d Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I 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 I contractors' license number):
4. I plan to provkle portions of the work, but I have hired the following person to coordinate, supeNise and provide the 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/ address I phone I type of work):
L) PROPERTY OWNER SIONA TURE •AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and preven~on 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 permit from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a scr.ool 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,
I certify that I have read the application and state that the above infonnation Is correct and that the infonnatlon on the plans Is accurate. I agree to comply with all Clfy olttinances and State laws relating VJ building construction.
I hereby authorize representatve of the City of Carlsbad lo enterup:m the atx>ve mentioned property br inspection purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CllY IN CCJ,JSEQIJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pennlt ~ required for excavations over 5'0' deep and demolijion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official unoer the prol/lSXJns of this shall expire by limitation and become nul and void if the t\Jilding or work authorized by sucl1 pennit ls notcommencad within
180 days from the date of such permn or if the building orv.ork uthorized bys rrriij is suspended or abandoned at any time after the work is commencad for a period of 180days (Section 100.4.4 Uniform Building Coc1e)
,8$ APPLICANT'S SIGNATURE DATE
Inspection List
Pennit#: CB153498 Type: PME
Date Inspection Item
10/27/2015 32 Const. Service/Agricultural
10/27/2015 32 Const. Service/Agricultural
10/27/2015 39 Final Electrical
10/27/2015 39 Final Electrical
Tuesday, October 27, 2015
MILLS: TEMP POWER FOR PC 13-67
Inspector Act Comments
RI
PD AP
RI
PD AP
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